A systematic review of models of care for polycystic ovary syndrome highlights the gap in the literature, especially in developing countries

Frontiers in Endocrinology

Endocrinology

Meri Davitadze¹  Kashish Malhotra²  Punith Kempegowda³  Eka Melson⁴  Chau Thien Tay⁵  Aya Mousa⁵  Helena Teede⁵  Mala Thondan⁶  Jacky Boivin⁷ 

[1] Department of Diabetes and Endocrinology, Clinic NeoLab, Tbilisi, Georgia;Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom;Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom;Dayanand Medical College and Hospital, Punjab, India;Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom;Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom;Leicester Diabetes Centre, University of Leicester, Leicester, United Kingdom;Monash Centre for Health Research and Implementation, Monash University, Melbourne, VIC, Australia;Primary Care, Harp Family Medical Centre, Melbourne, VIC, Australia;School of Psychology, Cardiff University, Cardiff, Wales, United Kingdom;

关键词: polycystic ovary syndrome;    PCOS;    model of care;    multidisciplinary care;    quality of life;   

DOI  :  10.3389/fendo.2023.1217468

 received in 2023-05-05, accepted in 2023-05-29,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThe aim of the study was to identify available polycystic ovary syndrome (PCOS) models of care (MoCs) and describe their characteristics and alignment with the international PCOS guideline.MethodsOvid MEDLINE, All EBM, PsycINFO, Embase, and CINAHL were searched from inception until 11 July 2022. Any study with a description of a PCOS MoC was included. Non-evidence-based guidelines, abstracts, study protocols, and clinical trial registrations were excluded. We also excluded MoCs delivered in research settings to minimize care bias. Meta-analysis was not performed due to heterogeneity across MoCs. We describe and evaluate each MoC based on the recommendations made by the international evidence-based guideline for assessing and managing PCOS.ResultsOf 3,671 articles, six articles describing five MoCs were included in our systematic review. All MoCs described a multidisciplinary approach, including an endocrinologist, dietitian, gynecologist, psychologist, dermatologist, etc. Three MoCs described all aspects of PCOS care aligned with the international guideline recommendations. These include providing education on long-term risks, lifestyle interventions, screening and management of emotional well-being, cardiometabolic diseases, and the dermatological and reproductive elements of PCOS. Three MoCs evaluated patients’ and healthcare professionals’ satisfaction, with generally positive findings. Only one MoC explored the impact of their service on patients’ health outcomes and showed improvement in BMI.ConclusionThere is limited literature describing PCOS MoCs in routine practice. Future research should explore developing cost-effective co-created multidisciplinary PCOS MoCs globally. This may be facilitated by the exchange of best practices between institutions with an established MoC and those who are interested in setting one up.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=346539, identifier CRD42022346539.

【 授权许可】

Unknown   
Copyright © 2023 Melson, Davitadze, Malhotra, PCOS SEva working group, Mousa, Teede, Boivin, Thondan, Tay and Kempegowda