Evidence map›Paper›PMID 25767979›Full record

ArticleMedical care2015

Infertility care among OEF/OIF/OND women Veterans in the Department of Veterans Affairs.

Kristin Mattocks, Aimee Kroll-Desrosiers, Laurie Zephyrin, Jodie Katon, Julie Weitlauf, Lori Bastian, Sally Haskell, Cynthia Brandt

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 5 institutions in 1 country.

Kristin Mattocks*VA Central Western Massachusetts Healthcare System, Leeds †Department of Quantitative Health Sciences, University of Massachusetts Medical School ‡Clinical and Population Health Research Program, Worcester, MA §Reproductive Health for the Women Veteran's Health Strategic Healthcare Group, VA Central Office, Washington, DC ∥VA Puget Sound Health Care System, Seattle, WA ¶VA Office of Patient Services, Office of Women's Health, Washington, DC #University of Washington School of Public Health, Seattle, WA **VA Palo Alto Health Care System, Palo Alto ††Stanford University School of Medicine, Stanford, CA ‡‡Department of Medicine, University of Connecticut, Mansfield §§VA Connecticut Healthcare System, West Haven, CT ∥∥Comprehensive Women's Health, VHA, Washington, DC ¶¶Yale University School of Medicine ##VA Connecticut ***Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
Aimee Kroll-Desrosiers
Laurie Zephyrin
Jodie Katon
Julie Weitlauf
Lori Bastian
Sally Haskell
Cynthia Brandt
University of Massachusetts Chan Medical School · USOffice of Patient Care Services · USUniversity of Washington · USVA Central Western Massachusetts Healthcare System · USVA Puget Sound Health Care System · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Women Veterans Cohort Study 2I01HX000915 · VA · VA CONNECTICUT HEALTHCARE SYSTEM · PI BRANDT, CYNTHIA A., HASKELL, SALLY · 2014 to 2019
–
HSRD VA I01 HX000915NCATS NIH HHS UL1 TR000142
6 · The paper itself

Abstract

backgroundAn increasing number of young women Veterans seek reproductive health care through the VA, yet little is known regarding the provision of infertility care for this population. The VA provides a range of infertility services for Veterans including artificial insemination, but does not provide in vitro fertilization. This study will be the first to characterize infertility care among OEF/OIF/OND women Veterans using VA care.

methodsWe analyzed data from the OEF/OIF/OND roster file from the Defense Manpower Data Center (DMDC)-Contingency Tracking System Deployment file of military discharges from October 1, 2001-December 30, 2010, which includes 68,442 women Veterans between the ages of 18 and 45 who utilized VA health care after separating from military service. We examined the receipt of infertility diagnoses and care using ICD-9 and CPT codes.

resultsLess than 2% (n=1323) of OEF/OIF/OND women Veterans received an infertility diagnosis during the study period. Compared with women VA users without infertility diagnosis, those with infertility diagnosis were younger, obese, black, or Hispanic, have a service-connected disability rating, a positive screen for military sexual trauma, and a mental health diagnosis. Overall, 22% of women with an infertility diagnosis received an infertility assessment or treatment. Thirty-nine percent of women Veterans receiving infertility assessment or treatment received this care from non-VA providers.

conclusionsOverall, a small proportion of OEF/OIF/OND women Veterans received infertility diagnoses from the VA during the study period, and an even smaller proportion received infertility treatment. Nearly 40% of those who received infertility treatments received these treatments from non-VA providers, indicating that the VA may need to examine the training and resources needed to provide this care within the VA. Understanding women's use of VA infertility services is an important component of understanding VA's commitment to comprehensive medical care for women Veterans.

Indexed as

Veterans HealthWomen's HealthAdolescentAdultFemaleHumansInfertility, FemaleIraq War, 2003-2011Retrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID25767979
PMCPMC4410265
OpenAlexW1963755400

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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.