Evidence map›Paper›PMID 23313717›Full record

ArticleAmerican journal of obstetrics and gynecology2013

Ectopic pregnancy rates in the Medicaid population.

Debra B Stulberg, Loretta R Cain, Irma Dahlquist, Diane S Lauderdale

Open access · bronzeAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Disparities in the management of ectopic pregnancy.American journal of obstetrics and gynecology · 2017
    Article
  8. Article
  9. Article
  10. Observational
  11. ACUTE PELVIC PAIN IN THE ADOLESCENT: A CASE REPORT.Clinical pediatric emergency medicine · 2015
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Debra B StulbergDepartment of Family Medicine, University of Chicago, Chicago, IL; Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL 60637, USA. dstulber@bsd.uchicago.edu
Loretta R Cain
Irma Dahlquist
Diane S Lauderdale
University of Chicago · US

Funding

Incidence and Outcomes of Ectopic Pregnancy in the Medicaid PopulationK08HD060663 · NICHD · UNIVERSITY OF CHICAGO · PI STULBERG, DEBRA · 2009 to 2013
$616k
NICHD NIH HHS 1 K08 HD060663NICHD NIH HHS K08 HD060663
6 · The paper itself

Abstract

objectiveThe Centers for Disease Control and Prevention last estimated a national ectopic pregnancy rate in 1992, when it was 1.97% of all reported pregnancies. Since then rates have been reported among privately insured women and regional health care provider populations, ranging from 1.6-2.45%. This study assessed the rate of ectopic pregnancy among Medicaid beneficiaries (New York, California, and Illinois, 2000-03), a previously unstudied population. STUDY

designWe identified Medicaid administrative claims records for inpatient and outpatient encounters with a principal International Classification of Diseases 9th Revision diagnosis code for ectopic pregnancy. We calculated the ectopic pregnancy rate among female beneficiaries aged 15-44 as the number of ectopic pregnancies divided by the number of total pregnancies, which included spontaneous abortions, induced abortions, ectopic pregnancies, and all births. We used Poisson regression to assess the risk of ectopic pregnancy by age and race.

resultsFour-year Medicaid ectopic pregnancy rates were 2.38% of pregnancies in New York, 2.07% in California, and 2.43% in Illinois. Risk was higher among black women compared with whites in all states (relative risk, 1.26; 95% confidence interval, 1.25-1.28; P < .0001), and among older women compared with younger women (trend for age, P < .001).

conclusionMedicaid beneficiaries in these 3 states experienced higher rates of ectopic pregnancy than reported for privately insured women nationwide in the same years. Relying on private insurance databases may underestimate ectopic pregnancy's burden in the United States population. Furthermore, within this low-income population racial disparities exist.

Indexed as

AdolescentAdultFemaleHumansMedicaidPregnancyPregnancy, EctopicPregnancy RateUnited StatesYoung Adult

Identifiers

PMID23313717
PMCPMC3610838
OpenAlexW1967977230

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.