Evidence map›Paper›PMID 26895640›Full record

ArticlePost reproductive health2016

Behaviours and attitudes influencing treatment decisions for menopausal symptoms in five European countries.

Ginger D Constantine, Shelli Graham, Cathy Clerinx, Brian A Bernick, Mitchell Krassan, Sebastian Mirkin, Heather Currie

Open access · hybridAbstract read
In one paragraph

Article in Post reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

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  10. Treatment-Seeking Behaviors Among Japanese Working Women With Menopausal Symptoms.The journal of obstetrics and gynaecology research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ginger D ConstantineEndoRheum Consultants LLC, Malvern, PA, USA endorheum@gmail.com.
Shelli GrahamTherapeuticsMD, Boca Raton, FL, USA.
Cathy ClerinxAX's Consulting SPRL, Chaumont-Gistoux, Belgium.
Brian A BernickTherapeuticsMD, Boca Raton, FL, USA.
Mitchell KrassanTherapeuticsMD, Boca Raton, FL, USA.
Sebastian MirkinTherapeuticsMD, Boca Raton, FL, USA.
Heather CurrieDepartment of Obstetrics and Gynecology, Dumfries & Galloway Royal Infirmary, Dumfries, UK.
TherapeuticsMD (United States) · USDumfries and Galloway Royal Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess women's behaviours and attitudes regarding the treatment of menopausal symptoms in five European countries. STUDY

designWomen aged ≥45 years in France, Germany, Italy, Spain, and the United Kingdom participated in an internet survey. Completers were those who reported menopausal symptoms and had treated their symptoms. Women were equally stratified by age (45-54 years, 55-64 years, ≥65 years).

main outcome measuresBehaviours, attitudes, and experiences regarding treatment of menopausal symptoms.

resultsOf 3890 peri- to postmenopausal women screened, 67% experienced symptoms and 54% sought either medical input or some treatment concerning their symptoms. Hot flushes, the most common symptom, decreased with age but remained prevalent after age 64. Roughly 75% of women who sought relief consulted a physician, mostly a gynaecologist or a general practitioner (GP) as in the United Kingdom. The decision to seek treatment was influenced by age, number, and severity of symptoms. Approximately 79% visiting a physician received prescription therapy. Of the women who received non-hormone therapy (HT) treatment instead of HT: patients refused HT (20-44%), physicians did not discuss HT (32-46%), or advised against HT (24-43%). Women in the United Kingdom were most familiar with and favorable to HT. Interest in a new HT (34-50%) was higher than use (19-28%).

conclusionsMenopausal symptoms are common, persistent, and bothersome, but many fail to seek treatment. Sources and types of treatment vary among age groups and countries. Education regarding women's attitudes toward treatment should be provided to those physicians who treat menopausal symptoms in each country.

Indexed as

Decision MakingEstrogen Replacement TherapyMenopauseAgedAttitude to HealthEuropeFemaleFranceGermanyHumansItalyMiddle AgedSpainUnited KingdomAttitudehormone therapymenopausesurveyvasomotor symptoms

Identifiers

PMID26895640
PMCPMC5019289
OpenAlexW2274929945

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.