Clinical Variability in Approaches to Polycystic Ovary Syndrome

被引：28

作者：

Bonny, Andrea E. ^{[1
]}

Appelbaum, Heather ^{[2
]}

Connor, Ellen Lancon ^{[3
]}

Cromer, Barbara ^{[4
]}

DiVasta, Amy ^{[5
]}

Gomez-Lobo, Veronica ^{[6
]}

Harel, Ze'ev ^{[7
]}

Huppert, Jill ^{[8
]}

Sucato, Gina ^{[9
]}

机构：

[1] Nationwide Childrens Hosp, Div Adolescent Med, Columbus, OH 43205 USA

[2] Hofstra Northshore LIJ Sch Med, Hempstead, NY USA

[3] Univ Wisconsin, Madison, WI USA

[4] Case Western Reserve Univ, Cleveland, OH 44106 USA

[5] Harvard Univ, Sch Med, Boston, MA USA

[6] Georgetown Univ, Washington, DC USA

[7] Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA

[8] Cincinnati Childrens Hosp, Med Ctr, Cincinnati, OH USA

[9] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

来源：

JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY | 2012年 / 25卷 / 04期

关键词：

Polycystic ovary syndrome; Adolescent; Diagnosis; Treatment; PREVALENCE; WOMEN; FEATURES; CRITERIA;

D O I：

10.1016/j.jpag.2012.03.004

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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.

引用

页码：259 / 261

页数：3

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