[Retracted] The Disparity in the Management of Polycystic Ovary Syndrome between Obstetrician-Gynecologists in Different-Level Hospitals under the Hierarchical Medical System
Table 2
Physicians’ approach to patients’ management suffering from obesity and PCOS.
Overall ()
Primary hospital ()
Secondary hospital ()
Tertiary hospital ()
value
Commonly used diagnostic criterion for IR.
OGTT-insulin release test
1122 (48.8)
109 (36.2)
570 (47.3)
443 (55.9)
<0.001
Fasting insulin and blood glucose
503 (21.9)
74 (24.6)
280 (23.3)
149 (18.8)
0.029
Fasting and 2 h insulin and blood glucose
285 (12.4)
42 (14.0)
146 (12.1)
97 (12.2)
NS
HOMA-IR
128 (5.6)
15 (5.0)
64 (5.3)
49 (6.2)
NS
Other
260 (11.3)
61 (20.2)
144 (12.0)
55 (6.9)
<0.001
The diagnostic criterion used for obesity
BMI (WHO criteria)
659 (28.7)
90 (29.9)
347 (28.8)
222 (28.0)
NS
BMI (Chinese criteria)
1355 (59.0)
187 (62.1)
719 (59.7)
449 (56.6)
NS
BMI (Asian criteria)
250 (10.9)
23 (7.6)
115 (9.6)
112 (14.1)
0.001
Measure waistline
31 (1.3)
1 (0.4)
21 (1.7)
9 (1.2)
NS
Other
3 (0.1)
0 (0)
2 (0.2)
1 (0.1)
NS
Family history of diabetes inquiry
Yes
2188 (95.2)
284 (94.4)
1144 (95.0)
760 (95.8)
NS
Family history of PCOS inquiry
Yes
2036 (88.6)
261 (86.7)
1069 (88.8)
709 (89.0)
NS
Family history of cardiovascular disease inquiry
Yes
1518 (66.1)
189 (62.7)
793 (65.9)
536 (67.6)
NS
Family history of unfavorable pregnancy inquiry
Yes
1889 (82.2)
233 (77.4)
993 (82.5)
663 (83.6)
0.041
Symptoms of anxiety, depression, and other psychological problems inquiry
Yes
1229 (53.5)
166 (55.1)
630 (52.3)
433 (54.6)
NS
Abbreviations: IR = insulin resistance; OGTT = oral glucose tolerance test; HOMA-IR = homeostasis model assessment-insulin resistance; WHO = World Health Organization; PCOS = polycystic ovary syndrome; BMI = body mass index; NS = not significant.
