AI Article Synopsis
- Polycystic ovary syndrome (PCOS) affects around 13% of women and can lead to various serious health issues, but the effectiveness of treatment options for non-reproductive outcomes is unclear.
- A review examined 31 systematic reviews and meta-analyses on pharmacological and surgical treatments, finding a mix of quality among the studies: low quality (23%), moderate (52%), and high (26%).
- Evidence supports the effectiveness of metformin for weight-related issues and combined oral contraceptive pills for hyperandrogenism, but there's a lack of solid data on psychological management and other interventions in women with PCOS.
Article Abstract
Background: Polycystic ovary syndrome (PCOS) affects up to 13% women and is associated with significant complications. The quality of evidence supporting the recommendations on treatment of nonreproductive outcomes in PCOS is unknown.
Objective: To summarize and appraise the methodological quality of systematic reviews and meta-analyses evaluating pharmacological and surgical treatments for nonreproductive outcomes in PCOS.
Methods: A literature search from MEDLINE, EMBASE, CINAHL PLUS and PROSPERO was performed from inception until 15th of September 2017. Article selection, data extraction and quality appraisal of included reviews were performed in duplicate. A narrative synthesis of the findings was conducted.
Results: This overview included 31 reviews. The quality was low for 7 (23%), moderate for sixteen (52%) and high for 8 reviews (26%). Two reviews assessed psychological outcomes. Metformin improved anthropometric (7 of 10 reviews), metabolic (4 of 14 reviews) and endocrine outcomes (3 of twelve reviews). Thiazolidinediones improved metabolic (2 of 5 reviews) and endocrine outcomes (one of 5 reviews) but worsened weight gain (5 of 5 reviews). Combined oral contraceptive pill (COCP) improved clinical hyperandrogenism (2 of 2 reviews). Statins improved lipid profile (3 of 3 reviews) and testosterone level (2 of 3 reviews). There was no conclusive evidence from included systematic reviews regarding the use of other interventions.
Conclusions: There is reliable evidence regarding the use of metformin for anthropometric outcomes and COCPs for hyperandrogenism in women with PCOS but not for other interventions. There is significant gap in knowledge regarding the management of psychological outcomes in women with PCOS which needs further evaluation.
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| http://dx.doi.org/10.1111/cen.13753 | DOI Listing |
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