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Open AccessArticle

Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists

1
Division of Nephrology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON M4N 3M5, Canada
2
Division of Nephrology, Department of Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
3
Division of Nephrology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA
4
Arbor Research Collaborative for Health, Ann Arbor, MI 48104, USA
5
Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94305-5101, USA
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Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
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Division of Nephrology, Department of Medicine, Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
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Division of Nephrology, Department of Pediatric, Medical University of South Carolina, Charleston, SC 29425, USA
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Division of Nephrology, Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, MI 48109, USA
10
Divisions of Nephrology, Departments of Internal Medicine and Pediatrics, University of Iowa, Iowa City, IA 52242, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this paper.
J. Clin. Med. 2019, 8(2), 176; https://doi.org/10.3390/jcm8020176
Received: 9 January 2019 / Revised: 26 January 2019 / Accepted: 30 January 2019 / Published: 3 February 2019
A range of women’s health issues are intimately related to chronic kidney disease, yet nephrologists’ confidence in counseling or managing these issues has not been evaluated. The women’s health working group of Cure Glomerulonephropathy (CureGN), an international prospective cohort study of glomerular disease, sought to assess adult nephrologists’ training in, exposure to, and confidence in managing women’s health. A 25-item electronic questionnaire was disseminated in the United States (US) and Canada via CureGN and Canadian Society of Nephrology email networks and the American Society of Nephrology Kidney News. Response frequencies were summarized using descriptive statistics. Responses were compared across provider age, gender, country of practice, and years in practice using Pearson’s chi-squared test or Fisher’s exact test. Among 154 respondents, 53% were women, 58% practiced in the US, 77% practiced in an academic setting, and the median age was 41–45 years. Over 65% of respondents lacked confidence in women’s health issues, including menstrual disorders, preconception counseling, pregnancy management, and menopause. Most provided contraception or preconception counseling to less than one woman per month, on average. Only 12% had access to interdisciplinary pregnancy clinics. Finally, 89% felt that interdisciplinary guidelines and/or continuing education seminars would improve knowledge. Participants lacked confidence in both counseling and managing women’s health. Innovative approaches are warranted to improve the care of women with kidney disease and might include the expansion of interdisciplinary clinics, the development of case-based teaching materials, and interdisciplinary treatment guidelines focused on this patient group. View Full-Text
Keywords: surveys and questionnaires; glomerular disease; chronic kidney disease; pregnancy outcome; pregnancy complication surveys and questionnaires; glomerular disease; chronic kidney disease; pregnancy outcome; pregnancy complication
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Hendren, E.M.; Reynolds, M.L.; Mariani, L.H.; Zee, J.; O’Shaughnessy, M.M.; Oliverio, A.L.; Moore, N.W.; Hill-Callahan, P.; Rizk, D.V.; Almanni, S.; Twombley, K.E.; Herreshoff, E.; Nester, C.M.; Hladunewich, M.A. Confidence in Women’s Health: A Cross Border Survey of Adult Nephrologists. J. Clin. Med. 2019, 8, 176.

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