Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study

Abstract Background Polycystic ovary syndrome (PCOS) is a chronic condition with symptoms affecting many women at reproductive age and evaluating their health-related quality of Life (HRQoL) is an important issue. Moreover, differences in the HRQoL between women with different PCOS phenotypes have n...

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Main Authors: María L. Sánchez-Ferrer, Evdochia Adoamnei, María T. Prieto-Sánchez, Jaime Mendiola, Shiana Corbalán-Biyang, Miriam Moñino-García, Joaquín A. Palomar-Rodríguez, Alberto M. Torres-Cantero
Format: Article
Language:English
Published: BMC 2020-07-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12955-020-01484-z
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author María L. Sánchez-Ferrer
Evdochia Adoamnei
María T. Prieto-Sánchez
Jaime Mendiola
Shiana Corbalán-Biyang
Miriam Moñino-García
Joaquín A. Palomar-Rodríguez
Alberto M. Torres-Cantero
author_facet María L. Sánchez-Ferrer
Evdochia Adoamnei
María T. Prieto-Sánchez
Jaime Mendiola
Shiana Corbalán-Biyang
Miriam Moñino-García
Joaquín A. Palomar-Rodríguez
Alberto M. Torres-Cantero
author_sort María L. Sánchez-Ferrer
collection DOAJ
description Abstract Background Polycystic ovary syndrome (PCOS) is a chronic condition with symptoms affecting many women at reproductive age and evaluating their health-related quality of Life (HRQoL) is an important issue. Moreover, differences in the HRQoL between women with different PCOS phenotypes have never been analyzed. Therefore, the aim of our study was to compare the HRQoL between women with PCOS -and its phenotypes- and controls attending to a tertiary hospital. Methods A group of 117 women with PCOS and 153 controls were studied between 2014 and 2016. Controls were women without PCOS attending the gynecological outpatient clinic for routine examinations. Cases were women attending the same setting and diagnosed with PCOS. PCOS diagnose was performed following the Rotterdam Criteria and women were further classified by anovulatory or ovulatory phenotypic subtype. Women underwent physical and gynecological exams and completed health questionnaires including the Short Form-12v2. Eight scales and two component summary scores [Physical (PCS) and Mental (MCS), respectively] were calculated. Bivariate and multivariate analyses were performed to assess differences in HRQoL between women with PCOS and controls. Results All women with PCOS and anovulatory PCOS presented lower score in PCS compared to controls [mean (95%CI): 53.7 (52.5–54.9) and 52.9 (51.5–54.4) vs. 55.8 (54.8–56.8); p-values< 0.01], as well as lower scores for five out of the eight scales (p-values < 0.05) after adjusting by age, body mass index, infertility, educational level and current occupation. No significant differences were observed for the MCS between women with or without PCOS or its phenotypic subtypes. Conclusions HRQoL was significantly decreased in adult women with PCOS and its anovulatory phenotype compared to controls attending the outpatient clinic of a tertiary hospital. These results may have implications for the clinical practice and suggest the need for specific interventions in women with PCOS.
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spelling doaj.art-7cd24185ba4d4c5c939023d3812d2b412022-12-22T01:29:48ZengBMCHealth and Quality of Life Outcomes1477-75252020-07-0118111010.1186/s12955-020-01484-zHealth-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control studyMaría L. Sánchez-Ferrer0Evdochia Adoamnei1María T. Prieto-Sánchez2Jaime Mendiola3Shiana Corbalán-Biyang4Miriam Moñino-García5Joaquín A. Palomar-Rodríguez6Alberto M. Torres-Cantero7Department of Obstetrics & Gynecology, “Virgen de la Arrixaca” University Clinical HospitalInstitute for Biomedical Research of Murcia, IMIB-ArrixacaDepartment of Obstetrics & Gynecology, “Virgen de la Arrixaca” University Clinical HospitalInstitute for Biomedical Research of Murcia, IMIB-ArrixacaDepartment of Obstetrics & Gynecology, “Virgen de la Arrixaca” University Clinical HospitalInstitute for Biomedical Research of Murcia, IMIB-ArrixacaServicio de Planificación y Financiación Sanitaria, Consejería de SaludInstitute for Biomedical Research of Murcia, IMIB-ArrixacaAbstract Background Polycystic ovary syndrome (PCOS) is a chronic condition with symptoms affecting many women at reproductive age and evaluating their health-related quality of Life (HRQoL) is an important issue. Moreover, differences in the HRQoL between women with different PCOS phenotypes have never been analyzed. Therefore, the aim of our study was to compare the HRQoL between women with PCOS -and its phenotypes- and controls attending to a tertiary hospital. Methods A group of 117 women with PCOS and 153 controls were studied between 2014 and 2016. Controls were women without PCOS attending the gynecological outpatient clinic for routine examinations. Cases were women attending the same setting and diagnosed with PCOS. PCOS diagnose was performed following the Rotterdam Criteria and women were further classified by anovulatory or ovulatory phenotypic subtype. Women underwent physical and gynecological exams and completed health questionnaires including the Short Form-12v2. Eight scales and two component summary scores [Physical (PCS) and Mental (MCS), respectively] were calculated. Bivariate and multivariate analyses were performed to assess differences in HRQoL between women with PCOS and controls. Results All women with PCOS and anovulatory PCOS presented lower score in PCS compared to controls [mean (95%CI): 53.7 (52.5–54.9) and 52.9 (51.5–54.4) vs. 55.8 (54.8–56.8); p-values< 0.01], as well as lower scores for five out of the eight scales (p-values < 0.05) after adjusting by age, body mass index, infertility, educational level and current occupation. No significant differences were observed for the MCS between women with or without PCOS or its phenotypic subtypes. Conclusions HRQoL was significantly decreased in adult women with PCOS and its anovulatory phenotype compared to controls attending the outpatient clinic of a tertiary hospital. These results may have implications for the clinical practice and suggest the need for specific interventions in women with PCOS.http://link.springer.com/article/10.1186/s12955-020-01484-zCase-control studyHealth-related quality of lifePolycystic ovary syndromeSF-12v2
spellingShingle María L. Sánchez-Ferrer
Evdochia Adoamnei
María T. Prieto-Sánchez
Jaime Mendiola
Shiana Corbalán-Biyang
Miriam Moñino-García
Joaquín A. Palomar-Rodríguez
Alberto M. Torres-Cantero
Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
Health and Quality of Life Outcomes
Case-control study
Health-related quality of life
Polycystic ovary syndrome
SF-12v2
title Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
title_full Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
title_fullStr Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
title_full_unstemmed Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
title_short Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study
title_sort health related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in southeastern spain a case control study
topic Case-control study
Health-related quality of life
Polycystic ovary syndrome
SF-12v2
url http://link.springer.com/article/10.1186/s12955-020-01484-z
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