Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome
Objectives : this study aimed to compare endocrinologists’ versus gynaecologists’ approaches in using the Rotterdam criteria to diagnose polycystic ovarian syndrome (PCOS). methods : this cross-sectional study was conducted at physiology department, King Saud University, Riyadh, Saudi Arabia, betwee...
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| Veröffentlicht in: | Sultan Qaboos University medical journal 2020-08, Vol.20 (3), p.323-329 |
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| creator | Alnuaim , Lulu Alzamil , Hana Aloraini , Khawlah Alsomali , Nora Alsaaran , Ruba Albahlal , Reem Ghanim , Aya Al Ageel , Reem |
| description | Objectives : this study aimed to compare endocrinologists’ versus gynaecologists’ approaches in using the Rotterdam criteria to diagnose polycystic ovarian syndrome (PCOS). methods : this cross-sectional study was conducted at physiology department, King Saud University, Riyadh, Saudi Arabia, between december2017 and April 2018. a validated self-administered questionnaire in English was used to obtain information from endocrinologists and gynaecologists regarding their approaches to diagnosing PCOS. each group’s diagnostic use of the rotterdam criteria, association between years of experience and clinical decision-making, clinical features leading to diagnosis and considerations in the diagnosis of biochemical parameters that define hyperandrogenism were evaluated. results: a total of 132 physicians were included in this study (response rate : 27%); 77 (58.3%) were endocrinologists and 55 (41.7%) were gynaecologists. most of the respondents (79.5%) had ≤20 years of experience. a statistically significant difference was detected between the endocrinologists and gynaecologists (98.7% versus81.8%; p = 0.001) in their consideration of hyperandrogenism in the diagnosis. the gynaecologists relied more on ovarian morphology than the endocrinologists did (76.4% versus 45.5%, p |
| doi_str_mv | 10.18295/squmj.2020.20.03.012 |
| format | Article |
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This article is published under http://creativecommons.org/licenses/by-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2020, Sultan Qaboos University Medical Journal, All Rights Reserved 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a353t-aa056cab36fd49b601fc588c8faee08f84e7f5088abf2b1aaf1840c04f883db03</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttps://static.almanhal.com/covers/titl/229179/cover-lg.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574802/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7574802/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33110648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alnuaim , Lulu</creatorcontrib><creatorcontrib>Alzamil , Hana</creatorcontrib><creatorcontrib>Aloraini , Khawlah</creatorcontrib><creatorcontrib>Alsomali , Nora</creatorcontrib><creatorcontrib>Alsaaran , Ruba</creatorcontrib><creatorcontrib>Albahlal , Reem</creatorcontrib><creatorcontrib>Ghanim , Aya</creatorcontrib><creatorcontrib>Al Ageel , Reem</creatorcontrib><title>Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome</title><title>Sultan Qaboos University medical journal</title><addtitle>Sultan Qaboos Univ Med J</addtitle><description>Objectives : this study aimed to compare endocrinologists’ versus gynaecologists’ approaches in using the Rotterdam criteria to diagnose polycystic ovarian syndrome (PCOS). methods : this cross-sectional study was conducted at physiology department, King Saud University, Riyadh, Saudi Arabia, between december2017 and April 2018. a validated self-administered questionnaire in English was used to obtain information from endocrinologists and gynaecologists regarding their approaches to diagnosing PCOS. each group’s diagnostic use of the rotterdam criteria, association between years of experience and clinical decision-making, clinical features leading to diagnosis and considerations in the diagnosis of biochemical parameters that define hyperandrogenism were evaluated. results: a total of 132 physicians were included in this study (response rate : 27%); 77 (58.3%) were endocrinologists and 55 (41.7%) were gynaecologists. most of the respondents (79.5%) had ≤20 years of experience. a statistically significant difference was detected between the endocrinologists and gynaecologists (98.7% versus81.8%; p = 0.001) in their consideration of hyperandrogenism in the diagnosis. the gynaecologists relied more on ovarian morphology than the endocrinologists did (76.4% versus 45.5%, p <0.0001). physicians with more experience used ovarian ultrasonography more compared to those with less experience (p = 0.006). conclusion : there was disparity in the diagnostic approaches of endocrinologists, who rely more on androgen levels for diagnosis of PCOS versus gynaecologists, who more frequently use an ovarian morphology assessment. increased years of experience increased the rate of ultrasonography use for PCOS diagnosis in both groups.</description><subject>Acne</subject><subject>Adult</subject><subject>Aged</subject><subject>Androgens</subject><subject>Clinical & Basic Research</subject><subject>Clinical Competence - standards</subject><subject>Clinical Competence - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>DIAGNOSIS</subject><subject>ENDOCRINE DISEASES</subject><subject>Endocrinologists - standards</subject><subject>Endocrinologists - statistics & numerical data</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Genotype & phenotype</subject><subject>GYNECOLOGIC DISEASES</subject><subject>Gynecology</subject><subject>Gynecology - standards</subject><subject>Gynecology - statistics & numerical data</subject><subject>Humans</subject><subject>Infertility</subject><subject>Male</subject><subject>Menstruation</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>OVARIES</subject><subject>Patients</subject><subject>PHYSICIANS</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - diagnosis</subject><subject>Polycystic Ovary Syndrome - diagnostic imaging</subject><subject>Questionnaires</subject><subject>Response rates</subject><subject>SAUDI ARABIA</subject><subject>Society</subject><subject>Surveys and Questionnaires</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>أمراض الغدد الصماء</subject><subject>الأطباء</subject><subject>الأمراض النسائية</subject><subject>التشخيص</subject><subject>السعودية</subject><subject>المبايض</subject><issn>2075-051X</issn><issn>2075-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkU1r3DAQhk1paUKan9Ai6KWX3Yy-bPlSKEmaFgIptIXexFiWdrXY0kbyBvzvq3x0N6kOIzHzzItm3qp6T2FJFWvlWb7djZslAwYlLIEvgbJX1TGDRi5AMvV6_6Z_jqrTnDdQDldNTeXb6ohzSqEW6rgyFz5vMflpJjjGsCKXoY8m-RCHuPJ5ygRDT67mgNbsUz6QaW3JhcdViNlnEh35EYfZzHnyhtzcFUEM5Occ-hRH-65643DI9vTpPql-f738df5tcX1z9f38y_UCueTTAhFkbbDjtetF29VAnZFKGeXQWlBOCds4CUph51hHER1VAgwIpxTvO-An1edH3e2uG21vbJgSDnqb_Ihp1hG9flkJfq1X8U43shEKWBH49CSQ4u3O5kmPPhs7DBhs3GXNhJS0ka3iBf34H7qJuxTKeJrVjIJgrbin5CNlUsw5Wbf_DAX94KR-cFLfO1mCBq6Lk6Xvw_NJ9l3_fDsAtuStw4Mur2teiwOAw4hh_WwNjLW0aflfbRKyRQ</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Alnuaim , Lulu</creator><creator>Alzamil , Hana</creator><creator>Aloraini , Khawlah</creator><creator>Alsomali , Nora</creator><creator>Alsaaran , Ruba</creator><creator>Albahlal , Reem</creator><creator>Ghanim , Aya</creator><creator>Al Ageel , Reem</creator><general>Sultan Qaboos Uinversity : Academic Publication Board</general><general>Sultan Qaboos University, College of Medicine and Health Sciences</general><general>Sultan Qaboos University</general><general>Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences</general><scope>~6Z</scope><scope>ADJCN</scope><scope>AHFXO</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200801</creationdate><title>Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome</title><author>Alnuaim , Lulu ; Alzamil , Hana ; Aloraini , Khawlah ; Alsomali , Nora ; Alsaaran , Ruba ; Albahlal , Reem ; Ghanim , Aya ; Al Ageel , Reem</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a353t-aa056cab36fd49b601fc588c8faee08f84e7f5088abf2b1aaf1840c04f883db03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acne</topic><topic>Adult</topic><topic>Aged</topic><topic>Androgens</topic><topic>Clinical & Basic Research</topic><topic>Clinical Competence - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sultan Qaboos University medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alnuaim , Lulu</au><au>Alzamil , Hana</au><au>Aloraini , Khawlah</au><au>Alsomali , Nora</au><au>Alsaaran , Ruba</au><au>Albahlal , Reem</au><au>Ghanim , Aya</au><au>Al Ageel , Reem</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome</atitle><jtitle>Sultan Qaboos University medical journal</jtitle><addtitle>Sultan Qaboos Univ Med J</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>20</volume><issue>3</issue><spage>323</spage><epage>329</epage><pages>323-329</pages><issn>2075-051X</issn><eissn>2075-0528</eissn><abstract>Objectives : this study aimed to compare endocrinologists’ versus gynaecologists’ approaches in using the Rotterdam criteria to diagnose polycystic ovarian syndrome (PCOS). methods : this cross-sectional study was conducted at physiology department, King Saud University, Riyadh, Saudi Arabia, between december2017 and April 2018. a validated self-administered questionnaire in English was used to obtain information from endocrinologists and gynaecologists regarding their approaches to diagnosing PCOS. each group’s diagnostic use of the rotterdam criteria, association between years of experience and clinical decision-making, clinical features leading to diagnosis and considerations in the diagnosis of biochemical parameters that define hyperandrogenism were evaluated. results: a total of 132 physicians were included in this study (response rate : 27%); 77 (58.3%) were endocrinologists and 55 (41.7%) were gynaecologists. most of the respondents (79.5%) had ≤20 years of experience. a statistically significant difference was detected between the endocrinologists and gynaecologists (98.7% versus81.8%; p = 0.001) in their consideration of hyperandrogenism in the diagnosis. the gynaecologists relied more on ovarian morphology than the endocrinologists did (76.4% versus 45.5%, p <0.0001). physicians with more experience used ovarian ultrasonography more compared to those with less experience (p = 0.006). conclusion : there was disparity in the diagnostic approaches of endocrinologists, who rely more on androgen levels for diagnosis of PCOS versus gynaecologists, who more frequently use an ovarian morphology assessment. increased years of experience increased the rate of ultrasonography use for PCOS diagnosis in both groups.</abstract><cop>Muscat - Oman</cop><pub>Sultan Qaboos Uinversity : Academic Publication Board</pub><pmid>33110648</pmid><doi>10.18295/squmj.2020.20.03.012</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Sultan Qaboos University medical journal, 2020-08, Vol.20 (3), p.323-329 |
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| language | eng |
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| subjects | Acne Adult Aged Androgens Clinical & Basic Research Clinical Competence - standards Clinical Competence - statistics & numerical data Cross-Sectional Studies DIAGNOSIS ENDOCRINE DISEASES Endocrinologists - standards Endocrinologists - statistics & numerical data Endocrinology Female Genotype & phenotype GYNECOLOGIC DISEASES Gynecology Gynecology - standards Gynecology - statistics & numerical data Humans Infertility Male Menstruation Middle Aged Morphology OVARIES Patients PHYSICIANS Polycystic ovary syndrome Polycystic Ovary Syndrome - diagnosis Polycystic Ovary Syndrome - diagnostic imaging Questionnaires Response rates SAUDI ARABIA Society Surveys and Questionnaires Ultrasonic imaging Ultrasonography - methods أمراض الغدد الصماء الأطباء الأمراض النسائية التشخيص السعودية المبايض |
| title | Disparity among Endocrinologists and Gynaecologists in the Diagnosis of Polycystic Ovarian Syndrome |
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