Evidence map›Paper›PMID 35939627›Full record

ArticleThe Permanente journal2022

Disparities in the Incidence of Ectopic Pregnancy in a Large Health Care System in California, 2010-2019.

Tina Raine-Bennett, Michael J Fassett, Malini Chandra, Mary Anne Armstrong, Fagen Xie, Jiaxiao M Shi, Stacey Alexeeff, Vicki Y Chiu, Theresa M Im, Alex Asiimwe and 1 more

Abstract read
In one paragraph

Article in The Permanente journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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

11 authors.

Tina Raine-BennettThe Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Michael J FassettDepartment of Obstetrics and Gynecology, Kaiser Permanente West Los Angeles Medical Center, Los Angeles, CA, USA.
Malini ChandraThe Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Mary Anne ArmstrongThe Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Fagen XieDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Jiaxiao M ShiDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Stacey AlexeeffThe Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Vicki Y ChiuDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Theresa M ImDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Alex AsiimweBayer AG, Berlin, Germany.
Darios GetahunDepartment of Health Systems Science, The Bernard J. Tyson Kaiser Permanente School of Medicine, Pasadena, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionEctopic pregnancy leads to reproductive health morbidity, including greater risk of another ectopic pregnancy, infertility, and, in rare cases, mortality. Information on trends in the incidence of ectopic pregnancy in the last decade is limited. MethodsA population-based cross-sectional study of women aged 15-44 years enrolled at Kaiser Permanente Northern and Southern California 2010-2019 was conducted. Electronic health records were used to identify ectopic pregnancies. The crude ectopic pregnancy incidence per 1000 pregnancies (live births, induced abortions, and ectopic pregnancies) and 95% confidence interval (CI) was estimated per study year, overall, and stratified by age group. The age-adjusted incidence and 95% CI was estimated per study year, overall, and stratified by race/ethnicity. Temporal trend was assessed using Poisson regression. ResultsThere were 15,537 ectopic pregnancies among 979,027 pregnancies. The overall age-adjusted ectopic pregnancy incidence was 15.8 per 1000 pregnancies, 95% CI: 15.6, 16.1. The annual incidence increased from 15.2, 95% CI: 14.4, 16.1, in 2010 to 16.4, 95% CI: 15.6, 17.2, in 2019 (p < 0.001). The overall incidence was highest among women aged 40-44 years (24.2, 95% CI: 22.7, 25.6) and non-Hispanic Black women (21.9, 95% CI: 21.0, 22.8); compared to 30-34-year-old (16.2, 95% CI: 15.7, 16.6) and non-Hispanic White (14.6, 95% CI: 14.1, 15.0) women, respectively. DiscussionThe increase in ectopic pregnancy incidence during the studied period was largely driven by increasing incidence in younger women. However, disparities in the incidence by age and race/ethnicity persisted. ConclusionEctopic pregnancy remains a significant source of reproductive health morbidity, especially for older (

Indexed as

Pregnancy, EctopicCross-Sectional StudiesDelivery of Health CareEthnicityFemaleHumansIncidencePregnancyelectronic health recordsepidemiological monitoringhealth status disparitiesmaternal agerace factorsreproductive health

Identifiers

PMID35939627
PMCPMC9683753

What OpenQuestion holds

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Registered trials

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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.