As individuals, we want choices that reflect who we are and what's right for our situation. Getting the right health care is no different.
Until recently, information that showed which treatments work best for certain groups of patients, especially women, was hard to find.
Women’s health research
Now women's health research is a growing field. The Women's Health Initiative (WHI), has provided important information on preventing and treating heart disease, breast and colorectal cancers, and osteoporosis in women ages 50 to 79.
The WHI and the Office of Research on Women's Health help ensure that women are fairly represented in NIH-sponsored studies. Before the WHI began, very few studies focusing solely on women had been conducted.
Informed treatment choices
Today, far more research is helping to identify which groups of patients will benefit from which kind of treatment. My agency, the Agency for Healthcare Research and Quality (AHRQ), sponsors research that asks just that question. The goal of this research is to help you make better, more informed treatment choices.
Several recent consumer guides developed from this research focus on conditions that affect women. One such guide helps women talk to their doctor or nurse about medicines to reduce their risk of breast cancer. Two medicines can lower the risk for women who are at high risk but have not had breast cancer before.
However, both of these drugs have side effects, some of them serious. If you are at high risk for breast cancer or if you're unsure, talk to your doctor or nurse. They can help you decide whether a medicine to reduce the risk of breast cancer is a good choice by exploring questions including:
- Is my risk of breast cancer higher or lower than other women my age?
- What if I don't want to start medicine at the age I am now? Can I start later?
- Is my risk for blood clots higher than usual?
- Can I do anything else to lower my risk for breast cancer?
Another guide examines how to manage pain from a broken hip. Women are twice as likely as men to suffer a broken hip by age 80. The guide describes why it is important to manage pain, outlines medicines that may help you, and provides risks and benefits on other ways to manage pain. The guide suggests key questions to ask, such as:
- Which options do you think are best to manage my pain?
- How quickly can I expect relief from my pain?
- How long do you think I will need to manage my pain?
- Are you concerned about the side effects from any of these options?
To view the consumer guides on these issues and many more, visit
ahrq.gov/consumer/compare.html.
Dr. Clancy is head of the federal Agency for Healthcare Research and Quality.