A Systematic Review of Models of Care for Polycystic Ovary Syndrome Highlights the Gap in the Literature, Especially in Developing Countries

    July 2023 in “ Frontiers in Endocrinology ”
    Eka Melson, Meri Davitadze, Kashish Malhotra, Aya Mousa, Helena Teede, Jacky Boivin, Mala Thondan, Chau Thien Tay, Punith Kempegowda
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    TLDR The review found that current care models for PCOS are not fully effective and more research is needed, especially in low-income countries.
    The systematic review analyzed 3,671 articles, ultimately focusing on five models of care (MoCs) for polycystic ovary syndrome (PCOS) from the United States, Australia, and India. All MoCs had a multidisciplinary approach, but varied in composition. They all provided clear diagnostic criteria, cardiometabolic screening, lifestyle interventions, and most offered dermatological services. Only two MoCs provided education on long-term risks, and three provided screening for emotional well-being and reproductive health. Patient health outcomes and satisfaction were evaluated in all MoCs, with one showing a 36% improvement in body weight. However, the review concluded that none of the MoCs is fully optimized for women and individuals with PCOS. The study highlighted a significant gap in the literature on MoCs for PCOS, especially in low- and middle-income countries, and emphasized the need for more research and awareness due to PCOS's high prevalence and long-term consequences.
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