Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
Medical Decision Making
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Dolan, J. G.
Right arrow Articles by Howard, F. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dolan, J. G.
Right arrow Articles by Howard, F. M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

A Survey of Gynecologists' Attitudes Regarding Decision Making in the Management of Non-cancerous Conditions That Frequently Result in Hysterectomy

James G. Dolan

Fred M. Howard

Objective. To explore attitudes of practicing gynecologists regarding making treatment decisions for patients with benign uterine conditions frequently treated with hysterec tomy. Design. Mailed survey. Participants. 66 gynecologists practicing in the Greater Rochester, New York, area. Interventions. After reading brief vignettes, respondents indicated how they would treat patients with chronic pelvic pain, uterine leiomyomas, and abnormal uterine bleeding, and rated the importance of 24 considerations in mak ing their treatment decisions on a 1-to-5 scale ranging from not important to extremely important. Results. Fourteen considerations (58%) had group mean importance ratings higher than 3. Exploratory factor analysis identified four factors that accounted for 96% of the variance. Respondent gender, practice type, graduation from a U.S. vs a non- U.S. medical school, and opinion regarding roles of doctor and patient in making treat ment decisions were associated with significant differences in factor scores. Conclu sions. Gynecologists' attitudes toward hysterectomy decisions are complex, multifactorial, and variable. Depending on the extent to which these attitudes affect treatment decisions, differences among gynecologists in their clinical decision making processes could account for a substantial amount of the regional variability in hyster ectomy use. Key words: decision making; hysterectomy, physician-patient relation ship. (Med Decis Making 1999;19:186-192)

Medical Decision Making, Vol. 19, No. 2, 186-192 (1999)
DOI: 10.1177/0272989X9901900209
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 JNCI J Natl Cancer InstHome page
A. Partridge, K. Adloff, E. Blood, E. C. Dees, C. Kaelin, M. Golshan, J. Ligibel, J. S. de Moor, J. Weeks, K. Emmons, et al.
Risk Perceptions and Psychosocial Outcomes of Women With Ductal Carcinoma In Situ: Longitudinal Results From a Cohort Study
J Natl Cancer Inst, February 20, 2008; 100(4): 243 - 251.
[Abstract] [Full Text] [PDF]