Disparities in the management of ectopic pregnancy
Jennifer Y.J. Hsu,Ling Chen,Arielle R. Gumer,Ana I. Tergas,June Y. Hou,William M. Burke,William M. Burke,Cande V. Ananth,Dawn L. Hershman,Jason D. Wright,Jason D. Wright +10 more
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TLDR
There is substantial variation in the management of ectopic pregnancy and there are significant race‐ and insurance‐related disparities associated with treatment, particularly among women who were treated surgically.About:
This article is published in American Journal of Obstetrics and Gynecology.The article was published on 2017-07-01 and is currently open access. It has received 39 citations till now. The article focuses on the topics: Salpingectomy & Ectopic pregnancy.read more
Citations
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Placenta-specific drug delivery by trophoblast-targeted nanoparticles in mice.
Baozhen Zhang,Lunbo Tan,Lunbo Tan,Yan Yu,Baobei Wang,Chen Zhilong,Chen Zhilong,Jinyu Han,Mengxia Li,Jie Chen,Tianxia Xiao,Balamurali K. Ambati,Lintao Cai,Qing Yang,Nihar R. Nayak,Jian Zhang,Xiujun Fan +16 more
TL;DR: Results demonstrate that plCSA-BP-guided nanoparticles could be used for the targeted delivery of payloads to the placenta and serve as a novel placentA-specific drug delivery option.
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Ectopic pregnancy and outcomes of future intrauterine pregnancy.
TL;DR: Women with ectopic first pregnancies have an increased risk of adverse birth outcomes during subsequent intrauterine pregnancies and may benefit from closer clinical management in pregnancy to prevent adverseBirth outcomes.
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Caesarean section in uninsured women in the USA: systematic review and meta-analysis.
TL;DR: CSs are less likely to be performed in uninsured women as compared with insured women, and in many regions the rates for uninsured women are above, close or below the benchmarks for appropriate CS rates and could imply both, underuse and overuse.
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A Systematic Review and Meta-analysis of Surgical Treatment of Ectopic Pregnancy with Salpingectomy versus Salpingostomy.
TL;DR: Salpingectomy has clear advantages over salpingostomy, and RCTs consisting mainly of patients classified as low risk show no difference in outcomes between salpingectomy and salpingOSTomy, however, in cohort studies inclusive of all patients, the likelihood of a subsequent spontaneous IUP is decreased in patients treated with salpedectomy, andsalpingostomies may be especially underused in women with risk factors for tubal disease.
References
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Clinical practice. Ectopic pregnancy.
TL;DR: A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant for thepast 3 days.
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Single-dose methotrexate: an expanded clinical trial.
Thomas G. Stovall,Frank W. Ling +1 more
TL;DR: This regimen requires minimal laboratory follow-up and eliminates leukovorin recovery, making it the regimen of choice for medical treatment of unruptured ectopic pregnancy.
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Interventions for tubal ectopic pregnancy
TL;DR: The effectiveness and safety of surgery, medical treatment and expectant management of tubal ectopic pregnancy is evaluated in view of primary treatment success, tubal preservation and future fertility.
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Trends in ectopic pregnancy mortality in the United States: 1980-2007.
Andreea A. Creanga,Carrie K. Shapiro-Mendoza,Connie L. Bish,Suzanne B. Zane,Cynthia J. Berg,William M. Callaghan +5 more
TL;DR: Despite a significant decline in ectopic pregnancy mortality since the 1980s, age disparities, and especially racial disparities, persist and strategies to ensure timely diagnosis and management of ectopic pregnancies can further reduce related mortality and age and race mortality gaps.
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Trends in the diagnosis and treatment of ectopic pregnancy in the United States.
TL;DR: The use of administrative claims data are likely the most feasible method for estimating the rate and monitoring trends of ectopic pregnancy in the United States.