Examination of the chin or lower abdomen only for the prediction of hirsutism
Objective: To test the hypothesis that scoring terminal hair growth on only the chin or abdomen can serve as a reliable predictor for hirsutism. Design: A prospective observational study. Patient(s): Six hundred and ninety-five consecutive hyperandrogenic women seen between June 1987 and December 19...
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| Veröffentlicht in: | Fertility and sterility 2000-11, Vol.74 (5), p.980-983 |
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| creator | Knochenhauer, Eric S Hines, Gene Conway-Myers, Barbara Ann Azziz, Ricardo |
| description | Objective: To test the hypothesis that scoring terminal hair growth on only the chin or abdomen can serve as a reliable predictor for hirsutism.
Design: A prospective observational study.
Patient(s): Six hundred and ninety-five consecutive hyperandrogenic women seen between June 1987 and December 1997.
Main Outcome Measure(s): All hirsutism exams were performed by one examiner. Hirsutism was scored using a modification of the Ferriman-Gallwey (F-G) method. An F-G score of ≥8 defined hirsutism.
Result(s): Of the 695 women examined 352 (50.1%) had hirsutism scores of 8. Thirty percent (79 of 344) of women who had an F-G score of 20% (e.g., family studies). |
| doi_str_mv | 10.1016/S0015-0282(00)01602-2 |
| format | Article |
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Design: A prospective observational study.
Patient(s): Six hundred and ninety-five consecutive hyperandrogenic women seen between June 1987 and December 1997.
Main Outcome Measure(s): All hirsutism exams were performed by one examiner. Hirsutism was scored using a modification of the Ferriman-Gallwey (F-G) method. An F-G score of ≥8 defined hirsutism.
Result(s): Of the 695 women examined 352 (50.1%) had hirsutism scores of 8. Thirty percent (79 of 344) of women who had an F-G score of <8 had previously underwent electrology. If either the chin or lower abdomen hair growth score was ≥2, the sensitivity was 100% for the prediction of hirsutism, although the specificity was 27%. The positive predictive value (PPV) for hirsutism using a hair score of ≥2 at either of these sites was 58%.
Conclusion(s): A hair growth score of ≥2 on the chin or lower abdomen only was found to be a highly sensitive predictor for hirsutism. However, because of its very low PPV, this screening method is virtually useless in populations where the hirsutism frequency is expected to be low, about 5%. However, this screening method for the detection of hirsutism would be useful for the study of high-risk populations with an expected hirsutism prevalence of >20% (e.g., family studies).</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(00)01602-2</identifier><identifier>PMID: 11056244</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Abdomen ; Adult ; androgens ; Biological and medical sciences ; Chin ; Endocrinopathies ; epidemiology ; Female ; Forecasting ; General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes ; Hair ; Hirsutism ; Hirsutism - diagnosis ; Hirsutism - etiology ; Humans ; Hyperandrogenism - complications ; Mass Screening - methods ; Medical sciences ; polycystic ovary syndrome ; Predictive Value of Tests ; Prospective Studies ; screening ; Sensitivity and Specificity</subject><ispartof>Fertility and sterility, 2000-11, Vol.74 (5), p.980-983</ispartof><rights>2000 American Society for Reproductive Medicine</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-8681888bafa7df2da4100d29cca9d0efb4aff2aafdd8adab71efd43d3632fb453</citedby><cites>FETCH-LOGICAL-c436t-8681888bafa7df2da4100d29cca9d0efb4aff2aafdd8adab71efd43d3632fb453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0015028200016022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=801041$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11056244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knochenhauer, Eric S</creatorcontrib><creatorcontrib>Hines, Gene</creatorcontrib><creatorcontrib>Conway-Myers, Barbara Ann</creatorcontrib><creatorcontrib>Azziz, Ricardo</creatorcontrib><title>Examination of the chin or lower abdomen only for the prediction of hirsutism</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective: To test the hypothesis that scoring terminal hair growth on only the chin or abdomen can serve as a reliable predictor for hirsutism.
Design: A prospective observational study.
Patient(s): Six hundred and ninety-five consecutive hyperandrogenic women seen between June 1987 and December 1997.
Main Outcome Measure(s): All hirsutism exams were performed by one examiner. Hirsutism was scored using a modification of the Ferriman-Gallwey (F-G) method. An F-G score of ≥8 defined hirsutism.
Result(s): Of the 695 women examined 352 (50.1%) had hirsutism scores of 8. Thirty percent (79 of 344) of women who had an F-G score of <8 had previously underwent electrology. If either the chin or lower abdomen hair growth score was ≥2, the sensitivity was 100% for the prediction of hirsutism, although the specificity was 27%. The positive predictive value (PPV) for hirsutism using a hair score of ≥2 at either of these sites was 58%.
Conclusion(s): A hair growth score of ≥2 on the chin or lower abdomen only was found to be a highly sensitive predictor for hirsutism. However, because of its very low PPV, this screening method is virtually useless in populations where the hirsutism frequency is expected to be low, about 5%. However, this screening method for the detection of hirsutism would be useful for the study of high-risk populations with an expected hirsutism prevalence of >20% (e.g., family studies).</description><subject>Abdomen</subject><subject>Adult</subject><subject>androgens</subject><subject>Biological and medical sciences</subject><subject>Chin</subject><subject>Endocrinopathies</subject><subject>epidemiology</subject><subject>Female</subject><subject>Forecasting</subject><subject>General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes</subject><subject>Hair</subject><subject>Hirsutism</subject><subject>Hirsutism - diagnosis</subject><subject>Hirsutism - etiology</subject><subject>Humans</subject><subject>Hyperandrogenism - complications</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>polycystic ovary syndrome</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>screening</subject><subject>Sensitivity and Specificity</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotlYfQRkQRBejJ5nJNF2JlHqBigt1Hc7kQiNzqclU7dubXtSlq4Q_359z-Ag5pnBJgRZXzwCUp8AEOwe4iAmwlO2QPuW8SHnBs13S_0V65CCENwAo6JDtkx6lwAuW533yOPnC2jXYubZJWpt0M5OomYt3n1Ttp_EJlrqtTQyaapnYGK-QuTfaqZ_SzPmw6FyoD8mexSqYo-05IK-3k5fxfTp9unsY30xTlWdFl4pCUCFEiRaH2jKNOQXQbKQUjjQYW-ZoLUO0WgvUWA6psTrPdFZkLD7ybEDONv_Offu-MKGTtQvKVBU2pl0EOWSZyDijEeQbUPk2BG-snHtXo19KCnLlUa49ypUkCSDXHiWLvZPtgEVZG_3X2oqLwOkWwKCwsh4b5cIvJ4BCvhp_vaFMlPHhjJdBOdOoKM8b1Undun8W-QZxno_M</recordid><startdate>20001101</startdate><enddate>20001101</enddate><creator>Knochenhauer, Eric S</creator><creator>Hines, Gene</creator><creator>Conway-Myers, Barbara Ann</creator><creator>Azziz, Ricardo</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001101</creationdate><title>Examination of the chin or lower abdomen only for the prediction of hirsutism</title><author>Knochenhauer, Eric S ; Hines, Gene ; Conway-Myers, Barbara Ann ; Azziz, Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-8681888bafa7df2da4100d29cca9d0efb4aff2aafdd8adab71efd43d3632fb453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>androgens</topic><topic>Biological and medical sciences</topic><topic>Chin</topic><topic>Endocrinopathies</topic><topic>epidemiology</topic><topic>Female</topic><topic>Forecasting</topic><topic>General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes</topic><topic>Hair</topic><topic>Hirsutism</topic><topic>Hirsutism - diagnosis</topic><topic>Hirsutism - etiology</topic><topic>Humans</topic><topic>Hyperandrogenism - complications</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>polycystic ovary syndrome</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>screening</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knochenhauer, Eric S</creatorcontrib><creatorcontrib>Hines, Gene</creatorcontrib><creatorcontrib>Conway-Myers, Barbara Ann</creatorcontrib><creatorcontrib>Azziz, Ricardo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knochenhauer, Eric S</au><au>Hines, Gene</au><au>Conway-Myers, Barbara Ann</au><au>Azziz, Ricardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Examination of the chin or lower abdomen only for the prediction of hirsutism</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2000-11-01</date><risdate>2000</risdate><volume>74</volume><issue>5</issue><spage>980</spage><epage>983</epage><pages>980-983</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Objective: To test the hypothesis that scoring terminal hair growth on only the chin or abdomen can serve as a reliable predictor for hirsutism.
Design: A prospective observational study.
Patient(s): Six hundred and ninety-five consecutive hyperandrogenic women seen between June 1987 and December 1997.
Main Outcome Measure(s): All hirsutism exams were performed by one examiner. Hirsutism was scored using a modification of the Ferriman-Gallwey (F-G) method. An F-G score of ≥8 defined hirsutism.
Result(s): Of the 695 women examined 352 (50.1%) had hirsutism scores of 8. Thirty percent (79 of 344) of women who had an F-G score of <8 had previously underwent electrology. If either the chin or lower abdomen hair growth score was ≥2, the sensitivity was 100% for the prediction of hirsutism, although the specificity was 27%. The positive predictive value (PPV) for hirsutism using a hair score of ≥2 at either of these sites was 58%.
Conclusion(s): A hair growth score of ≥2 on the chin or lower abdomen only was found to be a highly sensitive predictor for hirsutism. However, because of its very low PPV, this screening method is virtually useless in populations where the hirsutism frequency is expected to be low, about 5%. However, this screening method for the detection of hirsutism would be useful for the study of high-risk populations with an expected hirsutism prevalence of >20% (e.g., family studies).</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11056244</pmid><doi>10.1016/S0015-0282(00)01602-2</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Adult androgens Biological and medical sciences Chin Endocrinopathies epidemiology Female Forecasting General aspects. Associated endocrine diseases. Endocrine paraneoplasic syndromes Hair Hirsutism Hirsutism - diagnosis Hirsutism - etiology Humans Hyperandrogenism - complications Mass Screening - methods Medical sciences polycystic ovary syndrome Predictive Value of Tests Prospective Studies screening Sensitivity and Specificity |
| title | Examination of the chin or lower abdomen only for the prediction of hirsutism |
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