Evidence map›Paper›PMID 38558944›Full record

ArticleWomen's health reports (New Rochelle, N.Y.)2024

Enhancing Uterine Fibroid Care: Clinician Perspectives on Diagnosis, Disparities, and Strategies for Improving Health Care.

Alfu Laily, Isha Nair, Sophie E Shank, Cameron Wettschurack, Grace Khamis, Chandler Dykstra, Andrea L DeMaria, Monica L Kasting

Abstract read
In one paragraph

Article in Women's health reports (New Rochelle, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

8 authors.

Alfu LailyDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Isha NairSchool of Health Sciences, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Sophie E ShankDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Cameron WettschurackSchool of Health Sciences, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Grace KhamisSchool of Health Sciences, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Chandler DykstraMarian University College of Osteopathic Medicine, Indianapolis, Indiana, USA.
Andrea L DeMariaDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.
Monica L KastingDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, Indiana, USA.ORCID https://orcid.org/0000-0002-9879-7235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore clinicians' perspectives on diagnosing, treating, and managing uterine fibroids, identifying gaps and challenges in health care delivery, and offering recommendations for improving care. Materials and Methods: A qualitative design was used to conduct 14 semistructured interviews with clinicians who treat fibroid patients in central Indiana. Interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis techniques. Constant comparative analysis was used to identify emergent themes. Results: Four themes emerged. (1) Lack of patient fibroid awareness: Patients lacked fibroid awareness, leading to challenges in explaining diagnoses and treatment. Misconceptions and emotional distress highlighted the need for better education. (2) Inequities in care and access: Health care disparities affected Black women and rural patients, with transportation, scheduling delays, and financial constraints hindering access. (3) Continuum of care: Clinicians prioritized patient-centered care and shared decision-making, tailoring treatment based on factors like severity, location, size, cost, fertility goals, and recovery time. (4) Coronavirus disease 2019 (COVID-19) impact: The pandemic posed challenges and opportunities, prompting telehealth adoption and consideration of nonsurgical options. Conclusions: Clinician perspectives noted patient challenges with fibroids, prompting calls for enhanced education, interdisciplinary collaboration, and accessible care to address crucial aspects of fibroid management and improve women's well-being. Practice Implications: Clinicians identified a lack of patient awareness and unequal access to fibroid care, highlighting the need for improved education and addressing disparities. Findings also emphasized the importance of considering multidimensional aspects of fibroid care and adapting to challenges posed by the COVID-19 pandemic, recommending broader education, affordability, interdisciplinary collaboration, and research for better fibroid health care.

Indexed as

clinical careclinicianshealth disparitiesqualitativeuterine fibroids, women's health

Identifiers

PMID38558944
PMCPMC10979696

What OpenQuestion holds

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Registered trials

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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.