Care reality of menopausal women in Germany: healthcare research using quantitative (SHI claims data) and qualitative (survey) data collection.

Stute, Petra; Eversheim, Helena; Ortius-Lechner, Diethe; May, Melanie; Feig, Chiara (2022). Care reality of menopausal women in Germany: healthcare research using quantitative (SHI claims data) and qualitative (survey) data collection. Archives of gynecology and obstetrics, 306(2), pp. 513-521. Springer-Verlag 10.1007/s00404-022-06457-9

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PURPOSE

The transition from the fertile phase of life to menopause is associated with numerous physical changes. Hormone replacement therapy (HRT), as the most effective and efficient form of drug treatment, involves the use of oestrogens and progestins with the aim of increasing health-related quality of life through symptom reduction, sleep improvement and affect enhancement.

METHODS

The medical care situation and disease burden of menopausal women was investigated by means of a survey of 1000 women aged 45-60 years on the topics of quality of life, menopause and HRT and a quantitative, longitudinal healthcare study based on an anonymised and age- and sex-adjusted Statutory Health Insurance (SHI) routine data set with approximately four million anonymous insured persons per year.

RESULTS

Out of more than half a million women aged 35-70 years, and with statutory health insurance, (n = 613,104), 14% (n = 82,785) had climacteric disorder documented as a first diagnosis in 2014. The proportion of women with the climacteric disorder, who were prescribed HRT on an outpatient basis, was 21%; according to the forsa survey, 50% of the women surveyed felt moderate to poorly/very poorly informed about treatment options.

CONCLUSION

Findings from the health insurance research conducted with different data sources (survey and SHI claims data) indicate the need for increasing awareness and providing an early and informative education on HRT and its risks and benefits.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Stute, Petra

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0932-0067

Publisher:

Springer-Verlag

Language:

English

Submitter:

Pubmed Import

Date Deposited:

08 Mar 2022 11:59

Last Modified:

05 Dec 2022 16:13

Publisher DOI:

10.1007/s00404-022-06457-9

PubMed ID:

35253085

Uncontrolled Keywords:

Forsa survey Hormone replacement therapy (HRT) Menopause Real-world evidence (RWE) Statutory Health Insurance (SHI) claims data

BORIS DOI:

10.48350/166746

URI:

https://boris.unibe.ch/id/eprint/166746

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