Evidence map›Paper›PMID 39742951›Full record

ArticleJournal of pediatric and adolescent gynecology2025

Assessing Obstetrics and Gynecology (OBGYN) Clinicians' Knowledge, Practice, and Attitudes toward Anorexia Nervosa, Atypical Anorexia Nervosa, and Amenorrhea.

Katherine E Spanos, Tonya S Wright, Christina DeAngelis, Jamal H Essayli

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Katherine E SpanosPenn State College of Medicine, Hershey, Pennsylvania. Electronic address: kspanos1@pennstatehealth.psu.edu.
Tonya S WrightPenn State College of Medicine, Hershey, Pennsylvania; Division of Academic Specialists in Obstetrics and Gynecology, Dept. of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Christina DeAngelisPenn State College of Medicine, Hershey, Pennsylvania; Division of Academic Specialists in Obstetrics and Gynecology, Dept. of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Jamal H EssayliPenn State College of Medicine, Hershey, Pennsylvania; Division of Adolescent Medicine, Penn Sate Health, Hershey, Pennsylvania.

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
NCATS NIH HHS KL2 TR002015NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

STUDY

objectiveAnorexia nervosa (AN) and atypical anorexia nervosa (AAN) are eating disorders (EDs) characterized by extreme restriction of energy intake. However, in contrast to individuals with AN, those with AAN are not underweight. Although individuals with either AN or AAN can experience associated functional hypothalamic amenorrhea (FHA) that may prompt them to seek gynecologic care, little is known about obstetricians' and gynecologists' (OBGYNs') knowledge and approach to these patients; this study sought to fill this gap.

methodsA total of 119 OBGYNs read vignettes describing an underweight patient with AN and a normal-weight patient with AAN presenting with FHA. The OBGYNs then responded to items assessing their approaches, knowledge, and attitudes toward patients with amenorrhea and EDs more broadly.

resultsThe participants ranked FHA as significantly more likely in the underweight vignette than in the normal-weight vignette. The participants reported that they more frequently ask about weight, eating, exercise, and body image in underweight patients with amenorrhea relative to patients who are normal weight or overweight. Overall, the participants demonstrated low knowledge of AN and AAN and reported less familiarity with AAN.

conclusionOBGYNs may be less likely to identify FHA and assess for an ED in non-underweight patients with secondary amenorrhea. Therefore, patients with AAN having complications of malnutrition may be less likely to be properly evaluated and treated. Future research should investigate educational interventions that aim to improve OBGYN assessment and management of patients of varying weights who have EDs .

Indexed as

AmenorrheaAnorexia NervosaAttitude of Health PersonnelClinical CompetenceGynecologyHealth Knowledge, Attitudes, PracticeObstetricsAdultFemaleHumansHypothalamic DiseasesMiddle AgedYoung AdultAdolescent gynecologyAmenorrheaAnorexia nervosaAtypical anorexia nervosa

Identifiers

PMID39742951
PMCPMC12085099

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.