Gynecologic Issues in Geriatric Women

Stiles, Melissa; Redmer, Jackie; Paddock, Elizabeth Layne; Schrager, Sarina

doi:10.1089/jwh.2011.2803

Cited by 25 publications

(24 citation statements)

References 29 publications

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“…Breast and pelvic examination, whether performed for screening or diagnostic purposes, are key components of the general physical examination . Clinical breast examination augments mammography for the detection of breast cancer .…”

Section: Introductionmentioning

confidence: 99%

“…Breast and pelvic examination, whether performed for screening or diagnostic purposes, are key components of the general physical examination. [1][2][3][4] Clinical breast examination augments mammography for the detection of breast cancer. 5 Although its role in routine screening is currently being debated, pelvic examination remains an integral part of physical diagnosis for women with vulvar, vaginal, and pelvic concerns.…”

Section: Introductionmentioning

confidence: 99%

“…5 Although its role in routine screening is currently being debated, pelvic examination remains an integral part of physical diagnosis for women with vulvar, vaginal, and pelvic concerns. 3,4 These are intimate examinations, and as such a paradox exists: these examinations need to be practised in order to be performed well; however, patients are understandably ambivalent about being part of the learning process, and providers need to be sensitive to the feelings of patients. 6,7 There are currently several methods for teaching intimate examinations, including textbooks, lectures, videos, plastic or silicone models, computer simulations/models, and standardised patients.…”

Section: Introductionmentioning

confidence: 99%

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Simulation training for breast and pelvic physical examination: a systematic review and meta‐analysis

Dilaveri

Szostek

Wang

et al. 2013

BJOG

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Background Breast and pelvic examinations are challenging intimate examinations. Technology-based simulation may help to overcome these challenges.Objective To synthesise the evidence regarding the effectiveness of technology-based simulation training for breast and pelvic examination.Search strategy Our systematic search included MEDLINE, EMBASE, CINAHL, PsychINFO, Scopus, and key journals and review articles; the date of the last search was January 2012.Selection criteria Original research studies evaluating technologyenhanced simulation of breast and pelvic examination to teach learners, compared with no intervention or with other educational activities.Data collection and analysis The reviewers evaluated study eligibility and abstracted data on methodological quality, learners, instructional design, and outcomes, and used random-effects models to pool weighted effect sizes.Main results In total, 11 272 articles were identified for screening, and 22 studies were eligible, enrolling 2036 trainees. In eight studies comparing simulation for breast examination training with no intervention, simulation was associated with a significant improvement in skill, with a pooled effect size of 0.86 (95% CI 0.52-1.19; P < 0.001). Four studies comparing simulation training for pelvic examination with no intervention had a large and significant benefit, with a pooled effect size of 1.18 (95% CI 0.40-1.96; P = 0.003). Among breast examination simulation studies, dynamic models providing feedback were associated with improved outcomes. In pelvic examination simulation studies, the addition of a standardised patient to the simulation model and the use of an electronic model with enhanced feedback improved outcomes.Author's conclusions In comparison with no intervention, breast and pelvic examination simulation training is associated with moderate to large effects for skills outcomes. Enhanced feedback appears to improve learning.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Simulation training for breast and pelvic physical examination: a systematic review and meta‐analysis

Dilaveri

Szostek

Wang

et al. 2013

BJOG

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“…PMK nedenlerini araştıran çalışmalarda, PMK'nın en sık sebebinin atrofik endometriyum olduğu ve insidansının %60-80 arasında değiştiği ortaya konulmuştur (16). Diğer sebepler ise hormonal tedavi, akut stres, atrofik vajnit, endometriyal hiperplazi, endometriyal ve servikal karsinomlar ve travma olarak belirtilmektedir (17). PMK'nın etiyolojik tanısı için transvajinal ultrasonografi, endometrial küretaj, tanısal histeroskopi, histeroskopik biyopsi gibi yöntemler kullanılmaktadır (18).…”

Section: Postmenapozal Kanamaunclassified

65 Yaş Üstü Kadınlarda Jinekolojik Sorunlar

Güvey

2019

Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Son yıllarda artan yaşlı hasta popülasyonu nedeniyle jinekoloji birimlerinde bu hasta grubuyla daha sık karşılaşılmaktadır. Altmış beş yaş üstündeki hastalar geriartrik popülasyon olarak isimlendirilmektedir. Geriartrik yaş grubunda reprodüktif dönemde ortaya çıkan jinekolojik problemlerin çoğu ortadan kalkmaktadır. Hipoöstrojenemiye bağlı sorunlar ve yaşla birlikte artan jinekolojik maligniteler bu yaş grubunda ivme kazanmaktadır. Vulvovajinal atrofi ve vulvar distrofiler, genital prolapsus, postmenapozal kanama, mesane fonksiyonlarında değişiklikler, osteoporoz ve genital kanserler sıklıkla bu yaş grubunda karşımıza çıkmaktadır. Jinekolojik kanserlerin sıklığı ve mortalitesi de yaşla artış göstermektedir. Postmenapozal kanama endometrium kanseri belirtisi olabildiğinden dikkatle değerlendirilmeli ve mutlaka endometrial örnekleme yapılmalıdır. Pelvik organ prolapsusu ve üriner inkontinans pelvik taban kaslarının relaksasyonuna bağlı gelişmekte ve yaşam kalitesini olumsuz etkilemektedir. Vulvar distrofiler de genellikle kaşıntıyla ortaya çıkan ve çeşitli histolojik tiplere ayrılan bir hastalıktır. Osteoporoz kırık geliştiğinde yaşam kalitesini önemli derecede etkileyen morbidite ve mortalite sebebi olmaktadır. Jinekolojik şikayeti bulunan geriatrik yaş grubundaki hastalarda bu yaş grubuna spesifik problemlerin akılda tutulması ile uygun tanı ve tedavi yaklaşım daha kolay belirlenebilir.

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“…According to the American Cancer Society (ACS), age is the single most important risk factor for development of vulvar cancer, since more than half of these cancers are diagnosed after the age of 70 [15]. Although the Human Papilloma Virus (HPV) has been linked to 50% of vulvar cancers, these cancers are most commonly found among younger women (ACS, 2013).…”

Section: Vulvar Cancersmentioning

confidence: 99%