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Attitudes of Obstetricians and Gynecologists toward Hormone Replacement Therapy

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  • Jonathan Baron
  • Gerald B. Holzman
  • Jay Schulkin

Abstract

Objective. To determine the attitudes of obstetricians and gynecologists toward hor mone replacement therapy (HRT), and the beliefs and intuitions that affected those attitudes. Design. A questionnaire was sent to 1,000 gynecologists in the United States; 328 replies were received. The questionnaire asked about effects of HRT, practices concerning HRT, and decisions in hypothetical scenarios. Results. The re spondents strongly favored HRT, and they were well informed about its effects on osteoporosis, cardiovascular disease, and breast cancer. They were aware of conflict ing findings concerning breast cancer. The strength of their recommendation of HRT was sensitive to patient differences in risk factors. The respondents also showed four biases hypothesized to cause resistance to HRT: omission bias (more concern about harmful acts than harmful omissions); proportionality bias (attention to relative risk rather than risk differences); naturalness bias (preference for the natural); and ambi guity (avoiding options with missing information). Proportion bias, naturalness bias, and (weakly) omission bias were related to less favorable attitudes toward HRT. Con clusion. Although specialists are highly favorable toward HRT in general, some neg ativity toward HRT may result from decision biases. Key words: hormone replacement; estrogen; decision making; biases. (Med Decis Making 1998;18:406-411)

Suggested Citation

  • Jonathan Baron & Gerald B. Holzman & Jay Schulkin, 1998. "Attitudes of Obstetricians and Gynecologists toward Hormone Replacement Therapy," Medical Decision Making, , vol. 18(4), pages 406-411, October.
  • Handle: RePEc:sae:medema:v:18:y:1998:i:4:p:406-411
    DOI: 10.1177/0272989X9801800408
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    References listed on IDEAS

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    1. John C. Hershey & Jonathan Baron, 1987. "Clinical Reasoning and Cognitive Processes," Medical Decision Making, , vol. 7(4), pages 203-211, December.
    2. Baron, Jonathan, 1997. "Confusion of Relative and Absolute Risk in Valuation," Journal of Risk and Uncertainty, Springer, vol. 14(3), pages 301-309, May-June.
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    1. Cao, Yu & Li, Heng, 2023. "Everything has a limit: How intellectual humility lowers the preference for naturalness as reflected in drug choice," Social Science & Medicine, Elsevier, vol. 317(C).
    2. Heather P. Lacey & Steven C. Lacey & Prerna Dayal & Caroline Forest & Dana Blasi, 2023. "Context Matters: Emotional Sensitivity to Probabilities and the Bias for Action in Cancer Treatment Decisions," Medical Decision Making, , vol. 43(4), pages 417-429, May.
    3. Li-Jun Ji & Courtney M. Lappas & Xin-qiang Wang & Brian P. Meier, 2023. "The Naturalness Bias Influences Drug and Vaccine Decisions across Cultures," Medical Decision Making, , vol. 43(2), pages 252-262, February.

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