Evidence map›Paper›PMID 25445666›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Same-day intrauterine device placement is rarely complicated by pelvic infection.

Melissa Papic, Nan Wang, Sara M Parisi, Erin Baldauf, Glenn Updike, Eleanor Bimla Schwarz

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Continued Compliance and Degree of Satisfaction in Nulligravida and Parous Women with Intrauterine Contraceptive Devices.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2016
    Article
  5. New developments in intrauterine device use: focus on the US.Open access journal of contraception · 2016
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Melissa PapicDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Nan WangSchool of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Sara M ParisiDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Erin BaldaufDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Glenn UpdikeDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.
Eleanor Bimla SchwarzDepartment of Medicine, University of California, Davis, Sacramento, California. Electronic address: ebschwarz@ucdavis.edu.
University of Pittsburgh · USUniversity of California, Davis · US

Funding

Contraceptive Services/Primary Care to Prevent Birth DefectsK23HD051585 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHWARZ, ELEANOR BIMLA · 2006 to 2010
$631k
NICHD NIH HHS K23 HD051585OAPP OPHS HHS R01PG000859
6 · The paper itself

Abstract

purposeTo compare rates of pelvic inflammatory disease (PID) among women who did and did not receive an intrauterine device (IUD) the day they sought emergency contraception (EC) or pregnancy testing.

methodsWomen, 15 to 45 years of age, who sought EC or pregnancy testing from an urban family planning clinic completed surveys at the time of their clinic visit (August 22, 2011, to May 30, 2013) and 3 months after their clinic visit. The surveys assessed contraceptive use and symptoms, testing, and treatment for sexually transmitted infections (STI) and PID. We reviewed the medical records of participants who reported IUD placement within 3 months of enrollment and abstracted de-identified electronic medical record (EMR) data on all women who sought EC or pregnancy testing from the study clinic during the study period.

findingsDuring the study period, 1,060 women visited the study clinic; 272 completed both enrollment and follow-up surveys. Among survey completers with same-day IUD placement, PID in the 3 months after enrollment was not more common (1/28 [3.6%]; 95% CI, 0%-10.4%) than among women who did not have a same-day IUD placed (11/225 [4.9%]; 95% CI, 2.7%-8.6%; p = .71). Chart review and EMR data similarly showed that rates of PID within 3 months of seeking EC or pregnancy testing were low whether women opted for same-day or delayed IUD placement.

conclusionsSame-day IUD placement was not associated with higher rates of PID. Concern for asymptomatic STI should not delay IUD placement, and efforts to increase the uptake of this highly effective reversible contraception should not be limited to populations at low risk of STI.

Indexed as

Family Planning ServicesAdolescentAdultContraception, PostcoitalFemaleHealth Care SurveysHumansIncidenceIntrauterine DevicesMass ScreeningMiddle AgedPelvic InfectionPelvic Inflammatory DiseasePelvic PainPennsylvaniaPregnancy

Identifiers

PMID25445666
PMCPMC4275310
OpenAlexW1970078877

What OpenQuestion holds

Textmetadata
LicenceTDM
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.