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dc.contributor.authorPiltonen, Terhi T
dc.contributor.authorRuokojärvi, Maria
dc.contributor.authorKarro, Helle
dc.contributor.authorKajuanpää, Linda
dc.contributor.authorMorin-Papunen, Laure
dc.contributor.authorTapanainen, Juha S.
dc.contributor.authorStener-Victorin, Elisabet
dc.contributor.authorSundrström-Poromaa, Inger
dc.contributor.authorHirschberg, Angelica L.
dc.contributor.authorRavn, Pernille
dc.contributor.authorGlintborg, Dorte
dc.contributor.authorMellembakken, Jan Roar
dc.contributor.authorSteingrimsdottir, Thora
dc.contributor.authorGibson-Helm, Melanie
dc.contributor.authorVanky, Eszter
dc.contributor.authorAndersen, Marianne Skovsager
dc.contributor.authorArffman, Riikka K
dc.contributor.authorTeede, Helena
dc.contributor.authorFalah-Hassani, Kobra
dc.date.accessioned2020-01-16T11:42:55Z
dc.date.available2020-01-16T11:42:55Z
dc.date.issued2019-12-26
dc.description.abstract<i>Objective</i> - 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.<p> <p><i>Methods</i> - 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.<p> <p><i>Results</i> - 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 non-fertility 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).<p> <p><i>Conclusion</i> - 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 need more education on PCOS and evidence-based information on Rotterdam diagnostic criteria, psychosocial features and treatment of PCOS, with the recently published international PCOS guideline well needed and welcomed.en_US
dc.identifier.citationPiltonen TT, Ruokojärvi, Karro H, Kajuanpää, Morin-Papunen L, Tapanainen JS, Stener-Victorin E, Sundrström-Poromaa, Hirschberg AL, Ravn P, Glintborg D, Mellembakken JR, Steingrimsdottir T, Gibson-Helm, Vanky E, Andersen MS, Arffman RK, Teede H, Falah-Hassani. Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe.. PLOS ONE. 2019en_US
dc.identifier.cristinIDFRIDAID 1769734
dc.identifier.doi10.1371/journal.pone.0226074
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/10037/17116
dc.language.isoengen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.journalPLOS ONE
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleAwareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe.en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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