Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe
Objective To date, little is known about differences in the knowledge, diagnosis making and treatment strategies of health care providers regarding polycystic ovary syndrome (PCOS) across different disciplines in countries with similar health care systems. To inform guideline translation, we aimed t...
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ftvictoriauwfig:oai:figshare.com:article/19401047 2023-05-15T16:52:40+02:00 Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe TT Piltonen M Ruokojärvi H Karro L Kujanpää L Morin-Papunen JS Tapanainen E Stener-Victorin I Sundrström-Poromaa AL Hirschberg P Ravn D Glintborg JR Mellembakken T Steingrimsdottir Melanie Gibson-Helm E Vanky M Andersen RK Arffman H Teede K Falah-Hassani 2019-12-01T00:00:00Z https://doi.org/10.25455/wgtn.19401047 https://figshare.com/articles/journal_contribution/Awareness_of_polycystic_ovary_syndrome_among_obstetrician-gynecologists_and_endocrinologists_in_Northern_Europe/19401047 unknown doi:10.25455/wgtn.19401047 https://figshare.com/articles/journal_contribution/Awareness_of_polycystic_ovary_syndrome_among_obstetrician-gynecologists_and_endocrinologists_in_Northern_Europe/19401047 CC BY-NC-ND 4.0 CC-BY-NC-ND Uncategorized Adult Comorbidity Contraceptives Oral Cross-Sectional Studies Endocrinologists Europe Female Humans Life Style Male Metformin Middle Aged Physicians Polycystic Ovary Syndrome Psychotherapy Regression Analysis Surveys and Questionnaires Contraception/Reproduction Clinical Research Reproductive health and childbirth 3 Good Health and Well Being General Science & Technology Text Journal contribution 2019 ftvictoriauwfig https://doi.org/10.25455/wgtn.19401047 2022-03-24T00:06:07Z Objective To date, little is known about differences in the knowledge, diagnosis making and treatment strategies of health care providers regarding polycystic ovary syndrome (PCOS) across different disciplines in countries with similar health care systems. To inform guideline translation, we aimed to study physician reported awareness, diagnosis and management of PCOS and to explore differences between medical disciplines in the Nordic countries and Estonia. Methods This cross-sectional survey was conducted among 382 endocrinologists and obstetrician-gynaecologists in the Nordic countries and Estonia in 2015-2016. Of the participating physicians, 43% resided in Finland, 18% in Denmark, 16% in Norway, 13% in Estonia, and 10% in Sweden or Iceland, and 75% were obstetrician-gynaecologists. Multivariable logistic regression models were run to identify health care provider characteristics for awareness, diagnosis and treatment of PCOS. Results Clinical features, lifestyle management and comorbidity were commonly recognized in women with PCOS, while impairment in psychosocial wellbeing was not well acknowledged. Over two-thirds of the physicians used the Rotterdam diagnostic criteria for PCOS. Medical endocrinologists more often recommended lifestyle management (OR = 3.6, CI 1.6-8.1) or metformin (OR = 5.0, CI 2.5-10.2), but less frequently OCP (OR = 0.5, CI 0.2-0.9) for nonfertility concerns than general obstetrician-gynaecologists. The physicians aged <35 years were 2.2 times (95% CI 1.1-4.3) more likely than older physicians to recommend lifestyle management for patients with PCOS for fertility concerns. Physicians aged 46-55 years were less likely to recommend oral contraceptive pills (OCP) for patients with PCOS than physicians aged >56 (adjusted odds ratio (OR) = 0.4, 95% CI 0.2-0.8). Conclusion Despite well-organized healthcare, awareness, diagnosis and management of PCOS is suboptimal, especially in relation to psychosocial comorbidities, among physicians in the Nordic countries and Estonia. Physicians ... Other Non-Article Part of Journal/Newspaper Iceland Open Access Victoria University of Wellington / Te Herenga Waka Norway |
institution |
Open Polar |
collection |
Open Access Victoria University of Wellington / Te Herenga Waka |
op_collection_id |
ftvictoriauwfig |
language |
unknown |
topic |
Uncategorized Adult Comorbidity Contraceptives Oral Cross-Sectional Studies Endocrinologists Europe Female Humans Life Style Male Metformin Middle Aged Physicians Polycystic Ovary Syndrome Psychotherapy Regression Analysis Surveys and Questionnaires Contraception/Reproduction Clinical Research Reproductive health and childbirth 3 Good Health and Well Being General Science & Technology |
spellingShingle |
Uncategorized Adult Comorbidity Contraceptives Oral Cross-Sectional Studies Endocrinologists Europe Female Humans Life Style Male Metformin Middle Aged Physicians Polycystic Ovary Syndrome Psychotherapy Regression Analysis Surveys and Questionnaires Contraception/Reproduction Clinical Research Reproductive health and childbirth 3 Good Health and Well Being General Science & Technology TT Piltonen M Ruokojärvi H Karro L Kujanpää L Morin-Papunen JS Tapanainen E Stener-Victorin I Sundrström-Poromaa AL Hirschberg P Ravn D Glintborg JR Mellembakken T Steingrimsdottir Melanie Gibson-Helm E Vanky M Andersen RK Arffman H Teede K Falah-Hassani Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
topic_facet |
Uncategorized Adult Comorbidity Contraceptives Oral Cross-Sectional Studies Endocrinologists Europe Female Humans Life Style Male Metformin Middle Aged Physicians Polycystic Ovary Syndrome Psychotherapy Regression Analysis Surveys and Questionnaires Contraception/Reproduction Clinical Research Reproductive health and childbirth 3 Good Health and Well Being General Science & Technology |
description |
Objective To date, little is known about differences in the knowledge, diagnosis making and treatment strategies of health care providers regarding polycystic ovary syndrome (PCOS) across different disciplines in countries with similar health care systems. To inform guideline translation, we aimed to study physician reported awareness, diagnosis and management of PCOS and to explore differences between medical disciplines in the Nordic countries and Estonia. Methods This cross-sectional survey was conducted among 382 endocrinologists and obstetrician-gynaecologists in the Nordic countries and Estonia in 2015-2016. Of the participating physicians, 43% resided in Finland, 18% in Denmark, 16% in Norway, 13% in Estonia, and 10% in Sweden or Iceland, and 75% were obstetrician-gynaecologists. Multivariable logistic regression models were run to identify health care provider characteristics for awareness, diagnosis and treatment of PCOS. Results Clinical features, lifestyle management and comorbidity were commonly recognized in women with PCOS, while impairment in psychosocial wellbeing was not well acknowledged. Over two-thirds of the physicians used the Rotterdam diagnostic criteria for PCOS. Medical endocrinologists more often recommended lifestyle management (OR = 3.6, CI 1.6-8.1) or metformin (OR = 5.0, CI 2.5-10.2), but less frequently OCP (OR = 0.5, CI 0.2-0.9) for nonfertility concerns than general obstetrician-gynaecologists. The physicians aged <35 years were 2.2 times (95% CI 1.1-4.3) more likely than older physicians to recommend lifestyle management for patients with PCOS for fertility concerns. Physicians aged 46-55 years were less likely to recommend oral contraceptive pills (OCP) for patients with PCOS than physicians aged >56 (adjusted odds ratio (OR) = 0.4, 95% CI 0.2-0.8). Conclusion Despite well-organized healthcare, awareness, diagnosis and management of PCOS is suboptimal, especially in relation to psychosocial comorbidities, among physicians in the Nordic countries and Estonia. Physicians ... |
format |
Other Non-Article Part of Journal/Newspaper |
author |
TT Piltonen M Ruokojärvi H Karro L Kujanpää L Morin-Papunen JS Tapanainen E Stener-Victorin I Sundrström-Poromaa AL Hirschberg P Ravn D Glintborg JR Mellembakken T Steingrimsdottir Melanie Gibson-Helm E Vanky M Andersen RK Arffman H Teede K Falah-Hassani |
author_facet |
TT Piltonen M Ruokojärvi H Karro L Kujanpää L Morin-Papunen JS Tapanainen E Stener-Victorin I Sundrström-Poromaa AL Hirschberg P Ravn D Glintborg JR Mellembakken T Steingrimsdottir Melanie Gibson-Helm E Vanky M Andersen RK Arffman H Teede K Falah-Hassani |
author_sort |
TT Piltonen |
title |
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
title_short |
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
title_full |
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
title_fullStr |
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
title_full_unstemmed |
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe |
title_sort |
awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in northern europe |
publishDate |
2019 |
url |
https://doi.org/10.25455/wgtn.19401047 https://figshare.com/articles/journal_contribution/Awareness_of_polycystic_ovary_syndrome_among_obstetrician-gynecologists_and_endocrinologists_in_Northern_Europe/19401047 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
doi:10.25455/wgtn.19401047 https://figshare.com/articles/journal_contribution/Awareness_of_polycystic_ovary_syndrome_among_obstetrician-gynecologists_and_endocrinologists_in_Northern_Europe/19401047 |
op_rights |
CC BY-NC-ND 4.0 |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.25455/wgtn.19401047 |
_version_ |
1766043050764664832 |