一项针对多囊卵巢综合征护理模式的系统评价突出了文献中的空白，特别是在发展中国家。
A systematic review of models of care for polycystic ovary syndrome highlights the gap in the literature, especially in developing countries.
机构信息
Leicester Diabetes Centre, University of Leicester, Leicester, United Kingdom.
Department of Diabetes and Endocrinology, Clinic NeoLab, Tbilisi, Georgia.
出版信息
Front Endocrinol (Lausanne). 2023 Jul 19;14:1217468. doi: 10.3389/fendo.2023.1217468. eCollection 2023.
INTRODUCTION
The 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.
METHODS
Ovid 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.
RESULTS
Of 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.
CONCLUSION
There 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 REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=346539, identifier CRD42022346539.
简介
本研究旨在确定现有的多囊卵巢综合征（PCOS）护理模式（MoC），并描述其特征以及与国际 PCOS 指南的一致性。
方法
检索了 Ovid MEDLINE、All EBM、PsycINFO、Embase 和 CINAHL 从建库到 2022 年 7 月 11 日的数据。纳入描述 PCOS MoC 的任何研究。排除非循证指南、摘要、研究方案和临床试验注册。我们还排除了在研究环境中提供的 MoC，以尽量减少护理偏倚。由于 MoC 之间存在异质性，因此未进行荟萃分析。我们根据国际循证 PCOS 评估和管理指南的建议描述和评估每个 MoC。
结果
在 3671 篇文章中，有 6 篇文章描述了 5 种 MoC 被纳入我们的系统评价。所有 MoC 均描述了一种多学科方法，包括内分泌学家、营养师、妇科医生、心理学家、皮肤科医生等。有 3 种 MoC 描述了与国际指南建议一致的 PCOS 护理的各个方面。这些包括提供关于长期风险、生活方式干预、情绪健康、心血管代谢疾病以及 PCOS 的皮肤和生殖方面的筛查和管理的教育。有 3 种 MoC 评估了患者和医疗保健专业人员的满意度，结果普遍较为积极。只有一种 MoC 探索了其服务对患者健康结果的影响，显示出 BMI 的改善。
结论
描述常规实践中 PCOS MoC 的文献有限。未来的研究应探索在全球范围内开发具有成本效益的、共同创建的多学科 PCOS MoC。这可以通过在具有既定 MoC 的机构和有兴趣建立 MoC 的机构之间交流最佳实践来促进。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=346539，标识符 CRD42022346539。
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