Tag: gynecology

A population-based analysis of the impact of the COVID-19 pandemic on common abdominal and gynecological emergency department visits 1. Emergency department visits for common medical emergencies dropped at the start of the COVID-19 pandemic, but with no changes in complication or mortality rates from these emergencies. Evidence Rating Level: 2 (Good) Due...
1. Amongst large cohort of women in Ontario who underwent endometriosis surgery, women who undergo major conservative surgery are less likely to seek medical attention for pain and have repeat surgical intervention compared to those undergoing minor conservative surgery. Evidence level rating: 2 (Good) Endometriosis is a chronic inflammatory...
Association of oral corticosteroid bursts with severe adverse events in children 1. Among a large cohort of children in Taiwan, oral corticosteroids prescribed for <14 days were associated with an increased risk of gastrointestinal (GI) bleeds, sepsis, and pneumonia during the first month of therapy initiation. Evidence level rating: 2...
1. Among patients presenting in the emergency setting for possible sexually transmitted infection, a self-obtained vaginal swab was found to be non-inferior to provider-performed endocervical sampling for the diagnosis of Neisseria gonorrhoeae and Chlamydia trachomatis. Evidence Level Rating: 1 (Excellent) Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) are the two most...
1. COVID-19 infection in late pregnancy was associated with adverse birth outcomes, such as cesarean section delivery and iatrogenic preterm birth. 2. Limited evidence was found for maternal-fetal vertical transmission of SARS-CoV-2. Evidence Rating Level: 3 (Average) Coronavirus disease 2019 (COVID-19) is an ongoing concern in the healthcare sector. However, little is...
1. In this multicenter retrospective cohort study, pediatric patients with an ovarian neoplasm had high rates of oophorectomy despite low rates of malignancy. Premenarchal status, clinical symptoms on presentation, concerning features on imaging, and having the surgery performed by an adult gynecologist or pediatric surgeon were all associated with...
1. In a prospective cohort, a diagnosis of endometriosis was associated with a higher risk of subsequent infertility. 2. This association was only statistically significant for women under 35 years old. Evidence Rating Level: 1 (Excellent) Study Rundown: Endometriosis, a condition in which endometrial tissue exists outside of the uterus and affects...
1. Compared to women not receiving treatment, a higher proportion of women on oral fluconazole in early pregnancy experienced miscarriage. 2. Miscarriage was higher among women on oral fluconazole even when compared to women on topical anti-fungals. Evidence Rating Level: 2 (Good) Study Rundown: Vaginal candidiasis, commonly known as a yeast infection,...
  1. Compared with placebo, patients who took Tramadol or Celecoxib experienced significantly reduced pain during and after hysteroscopy. 2. There was no significant difference in pain scores between the Tramadol and Celecoxib groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Hysteroscopy is the gold standard for diagnosing focal endometrial pathology that causes...
1. Overall reoperation rates ten years after vaginal mesh surgery for stress incontinence was low. 2. Patients of high-volume surgeons were less likely to require reoperation. Evidence Rating Level: 2 (Good) Study Rundown: Stress urinary incontinence impacts thousands of women in the U.S. and remains underreported. A combination of factors, including childbirth...