多囊卵巢综合征和肥胖患者的医疗旅程:对患者和初级保健医生的横断面调查。

IF 2.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Katherine Sherif, Jamie Coborn, Anthony Hoovler, Lisa Gill
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引用次数: 2

摘要

目的:多囊卵巢综合征(PCOS)患者对诊断过程不满意,并且更容易出现超重或肥胖。我们想了解初级保健医生(pcp)在多囊卵巢综合征诊断中的作用,以及他们如何帮助多囊卵巢综合征合并肥胖患者的治疗。方法:对251名多囊卵巢综合征合并肥胖(BMI≥30 kg/m2)患者和305名医疗服务提供者(pcp、妇产科医生、生殖和普通内分泌科医生)进行横断面在线调查。本文对75种pcp治疗多囊卵巢综合征合并肥胖患者进行了综述。结果:在最常见的患者旅程中,我们发现大多数多囊卵巢综合征合并肥胖的患者(53%)与多囊卵巢综合征的症状进行了初步讨论。然而,不到四分之一的患者接受PCOS诊断(22%)或PCOS初始治疗(24%)。四分之一的患者也报告在PCOS诊断之前被PCP误诊。与接受调查的其他医疗服务提供者相比,pcp最不愿意做出PCOS诊断。与没有肥胖管理重点的pcp相比,有肥胖管理重点的pcp更有可能自己诊断患者(38%对62%),并自己开始PCOS治疗(42%对57%)。根据pcp的说法,肥胖管理困难(47%)是PCOS和肥胖患者停止寻求PCOS治疗的首要原因。结论:pcp通常是多囊卵巢综合征合并肥胖患者的初始医疗接触点。然而,pcp在PCOS的诊断和治疗中作用较小。加强对肥胖管理的教育可能会促使pcp对更多的PCOS患者进行诊断和治疗,并提供帮助患者肥胖管理的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical journey of patients with polycystic ovary syndrome and obesity: a cross-sectional survey of patients and primary care physicians.

Objectives: Patients with polycystic ovary syndrome (PCOS) report dissatisfaction with the diagnostic process and are more likely to have overweight or obesity. We wanted to understand the role that primary care physicians (PCPs) play in the diagnosis of PCOS and how they contribute to treatment of patients with PCOS and obesity.

Methods: A cross-sectional online survey was completed by 251 patients with PCOS and obesity (BMI ≥30 kg/m2) and 305 healthcare providers (PCPs, obstetricians/gynecologists, reproductive and general endocrinologists). This paper focuses on the 75 PCPs treating patients with PCOS and obesity.

Results: In the most common patient journey, we found that most patients with PCOS and obesity (53%) have initial discussions about PCOS symptoms with PCPs. However, less than one quarter of patients receive a PCOS diagnosis (22%) or initial treatment (24%) for PCOS from a PCP. One quarter of patients also reported receiving a misdiagnosis from a PCP prior to their PCOS diagnosis. Compared to other healthcare providers surveyed, PCPs were the least comfortable making a PCOS diagnosis. Compared to PCPs without an obesity management focus, PCPs with an obesity management focus were more likely to diagnose patients themselves (38% vs 62%) and initiate PCOS treatment themselves (42% vs 57%). According to PCPs, difficulty with obesity management (47%) was the top reason that patients with PCOS and obesity stop seeing them for PCOS management.

Conclusion: PCPs are often the initial medical touchpoint for patients with PCOS and obesity. However, PCPs play a smaller role in diagnosis and treatment of PCOS. Increasing education on obesity management may encourage PCPs to diagnose and treat more patients with PCOS and offer strategies to help patients with obesity management.

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来源期刊
Postgraduate Medicine
Postgraduate Medicine 医学-医学:内科
CiteScore
6.10
自引率
2.40%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Postgraduate Medicine is a rapid peer-reviewed medical journal published for physicians. Tracing its roots back to 1916,  Postgraduate Medicine  was established by Charles Mayo, MD, as a peer-to-peer method of communicating the latest research to aid physicians when making treatment decisions, and it maintains that aim to this day. In addition to its core subscriber base, Postgraduate Medicine is distributed to hundreds of US-based physicians within internal medicine and family practice.
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