Cited by 166Ovarian function and disordersDiabetes, Cardiovascular Risks, and LipoproteinsEndometriosis Research and Treatment

Comorbidities and complications of polycystic ovary syndrome: An overview of systematic reviews

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Gilbert, Emily W., Tay, Chau T., Hiam, Danielle S., Teede, Helena J., Moran, Lisa J.·2018·Clinical Endocrinology

Abstract

Summary: Background: Polycystic ovary syndrome (PCOS) is one of the most common endocrinopathies affecting reproductive‐aged women with adverse reproductive, metabolic and psychological outcomes. It has a complex pathophysiology and therefore requires a multidiscipline clinical approach. However, there remains limited research synthesizing the broad clinical implications of PCOS which would assist clinicians in the management of PCOS. Objective: To summarize and appraise methodological quality of systematic reviews and meta‐analyses evaluating complications and comorbidities associated with PCOS. Methods: A literature search from MEDLINE, EMBASE, CINAHL PLUS and PROSPERO was performed until 15 September 2017. Article selection, data extraction and quality appraisal of included reviews using the Assessing the Methodological Quality of Systematic Reviews (AMSTAR) tool were performed in duplicate. A narrative synthesis of the findings was conducted. Results: Twenty‐three reviews were included. All reviews were of low (n = 2) to moderate quality (n = 21). PCOS was associated with adverse pregnancy outcomes (n = 2), impaired glucose tolerance (n = 6), insulin resistance (n = 6), increased risk of type 2 diabetes (n = 1), cardiovascular disease (n = 10), metabolic syndrome (n = 2), psychological stress (n = 7), endometrial cancer (n = 1) and vitamin D deficiency (n = 1). Obesity exacerbates many of these outcomes. Conclusions: There is a large body of reliable evidence for adverse metabolic outcomes and smaller, but consistent evidence for psychological issues in PCOS. We identified a shortage of systematic reviews regarding pregnancy outcomes of PCOS and significant gaps in knowledge of the association between PCOS and subclinical hyperthyroidism, vitamin D levels and cancers which future studies could aim to address.

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  1. Chang J, Azziz R, Legro R, et al. The Rotterdam ESHRE/ASRM- Sponsored PCOS Consensus Workshop Group (2004) Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2014; 81(1):19-25.
  2. Norman RJ, Dewailly D, Legro RS, Hickey TE. Polycystic ovary syn- drome. Lancet (London, England). 2007;370(9588):685-697.
  3. Yang R, Yang S, Li R, Liu P, Qiao J, Zhang Y. Effects of hyperandro- genism on metabolic abnormalities in patients with polycystic ovary syndrome: a meta-analysis. Reprod Biol Endocrinol. 2016;14(1):67.

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Authors
Gilbert, E. W., Tay, C. T., Hiam, D. S., Teede, H. J., & Moran, L. J.
Affiliations
  • Monash University (AU)
  • Monash Medical Centre (AU)
  • Victoria University (AU)
Corresponding author
Gilbert, Emily W.
Venue
Clinical Endocrinology
Publisher
Wiley
Published
2018-09-18
Volume
89
Issue
6
Pages
683-699
ISSN
  • 0300-0664 (ISSN-L)
  • 1365-2265
OpenAlex
W2887181008
Cited by
166
References
68
Citations by year
2026: 11 · 2025: 20 · 2024: 24 · 2023: 31 · 2022: 31 · 2021: 16 · 2020: 16 · 2019: 16
FWCI
1.81
Type
journal article
Language
en
Open access
Locations
  • Clinical Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
  • Victoria University Research Repository (Victoria University) (submittedVersion)
  • Monash University Research Portal (Monash University) (submittedVersion, other-oa)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Keywords
polycystic ovary syndrome, comorbidities, complications, adverse pregnancy outcomes, impaired glucose tolerance, insulin resistance, type 2 diabetes, cardiovascular disease, metabolic syndrome, psychological stress, endometrial cancer, vitamin D deficiency, obesity
MeSH terms
Female, Humans, Hyperthyroidism, Neoplasms, Polycystic Ovary Syndrome, Pregnancy, Pregnancy Outcome, Vitamin D

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