Evidence map›Paper›PMID 40289896›Full record

ArticleArthritis care & research2025

Improving Documentation Rates of Contraception and Reproductive Planning in Patients With Rheumatic Disease.

Benjamin Moon, Puneet Bajaj, Megan Clowse, James Roberts, Kathryn Dao, Bonnie L Bermas, Brooke S Mills

Abstract read
In one paragraph

Article in Arthritis care & research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

7 authors.

Benjamin MoonUniversity of Texas Southwestern Medical Center, Dallas, and University of California, San Francisco.ORCID 0000-0003-4390-3560
Puneet BajajUniversity of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-8688-4059
Megan ClowseDuke University School of Medicine, Durham, North Carolina.ORCID 0000-0002-8579-3470
James RobertsUniversity of Texas Southwestern Medical Center, Dallas.
Kathryn DaoUniversity of Texas Southwestern Medical Center, Dallas.
Bonnie L BermasUniversity of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-1007-4084
Brooke S MillsUniversity of Texas Southwestern Medical Center, Dallas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to improve contraception and reproductive planning documentation within rheumatology providers' notes at a single academic center.

methodsFemale patients aged 18 to 45 years with autoimmune inflammatory rheumatic diseases were identified, and chart review was performed for documentation of contraception and pregnancy planning. Baseline data were collected from 148 charts between May 2022 and March 2023. In June 2023, a reproductive Health Assessment Questionnaire was integrated into the electronic health record and sent to patients for completion before their visits. Postintervention data were collected from 176 charts between July 2023 and December 2023. Demographics of patients (race, ethnicity, and sex) and provider sex were collected. Telehealth and face-to-face visits were assessed separately.

resultsA statistically significant increase (P < 0.0001) was seen in provider documentation of both contraception (from 44.6 to 70.5%) and pregnancy planning (from15.5 to 60.2%) after implementation of the previsit questionnaire. When patients prescribed teratogenic medications were analyzed separately, there was statistically significant (P < 0.0001) better documentation of pregnancy planning after the intervention. Secondary analyses found that patient age, race and ethnicity, encounter type, and provider sex had no significant impact on documentation rates.

conclusionBy integrating an electronic, previsit questionnaire into the patient portal, documentation was significantly improved for contraception and pregnancy planning. The results were sustained for six months. Further studies are needed to see if improved documentation translates into more effective reproductive health care discussions, referrals to gynecology, and subsequent improvement in reproductive health outcomes.

Indexed as

ContraceptionDocumentationFamily Planning ServicesRheumatic DiseasesAdolescentAdultElectronic Health RecordsFemaleHumansMiddle AgedPregnancySurveys and QuestionnairesYoung Adult

Identifiers

PMID40289896
PMCPMC12500501

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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.