Routine bimanual pelvic examinations: practices and beliefs of US obstetrician-gynecologists
Routine bimanual pelvic examinations: practices and beliefs of US obstetrician-gynecologists
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DOI：
10.1016/j.ajog.2012.11.015
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发表时间：
2013-02-01
影响因子：
9.8
通讯作者：
Sawaya, George F.
中科院分区：
文献类型：
--
作者：
Henderson, Jillian T.;Harper, Cynthia C.;Sawaya, George F.
目的：现在建议大多数美国女性每年进行一次宫颈癌筛查，这引发了人们对是否需要每年例行双手骨盆检查的疑问。人们对临床医生的双手盆腔检查实践、他们对其重要性的看法，或者其在无症状女性中表现的原因知之甚少。研究设计：我们对美国妇产科医生进行了一项全国性调查。受访者 (n = 521) 根据无症状女性整个生命周期的小插曲报告了他们的检查实践和信念。 结果：几乎所有妇产科医生都会在整个生命周期对无症状女性进行双手盆腔检查，尽管这对于刚刚性活跃的 18 岁青少年来说不太重要。被认为非常重要的原因包括遵守标准医疗实践（45%）、让患者放心（49%）、检测卵巢癌（47%）以及良性子宫（59%）和卵巢（54%）状况的识别。结论：妇产科医生对绝大多数无症状女性进行双手盆腔检查，但重视 检查和进行检查的原因各不相同。
OBJECTIVE: Less-than-annual cervical cancer screening is now recommended for most US women, raising questions about the need for routine annual bimanual pelvic examinations. Little is known about clinicians' bimanual pelvic examination practices, their beliefs about its importance, or the reasoning underlying its performance in asymptomatic women. STUDYDESIGN: We conducted a nationwide survey of US obstetrician-gynecologists. Respondents (n = 521) reported their examination practices and beliefs based on vignettes for asymptomatic women across the lifespan.RESULTS: Nearly all obstetrician-gynecologists perform bimanual pelvic examinations in asymptomatic women across the lifespan, although it is viewed as less important for a newly sexually active 18-year-old. Reasons cited as very important included adherence to standard medical practices (45%), patient reassurance (49%), detection of ovarian cancer (47%), and identification of benign uterine (59%) and ovarian (54%) conditions.CONCLUSION: Obstetrician-gynecologists perform bimanual pelvic examinations in the vast majority of asymptomatic women, but the importance placed on the examinations and reasons for conducting them vary.