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Master Thesis

Abord de l’examen pelvien de dépistage chez la patiente âgée par le médecin généraliste

Abstract : Introduction: routine gynecological monitoring is part of the general practitioners’ core duties. Among studies, there is no evidence that the pelvic exam screening efficiently detects gynecological cancer in asymptomatic average-risk women. This study reflects whether general practitioners actually discuss pelvic examinations when meeting with their older patients. The secondary objective is to observe their attitudes and factors influencing such attitudes. Method: a quantitative observational study has been conducted based on data gathered from general practitioners working in Nouvelle-Aquitaine from 08/07/2019 to 13/10/2019. A survey based on three clinical vignettes representing 75 years old patients with varying health conditions was put online and sent through email to doctors. Results: 201 general practitioners answered the survey, representing a total of 603 clinical situations. Doctors discuss pelvic examination screenings with their patients in 39% (n=235) of appointments. Doctors who are trained in gynecological procedures tend to be more likely to discuss this examination. Additionally, pelvic examination screening tends to be discuss more frequently when the patient has a high life expectancy. A doctor typically discusses pelvic screenings with their patients to coerce them into receiving an examination. When pelvic screenings are not discussed, it is usually because the doctor did not to recall the procedure itself. Conclusion: elderly population is growing up with a huge variability of health status. The general practitioner will have to adapt his screening strategies. Knowing that there is no precise recommendations, he will have to seek for a share decision making with his patient in order do decide to pursuing or stopping pelvic examination screening.
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Master Thesis
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Submitted on : Thursday, October 22, 2020 - 11:00:43 AM
Last modification on : Saturday, November 7, 2020 - 3:12:30 AM
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Manon Plat, Cécile Amalric. Abord de l’examen pelvien de dépistage chez la patiente âgée par le médecin généraliste. Médecine humaine et pathologie. 2020. ⟨dumas-02974890⟩



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