MON-177 Pathways To Care For Those With Polycystic Ovary Syndrome: Development Of An Algorithm For Patients And Primary Care To Improve Health Care Management
Notice bibliographique
Résumé
Abstract Disclosure: D.F. Vine: None. M. Ghosh: None. S. Chambers: None. P. Beckles: None. L. Sadiq: None. M. Kupreeva: None. L. Mereu: None. A. Achi: None. T. Motan: None. C. Lejour: None. B. Sydora: None. J. Robison: None. OBJECTIVE: Polycystic Ovary Syndrome (PCOS) is the most common metabolic-endocrine disorder impacting 15% of females across the lifespan. Despite its high prevalence, those with PCOS in Alberta, Canada have expressed concerns about their health care including prolonged time for diagnosis, insufficient patient information, and lack of management support. Health care providers in Alberta have expressed the need for direction to integrate care of those with PCOS and appropriately address their complex health needs. Our project was to develop an evidence-based primary care clinical pathway to guide providers with diagnosis and management of PCOS, and a patient pathway to educate and guide patients on their health care journey with PCOS. METHODS: In collaboration with the Alberta Health Services Provincial Pathways Unit (AHS PPU) we followed the five phases in the Pathway Development Toolkit; i) Co-define, ii) Co-Design, iii) Validate, iv) Implement, and v) Sustain. A co-design team was established with patient-partners and health care providers including family physicians, researchers, dietitians, endocrinologists and obstetrician-gynecologists. The algorithm pathway was developed using recommendations from the evidence-based literature, the International Guidelines for Assessment and Management of PCOS (2023) and provincial resources. A project charter was co-defined to develop a pathway that did not need additional resources, was usable to primary care providers, supported by specialty care providers, supported patient self-management and shared decision making, and addressed the challenges related to managing PCOS and co-morbidities identified by patients and health care providers. RESULTS: Two pathway-of-care documents were generated: one for patients and one for primary care physicians. The pathway algorithms with expanded detail for patients and primary care physicians were developed based on serial consultation with the co-design team. The algorithms were refined by stepwise iteration and review to meet the project charter outcomes. CONCLUSIONS: The pathway development reflects a patient-centered collaborative multidisciplinary team approach to support primary care providers and those affected by PCOS to improve their health care journey. While the pathway algorithms were developed for provincial use in Alberta, we envision a wider use in Canada, and that it can adapted for use in other countries to establish models of care for improving primary care in those affected by PCOS. Presentation: Monday, July 14, 2025
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».