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Is Routine Stress Testing After Coronary Revascularization Necessary?
A multicentered study of routine stress testing at one year post-percutaneous coronary revascularization compared to usual care in patients with at least one high-risk coronary anatomic or clinical feature failed to show improved clinical outcomes at two years follow-up.
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The Dental Procedure-Infective Endocarditis Link Controversy Continues
Infective endocarditis was more common with dental surgery or tooth extractions in the preceding four weeks in high-risk patients. Researchers abrogated this risk with antibiotic prophylaxis before the procedure.
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Cerebral Embolic Protection Device Disappoints in TAVR/Stroke Trial
In this largest-to-date randomized trial of stroke prevention in transcatheter aortic valve replacement patients, use of the Sentinel cerebral embolic protection device did not significantly affect the incidence of periprocedural stroke.
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Extended Use of Intrauterine Devices: New Data
In this prospective cohort study, 362 participants started year 6 of the device and 223 women completed eight years of 52-mg levonorgestrel intrauterine device use. For years 6-8, the three-year Pearl Index (95% confidence interval) was 0.28 (0.03-1.00), with a three-year cumulative failure rate of 0.68% (0.17-2.71).
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Increasing Incidence of Stage IV Cervical Cancer
This study examined the incidence of stage IV cervical cancer in the United States between 2001 and 2018. Rates were highest among Black women, but the annual rate of increase was highest among white women in the South aged 40-44 years. Compared with Black women, white women also had lower rates of guideline-adherent cervical cancer screening, and white teens had lower rates of human papillomavirus vaccination.
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Labor Epidural Analgesia Is Not Associated with Autism Spectrum Disorder or ADHD in Offspring
Use of epidural analgesia by pregnant women in labor was not associated with an increased risk of autism spectrum disorder or attention-deficit/hyperactivity disorder in the resulting children after controlling for confounding factors, including familial risks.
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Interpregnancy Interval Outcomes in Group Prenatal Care vs. Traditional Care
This study demonstrated that, when compared to women receiving conventional prenatal care, CenteringPregnancy care was associated with a substantial decrease in interpregnancy intervals at ≤ 6 and ≤ 12 months and a remarkable increase in postpartum long-acting reversible contraception uptake.
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Crisis Pregnancy Centers Often Deliver Coercive, Inaccurate Information
People seeking help with a pregnancy decision may see ads for a free pregnancy test and ultrasound and believe they are visiting a medical clinic, where all of their options will be explored. Instead, they will soon discover that they are visiting a center with no licensed medical providers that is designed to convince them not to seek an abortion.
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Patients Report Positive Experiences with Self-Removal of IUDs
Self-removal of IUDs appears to be popular among many people and may empower women, but research indicates successful self-removal is not guaranteed.
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National Survey Reveals Critical Need for Patient-Centered Counseling
Contraceptive Technology Update asked a Veterans Affairs researcher about her new study involving data on women veterans and contraceptive counseling.