Author: Cohen Matan J Rosenzweig Talia S Revel Ariel
Publisher: Reproductive Healthcare Ltd
ISSN: 1472-6483
Source: Reproductive BioMedicine Online, Vol.14, Iss.5, 2007-05, pp. : 555-558
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Abstract
Medical professionals often hold different views on patient treatment. This study assessed the degree to which these views differ and the degree to which these opinions changed following peer debate. The authors used an audience response system at an Israeli Fertility Association symposium. Clinical cases in the field of reproductive surgery were presented and the favoured management approach was recorded from each participant before and after holding peer debates. The cases presented were: endometrial assessment prior to artificial reproductive treatment, the management of thin endometrium, endometrial septum, intramural fibroid and hydrosalpinx. All audience responses were analysed. There was variability in answers in all five clinical scenarios. Before and after debates, the proportions of physicians preferring referral to prophylactic surgery due to endometrial septum, intramural fibroid and hydrosalpinx were 61% versus 59%, 12% versus 10% and 41% versus 37%, respectively. While these overall proportions remained similar, significantly more clinicians changed their approach regarding septum and hydrosalpinx management, compared with fibroid management (18%, 18% and 8% respectively,
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