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Poster 119
KNOWLEDGE AND SCREENING PRACTICES FOR PELVIC FLOOR DISORDERS AMONG MULTIPLE PROVIDER SPECIALTIES AT AN ACADEMIC HOSPITAL

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Knowledge and Screening Practices for Pelvic Floor Disorders among Multiple Provider Specialties at an Academic Hospital

Background
•Pelvic floor disorders (PFDs) affect a growing number of women in the United States. Pelvic organ prolapse and other PFDs can greatly impact the quality of life of those affected.
•Patient underreporting of PFDs is common, and   healthcare professionals may not screen women for PFDs

 
OBJECTIVE:
To assess whether physician specialty, training, and other characteristics affect screening of patients for pelvic floor disorders. 

METHODS: 

•Cross-sectional study: Physicians of multiple specialties working at UNC-Chapel Hill between 11/2014 – 02/2015
•PRIMARY OUTCOME: Rate of physician screening for PFDs
•SECONDARY OUTCOME:  Rate of physician treatment and referral patterns for PFDs
 
KEY FINDINGS:
•While most practitioners across multiple specialties recognize PFDs, the majority neither screen for nor offer treatment for PFDs
•Future goals: Increasing physician knowledge of PFDs, including identification, treatment and referral options in order to increase access to care for women with PFDs

RESULTS
•Practitioner specialty (Gyn and Urology)  and higher level of training demonstrated differences in screening rates for PFD (p<0.001 and p=0.04 respectively).
•There was no difference in screening rates based on PFD training in medical school (p=0.33) or residency (p=0.10).
•Practitioners who screened for PFD were more likely to refer for PFD (71% vs 38%, p<0.001).
•The top specialties to which respondents referred were Urogynecology (62.3%), Pelvic Pain (14.8%), Gynecology (12.3%) and Urology (9.8%).

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