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dc.contributor.authorPiltonen, Terhi T
dc.contributor.authorRuokojärvi, Maria
dc.contributor.authorKarro, Helle
dc.contributor.authorKujanpää, 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
dc.contributor.authorArffman, Riikka K
dc.contributor.authorTeede, Helena
dc.contributor.authorFalah-Hassani, Kobra
dc.date.accessioned2020-04-03T15:14:14Z
dc.date.available2020-04-03T15:14:14Z
dc.date.issued2019-12-26
dc.date.submitted2020-04
dc.identifier.citationPiltonen TT, Ruokojärvi M, Karro H, et al. Awareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe. PLoS One. 2019;14(12):e0226074. Published 2019 Dec 26. doi:10.1371/journal.pone.0226074en_US
dc.identifier.pmid31877155
dc.identifier.doi10.1371/journal.pone.0226074
dc.identifier.urihttp://hdl.handle.net/2336/621343
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractObjective: 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.en_US
dc.description.sponsorshipSigrid Juselius Foundation Academy of Finland Finnish Medical Associationen_US
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.relation.urlhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226074en_US
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6932801/en_US
dc.subjectFjölblöðrueggjastokkaheilkennien_US
dc.subjectEggjastokkaren_US
dc.subject.meshPolycystic Ovary Syndromeen_US
dc.subject.meshDiagnosisen_US
dc.titleAwareness of polycystic ovary syndrome among obstetrician-gynecologists and endocrinologists in Northern Europe.en_US
dc.typeArticleen_US
dc.typeOtheren_US
dc.identifier.eissn1932-6203
dc.contributor.department1Department of Obstetrics and Gynaecology, University of Oulu and Oulu University Hospital, Medical Research Centre, PEDEGO Research Unit, Oulu, Finland. 2Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Tartu, Tartu, Estonia. 3Department of Obstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. 4Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden. 5Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. 6Department of Women's and Children's Health, Karolinska Institutet and Department of Gynecology and Reproductive Medicine, Karolinska University Hospital, Stockholm, Sweden. 7Department of Gynaecology and Obstetrics, Odense University Hospital, Odense, Denmark. 8Department of Endocrinology, Odense University Hospital, Odense, Denmark. 9Department of Reproductive Medicine, Division of Gynaecology and Obstetrics, Oslo University Hospital, Oslo, Norway. 10Department of Obstetrics and Gynecology, Landspitali University Hospital, School of Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 11Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. 12Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway. 13Department of Obstetrics and Gynecology, St Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway. 14Department of Language and Culture, UiT-The Arctic University of Norway, Tromsø, Norway.en_US
dc.identifier.journalPloS oneen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeOAG12
dc.source.journaltitlePloS one
dc.source.volume14
dc.source.issue12
dc.source.beginpagee0226074
dc.source.endpage
refterms.dateFOA2020-04-03T15:14:15Z
dc.source.countryUnited States


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