Management of menopausal symptoms for breast cancer patients.
BACKGROUND
Menopausal symptoms are commonly experienced in women treated for breast cancer. This project aimed to identify the types and prevalence of menopausal symptoms women experience and assess how well such symptoms are managed by means of a clinical audit. The authors also wanted to identify whether patients and health professionals require further education in this area to enhance patients' quality of life.


METHODS
A pilot audit was initially undertaken. Twenty women were recruited from medical and clinical oncology clinics spanning a 2-week period. The main audit was conducted over a 3-week period (19 March 2012 to 6 April 2012). A total of 215 patients were surveyed from 11 consultant-led and 1 nurse-led clinic per week. A menopause rating scale (MRS) developed by Heinemann et al (2003) was used to assess the types and severity of symptoms.


RESULTS
Findings from the main audit provided preliminary evidence that certain breast cancer treatments can cause either the early onset of menopausal symptoms in pre-menopausal women or the return or aggravation of menopausal symptoms in peri-menopausal or post-menopausal women. This indicated that, for many women, symptoms are inadequately managed and supported.


CONCLUSIONS
A more detailed exploratory study of the management of menopausal symptoms is needed. Health professionals should consider discussing such symptoms when patients start treatment and assess these symptoms at follow-up appointments to identify potential interventions.
Breast Clinical Nurse Specialist, The Christie Hospital, Manchester.
Bethan
B
Daniel
Nurse Clinician in Clinical Oncology, The Christie Hospital, Manchester.
Helen
H
Mitchell
Specialist Clinical Audit Facilitator, The Christie Hospital, Manchester.
Philip
P
Higham
Lecturer in Nursing and Academic Lead for Student Experience, Manchester University.
Joanne
J
Timpson
Macmillan Breast Clinical Nurse Specialist, The Christie Hospital, Manchester.
Sharon
S
Foy
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications / Q000451:nursing* / Q000628:therapy; D005260:Female; D019584:Hot Flashes / Q000209:etiology / Q000451:nursing* / Q000628:therapy; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D009731:Nursing Audit; D009859:Oncology Nursing / Q000379:methods* / Q000592:standards