PDF(Pubmed)
Abstract：
UNASSIGNED: Many guidelines have been utilised to diagnose polycystic ovarian syndrome (PCOS). The most recent are the International Evidence Based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2018 (2018 IEBG). This study aimed to assess the awareness, knowledge, and attitudes of Australasian sonographers\' regarding these guidelines.
UNASSIGNED: An online cross-sectional survey was disseminated to sonographers. Qualitative and quantitative questions were asked around awareness, knowledge, and attitudes towards the 2018 IEBG. Statistical and thematic analyses of the results were performed.
UNASSIGNED: Ninety responses were included in the final analysis. Fifty-two percent (52.2%) of participants were aware of the 2018 IEBG but only 31.1% used it in their workplaces. Fifty-eight percent (57.9%) of participants correctly identified the sonographic features that suggest PCOS, and 3.5% correctly identified all minimum recommended inclusions for reporting a gynaecological ultrasound for PCOS. Prior to being supplied the 2018 IEBG, 15.8% of participants correctly answered clinical scenario-based knowledge questions, which increased to 29.4% correctly after being supplied the guideline; however, this difference was not statistically significant. There were no statistically significant associations between demographics and knowledge of the 2018 IEBG.
UNASSIGNED: Several areas of confusion surrounding wording and interpretation of the 2018 IEBG were highlighted. Consideration should be given to barriers of implementation and strategies to overcome these.
UNASSIGNED: More education surrounding the sonographic diagnosis of PCOS and the 2018 IEBG is needed. Scanning protocols used amongst sonographers varied, suggesting that inconsistency in sonographic diagnosis may exist. Future reviews of the 2018 IEBG should focus on reducing ambiguity in wording, which may be responsible for some of the varied interpretation of these guidelines.
UNASSIGNED: An online cross-sectional survey was disseminated to sonographers. Qualitative and quantitative questions were asked around awareness, knowledge, and attitudes towards the 2018 IEBG. Statistical and thematic analyses of the results were performed.
UNASSIGNED: Ninety responses were included in the final analysis. Fifty-two percent (52.2%) of participants were aware of the 2018 IEBG but only 31.1% used it in their workplaces. Fifty-eight percent (57.9%) of participants correctly identified the sonographic features that suggest PCOS, and 3.5% correctly identified all minimum recommended inclusions for reporting a gynaecological ultrasound for PCOS. Prior to being supplied the 2018 IEBG, 15.8% of participants correctly answered clinical scenario-based knowledge questions, which increased to 29.4% correctly after being supplied the guideline; however, this difference was not statistically significant. There were no statistically significant associations between demographics and knowledge of the 2018 IEBG.
UNASSIGNED: Several areas of confusion surrounding wording and interpretation of the 2018 IEBG were highlighted. Consideration should be given to barriers of implementation and strategies to overcome these.
UNASSIGNED: More education surrounding the sonographic diagnosis of PCOS and the 2018 IEBG is needed. Scanning protocols used amongst sonographers varied, suggesting that inconsistency in sonographic diagnosis may exist. Future reviews of the 2018 IEBG should focus on reducing ambiguity in wording, which may be responsible for some of the varied interpretation of these guidelines.
摘要：
■许多指南已被用于诊断多囊卵巢综合征（PCOS）。最新的是《2018年多囊卵巢综合征评估和管理国际循证指南》（2018IEBG）。这项研究旨在评估意识，知识,以及澳大利亚超声医师对这些指南的态度。
■一项在线横断面调查已传播给超声医师。围绕意识提出了定性和定量的问题，知识,以及对2018年IEBG的态度。对结果进行了统计和专题分析。
■最终分析中包括90个回答。52％（52.2％）的参与者知道2018年的IEBG，但只有31.1％的人在工作场所使用它。58％（57.9％）的参与者正确识别了提示PCOS的超声特征，和3.5％正确确定了所有推荐的最低限度的包涵体，用于报告PCOS的妇科超声检查。在提供2018年IEBG之前，15.8%的参与者正确回答了基于临床情景的知识问题，在提供指南后，正确地增加到29.4%；然而，这一差异无统计学意义.人口统计学与2018年IEBG知识之间没有统计学上的显着关联。
■强调了围绕2018年IEBG的措辞和解释的几个混淆领域。应考虑执行障碍和克服这些障碍的战略。
■需要更多有关PCOS和2018IEBG的超声诊断的教育。超声检查者之间使用的扫描协议多种多样，提示超声诊断可能存在不一致。未来对2018年IEBG的审查应侧重于减少措辞上的歧义，这可能是对这些指南的一些不同解释的原因。
■一项在线横断面调查已传播给超声医师。围绕意识提出了定性和定量的问题，知识,以及对2018年IEBG的态度。对结果进行了统计和专题分析。
■最终分析中包括90个回答。52％（52.2％）的参与者知道2018年的IEBG，但只有31.1％的人在工作场所使用它。58％（57.9％）的参与者正确识别了提示PCOS的超声特征，和3.5％正确确定了所有推荐的最低限度的包涵体，用于报告PCOS的妇科超声检查。在提供2018年IEBG之前，15.8%的参与者正确回答了基于临床情景的知识问题，在提供指南后，正确地增加到29.4%；然而，这一差异无统计学意义.人口统计学与2018年IEBG知识之间没有统计学上的显着关联。
■强调了围绕2018年IEBG的措辞和解释的几个混淆领域。应考虑执行障碍和克服这些障碍的战略。
■需要更多有关PCOS和2018IEBG的超声诊断的教育。超声检查者之间使用的扫描协议多种多样，提示超声诊断可能存在不一致。未来对2018年IEBG的审查应侧重于减少措辞上的歧义，这可能是对这些指南的一些不同解释的原因。
