Prevalence of polycystic ovary syndrome among the privately insured, United States, 2003-2008

Okoroh, Ekwutosi M.; Hooper, W. Craig; Atrash, Hani K.; Yusuf, Hussain; Boulet, Sheree L.

doi:10.1016/j.ajog.2012.07.023

Cited by 61 publications

(76 citation statements)

References 10 publications

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“…Polycystic ovarian syndrome (PCOS) is thought to be the most common endocrine disorder found in women. 1,2 PCOS impacts women of all races and ethnicities who are of reproductive age. In unspecified populations the prevalence of PCOS has a reported incidence rate of 3-10%.…”

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confidence: 99%

“…3,4 PCOS is a syndrome that is seen only in women and is most often characterized by an imbalance of the sex hormones. 1 Common symptoms include irregular menstrual cycles, ovarian cysts, and hirsutism. 2 Features of the syndrome may also include infertility, insulin-resistance, impaired glucose tolerance (Type 2 Diabetes), dyslipidemia, and cardiovascular disease due to increased risk factors.…”

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confidence: 99%

“…2 Features of the syndrome may also include infertility, insulin-resistance, impaired glucose tolerance (Type 2 Diabetes), dyslipidemia, and cardiovascular disease due to increased risk factors. 1,5 The etiology of PCOS is not completely understood and there is no known cause, although a genetic component and lifestyle influences have been identified. 1,2,5 Due to the heterogeneous and multifactorial nature of PCOS symptoms there is a lack of a clear universal consensus regarding the definition and diagnostic criteria.…”

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confidence: 99%

“…1,5 The etiology of PCOS is not completely understood and there is no known cause, although a genetic component and lifestyle influences have been identified. 1,2,5 Due to the heterogeneous and multifactorial nature of PCOS symptoms there is a lack of a clear universal consensus regarding the definition and diagnostic criteria. 1,6 Individuals with PCOS are in need of specialized, individualized, and focused care from a variety of health care providers who can work as a team to treat PCOS comprehensively.…”

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confidence: 99%

“…1,2,5 Due to the heterogeneous and multifactorial nature of PCOS symptoms there is a lack of a clear universal consensus regarding the definition and diagnostic criteria. 1,6 Individuals with PCOS are in need of specialized, individualized, and focused care from a variety of health care providers who can work as a team to treat PCOS comprehensively. There is a large gap in the literature with very few studies documenting or assessing multidisciplinary PCOS treatment facilities.…”

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confidence: 99%

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Role of the Dietitian in Multidisciplinary Treatment of Polycystic Ovary Syndrome

Thompson¹

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Role of the Dietitian in Multidisciplinary Treatment of Polycystic Ovary Syndrome Wendy Thompson Background: Polycystic Ovary Syndrome (PCOS) is the most common reproductive endocrine disorder in females. Genetic and lifestyle factors influence the etiology and insulin resistance plays a key role in the pathogenesis of PCOS. Objective: To investigate the current trends and future implications of multidisciplinary PCOS clinics while emphasizing the role and challenges for dietitians. Methods: The study design was a two-phase formative investigation of PCOS focused practitioners through an anonymous, internet-based survey (Qualtrics, Provo, UT) followed by focus groups done via teleconference. Focus group data was analyzed using Braun and Clarke's method of thematic analysis. Participants: Survey respondents included 261 health care providers, 59% physicians, 20% dietitians, from around the world (64% from the United States); the majority (59%) represented multidisciplinary facilities. Focus group participants included four dietitians, three physicians, a health psychologist and a licensed nutritionist that had 7-25 years of experience treating PCOS. Results: From the survey, the barriers for future multidisciplinary clinics included: money/resources, insurance reimbursement, and difference of opinions; the potential advantages included: more comprehensive and integrated care, greater convenience/efficiency, better longterm outcomes, and increased access to disciplines. Dietitians were involved in 71% of the clinics represented in the survey and 89% of respondents stated that dietitians need to be 'involved' or 'highly involved' in PCOS treatment. Focus group participants stated the greatest challenges for dietitians include insurance, lack of PCOS knowledge, and lack of physician referrals. Overall, nutritional interventions are not very accessible for the majority of PCOS patients. Conclusions and Implications: PCOS is a complex condition that requires the expertise of multiple provider types to treat the syndrome in its entirety. Most providers agreed that multidisciplinary clinics would ultimately lead to a better prognosis for PCOS patients. A greater emphasis needs to be placed on educating the medical community, including dietitians and physicians, on the importance of specialized nutrition counseling and lobbying for insurance reimbursement. Having access to dietitians educated on PCOS is likely the best way to ensure that PCOS patients have access to lifestyle interventions, which is considered to be the first-line treatment for PCOS.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Role of the Dietitian in Multidisciplinary Treatment of Polycystic Ovary Syndrome

Thompson¹

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Metabolic syndrome and its components in different phenotypes of polycystic ovary syndrome

Krentowska

Kowalska

2021

Diabetes Metabolism Res

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Polycystic ovary syndrome (PCOS) is the most common endocrinopathy affecting reproductive-age women. Important factors in its pathogenesis are hyperinsulinaemia and insulin resistance, which lead to higher risk of metabolic syndrome (MetS) and its complications. With the implementation of the Rotterdam diagnostic criteria in 2003, the group of PCOS patients became highly heterogeneous, with varying metabolic risk reported for different phenotypes of the syndrome. The aim of the present review is to assess the prevalence and severity of MetS and its components in patients with the four phenotypes of PCOS. A comprehensive search of Pubmed database was performed to identify studies comparing metabolic characteristics between PCOS patients with different phenotypes of the syndrome. The results of 60 studies published between 2004 and 2020 were retrieved and analysed. More adverse metabolic profile was observed in PCOS patients with hyperandrogenic phenotypes in comparison to normoandrogenic patients, as well as in classic phenotypes, defined by National Institutes of Health criteria, in comparison to newer phenotypes introduced by the Rotterdam criteria. In the majority of observations, normoandrogenic PCOS patients did not differ significantly from controls in terms of metabolic characteristics, although some East Asian studies reported more adverse metabolic profile in normoandrogenic phenotype in comparison to healthy women. In conclusion, metabolic abnormalities in PCOS seem to be associated with joint effects of hyperandrogenism, insulin resistance and visceral obesity. The differences observed between the four phenotypes of PCOS underline the need for individualised diagnostic and therapeutic approach.

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Polycystic Ovarian Syndrome: Current Insights

Naidu,

Ramdin,

Naicker

et al. 2024

Biomedical Visualization

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Prevalence of polycystic ovary syndrome among the privately insured, United States, 2003-2008

Cited by 61 publications

References 10 publications

Role of the Dietitian in Multidisciplinary Treatment of Polycystic Ovary Syndrome

Role of the Dietitian in Multidisciplinary Treatment of Polycystic Ovary Syndrome

Metabolic syndrome and its components in different phenotypes of polycystic ovary syndrome

Polycystic Ovarian Syndrome: Current Insights

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