September 15th, 2019

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Obstetrician/Gynecologist Practice Patterns in the Care of Obese Patients with Endometrial Hyperplasia and Carcinoma
Authors:  Renata R. Urban, M.D., Laura Taouk, B.S., Viksa Mendiratta, M.D., Ellen Peters, Ph.D., and Jay Schulkin, Ph.D.
  OBJECTIVE: To investigate Ob-Gyns’ counseling practices and perspectives pertaining to obesity in the context of a diagnosis of endometrial hyperplasia and carcinoma.

STUDY DESIGN: We conducted a national survey of practicing Ob-Gyns, who were recruited through the Collaborative Ambulatory Research Network.

RESULTS: The response rate to our survey was 55.3%. Although 45.2% of respondents indicated that about half of their patients were overweight or obese, only 11.1% had received prior training in obesity management or counseling. Two-thirds (72.3%) of respondents selected the diagnosing physician (36.5%) or a general Ob-Gyn (35.8%) as best suited to address weight reduction as a therapeutic strategy for patients with endometrial hyperplasia. Nearly all respondents (98.5%) agreed that obesity should be addressed as a risk factor when counseling a patient with a new diagnosis of endometrial hyperplasia or cancer. Approximately half of respondents (47.1%) believed that at least 1 patient had left their practice after counseling regarding the patient’s weight or discussing weight loss.

CONCLUSION: General Ob-Gyns address obesity with patients diagnosed with endometrial hyperplasia and cancer and believe that discussing the risks of obesity should be a multidisciplinary effort. Further provider training and education on the risks and management of obesity are needed.
Keywords:  continuing education, patient education as topic, medical education, endometrial hyperplasia, cancer, gynecologic cancer, obesity, obesity management, professional education
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