A systematic review of lived experiences of people with polycystic ovary syndrome highlights the need for holistic care and co-creation of educational resources.
Author
Lau, Gar MunElghobashy, Mirna
Thanki, Mansi
Ibegbulam, Shirley
Latthe, Pallavi
Gillett, Caroline D T
O'Reilly, Michael W
Arlt, Wiebke
Lindenmeyer, Antje
Kempegowda, Punith
Publication date
2022-12-02
Metadata
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Introduction: PCOS-related literature is mostly dominated by the medical perspective. However, the condition's lifelong, far reaching, and multifaceted impacts highlight the importance to gain the perspectives from those with PCOS. Therefore, we performed a systematic review to explore the current literatures and gaps around the experiences and perceptions of those living with PCOS. Method: A comprehensive search of seven electronic databases was conducted between July and October 2021. A total 34 from 1615 screened articles were included in this systematic review and subsequently coded using NVivo 12 software. The quality of individual studies was assessed by adaptation to the Critical Appraisal Skills Program (CASP) quality assessment tool. Results: Five domains were generated from the data: Signs/Symptoms, Diagnosis, Management, Perceptions, Resources and Improving Outcomes. Dissatisfaction surrounding the experience of diagnosis was common. Concerns surrounded perceived lack of knowledge from healthcare professionals and delays in diagnosis. Individual studies on adults and adolescents shared similar feelings. The consensus was found to be that current management was vague and generalised. Symptoms such as hirsutism, obesity, irregular menstruation challenge personal and societal expectations of femininity. Online PCOS resources are popular amongst those with PCOS but most of them lack evidence. A call for more culturally specific resources was found to be common ground amongst those with PCOS. Conclusion: Overall dissatisfaction amongst adults and adolescents regarding their diagnostic journey of PCOS. Tailored and culturally specific PCOS advice and management is necessary and can be achieved through co-creation of resources between healthcare professionals and those with PCOS. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42021272371.Citation
Lau GM, Elghobashy M, Thanki M, Ibegbulam S, Latthe P, Gillett CDT, O'Reilly MW, Arlt W, Lindenmeyer A, Kempegowda P; PCOS SEva Working Group. A systematic review of lived experiences of people with polycystic ovary syndrome highlights the need for holistic care and co-creation of educational resources. Front Endocrinol (Lausanne). 2022 Dec 2;13:1064937. doi: 10.3389/fendo.2022.1064937.Type
ArticleAdditional Links
https://www.frontiersin.org/journals/endocrinologyhttps://www.ncbi.nlm.nih.gov/pmc/journals/1753/
PMID
36531482Journal
Frontiers in EndocrinologyPublisher
Frontiers Mediaae974a485f413a2113503eed53cd6c53
10.3389/fendo.2022.1064937