Treatment satisfaction, unmet needs, and new treatment expectations for vasomotor symptoms due to menopause: women's and physicians' opinions

Objective
To assess treatment satisfaction, unmet treatment needs, and new vasomotor symptom (VMS) treatment expectations among women with moderate to severe VMS and physicians treating women with VMS.

Methods
This noninterventional, nonrandomized survey included qualitative interviews and quantitative surveys of women and physicians in the US. Participating women had moderate to severe VMS in the past year and received =1 hormone therapy (HT), non-HT, or over-the-counter (OTC) treatment for VMS in the past 3 months. Participating physicians were obstetrician-gynecologists (OB-GYNs) and primary care physicians (PCPs) who treated =15 women with VMS in the past 3 months. Two online survey questionnaires were developed using insights from literature, qualitative interviews, and clinical experts. Menopause Symptoms Treatment Satisfaction Questionnaire (MS-TSQ) measured treatment satisfaction. Results were summarized descriptively.

Results
Questionnaires were completed by 401 women with VMS and 207 physicians treating VMS. Among women, mean total MS-TSQ score ranges were 62.8-67.3 for HT, 59.8-69.7 for non-HT, and 58.0-64.9 for OTC treatments. Among physicians, mean total MS-TSQ scores were considerably higher for HT than for non-HT and OTC treatments (HT: 73.4-75.6; non-HT: 55.6-62.1; OTC: 49.2-54.7). Women reported “lack of effectiveness” (41.2%), and physicians reported “long-term safety concerns” (56.5%) as main features that do not meet their current treatment expectations. The majority of women and physicians would consider trying a new non-HT treatment for VMS (75.8 and 75.9%, respectively).

Conclusions
Treatment satisfaction and new treatment expectations were similar but with some differences between women and physicians; the need for additional treatments for VMS was identified.

Contributors

DePree, Barbara J. MD, MSCP, FACOG1; Shiozawa, Aki DrPH, MBA2; Kim, Janet PhD2; Wang, Yao MPH3; Yang, Hongbo PhD3; Mancuso, Shayna DO, FACOG2

Publication

Journal: Menopause
Volume: 31
Issue: 9
Pages: 769 - 780
Year: 2024
DOI: 10.1097/GME.0000000000002399

Further Study Information

Current Stage: Completed
Date:
Funding source(s): This study was sponsored by Astellas Pharma, Inc. Medical writing and editorial support was provided by Joseph Mansonet, MPH, Tulika Bhushan Bahukhandi, RPh, MS, and LeeAnn Braun, MPH, MEd, from Peloton Advantage, LLC, an OPEN Health company, funded by the study sponsors.


Health Area

Disease Category: Gynaecology

Disease Name: Menopause

Target Population

Age Range: 40 - 65

Sex: Either

Nature of Intervention: Any

Stakeholders Involved

- Clinical experts
- Consumers (patients)

Study Type

- Patient perspectives

Method(s)

- Interview
- Survey

This noninterventional, nonrandomized survey included qualitative interviews and quantitative surveys of women and physicians in the US. Participating women had moderate to severe VMS in the past year and received =1 hormone therapy (HT), non-HT, or over-the-counter (OTC) treatment for VMS in the past 3 months. Participating physicians were obstetrician-gynecologists (OB-GYNs) and primary care physicians (PCPs) who treated =15 women with VMS in the past 3 months. Two online survey questionnaires were developed using insights from literature, qualitative interviews, and clinical experts. Menopause Symptoms Treatment Satisfaction Questionnaire (MS-TSQ) measured treatment satisfaction. Results were summarized descriptively.

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