Discussing sexual health in spinal care
Background The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseli...
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Veröffentlicht in: | European spine journal 2016-03, Vol.25 (3), p.766-773 |
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description | Background
The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health.
Methods
All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health.
Results
Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients’ old age (42 %), lack of knowledge (38 %) and lack of patients’ initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor’s age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients.
Conclusion
This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients. |
doi_str_mv | 10.1007/s00586-015-3991-1 |
format | Article |
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The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health.
Methods
All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health.
Results
Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients’ old age (42 %), lack of knowledge (38 %) and lack of patients’ initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor’s age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients.
Conclusion
This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-015-3991-1</identifier><identifier>PMID: 25962812</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Attitude of Health Personnel ; Clinical Competence ; Counseling ; Cross-Sectional Studies ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Netherlands ; Neurosurgery ; Original Article ; Patient Education as Topic - methods ; Patient Education as Topic - standards ; Physician-Patient Relations ; Practice Patterns, Physicians' - statistics & numerical data ; Quality of Life - psychology ; Referral and Consultation - statistics & numerical data ; Reproductive Health ; Sexual Dysfunction, Physiological - etiology ; Sexual Dysfunction, Physiological - rehabilitation ; Sexual Dysfunctions, Psychological - etiology ; Sexual Dysfunctions, Psychological - rehabilitation ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - rehabilitation ; Surgical Orthopedics ; Young Adult</subject><ispartof>European spine journal, 2016-03, Vol.25 (3), p.766-773</ispartof><rights>The Author(s) 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-19b5b5ec8e254518cbf63e459dc7d82a6c65b4ec70ee031fdefaf794d4f193f23</citedby><cites>FETCH-LOGICAL-c518t-19b5b5ec8e254518cbf63e459dc7d82a6c65b4ec70ee031fdefaf794d4f193f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-015-3991-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-015-3991-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25962812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korse, N. S.</creatorcontrib><creatorcontrib>Nicolai, M. P. J.</creatorcontrib><creatorcontrib>Both, S.</creatorcontrib><creatorcontrib>Vleggeert-Lankamp, C. L. A.</creatorcontrib><creatorcontrib>Elzevier, H. W.</creatorcontrib><title>Discussing sexual health in spinal care</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Background
The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health.
Methods
All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health.
Results
Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients’ old age (42 %), lack of knowledge (38 %) and lack of patients’ initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor’s age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients.
Conclusion
This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>Clinical Competence</subject><subject>Counseling</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Patient Education as Topic - methods</subject><subject>Patient Education as Topic - standards</subject><subject>Physician-Patient Relations</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Quality of Life - psychology</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Reproductive Health</subject><subject>Sexual Dysfunction, Physiological - etiology</subject><subject>Sexual Dysfunction, Physiological - rehabilitation</subject><subject>Sexual Dysfunctions, Psychological - etiology</subject><subject>Sexual Dysfunctions, Psychological - rehabilitation</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>Surgical Orthopedics</subject><subject>Young Adult</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkE1Lw0AQhhdRbP34AV4k4EEv0ZnNfmSPUj-h4EXPS7KZtClpUrMN6L93a6qIIHhamH3mnZmHsROESwTQVx5ApioGlHFiDMa4w8YoEh6DSfguG4MRECuNZsQOvF9AAA2ofTbi0iieIh-z85vKu977qplFnt76rI7mlNXreVQ1kV9VTSi4rKMjtldmtafj7XvIXu5unycP8fTp_nFyPY2dxHQdo8llLsmlxKUIFZeXKiEhTeF0kfJMOSVzQU4DESRYFlRmpTaiECWapOTJIbsYcldd-9qTX9tlWJDqOmuo7b1FrZUSaaLwH6jSoFKuZEDPfqGLtu_CbZ-BCAoVQqBwoFzXet9RaVddtcy6d4tgN8LtINwGj3Yj3G6WON0m9_mSiu-OL8MB4APgw1czo-7H6D9TPwC0B4jM</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>Korse, N. S.</creator><creator>Nicolai, M. P. J.</creator><creator>Both, S.</creator><creator>Vleggeert-Lankamp, C. L. A.</creator><creator>Elzevier, H. W.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160301</creationdate><title>Discussing sexual health in spinal care</title><author>Korse, N. S. ; Nicolai, M. P. J. ; Both, S. ; Vleggeert-Lankamp, C. L. A. ; Elzevier, H. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-19b5b5ec8e254518cbf63e459dc7d82a6c65b4ec70ee031fdefaf794d4f193f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>Clinical Competence</topic><topic>Counseling</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Patient Education as Topic - methods</topic><topic>Patient Education as Topic - standards</topic><topic>Physician-Patient Relations</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Quality of Life - psychology</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Reproductive Health</topic><topic>Sexual Dysfunction, Physiological - etiology</topic><topic>Sexual Dysfunction, Physiological - rehabilitation</topic><topic>Sexual Dysfunctions, Psychological - etiology</topic><topic>Sexual Dysfunctions, Psychological - rehabilitation</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>Surgical Orthopedics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korse, N. S.</creatorcontrib><creatorcontrib>Nicolai, M. P. J.</creatorcontrib><creatorcontrib>Both, S.</creatorcontrib><creatorcontrib>Vleggeert-Lankamp, C. L. A.</creatorcontrib><creatorcontrib>Elzevier, H. W.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korse, N. S.</au><au>Nicolai, M. P. J.</au><au>Both, S.</au><au>Vleggeert-Lankamp, C. L. A.</au><au>Elzevier, H. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Discussing sexual health in spinal care</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>25</volume><issue>3</issue><spage>766</spage><epage>773</epage><pages>766-773</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Background
The possible detrimental effects of spinal disease on sexual health are widely recognized; however, it is not known to what extent neurosurgeons discuss this topic with their patients. The aim of this study is to identify knowledge, attitude and practice patterns of neurosurgeons counseling their patients about sexual health.
Methods
All members of the Dutch Association of Neurosurgery (neurosurgeons and residents) were sent a questionnaire addressing their attitudes, knowledge and practice patterns regarding discussing sexual health.
Results
Response rate was 62 % with 89 questionnaires suitable for analysis. The majority of participants (83 %) were male; mean age, 42.4 years. The mean experience in neurosurgical practice was 9 years. Respondents assumed that in 34 % of their patients, sexual health was affected due to spinal disease. The majority of respondents (64 %) stated that responsibility for discussing sexual health lies (partly) with the neurosurgeon; however, 73 % indicated to (almost) never do this. The main reasons for not discussing sexual health were patients’ old age (42 %), lack of knowledge (38 %) and lack of patients’ initiative to bring up the subject (36 %). Twenty-six percent indicated lack of time as a reason. There was no evidence for gender or doctor’s age discordance as important barriers. Fifty percent of participants wished to gain more knowledge on discussing sexual health with patients.
Conclusion
This study shows that despite high prevalence of sexual dysfunction (SD) in spinal patients, counseling about sexual health is not often done in neurosurgical care. More training on sexual health counseling early in the residency program seems critical. By initiating the discussion, clinicians who deal with spinal patients have the potential to detect sexual dysfunction (SD) and to refer adequately when necessary, thereby improving overall quality of life of their patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25962812</pmid><doi>10.1007/s00586-015-3991-1</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Attitude of Health Personnel Clinical Competence Counseling Cross-Sectional Studies Female Humans Male Medicine Medicine & Public Health Middle Aged Netherlands Neurosurgery Original Article Patient Education as Topic - methods Patient Education as Topic - standards Physician-Patient Relations Practice Patterns, Physicians' - statistics & numerical data Quality of Life - psychology Referral and Consultation - statistics & numerical data Reproductive Health Sexual Dysfunction, Physiological - etiology Sexual Dysfunction, Physiological - rehabilitation Sexual Dysfunctions, Psychological - etiology Sexual Dysfunctions, Psychological - rehabilitation Spinal Cord Injuries - complications Spinal Cord Injuries - rehabilitation Surgical Orthopedics Young Adult |
title | Discussing sexual health in spinal care |
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