{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:29:15Z","timestamp":1766518155416,"version":"3.48.0"},"reference-count":28,"publisher":"Informa UK Limited","issue":"2","license":[{"start":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T00:00:00Z","timestamp":1495411200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Post Reprod Health"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The National Institute for Health and Care Excellence (NICE) guideline on the diagnosis and management of the menopause states that women who are likely to go through the menopause as a result of surgical treatment should be offered information about the menopause and the importance of starting hormonal replacement therapy before they have their treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine compliance with NICE guidelines at the Royal Derby Hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>We undertook a retrospective review of all pre-menopausal women undergoing bilateral salpingo-oophorectomy for benign pathology between 1 January 2016 and 30 June 2016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-six cases were reviewed. Women were aged between 32.5 and 49.8 years old (median 45.13, inter-quartile range 42.6\u201347.6). The commonest indications for bilateral salpingo-oophorectomy were dysfunctional uterine bleeding (36.1%), chronic pelvic pain (30.5%), complex cyst (13.9%), and pre-menstrual syndrome (13.9%). Fifteen women (41.7%) did not have hormonal replacement therapy discussed. Only two (5.6%) had hormonal replacement therapy discussed pre-operatively. The remaining 19 had hormonal replacement therapy discussed post-operatively, either on the ward prior to discharge (n\u2009=\u20093) or, more commonly, in clinic six to eight weeks later. Although hormonal replacement therapy was only contraindicated in one woman (3%), it was only prescribed to five (24%). Results were slightly better for women under 40 but still only 28.6% had hormonal replacement therapy discussed with them pre-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This audit has demonstrated that compliance with the NICE guidelines is poor. We suspect similar results might be found in other gynaecology departments nationally. A hospital guideline to aid clinicians and a patient information sheet to educate women has been devised. A re-audit is planned six months after ratification of these documents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2053369117709205","type":"journal-article","created":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T09:18:19Z","timestamp":1495444699000},"page":"63-70","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Hormone replacement therapy in pre-menopausal women undergoing bilateral salpingo-oophorectomy for benign disease: A review of practice"],"prefix":"10.1080","volume":"23","author":[{"given":"Alison","family":"Richardson","sequence":"first","affiliation":[{"name":"Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"West","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Cust","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"301","published-online":{"date-parts":[[2017,5,22]]},"reference":[{"key":"bibr1-2053369117709205","doi-asserted-by":"publisher","DOI":"10.1080\/13697130902780846"},{"key":"bibr2-2053369117709205","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h5746"},{"key":"bibr3-2053369117709205","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.02.059"},{"key":"bibr4-2053369117709205","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1992.tb13758.x"},{"key":"bibr5-2053369117709205","first-page":"827","volume":"55","author":"Kramer MG","year":"1997","journal-title":"Am Fam 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