Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey

Introduction: Polycystic Ovary Syndrome (PCOS) is a multifactorial condition that can include a myriad of symptom complexes. A study in North America demonstrated that a significant percentage of physicians were unaware of crucial aspects of PCOS. This study aimed to examine the level of knowledge a...

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Main Authors: Konstantin Hofmann, Melody Oehler, Christian Ruckes, Anna Dionysopoulou, Kathrin Stewen, Lina Judit Schiestl, Yaman Degirmenci, Susanne Theis, Christine Skala, Annette Hasenburg, Roxana Schwab
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Language:English
Published: Elsevier 2024-11-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024164626
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author Konstantin Hofmann
Melody Oehler
Christian Ruckes
Anna Dionysopoulou
Kathrin Stewen
Lina Judit Schiestl
Yaman Degirmenci
Susanne Theis
Christine Skala
Annette Hasenburg
Roxana Schwab
author_facet Konstantin Hofmann
Melody Oehler
Christian Ruckes
Anna Dionysopoulou
Kathrin Stewen
Lina Judit Schiestl
Yaman Degirmenci
Susanne Theis
Christine Skala
Annette Hasenburg
Roxana Schwab
author_sort Konstantin Hofmann
collection DOAJ
description Introduction: Polycystic Ovary Syndrome (PCOS) is a multifactorial condition that can include a myriad of symptom complexes. A study in North America demonstrated that a significant percentage of physicians were unaware of crucial aspects of PCOS. This study aimed to examine the level of knowledge about PCOS among physicians in Germany. Methods: An anonymous cross-sectional online questionnaire was distributed to all gynecological clinics and fertility centers in Germany. The responsible gynecologists in service were contacted and they were asked to distribute the questionnaire among the employed physicians in their clinic. Results and discussion: The questionnaire was completed 206 times. 92 (65.7 %) of all respondents were board-certified gynecologists without specialty training in reproductive medicine and gynecologic endocrinology (Non-RMGE), 48 (34.3 %) had completed this training (RMGE). RMGE were more likely to know the correct criteria for the diagnosis of PCOS (97.9 % vs. 51.3 %; p < 0.001) and were able to name a higher number of correct symptoms that may be associated with PCOS (20.8 vs. 14.0; p < 0.001) than Non-RMGE (B = 4.530, CI 1.379–7.680; p = 0.006). The preferred general treatments and fertility treatments for PCOS patients also differed significantly between the two groups (p = 0.002, p < 0.001). The participants were asked how doctors and healthcare professionals could be best supported to improve the care of PCOS patients. Over 58.3 % of participants considered the creation of a PCOS website dedicated to healthcare professionals to be valuable. Conclusion: This study is the first to identify knowledge gaps about PCOS among physicians in Germany. The findings also highlight the potential disparities in PCOS knowledge between hospital and fertility center settings, emphasizing the need for improved training to ensure consistent and high-quality care for PCOS patients. The participants preferred a dedicated website for health professionals, indicating a demand for easily accessible information and training resources.
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spelling doaj-art-5e84da1ccf9a46cdac1eb04ae7fbffd82025-08-20T02:07:31ZengElsevierHeliyon2405-84402024-11-011022e4043110.1016/j.heliyon.2024.e40431Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based surveyKonstantin Hofmann0Melody Oehler1Christian Ruckes2Anna Dionysopoulou3Kathrin Stewen4Lina Judit Schiestl5Yaman Degirmenci6Susanne Theis7Christine Skala8Annette Hasenburg9Roxana Schwab10Department of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, Germany; Corresponding author. Department of Obstetrics and Gynecology University Medical Center of Johannes Gutenberg University Mainz Langenbeckstraße 1 55131, Mainz Germany.University Medical Center of Johannes Gutenberg University Mainz, GermanyInstitute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyDepartment of Obstetrics and Gynecology, University Medical Center of Johannes Gutenberg University Mainz, GermanyIntroduction: Polycystic Ovary Syndrome (PCOS) is a multifactorial condition that can include a myriad of symptom complexes. A study in North America demonstrated that a significant percentage of physicians were unaware of crucial aspects of PCOS. This study aimed to examine the level of knowledge about PCOS among physicians in Germany. Methods: An anonymous cross-sectional online questionnaire was distributed to all gynecological clinics and fertility centers in Germany. The responsible gynecologists in service were contacted and they were asked to distribute the questionnaire among the employed physicians in their clinic. Results and discussion: The questionnaire was completed 206 times. 92 (65.7 %) of all respondents were board-certified gynecologists without specialty training in reproductive medicine and gynecologic endocrinology (Non-RMGE), 48 (34.3 %) had completed this training (RMGE). RMGE were more likely to know the correct criteria for the diagnosis of PCOS (97.9 % vs. 51.3 %; p < 0.001) and were able to name a higher number of correct symptoms that may be associated with PCOS (20.8 vs. 14.0; p < 0.001) than Non-RMGE (B = 4.530, CI 1.379–7.680; p = 0.006). The preferred general treatments and fertility treatments for PCOS patients also differed significantly between the two groups (p = 0.002, p < 0.001). The participants were asked how doctors and healthcare professionals could be best supported to improve the care of PCOS patients. Over 58.3 % of participants considered the creation of a PCOS website dedicated to healthcare professionals to be valuable. Conclusion: This study is the first to identify knowledge gaps about PCOS among physicians in Germany. The findings also highlight the potential disparities in PCOS knowledge between hospital and fertility center settings, emphasizing the need for improved training to ensure consistent and high-quality care for PCOS patients. The participants preferred a dedicated website for health professionals, indicating a demand for easily accessible information and training resources.http://www.sciencedirect.com/science/article/pii/S2405844024164626PCOSGynecologistsGynecological endocrinologyGaps in knowledgeSurvey
spellingShingle Konstantin Hofmann
Melody Oehler
Christian Ruckes
Anna Dionysopoulou
Kathrin Stewen
Lina Judit Schiestl
Yaman Degirmenci
Susanne Theis
Christine Skala
Annette Hasenburg
Roxana Schwab
Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
Heliyon
PCOS
Gynecologists
Gynecological endocrinology
Gaps in knowledge
Survey
title Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
title_full Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
title_fullStr Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
title_full_unstemmed Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
title_short Gaps in knowledge regarding the diagnostic criteria and management of PCOS in Germany: An anonymous web-based survey
title_sort gaps in knowledge regarding the diagnostic criteria and management of pcos in germany an anonymous web based survey
topic PCOS
Gynecologists
Gynecological endocrinology
Gaps in knowledge
Survey
url http://www.sciencedirect.com/science/article/pii/S2405844024164626
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