title: Fourth consensus of the International Society for Premenstrual Disorders (ISPMD): auditable standards for diagnosis and management of premenstrual disorder.
abstract: Whilst professional bodies such as the Royal College and the American College of Obstetricians and Gynecologists have well-established standards for audit of management for most gynaecology disorders, such standards for premenstrual disorders (PMDs) have yet to be developed. The International Society of Premenstrual Disorders (ISPMD) has already published three consensus papers on PMDs covering areas that include definition, classification/quantification, clinical trial design and management (American College Obstetricians and Gynecologists 2011; Brown et al. in Cochrane Database Syst Rev 2:CD001396, 2009; Dickerson et al. in Am Fam Physician 67(8):1743-1752, 2003). In this fourth consensus of ISPMD, we aim to create a set of auditable standards for the clinical management of PMDs. All members of the original ISPMD consensus group were invited to submit one or more auditable standards to be eligible in the inclusion of the consensus. Ninety-five percent of members (18/19) responded with at least one auditable standard. A total of 66 auditable standards were received, which were returned to all group members who then ranked the standards in order of priority, before the results were collated. Proposed standards related to the diagnosis of PMDs identified the importance of obtaining an accurate history, that a symptom diary should be kept for 2 months prior to diagnosis and that symptom reporting demonstrates symptoms in the premenstrual phase of the menstrual cycle and relieved by menstruation. Regarding treatment, the most important standards were the use of selective serotonin reuptake inhibitors (SSRIs) as a first line treatment, an evidence-based approach to treatment and that SSRI side effects are properly explained to patients. A set of comprehensive standards to be used in the diagnosis and treatment of PMD has been established, for which PMD management can be audited against for standardised and improved care.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital of North Staffordshire NHS Trust, City General Hospital, Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG, UK. elgertaismaili@virginmedia.com.|University Hospital of North Midlands, Stoke-on-Trent, UK. elgertaismaili@virginmedia.com.
authors.forename: Elgerta
authors.initials: E
authors.lastname: Ismaili
authors.affiliation: University Hospital of North Midlands, Stoke-on-Trent, UK.
authors.forename: Sally
authors.initials: S
authors.lastname: Walsh
authors.affiliation: Keele University School of Medicine, University Hospital North Staffordshire, Stoke-on-Trent, Staffordshire, UK.
authors.forename: Patrick Michael Shaughn
authors.initials: PMS
authors.lastname: O'Brien
authors.affiliation: Umeå Neurosteroid Research Center, Department of Clinical Sciences, Norrland University Hospital, Umeå, Sweden.
authors.forename: Torbjorn
authors.initials: T
authors.lastname: Bäckström
authors.affiliation: Department of Psychiatry, University of Tennessee, Memphis, TN, USA.|Department of Obstetrics and Gynecology, University of Tennessee, Memphis, TN, USA.
authors.forename: Candace
authors.initials: C
authors.lastname: Brown
authors.affiliation: Department of Psychiatry, University of Melbourne and National Ageing Research Institute, Melbourne, VIC, Australia.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Dennerstein
authors.affiliation: Institute of Neuroscience and Physiology, Göteberg University, Göteberg, Sweden.
authors.forename: Elias
authors.initials: E
authors.lastname: Eriksson
authors.affiliation: Departments of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.|Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Ellen W
authors.initials: EW
authors.lastname: Freeman
authors.affiliation: School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
authors.forename: Khaled M K
authors.initials: KMK
authors.lastname: Ismail
authors.affiliation: Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Panay
authors.affiliation: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Teri
authors.initials: T
authors.lastname: Pearlstein
authors.affiliation: Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Rapkin
authors.affiliation: Departments of Psychiatry and Behavioural Neurosciences, McMaster University, 100 West 5th St., Hamilton, ON, L8N 3K7, Canada.|Department of Obstetrics and Gynecology, McMaster University, 100 West 5th St., Hamilton, ON, L8N 3K7, Canada.
authors.forename: Meir
authors.initials: M
authors.lastname: Steiner
authors.affiliation: Department of Gynaecology, Chelsea and Westminster Hospital, London, UK.
authors.forename: John
authors.initials: J
authors.lastname: Studd
authors.affiliation: Obstetrics and Gynaecology, Department of Women's and Children's Health, Uppsala University, 751 85, Uppsala, Sweden.
authors.forename: Inger
authors.initials: I
authors.lastname: Sundström-Paromma
authors.affiliation: Department of Psychiatry, Columbia University, New York, NY, USA.
authors.forename: Jean
authors.initials: J
authors.lastname: Endicott
authors.affiliation: Departments of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.|Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: C Neill
authors.initials: CN
authors.lastname: Epperson
authors.affiliation: State University of New York at Buffalo and WPA, New York, NY, USA.
authors.forename: Uriel
authors.initials: U
authors.lastname: Halbreich
authors.affiliation: Queen's University, Kingston, ON, Canada.
authors.forename: Robert
authors.initials: R
authors.lastname: Reid
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: David
authors.initials: D
authors.lastname: Rubinow
authors.affiliation: Section on Behavioral Endocrinology, National Institute of Mental Health, Bethesda, MD, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Schmidt
authors.affiliation: Departments of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.|Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Kimberley
authors.initials: K
authors.lastname: Yonkers
mesh_terms: D003133:Commission on Professional and Hospital Activities / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007391:International Cooperation; D010346:Patient Care Management / Q000379:methods / Q000458:organization & administration / Q000592:standards; D065446:Premenstrual Dysphoric Disorder / Q000175:diagnosis / Q000628:therapy; D011293:Premenstrual Syndrome / Q000175:diagnosis / Q000628:therapy; D012015:Reference Standards; D059039:Standard of Care
keywords: PMD (premenstrual disorder); PMDD (premenstrual disorder/premenstrual dysphoric disorder); PMS (premenstrual syndrome)