PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data

The diagnosis of polycystic ovary syndrome (PCOS) remains challenging due to limited data regarding normative cut-offs for the diagnostic features in different subpopulations. We aim to conduct a systematic review, build a comprehensive repository of de-identified individual participant data (IPD),...

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Autores principales: Sylvia Kiconco, Aya Mousa, Ricardo Azziz, Joanne Enticott, Larisa V. Suturina, Xiaomiao Zhao, Alessandra Gambineri, Fahimeh Ramezani Tehrani, Bulent O. Yildiz, Jin-Ju Kim, Helena J. Teede, Anju E. Joham
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:7ddb605fbabd44c6bc8913faeb89af462021-11-25T17:20:11ZPCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data10.3390/diagnostics111119532075-4418https://doaj.org/article/7ddb605fbabd44c6bc8913faeb89af462021-10-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/1953https://doaj.org/toc/2075-4418The diagnosis of polycystic ovary syndrome (PCOS) remains challenging due to limited data regarding normative cut-offs for the diagnostic features in different subpopulations. We aim to conduct a systematic review, build a comprehensive repository of de-identified individual participant data (IPD), and define normative ranges and diagnostic cut-offs for all PCOS diagnostic features. We will conduct a systematic search of MEDLINE and EMBASE databases for studies that assessed PCOS diagnostic features in unselected women. Two reviewers will assess eligibility and perform quality appraisal. Authors of included studies will be invited to contribute IPD. Primary variables include directly assessed modified Ferriman Gallwey (mFG) scores; menstrual cycle lengths; follicle number per ovary (FNPO), ovarian volume (OV), anti-Müllerian hormone (AMH); circulating androgens, including total testosterone (TT), free testosterone, bioavailable testosterone, free androgen index (FAI), androstenedione (A4), and dehydroepiandrosterone sulphate (DHEAS). Normative ranges and cut-offs will be defined using cluster analysis. Monash University Human Research Ethics Committee granted ethical approval (26938/0 1/12/2020), all IPD will be de-identified and primary studies have ethical approval from their institutional ethics committees. Findings will clarify distinction between PCOS and non-PCOS populations, and inform the update of the international evidence-based guidelines for the assessment and management of PCOS.Sylvia KiconcoAya MousaRicardo AzzizJoanne EnticottLarisa V. SuturinaXiaomiao ZhaoAlessandra GambineriFahimeh Ramezani TehraniBulent O. YildizJin-Ju KimHelena J. TeedeAnju E. JohamMDPI AGarticlePCOSpolycystic ovariesStein-Leventhalepidemiologynormative cut-offsphenotypeMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 1953, p 1953 (2021)
institution DOAJ
collection DOAJ
language EN
topic PCOS
polycystic ovaries
Stein-Leventhal
epidemiology
normative cut-offs
phenotype
Medicine (General)
R5-920
spellingShingle PCOS
polycystic ovaries
Stein-Leventhal
epidemiology
normative cut-offs
phenotype
Medicine (General)
R5-920
Sylvia Kiconco
Aya Mousa
Ricardo Azziz
Joanne Enticott
Larisa V. Suturina
Xiaomiao Zhao
Alessandra Gambineri
Fahimeh Ramezani Tehrani
Bulent O. Yildiz
Jin-Ju Kim
Helena J. Teede
Anju E. Joham
PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
description The diagnosis of polycystic ovary syndrome (PCOS) remains challenging due to limited data regarding normative cut-offs for the diagnostic features in different subpopulations. We aim to conduct a systematic review, build a comprehensive repository of de-identified individual participant data (IPD), and define normative ranges and diagnostic cut-offs for all PCOS diagnostic features. We will conduct a systematic search of MEDLINE and EMBASE databases for studies that assessed PCOS diagnostic features in unselected women. Two reviewers will assess eligibility and perform quality appraisal. Authors of included studies will be invited to contribute IPD. Primary variables include directly assessed modified Ferriman Gallwey (mFG) scores; menstrual cycle lengths; follicle number per ovary (FNPO), ovarian volume (OV), anti-Müllerian hormone (AMH); circulating androgens, including total testosterone (TT), free testosterone, bioavailable testosterone, free androgen index (FAI), androstenedione (A4), and dehydroepiandrosterone sulphate (DHEAS). Normative ranges and cut-offs will be defined using cluster analysis. Monash University Human Research Ethics Committee granted ethical approval (26938/0 1/12/2020), all IPD will be de-identified and primary studies have ethical approval from their institutional ethics committees. Findings will clarify distinction between PCOS and non-PCOS populations, and inform the update of the international evidence-based guidelines for the assessment and management of PCOS.
format article
author Sylvia Kiconco
Aya Mousa
Ricardo Azziz
Joanne Enticott
Larisa V. Suturina
Xiaomiao Zhao
Alessandra Gambineri
Fahimeh Ramezani Tehrani
Bulent O. Yildiz
Jin-Ju Kim
Helena J. Teede
Anju E. Joham
author_facet Sylvia Kiconco
Aya Mousa
Ricardo Azziz
Joanne Enticott
Larisa V. Suturina
Xiaomiao Zhao
Alessandra Gambineri
Fahimeh Ramezani Tehrani
Bulent O. Yildiz
Jin-Ju Kim
Helena J. Teede
Anju E. Joham
author_sort Sylvia Kiconco
title PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
title_short PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
title_full PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
title_fullStr PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
title_full_unstemmed PCOS Phenotype in Unselected Populations Study (P-PUP): Protocol for a Systematic Review and Defining PCOS Diagnostic Features with Pooled Individual Participant Data
title_sort pcos phenotype in unselected populations study (p-pup): protocol for a systematic review and defining pcos diagnostic features with pooled individual participant data
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/7ddb605fbabd44c6bc8913faeb89af46
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