Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG)
Objectives Polycystic Ovary Syndrome (PCOS) is a complex condition affecting approximately 1 in 10 women of reproductive age. However, limited data are available regarding the specific characteristics and needs of women with PCOS in Latin America. This consensus sought to evaluate the evidence-based...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Gynecological Endocrinology |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/09513590.2025.2456578 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850142154161127424 |
|---|---|
| author | Poli Mara Spritzer Germán Gonzalo Salazar Santos Mónica Liliana Munevar Vega Peter Chedraui Susana Pilnik Adriana Camero Lascano Alejandra Belardo Alejandra Elizalde Cremonte Alejandra Vivas Ramírez Alejandro Rosas Balán Ana María Barragán Angela María Gómez Quintero Camila Andrea Camargo Rodríguez Daniel Alejandro Buitrago Germán Barón Castañeda Guillermo Rossi Inés de La Parra Iván Darío Montes Suárez Jorge Alejandro Michel Vergara Lucas Bandeira Marchesan Mariana Abril Barreto Milagros Sánchez Torrejón Selva Lima Teresa de Jesús Ramos de Ferreira Alejandro Manzur |
| author_facet | Poli Mara Spritzer Germán Gonzalo Salazar Santos Mónica Liliana Munevar Vega Peter Chedraui Susana Pilnik Adriana Camero Lascano Alejandra Belardo Alejandra Elizalde Cremonte Alejandra Vivas Ramírez Alejandro Rosas Balán Ana María Barragán Angela María Gómez Quintero Camila Andrea Camargo Rodríguez Daniel Alejandro Buitrago Germán Barón Castañeda Guillermo Rossi Inés de La Parra Iván Darío Montes Suárez Jorge Alejandro Michel Vergara Lucas Bandeira Marchesan Mariana Abril Barreto Milagros Sánchez Torrejón Selva Lima Teresa de Jesús Ramos de Ferreira Alejandro Manzur |
| author_sort | Poli Mara Spritzer |
| collection | DOAJ |
| description | Objectives Polycystic Ovary Syndrome (PCOS) is a complex condition affecting approximately 1 in 10 women of reproductive age. However, limited data are available regarding the specific characteristics and needs of women with PCOS in Latin America. This consensus sought to evaluate the evidence-based practices for the management of PCOS for Latin American populations, consolidate regional insights, identify eventual gaps in implementation and identify key research opportunities.Methods Using the Delphi strategy, experts from various Latin American countries selected and reviewed a subset of recommendations from the 2023 International Evidence-Based Guideline (EBG) for the Assessment and Management of PCOS. Virtual and in-person meetings facilitated discussions on the selected recommendations, followed by voting rounds to achieve consensus.Results A total of 33 recommendations for PCOS diagnosis and treatment were evaluated. In the initial voting round, 25 recommendations achieved strong agreement (80%–100% support), while eight received less than 80% agreement. After further discussions on their relevance and potential to influence behavior change among health professionals and public health policies, the remaining recommendations achieved near-unanimous support in the second round.Conclusions This consensus underscored evidence-based practices for PCOS diagnosis and treatment deemed appropriate for the Latin American context. It also highlighted implementation barriers such as cost and accessibility, while identifying opportunities for research to improve PCOS management and address regional challenges. These findings aim to enhance clinical care and inform public health strategies tailored to the needs of Latin American women living with PCOS. |
| format | Article |
| id | doaj-art-a3ab2aa9afed46498308d36f1eb98665 |
| institution | OA Journals |
| issn | 0951-3590 1473-0766 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Gynecological Endocrinology |
| spelling | doaj-art-a3ab2aa9afed46498308d36f1eb986652025-08-20T02:29:11ZengTaylor & Francis GroupGynecological Endocrinology0951-35901473-07662025-12-0141110.1080/09513590.2025.2456578Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG)Poli Mara Spritzer0Germán Gonzalo Salazar Santos1Mónica Liliana Munevar Vega2Peter Chedraui3Susana Pilnik4Adriana Camero Lascano5Alejandra Belardo6Alejandra Elizalde Cremonte7Alejandra Vivas Ramírez8Alejandro Rosas Balán9Ana María Barragán10Angela María Gómez Quintero11Camila Andrea Camargo Rodríguez12Daniel Alejandro Buitrago13Germán Barón Castañeda14Guillermo Rossi15Inés de La Parra16Iván Darío Montes Suárez17Jorge Alejandro Michel Vergara18Lucas Bandeira Marchesan19Mariana Abril Barreto20Milagros Sánchez Torrejón21Selva Lima22Teresa de Jesús Ramos de Ferreira23Alejandro Manzur24Gynecological Endocrinology Unit, Division of Endocrinology, Hospital de Clínicas de Porto Alegre and Department of Physiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilClínica del Country, Bogotá, ColombiaFertivida Centro de Fertilidad and Grupo de Endocrinología Ginecológica, Clínica del Country, Bogotá, ColombiaEscuela de Postgrado en Salud, Universidad Espíritu Santo, Samborondón, EcuadorHospital Italiano de Buenos Aires, Buenos Aires, ArgentinaPrivate Medical Gynecological Clinic, Bogotá, ColombiaHospital Italiano de Buenos Aires, Buenos Aires, ArgentinaDepartamento de la Mujer, Niñez Y Adolescencia, Facultad de Medicina, Universidad Nacional del Nordeste, Corrientes, ArgentinaUniversidad del Rosario, Bogotá, ColombiaClínica de Medicina de la Adolescente, Instituto Nacional de Perinatología, Ciudad de México, MéxicoUniversidad del Rosario, Bogotá, ColombiaConceptum Unidad de Fertilidad del Country, Bogotá, ColombiaHospital Mayor Mederi, Bogotá, ColombiaUniversidad del Rosario, Bogotá, ColombiaHospital Occidente de Kennedy Y Profamilia & Universidad El Bosque, Bogotá, ColombiaInstituto Dr. Guillermo Rossi, Buenos Aires, ArgentinaHospital Italiano de Buenos Aires, Buenos Aires, ArgentinaInstituto de Fertilidad Humana InSer Bogotá, Departamento de Ginecología y Obstetricia, Clínica del Country GISE y Departamento de Ginecología y Obstetricia, Universidad del Rosario, Bogotá, ColombiaCefertil y, Universidad de Guadalajara, Guadalajara, MéxicoHospital Nossa Senhora da Conceição, Porto Alegre, BrazilUniversidad del Rosario, Bogotá, ColombiaHospital Nacional Guillermo Almenara Irigoyen, Servicio de Obstetricia de Alto Riesgo y Asociación Médica en Defensa del Acto Médico, Lima, PerúFacultad de Medicina, UCLAEH, Punta del Este, UruguayPrivate Medical Gynecological Clinic, Asunción, ParaguayUniversidad Finis Terrae, Unidad de Medicina Reprodutiva de Clínicas MEDS y Asociación Latinoamericana de Endocrinología Ginecológica (ALEG), Santiago de Chile, ChileObjectives Polycystic Ovary Syndrome (PCOS) is a complex condition affecting approximately 1 in 10 women of reproductive age. However, limited data are available regarding the specific characteristics and needs of women with PCOS in Latin America. This consensus sought to evaluate the evidence-based practices for the management of PCOS for Latin American populations, consolidate regional insights, identify eventual gaps in implementation and identify key research opportunities.Methods Using the Delphi strategy, experts from various Latin American countries selected and reviewed a subset of recommendations from the 2023 International Evidence-Based Guideline (EBG) for the Assessment and Management of PCOS. Virtual and in-person meetings facilitated discussions on the selected recommendations, followed by voting rounds to achieve consensus.Results A total of 33 recommendations for PCOS diagnosis and treatment were evaluated. In the initial voting round, 25 recommendations achieved strong agreement (80%–100% support), while eight received less than 80% agreement. After further discussions on their relevance and potential to influence behavior change among health professionals and public health policies, the remaining recommendations achieved near-unanimous support in the second round.Conclusions This consensus underscored evidence-based practices for PCOS diagnosis and treatment deemed appropriate for the Latin American context. It also highlighted implementation barriers such as cost and accessibility, while identifying opportunities for research to improve PCOS management and address regional challenges. These findings aim to enhance clinical care and inform public health strategies tailored to the needs of Latin American women living with PCOS.https://www.tandfonline.com/doi/10.1080/09513590.2025.2456578Polycystic ovary syndromeLatin Americaevidence-based guidelineclinical managementinfertility |
| spellingShingle | Poli Mara Spritzer Germán Gonzalo Salazar Santos Mónica Liliana Munevar Vega Peter Chedraui Susana Pilnik Adriana Camero Lascano Alejandra Belardo Alejandra Elizalde Cremonte Alejandra Vivas Ramírez Alejandro Rosas Balán Ana María Barragán Angela María Gómez Quintero Camila Andrea Camargo Rodríguez Daniel Alejandro Buitrago Germán Barón Castañeda Guillermo Rossi Inés de La Parra Iván Darío Montes Suárez Jorge Alejandro Michel Vergara Lucas Bandeira Marchesan Mariana Abril Barreto Milagros Sánchez Torrejón Selva Lima Teresa de Jesús Ramos de Ferreira Alejandro Manzur Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) Gynecological Endocrinology Polycystic ovary syndrome Latin America evidence-based guideline clinical management infertility |
| title | Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) |
| title_full | Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) |
| title_fullStr | Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) |
| title_full_unstemmed | Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) |
| title_short | Evaluation of the evidence-based practices for the management of PCOS in the Latin America context: the consensus of the Latin American Association of Gynecological Endocrinology (ALEG) |
| title_sort | evaluation of the evidence based practices for the management of pcos in the latin america context the consensus of the latin american association of gynecological endocrinology aleg |
| topic | Polycystic ovary syndrome Latin America evidence-based guideline clinical management infertility |
| url | https://www.tandfonline.com/doi/10.1080/09513590.2025.2456578 |
| work_keys_str_mv | AT polimaraspritzer evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT germangonzalosalazarsantos evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT monicalilianamunevarvega evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT peterchedraui evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT susanapilnik evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT adrianacamerolascano evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT alejandrabelardo evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT alejandraelizaldecremonte evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT alejandravivasramirez evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT alejandrorosasbalan evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT anamariabarragan evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT angelamariagomezquintero evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT camilaandreacamargorodriguez evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT danielalejandrobuitrago evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT germanbaroncastaneda evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT guillermorossi evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT inesdelaparra evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT ivandariomontessuarez evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT jorgealejandromichelvergara evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT lucasbandeiramarchesan evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT marianaabrilbarreto evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT milagrossancheztorrejon evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT selvalima evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT teresadejesusramosdeferreira evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg AT alejandromanzur evaluationoftheevidencebasedpracticesforthemanagementofpcosinthelatinamericacontexttheconsensusofthelatinamericanassociationofgynecologicalendocrinologyaleg |