Page 59 - PCC07
P. 59
i
e
in
nP
Po
ol
ly
yc
cy
ys
st
t
i
i
c
c
O
O
v
va
a
r
ry
yS
S
y
y
n
nd
d
r
PCOS: Significance and imperative
• Complex condition, health and economic burden1,2
• Links to rising burden of obesity3
• Underrecognised4
• Delayed diagnosis, poor diagnosis experience • Emotional wellbeing/ metabolic risks under
recognised
• Inadequate patient information4,5
• Poor satisfaction with care4,5
• PCOS prevalence‐ recent systematic review; 8‐13%6,7
• Management is inconsistent8, priority for HPs
• Ethnic differences are often poorly appreciated
T
T
h
h
i
i
s
s
w
wo
o
r
rk
k
i
is
s
s
su
up
p
p
po
o
r
r
t
t
e
ed
d
b
b
y
yt
r
o
t
om
h
he
me
e
N
e
(
NH
(p
H
M
pr
r
MR
o
oj
RC
je
ec
C
f
c
t
tn
f
u
un
nu
u
m
nd
d
e
mb
e
d
b
e
dC
e
r
Ce
rA
A
en
P
P
nt
P
tr
P1
re
1
ef
0
f
07
o
or
7
r
R
8
8
Re
4
4
es
4
s
44
4
e
e
a
)
).
ar
.
rc
ch
hE
Ex
xc
ce
e
l
ll
le
e
n
n
c
ce
1) Teede et al BMC Medicine 2010 2) Moran Tet al Tends in Endo 2015 3) Teede,et al Obesity 2013 4) Gibson Helm Family Practice 2014
5) Gibson‐Helm JCEM 2017 6) March et al Human Reprod 2010
7) Bozzdag, Humn Repro 2016 8) Dokras Fertil, Steril 2017
i
e
i
n
n
P
Po
o
l
ly
y
c
cy
y
s
s
t
ti
ic
cO
Ov
va
a
r
ry
yS
S
y
yn
nd
dr
r
o
o
m
me
e(
(
p
p
r
ro
oj
je
e
c
ct
t
n
nu
um
International initiative on PCOS
Partnership, health professionals and patients/consumers, framing problem, priorities, scoping
Evaluation of outcomes, incorporation of learnings and next cycle
Co‐developed international awareness campaign, society partnerships
Knowledge synthesis, systematic review and international guidelines
Resource development, translation activities
T
Th
hi
is
s
w
wo
or
rk
ki
is
s
s
s
u
up
p
p
p
o
or
rt
t
e
e
d
d
b
by
yt
t
h
h
e
eN
N
H
HM
M
R
RC
Cf
f
u
un
n
d
de
mb
e
d
b
e
dC
e
r
r
A
C
A
e
en
P
nt
PP
tr
P1
re
e
f
10
f
07
o
o
r
78
r
R
8
Re
4
44
e
s
se
44
4
e
a
)
).
ar
.
rc
c
h
h
E
E
x
xc
ce
el
l
l
le
en
nc
ce
Page 52 of 196
PRECONGRESS COURSE 07 I BARCELONA, SPAIN – 1 JULY 2018 59