{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:08:24Z","timestamp":1780546104379,"version":"3.54.1"},"reference-count":17,"publisher":"Informa UK Limited","issue":"2","license":[{"start":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:00:00Z","timestamp":1710979200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Post Reprod Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Purpose: We performed a retrospective audit of General Practitioners\u2019 (GPs) referrals to the specialist Menopause Clinic at Guys and St Thomas\u2019s (GSTT) between 2021 and 2022. We aim to establish the indication for the referrals and whether they were compliant with the National Institute for Health and Care Excellence Guidance NICE.<\/jats:p>\n                  <jats:p>Background: GSTT is a teaching hospital in central London that educates gynaecologists in training as well as (GP) for specialist certification in Menopause. The menopause clinic receives approximately 580 GP referrals per month from South East London practices. The current waiting time for an initial appointment is up to 1\u00a0year. This delay reflects an increase in demand for menopause care and a deficit in service provision in many areas of the UK.<\/jats:p>\n                  <jats:p>NICE has recommended that GPs refer complicated cases to menopause specialists, with 11 specific criteria.<\/jats:p>\n                  <jats:p>Study Sample and Data Collection: We randomly selected 50 patients referred to the GSTT clinic by a GP between 2021 and 2022. Patient data were collected, including patient demographics, date of referral, indication for referral, date of consultation, waiting time, past medical history, investigations, and treatment instigated during the appointment.<\/jats:p>\n                  <jats:p>Results: The majority of referrals to the GSTT menopause Specialist clinic met the NICE guidelines (76%). One-sixth of the referrals could have been prevented or managed through alternative routes. Finally, although this is a small study, some patient unmet needs (PUNS) and GPs\u2019 educational needs have been identified.<\/jats:p>","DOI":"10.1177\/20533691241239485","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T15:23:31Z","timestamp":1711034611000},"page":"121-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A retrospective audit of general practitioner\u2019s referrals to Guys and St Thomas\u2019 specialist menopause clinic between 2021 and 2022"],"prefix":"10.1080","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1014-565X","authenticated-orcid":false,"given":"Jocelyne","family":"Tedajo Tsambou","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology Department, Guy\u2019s and St Thomas\u2019s GP Locum, Bedfordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Bruce","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Guy\u2019s and St Thomas\u2019s, McNair Centre - Women's Services, London, UK"},{"name":"School of Medicine, University of Surrey, Guildford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debra","family":"Holloway","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Guy\u2019s and St Thomas\u2019s, McNair Centre - Women's Services, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2705-1217","authenticated-orcid":false,"given":"Janice","family":"Rymer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Guy\u2019s and St Thomas\u2019s, McNair Centre - Women's Services, London, UK"},{"name":"Obstetrics and Gynaecology and Dean of Student Affairs, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2024,3,21]]},"reference":[{"key":"bibr1-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1177\/2053369121989230"},{"key":"bibr2-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2022.03.003"},{"key":"bibr3-20533691241239485","volume-title":"The \u2018Davina\u2019 effect, menopause, and general practice responses to celebrity stories","author":"Khan N","year":"2022"},{"key":"bibr4-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1177\/20533691221104273"},{"key":"bibr5-20533691241239485","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-3189118\/v1"},{"key":"bibr6-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1177\/2053369120947620"},{"key":"bibr7-20533691241239485","volume-title":"Menopause: diagnosis and management","author":"National Institute for Health and Care Excellence NICE NG23","year":"2015"},{"key":"bibr8-20533691241239485","volume-title":"Nation unites to tackle menopause task force","author":"Department of Health and Social Care","year":"2022"},{"key":"bibr9-20533691241239485","volume-title":"RCGP, RCOG and BMS position statement on the menopause","author":"RCGP","year":"2022"},{"key":"bibr10-20533691241239485","volume-title":"Education: principles and practice of menopause care. Apply for the BMS PPMC training program","author":"BMS","year":"2023"},{"key":"bibr11-20533691241239485","unstructured":"FSRH, https:\/\/www.fsrh.org\/education-and-training\/menopause-care-professional-certificate-mcpc\/"},{"key":"bibr12-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1177\/20533691211028518-CMA"},{"key":"bibr13-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2020.1826426"},{"key":"bibr14-20533691241239485","doi-asserted-by":"publisher","DOI":"10.1177\/2053369120957514"},{"key":"bibr15-20533691241239485","volume-title":"Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer","author":"National Institute for Health and Care Excellence NICE CG164","year":"2013"},{"key":"bibr16-20533691241239485","unstructured":"IMS IMPART online learning for health care professionals, https:\/\/thebms.org.uk\/education\/impart-online-learning-for-health-care-professionals\/"},{"key":"bibr17-20533691241239485","unstructured":"CMA, https:\/\/www.the-cma.org.uk\/womens-health\/"}],"container-title":["Post Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20533691241239485","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/20533691241239485","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/20533691241239485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:25:55Z","timestamp":1766517955000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/20533691241239485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,21]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1177\/20533691241239485"],"URL":"https:\/\/doi.org\/10.1177\/20533691241239485","relation":{},"ISSN":["2053-3691","2053-3705"],"issn-type":[{"value":"2053-3691","type":"print"},{"value":"2053-3705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,21]]}}}