Evaluation of adolescents for polycystic ovary syndrome in an urban population.

摘要: Objective: To assess the quality of diagnostic work-up received by patients with “possible” polycystic ovary syndrome (PCOS). Design: A retrospective chart review. Setting: hospital based Pediatric Clinic in New York City. Patients: Sixty female aged 13-19 years, a primary ICD-9 diagnosis ovarian dysfunction (256), menstrual irregularity (626), or hirsutism (704.1) were randomly selected for evaluation. In addition, 18 who assigned same codes at Endocrine assessed. Main Outcome: Rates assessment criteria PCOS and co-morbidities. Results: Twenty-five percent (15/60) evaluated according to Rotterdam Criteria, only 2 common co-morbidities associated PCOS. Of 28 presented two more signs (menstrual plus either obesity, and/or acne), 15 (54%), but 7% assessed co-morbidities. All referred appropriate evaluation 89% study group underwent further complications PCOS. Conclusions: Patients presenting an inner-city pediatric clinic often do not receive complete those are adequately screened known health consequences this condition. These findings suggest that is under possibly diagnosed population, which raises serious concerns regarding potential major longterm public consequences. Conflict interest:None declared.