ArticleSexually transmitted diseases2020
Provider Adherence to Syphilis Testing Guidelines Among Stillbirth Cases.
Article in Sexually transmitted diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
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Who cites it
7 citing papers in PubMed.
- Increased Reporting of Infants Born With Congenital Syphilis to a Local Department of Public Health: A Quality Improvement Project.Open forum infectious diseases · 2025Article
- Diagnostic evaluation to identify infection-attributable stillbirth.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Evolution of clinical Health Information Exchanges to population health resources: a case study of the Indiana network for patient care.BMC medical informatics and decision making · 2025Article
- Rising Stillbirth Rates Related to Congenital Syphilis in the United States From 2016 to 2022.Obstetrics and gynecology · 2024Article
- A statewide system for maternal-infant linked longitudinal surveillance: Indiana's model for improving maternal and child health.International journal of population data science · 2024Article
- Syphilis testing adherence among women with livebirth deliveries: Indianapolis 2014-2016.BMC pregnancy and childbirth · 2021Article
- A New Call to Action to Combat an Old Nemesis: Addressing Rising Congenital Syphilis Rates in the United States.Journal of women's health (2002) · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe Centers for Disease Control and Prevention (CDC) recommends that all women with a stillbirth have a syphilis test after delivery. Our study seeks to evaluate adherence to CDC guidelines for syphilis screening among women with a stillbirth delivery.
methodsWe used data recorded in electronic health records for women who gave birth between January 1, 2014, and December 31, 2016. Patients were included if they were 18 to 44 years old and possessed an International Classification of Diseases, Ninth Revision or Tenth Revision, Clinical Modification diagnosis of stillbirth. Stillbirth diagnoses were confirmed through a random sample of medical chart reviews. To evaluate syphilis screening, we estimated the proportion of women who received syphilis testing within 300 days before stillbirth, women who received syphilis testing within 30 days after a stillbirth delivery, and women who received syphilis testing both before and after stillbirth delivery.
resultsWe identified 1111 stillbirths among a population of 865,429 unique women with encounter data available from electronic health records. Among a sample of 127 chart-reviewed cases, only 35 (27.6%) were confirmed stillbirth cases, 45 (35.4%) possible stillbirth cases, 39 (30.7%) cases of miscarriage, and 8 (6.3%) cases of live births. Among confirmed stillbirth cases, 51.4% had any syphilis testing conducted, 31.4% had testing before their stillbirth delivery, 42.9% had testing after the delivery, and only 22.9% had testing before and after delivery.
conclusionsA majority of women with a stillbirth delivery do not receive syphilis screening adherent to CDC guidelines. Stillbirth International Classification of Diseases codes do not accurately identify cases of stillbirth.
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