Phenotypes and body mass in women with polycystic ovary syndrome identified in referral versus unselected populations: systematic review and meta-analysis 

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Presentation transcript:

Phenotypes and body mass in women with polycystic ovary syndrome identified in referral versus unselected populations: systematic review and meta-analysis  Daria Lizneva, M.D., Ph.D., Richard Kirubakaran, Ph.D., Kateryna Mykhalchenko, M.D., Larisa Suturina, M.D., Ph.D., Galina Chernukha, M.D., Ph.D., Michael P. Diamond, M.D., Ricardo Azziz, M.D., M.P.H.  Fertility and Sterility  Volume 106, Issue 6, Pages 1510-1520.e2 (November 2016) DOI: 10.1016/j.fertnstert.2016.07.1121 Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Pooled prevalences of the PCOS phenotypes for unselected (n = 9) and referral (n = 34) populations: phenotype A (clinical and/or biochemical HA + OA + PCOM). Referral 50% (95% CI, 46%–54%, I2 = 94.70); unselected 19% (95% CI, 13%–27%, I2 = 87.08); subgroup difference P<.001. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Pooled prevalences of the PCOS phenotypes for unselected (n = 9) and referral (n = 34) populations: phenotype B (clinical and/or biochemical HA + OA). Referral 13% (95% CI, 11%–17%, I2 = 96.21); unselected 25% (95% CI, 15%–37%, I2 = 93.25); subgroup difference P=.026. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Pooled prevalences of the PCOS phenotypes for unselected (n = 9) and referral (n = 34) populations: phenotype C (clinical and/or biochemical HA + PCOM). Referral 14% (95% CI, 12%–16%, I2 = 91.37); unselected 34% (95% CI, 25%–46%, I2 = 90.75); subgroup difference P<.001. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Pooled prevalences of the PCOS phenotypes for unselected (n = 9) and referral (n = 34) populations: phenotype D (OA + PCOM). Referral 17% (95% CI, 13%–22%, I2 = 97.39); unselected 19% (95% CI, 14%–25%, I2 = 78.31); subgroup difference P=.625. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Flow chart for systematic review and meta-analysis search methodology. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 2 Meta-analysis for the standardized difference in means for BMI in unselected versus referral population. Fertility and Sterility 2016 106, 1510-1520.e2DOI: (10.1016/j.fertnstert.2016.07.1121) Copyright © 2016 American Society for Reproductive Medicine Terms and Conditions