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基于人口的健康系统和保险公司记录:PCOS显著低诊断

Sana Hatoum¹, Mina Amiri¹, Dawnkimberly Hopkins²

¹Foundation for Research and Education Excellence, Vestavia, AL 35243, USA.

The Journal of clinical endocrinology and metabolism

|January 20, 2025

概括

多囊性卵巢综合征 (PCOS) 诊断严重不足,卫生系统记录显示其患病率远低于人口研究. 这凸显了医疗保健提供者和公众之间提高意识的关键需求.

科学领域:

内分泌学在内分泌学.
公共卫生公共卫生
流行病学流行病学

背景情况:

多囊卵巢综合征 (PCOS) 是一种常见的内分泌疾病,具有显著的心脏代谢和心理健康影响.
延迟或错过PCOS的诊断可能会导致严重的健康后果.
真正的PCOS诊断不足的程度尚未确立.

研究的目的:

通过比较患病率来量化PCOS诊断不足的程度.
评估PCOS在一般人群中的患病率与卫生系统或保险公司记录 (HSIR) 之间的差距.

主要方法:

在PubMed和Embase的系统文献搜索到2023年7月.
包括报告一般人群中PCOS患病率的研究和可比人群中的HSIR.
分析来自美国,英国和韩国的数据.

主要成果:

基于人口的研究报告了PCOS患病率在4%至19.6% (美国),~8% (英国) 和4.9%-7% (韩国) 之间.
卫生系统记录 (HSIR) 显示PCOS患病率显著降低:0.2%-5.2% (美国),1.34% (英国) 和0.12%-4.3% (韩国).
虽然HSIR中的PCOS检测随着时间的推移而有所改善,但它并没有反映出实际的人口患病率.

结论:

当将HSIR与基于人口的数据进行比较时,显而易见的是PCOS的诊断不足和/或报告不足.
调查结果强调,迫切需要提高医疗保健专业人员,纳税人和公众对PCOS的认识.
改善诊断实践和识别对于有效管理PCOS至关重要.

关键词:

诊断诊断诊断诊断诊断诊断电子健康记录是电子医疗记录.流行病学流行病学多囊性卵巢综合征多囊性卵巢综合征患病率的流行情况.

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