Document Detail


What are the Factors Predictive of Hysterosalpingogram Compliance After Female Sterilization by the Essure Procedure in a Publicly Insured Population?
MedLine Citation:
PMID:  23212398     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To determine what factors are predictive of post-Essure hysterosalpingogram (HSG) compliance. We conducted a retrospective chart review of all patients who underwent the Essure procedure at the two campuses of the Truman Medical Center, Kansas City, Missouri, from January 1, 2005 through December 31, 2010. Our study population consisted primarily of women who were publicly insured (89.0 %) and unmarried (76.7 %). Of 132 patients referred for HSG, 70 (53.0 %) complied. In adjusted analyses women 35 years and older had an almost fourfold higher odds of HSG compliance (OR = 3.72, 95 % CI 1.35-10.23) and women with 3 or more living children had a 64 % lower odds of HSG compliance (OR = 0.36, 95 % CI 0.16-0.82). Women younger than 35 who had 3 or more children had the lowest compliance rate (36.4 %) suggesting an interaction between age and parity. Women undergoing the Essure procedure at the campus with a dedicated protocol to ensure compliance had an almost fourfold higher odds of HSG compliance (OR = 3.67, 95 % CI 1.01-13.40). In a population consisting largely of publicly insured, unmarried women, several factors are predictive of post-Essure HSG compliance. These include age, parity and the presence or absence of an institutional protocol to keep track of patients after their Essure procedure.
Authors:
David L Howard; Jeffrey Wall; Julie L Strickland
Related Documents :
24976828 - Preeclampsia and future cardiovascular risk: are women and general practitioners aware ...
23839668 - Preoperative risk factors related to bladder cancer rehabilitation: a registry study.
24710648 - Predictors of indoor smoking at young children's homes-a cross-sectional study.
23398678 - Patients with non-alcoholic fatty liver disease have higher risk of colorectal adenoma ...
16895088 - Observational epidemiologic studies of endemic waterborne risks: cohort, case-control, ...
24950918 - A meta-analysis of critically ill patients reveals several potential risk factors for d...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-5
Journal Detail:
Title:  Maternal and child health journal     Volume:  -     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, University of Missouri-Kansas City, 2301 Holmes Street, Kansas City, MO, 64108, USA, dhoward3@gmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  High Sensitivity C-Reactive Protein and Outcomes Following Percutaneous Coronary Intervention in Con...
Next Document:  Risk Factors for Mental Health Problems in School-Age Children from a Community Sample.