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Title: | Knowledge and Practices Regarding Polycystic Ovary Syndrome among Physicians in Europe, North America, and Internationally: An Online Questionnaire-Based Study. | Authors: | Piltonen T.;Teede H.J. ;Gibson-Helm M.;Dokras A.;Karro H. | Institution: | (Gibson-Helm, Teede) Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Locked Bag 29, Clayton, VIC 3168, Australia (Dokras) Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, United States (Karro) Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Tartu, Tartu, Estonia (Piltonen) Department of Obstetrics and Gynecology, PEDEGO Research Unit, Medical Research Center, Oulu University Hospital, Oulu, Finland (Teede) Diabetes and Endocrinology Units, Monash Health, Melbourne, Australia | Issue Date: | 21-Sep-2018 | Copyright year: | 2018 | Publisher: | Thieme Medical Publishers, Inc. (E-mail: custserv@thieme.com) | Place of publication: | United States | Publication information: | Seminars in Reproductive Medicine. 36 (1) (pp 19-27), 2018. Date of Publication: 2018. | Journal: | Seminars in Reproductive Medicine | Abstract: | Background To inform knowledge translation by identifying evidence-practice gaps in polycystic ovary syndrome (PCOS) care and variations between disciplines and across world regions via an online, anonymous, devised questionnaire distributed via professional societies and completed by 1,495 physicians (2015-2016). Methods Multivariable logistic regression analyses generated adjusted odds ratios (OR) and 95% confidence intervals (CI) for associations between outcome measures and world region, specialty, annual patients with PCOS, age, and sex. Results Features corresponding to Rotterdam diagnostic criteria were well recognized (e.g., irregular menstrual cycles by 99% of physicians), but psychological implications were recognized only by 29 to 64%. Reproductive endocrinologists were more likely to use Rotterdam diagnostic criteria (OR: 3.1; 95% CI: 2.3-4.3; p < 0.007) than obstetrician-gynecologists. Reproductive (OR: 2.0; 95% CI: 1.5-2.8; p < 0.007) and medical endocrinologists (OR: 3.1; 95% CI: 1.7-5.7; p < 0.007) were more likely to recommend lifestyle management than obstetrician-gynecologists. Physicians in Europe (OR: 4.7; 95% CI: 3.5-6.1; p < 0.007) and other regions (OR: 4.0; 95% CI: 2.8-5.9; p < 0.007) were more likely to use Rotterdam diagnostic criteria than physicians in North America. Conclusion Knowledge gaps in PCOS care to be addressed internationally include physician awareness of the breadth of PCOS features, application of diagnostic criteria, and recommending lifestyle management effectively.Copyright © 2018 Georg Thieme Verlag. All rights reserved. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1055/s-0038-1667155 | Link to associated publication: | Click here for full text options | PubMed URL: | 30189447 [http://www.ncbi.nlm.nih.gov/pubmed/?term=30189447] | ISSN: | 1526-8004 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/37311 | Type: | Article | Subjects: | menstrual irregularity middle aged North America *obstetrician oral contraception *ovary polycystic disease/di [Diagnosis] *clinical practice *ovary polycystic disease/th [Therapy] patient education patient participation prevalence *professional knowledge psychological aspect social support clomifene citrate/cb [Drug Combination] clomifene citrate/dt [Drug Therapy] metformin/cb [Drug Combination] metformin/dt [Drug Therapy] oral contraceptive agent/dt [Drug Therapy] oral contraceptive agent/po [Oral Drug Administration] *medical endocrinologist *ovary polycystic disease/dt [Drug Therapy] combination drug therapy cross-sectional study disease classification *endocrinologist female fertility specialist *gynecologist adult article clinical feature clinical outcome health care need human Internet lifestyle modification major clinical study male human Internet lifestyle modification major clinical study male menstrual irregularity middle aged North America *obstetrician oral contraception *ovary polycystic disease / *diagnosis / *drug therapy / *therapy patient education patient participation prevalence *professional knowledge psychological aspect social support clinical outcome *clinical practice Article adult clinical feature combination drug therapy cross-sectional study disease classification *endocrinologist female fertility specialist *gynecologist health care need |
Type of Clinical Study or Trial: | Observational study (cohort, case-control, cross sectional or survey) |
Appears in Collections: | Articles |
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