Journal of pediatric and adolescent gynecology · 2012
Clinical variability in approaches to polycystic ovary syndrome.
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Bonny Andrea E, Appelbaum Heather, Connor Ellen Lancon, Cromer Barbara, DiVasta Amy, Gomez-Lobo Veronica, Harel Ze'ev, Huppert Jill, Sucato Gina, NASPAG Research Committee
Аннотация
STUDY OBJECTIVE: The objective of this study was to evaluate methods of initial diagnosis and management of polycystic ovary syndrome (PCOS) among members of the North American Society for Pediatric and Adolescent Gynecology (NASPAG) to assess the degree of practice heterogeneity among specialist providers of adolescent care.
DESIGN: Cross-sectional, anonymous, internet survey
PARTICIPANTS: NASPAG membership (N = 326; Respondents = 127 (39%))
RESULTS: Percentage of respondents who incorporated specific tests at initial diagnosis was highly variable ranging from 87% (thyroid stimulating hormone) to 17% (sex hormone binding globulin). Oral contraceptives and diet modification/exercise were the most common therapies recommended by 98% and 90% of respondents respectively.
CONCLUSION: Considerable practice heterogeneity was present with regards to diagnostic testing for suspected PCOS. Recommendations for first-line therapy were more consistent. Future studies should clarify the clinical utility of specific diagnostic tests for adolescents, such that selection of diagnostic testing is evidence based.
DESIGN: Cross-sectional, anonymous, internet survey
PARTICIPANTS: NASPAG membership (N = 326; Respondents = 127 (39%))
RESULTS: Percentage of respondents who incorporated specific tests at initial diagnosis was highly variable ranging from 87% (thyroid stimulating hormone) to 17% (sex hormone binding globulin). Oral contraceptives and diet modification/exercise were the most common therapies recommended by 98% and 90% of respondents respectively.
CONCLUSION: Considerable practice heterogeneity was present with regards to diagnostic testing for suspected PCOS. Recommendations for first-line therapy were more consistent. Future studies should clarify the clinical utility of specific diagnostic tests for adolescents, such that selection of diagnostic testing is evidence based.
Предметные рубрики MeSH
AdolescentContraceptives, OralCross-Sectional StudiesData CollectionExerciseFeeding BehaviorFemaleHormonesHumansHypoglycemic AgentsMetabolic SyndromeMetforminMineralocorticoid Receptor AntagonistsPolycystic Ovary SyndromePractice Patterns, Physicians'Referral and ConsultationSex Hormone-Binding GlobulinSpironolactone