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Awareness of polycy...
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Piltonen, Terhi T.Univ Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe
- Artikel/kapitelEngelska2019
Förlag, utgivningsår, omfång ...
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2019-12-26
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PUBLIC LIBRARY SCIENCE,2019
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-407645
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-407645URI
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https://doi.org/10.1371/journal.pone.0226074DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:143068199URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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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 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).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 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.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Ruokojärvi, MariaUniv Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
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Karro, HelleUniv Tartu, Fac Med, Dept Obstet & Gynaecol, Tartu, Estonia
(författare)
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Kujanpää, LindaUniv Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
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Morin-Papunen, LaureUniv Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
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Tapanainen, Juha S.Univ Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland;Univ Helsinki, Dept Obstet & Gynaecol, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland
(författare)
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Stener-Victorin, ElisabetKarolinska Institutet
(författare)
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Sundström Poromaa, Inger,1964-Uppsala universitet,Reproduktiv hälsa(Swepub:uu)inspo702
(författare)
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Hirschberg, Angelica L.Karolinska Institutet
(författare)
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Ravn, PernilleOdense Univ Hosp, Dept Gynaecol & Obstet, Odense, Denmark
(författare)
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Glintborg, DorteOdense Univ Hosp, Dept Endocrinol, Odense, Denmark
(författare)
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Mellembakken, Jan RoarOslo Univ Hosp, Dept Reprod Med, Div Gynaecol & Obstet, Oslo, Norway
(författare)
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Steingrimsdottir, ThoraUniv Iceland, Landspitali Univ Hosp, Dept Obstet & Gynecol, Sch Hlth Sci,Fac Med, Reykjavik, Iceland
(författare)
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Gibson-Helm, MelanieMonash Univ, Monash Ctr Hlth Res & Implementat, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
(författare)
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Vanky, EszterNorwegian Univ Sci & Technol, Dept Clin & Mol Med, Trondheim, Norway;Univ Hosp Trondheim, St Olavs Hosp, Dept Obstet & Gynecol, Trondheim, Norway
(författare)
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Andersen, MarianneUiT Arctic Univ Norway, Dept Language & Culture, Tromso, Norway
(författare)
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Arffman, Riikka K.Univ Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
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Teede, HelenaMonash Univ, Monash Ctr Hlth Res & Implementat, Sch Publ Hlth & Prevent Med, Melbourne, Vic, Australia
(författare)
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Falah-Hassani, KobraUniv Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, Finland
(författare)
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Univ Oulu, Dept Obstet & Gynaecol, Oulu, Finland;Oulu Univ Hosp, PEDEGO Res Unit, Med Res Ctr, Oulu, FinlandUniv Tartu, Fac Med, Dept Obstet & Gynaecol, Tartu, Estonia
(creator_code:org_t)
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Ingår i:PLOS ONE: PUBLIC LIBRARY SCIENCE14:121932-6203
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Piltonen, Terhi ...
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Ruokojärvi, Mari ...
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Karro, Helle
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Kujanpää, Linda
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Morin-Papunen, L ...
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Tapanainen, Juha ...
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visa fler...
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Stener-Victorin, ...
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Sundström Poroma ...
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Hirschberg, Ange ...
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Ravn, Pernille
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Glintborg, Dorte
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Mellembakken, Ja ...
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Steingrimsdottir ...
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Gibson-Helm, Mel ...
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Vanky, Eszter
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Andersen, Marian ...
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Arffman, Riikka ...
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Teede, Helena
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Falah-Hassani, K ...
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