Evidence map›Paper›PMID 37330393›Full record

SynthesisJournal of the National Medical Association2023

The impact of screening for social risks on OBGYN patients and providers: A systematic review of current evidence and key gaps.

Kaitlyn K Stanhope, Anna Goebel, Monica Simmonds, Patience Timi, Sristi Das, Asha Immanuelle, Denise J Jamieson, Sheree L Boulet

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the National Medical Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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 2 institutions in 1 country.

Kaitlyn K StanhopeDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States. Electronic address: Kaitlyn.keirsey.stanhope@emory.edu.
Anna GoebelDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States.
Monica SimmondsCenter for Black Women's Wellness, 477 Windsor St SW, Atlanta, GA 30312, United States.
Patience TimiDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States.
Sristi DasDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States.
Asha ImmanuelleCenter for Black Women's Wellness, 477 Windsor St SW, Atlanta, GA 30312, United States.
Denise J JamiesonDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States.
Sheree L BouletDepartment of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE Atlanta, GA 30303, United States.
Emory University · USBlack Women for Wellness · US

Funding

Accumulation of stress and trauma across the life course and cardiometabolic risk during pregnancy and postpartumR00HL161355 · NHLBI · EMORY UNIVERSITY · PI Kaitlyn K Stanhope · 2024 to 2026
$825k
Accumulation of stress and trauma across the life course and cardiometabolic risk during pregnancy and postpartumK99HL161355 · NHLBI · EMORY UNIVERSITY · PI STANHOPE, KAITLYN K · 2022 to 2023
$188k
NHLBI NIH HHS K99 HL161355NHLBI NIH HHS R00 HL161355
6 · The paper itself

Abstract

backgroundIncreasingly, policymakers and professional organizations support screening for social assets and risks during clinical care. Scant evidence exists on how screening impacts patients, providers, or health systems.

objectiveTo systematically review published literature for evidence of the clinical utility of screening for social determinants of health in clinical obstetric and gynecologic (OBGYN) care. SEARCH STRATEGY: We systematically searched Pubmed (March 2022, 5,302 identified) and identified additional articles using hand sorting (searching articles citing key articles (273 identified) and through bibliography review (20 identified)). SELECTION CRITERIA: We included all articles that measured a quantitative outcome of systematic social determinants of health (SDOH) screening in an OBGYN clinical setting. Each identified citation was reviewed by two independent reviewers at both the title/abstract and full text stages. DATA COLLECTION AND ANALYSIS: We identified 19 articles for inclusion and present the results using narrative synthesis. MAIN

resultsThe majority of articles reported on SDOH screening during prenatal care (16/19) and the most common SDOH was intimate partner violence (13/19 studies). Overall, patients had favorable attitudes towards SDOH screening (in 8/9 articles measuring attitudes), and referrals were common following positive screening (range 5.3%-63.6%). Only two articles presented data on the effects of SDOH screening on clinicians and none on health systems. Three articles present data on resolution of social needs, with inconsistent results.

conclusionsLimited evidence exists on the benefits of SDOH screening in OBGYN clinical settings. Innovative studies leveraging existing data collection are needed to expand and improve SDOH screening.

Indexed as

Intimate Partner ViolenceMedicineFemaleHumansPregnancyPrenatal CareSocial Determinants of HealthSurveys and QuestionnairesGynecologic carePrenatal careSocial determinants of healthSocial medicineWhole-person care

Identifiers

PMID37330393
PMCPMC10526693
OpenAlexW4380980063

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.