OB/GYN Clinical Alert – May 1, 2009
May 1, 2009
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Likelihood of Hysterectomy after Endometrial Ablation
In a retrospective analysis of 3681 women who underwent endometrial ablation from 1999 to 2004, data analyzed in 2007 from Northern California Kaiser Permanente showed hysterectomy was performed in 21% (774 patients) while uterine-sparing surgery was performed in another 3.9% (n = 143). -
A Best-Evidence Review of Indications for Induction of Labor
Fortunately, at a time when there is an emphasis on evidence-based reasons for medical decisions, more reviews are appearing in the literature looking at various common interventions and the evidence available to support these practices. -
Calcium and Vitamin D in the Women's Health Initiative
The Women's Health Initiative reported the effects on overall mortality in their randomized trial of calcium and vitamin D supplementation. -
PLCO: Where Are We Now?
The primary objective of the PLCO study is to evaluate the impact of annual screening with transvaginal ultrasound (TVUS) and CA125 on ovarian cancer mortality. The study is prospectively following a cohort of more than 34,000 largely postmenopausal women with intact ovaries with an algorithm where either an abnormal CA125 (e" 35 units/mL) or an abnormality on TVUS is considered a positive screen. -
Guidelines for Practice and Research in Urogynecology
To incorporate evidence-based guidelines into both practice and research, the Research and Development Committee of the International Urogynecological Association embarked on a lengthy process, which included a literature review, creation of recommendations, incorporation of expert consultant opinion, writing a white paper for association members, final revision, and then publication in its journal. -
Pharmacology Watch: FDA Warning: Pharmaceuticals in
In this issue: Aspirin dose and cardioprotection; uncovering modafinil's abuse potential; proton-pump inhibitors and clopidogrel; FDA actions. -
Clinical Briefs in Primary Care