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RECENTLY PUBLISHED PAPERSIMPORTANT TO YOUR PRACTICERECENTLY PUBLISHED PAPERSIMPORTANT TO YOUR PRACTICE
JAMES R. SCOTT, MD
I have no conflict of interest to disclose.
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OBJECTIVESOBJECTIVES
TO BE FAMILIAR WITH PRACTICE CHANGING STUDIES IN PAST YEAR
TO ANTICIPATE INTENDED AND UNINTENDED CONSEQUENCES
TO APPLY THIS INFORMATIONIN YOUR OWN PRACTICE
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MY TOP STUDIES FOR 2016-2017MY TOP STUDIES FOR 2016-2017
ONLY PRACTICAL NEW PAPERS FOR EVERYDAY PATIENT CARE
AVOIDED ABOG MOC ~ 1/2 OB & 1/2 GYN CHALLENGE: TO TRANSLATE
IMPERSONAL & DOGMATIC STATISTICS INTO INDIVIDUALIZED CARE OF REAL PEOPLE
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CHOOSING WISELY INITIATIVEJoint Commission & >50 Medical SpecialtiesCHOOSING WISELY INITIATIVEJoint Commission & >50 Medical Specialties
PAPER/ABSTR
DEFINITION O OVERUSE
DEFINITION OF OVERUSE TESTS OR TREATMENTSTHAT PROVIDE NO BENEFIT TO PATIENTS, POTENTIALLY EXPOSINGTHEM TO HARM
TRULY NECESSARY FREE FROM HARM NOT DUPLICATIVE SUPPORTED BY
EVIDENCE
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IN 2016 ACOG ADDED FIVE MORE THINGS PHYSICIANS SHOULD QUESTIONIN 2016 ACOG ADDED FIVE MORE THINGS PHYSICIANS SHOULD QUESTION
AVOID ROBOT FOR BENIGN GYN DISEASE WHEN CONVENTIONAL LAPAROSCOPIC OR VAGINAL APPROACH FEASIBLE
NO PRENATAL ULTRASOUNDS FOR NON-MEDICAL PURPOSES
DON’T ROUTINELY TRANSFUSE ASYMPTOMATIC PTS WITH HB > 7-8 GMS
DON’T DO ULTRASOUNDS TO SCREEN FOR OVARIAN CANCER
DON’T RECOMMEND BED REST DURING PREGNANCY FOR ANY INDICATION
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ANTENATAL STEROIDS: COMPLETE COURSE vs PARTIAL vs NONE JAMA Pediatr 2016;170(12):1164-72.
ANTENATAL STEROIDS: COMPLETE COURSE vs PARTIAL vs NONE JAMA Pediatr 2016;170(12):1164-72.
INFANTS: 401-1000 grams; 22-27 weeks
DOSE DEPENDENT PROTECTIVE EFFECT ON DEATH AND NEURODEVELOPMENT IMPAIRMENT
BOTTOM LINE GIVE PROMPTLY TO
ALL PREMIES EVEN IF NOT TIME FOR COMPLETE COURSE
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ONE 500 MG DOSE AZITHROMYCIN ADDED TO CEFAZOLIN PROPHYLAXIS FOR “NON ELECTIVE” CESAREANS NEJM 2016;375:1231-41.
ONE 500 MG DOSE AZITHROMYCIN ADDED TO CEFAZOLIN PROPHYLAXIS FOR “NON ELECTIVE” CESAREANS NEJM 2016;375:1231-41.
MULTICENTERED RCT CUT ENDOMETRITIS FROM
6.1% TO 3.8% NNT = 43 CUT WOUND INFECTIONS
FROM 6.6% TO 2.4% NNT = 24
CUT ALL INFECTIONS FROM 12.0% TO 6.1% NNT = 17
NO DIFFERENCE IN NEONATAL OUTCOMES
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PRESENT REGIMEN PROVEN & SIMPLE– 1 GM IV OF CHEAPEST CEPHALOSPORIN
(Cefazolin) BEFORE SKIN INCISION FOR ALL HYSTERECTOMIES & CESAREANS
– 2 GM FOR OBESE PT – ADD 1 GM AT 3 HOURS or WITH >1500 ML
BLOOD LOSSMY TAKE
- SMALL OVERALL DIFFERENCE IN SERIOUSINFECTIONS – 2.9% vs 1.5%
- USE ONLY FOR LABOR, SROM- DO NO HARM - > 60% HOSPITAL PTS GET ANTIBIOTICS DRUG RESISTANCE, C. DIFF.
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OPIOID EPIDEMIC – MOTHER AND INFANT DRUG DEPENDENCE INCREASE IN RURAL AREASOPIOID EPIDEMIC – MOTHER AND INFANT DRUG DEPENDENCE INCREASE IN RURAL AREAS
Rural and Urban differences in Neonatal Abstinence Syndrome and Maternal Opioid Use 2004-2013JAMA Pediatrics Online Nov 2016
BOTTOM LINE
Sevenfold Increase in Heroin and Opioid Use
LBW, Irritability, Seizures, Breathing, Eating & Sleeping Problems
42% in Utah & 35 % in Idaho of pregnant patients on Medicaid prescribed opioids
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CARES ACT SIGNED INTO LAW JULY 2016$500 million for opioid addiction prevention and treatment programs
CARES ACT SIGNED INTO LAW JULY 2016$500 million for opioid addiction prevention and treatment programs
Increasing Death From Drug Overdose by State UTAH – Eligible for $9 million
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WHAT CAN YOU DO?WHAT CAN YOU DO?
Be Aware of Increasing Problem in Pregnancy 80 % of Addiction Started with a Prescription
from a Physician – BE CAREFUL ! Check Out Comprehensive Addiction and
Recovery Act (CARA) and Services Available in Your Community
Funding Priority for Treatment Programs for Pregnant Women in Rural Areas
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LAST YEARLAST YEAR
RCT WITH EXCELLENT STUDY DESIGN
GIVEN AFTER PREGNANCY DIAGNOSED
BOTTOM LINE: Vaginal micronized
Progesterone 400 mg daily did not result in higher live birth rate.
66% success with Txand 63% with placebo
CAVEAT – Did not address Tx during luteal phase STILL NEEDED
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JUST PUBLISHEDFertil Steril 2017 (on line)JUST PUBLISHEDFertil Steril 2017 (on line)
Relatively inexpensive No harm Caution: Observational
cohort study CAVEAT – Usual live birth
rate with no Tx is 60-70% Need RCT With Placebo
Matched Controls To Prove
Pts with elevated nCycline Treated with vaginal micronized progesterone (Prometrium or Endometrin) q 12 hrbeginning 3 days after LH surge x 10 wks
Pregnancy success: 68% vs 51% in untreated
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ADVANTAGES OF TRANSFERRING A SINGLE EMBRYO IN ART PATIENTS Fertil Steril 2015;106(5):1107-14.
ADVANTAGES OF TRANSFERRING A SINGLE EMBRYO IN ART PATIENTS Fertil Steril 2015;106(5):1107-14.
LIVE BIRTH RATE Single embryo vs Double
embryo transfer = 46.0%vs 46.9%
Reduces Rate of Twins, Triplets, Prematurity, Perinatal Morbidity
COSTS: Delivery1 Year Singleton - $21,500 Twins - $105,00 Triplets - $400,00
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LIVE BIRTH RATE AND MULTIPLE BIRTH RATE BY PERCENT OF SINGLE EMBRYO TRANSFERS FOR FRESH IVF CYCLES IN PATIENTS < 35 YRS
LIVE BIRTH RATE AND MULTIPLE BIRTH RATE BY PERCENT OF SINGLE EMBRYO TRANSFERS FOR FRESH IVF CYCLES IN PATIENTS < 35 YRS
Useful facts for referring physician (you) and patients to have.
Is slightly higher pregnancy rate worth risk of much higher multiple birth rate?
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FERTILITY PRESERVATION IN YOUNG WOMEN –CHEMOTHERAPY OR RADIATION Tx FOR CANCER
Hum Reprod 2017;32(1):154-64.
FERTILITY PRESERVATION IN YOUNG WOMEN –CHEMOTHERAPY OR RADIATION Tx FOR CANCER
Hum Reprod 2017;32(1):154-64.
53 YOUNG WOMEN WITH CANCER HAD OVARIAN TISSUE FROZEN BEFORE STARTING TREATMENT
TRANSPLANTED BACK IN 32 WHO WANTED PREGNANCY
18 PREGNANCIES WITH 15 CHILDREN
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CHEMOTHERAPY & BONE MARROW TRANSPLANT FOR BETA THALASSEMIA @ AGE 9 RIGHT OVARY REMOVED IN ADVANCE AND FROZEN
CHEMOTHERAPY & BONE MARROW TRANSPLANT FOR BETA THALASSEMIA @ AGE 9 RIGHT OVARY REMOVED IN ADVANCE AND FROZEN
STRIPS OF THAWED OVARY TRANSPLANTED 15 YRS LATER ONTO FAILED LEFT OVARY
BEGAN OVULATING RETRIEVED 8 EGGS
FOR IVF IMPLANTED 2 EMBRYOS PREGNANCY
> 60 WOMEN WITH BABIES FROM THIS TECHNIQUE NOW
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OBSTET GYNECOL 2016;128(6):1215.OBSTET GYNECOL 2016;128(6):1215.
500 U.S. Hospitals Parallels Increase in
Cesareans & AccretaBOTTOM LINE Be Prepared Simulation, Training,
Emergency Plan Refer - Transfer
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31 yr old G-6 P-5 (2 prior C/S) referred for fetal cardiac anomaly & Placenta Previa
Admitted for scheduled repeat C/S @ 34 wks Two days before SROM & severe vag bleeding Rapid Shock O.R. Percreta C/HYST Uncontrollable Hemorrhage 100 u blood Death on Table
30 people including experienced MFMs, OB Anethesiologists, Gyn Oncologist, C-V Surgeon
CASE – U OF IOWA 6 WEEKS AGOCASE – U OF IOWA 6 WEEKS AGO
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AVAILABLE THROUGH ACOGAVAILABLE THROUGH ACOG
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UNEXPECTED PERCRETA - WHAT DO I DO NOW? Discovered Before Delivery Discovered After DeliveryUNEXPECTED PERCRETA - WHAT DO I DO NOW? Discovered Before Delivery Discovered After Delivery
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DON’T FORGET THE UMBRELLA PACKDON’T FORGET THE UMBRELLA PACK
Dildy GA, Scott JR, Saffer CS, Belfort MA. An Effective Pack for Severe Pelvic Hemorrhage. Obstet Gynecol2006;108:1222-6.
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PREVIEW OF THINGS TO COME:POSSIBLE DRUGLESS ANSWER TO POSTPARTUM HEMORRHAGE
PREVIEW OF THINGS TO COME:POSSIBLE DRUGLESS ANSWER TO POSTPARTUM HEMORRHAGE
BOTTOM LINE SURFACE ELECTRODE
CLIPS ON EAR STIMULATES NEURAL
CIRCUITS MODULATES VASCULAR & CLOTTING MECHANISMS
RAPIDLY REDUCES BLEEDING BY 40-50%* In Collaboration with Bill GatesThe Global Good Fund
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CASE: 19-YR-OLD PRESENTS WITH FEVER, PROGRESSIVE AGITATION, IRRITABILITY, HALLUCINATIONS & DECREASING CONSCIOUSNESS. EXTENSIVE WORKUP NEGATIVE. PELVIC ULTRASOUND SHOWS A 2-3 CM OVARIAN MASS CONSISTENT WITH A DERMOID.
CASE: 19-YR-OLD PRESENTS WITH FEVER, PROGRESSIVE AGITATION, IRRITABILITY, HALLUCINATIONS & DECREASING CONSCIOUSNESS. EXTENSIVE WORKUP NEGATIVE. PELVIC ULTRASOUND SHOWS A 2-3 CM OVARIAN MASS CONSISTENT WITH A DERMOID.
What does she have?
What would you do?
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DERMOID CYST & ENCEPHALOPATHYBJOG 2017;124:337-41.DERMOID CYST & ENCEPHALOPATHYBJOG 2017;124:337-41.
Life threatening Get stat anti-NMDA blood
and CSF antibodies May need MRI to diagnose
very small (< 1 cm) dermoid Early & complete removal
of dermoid (Cystectomy or oophorectomy)
Intraoperative ultrasound and bivalve other ovary
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ANTI-N-METHYL-D-ASPARTATE (NMDAr)RECEPTOR ENCEPHALITISANTI-N-METHYL-D-ASPARTATE (NMDAr)RECEPTOR ENCEPHALITIS
First recognized in 2005 > 500 cases in literature but only 10% in
OB/GYN literature Most common in young women Flu-like symptoms rapid onset of bizarre
neurologic and psychotic behavior CSF anti-NMDA antibodies diagnostic Removal of dermoid – Rapid improvement
in majority
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THIS YEAR’S EPIDEMIOLOGY STUDY AND THE MEDIA THIS YEAR’S EPIDEMIOLOGY STUDY AND THE MEDIA
Found increased risk for behavioral problems age 7
Relied on maternal recall Raises possibilities of bias
and misclassification Confounding by indication
also a concern All associations modest with
relative risks 1.4 or less Other studies with
conflicting results No Observational Study
Can Prove Causation
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Many pitfalls - “Garbage in, Garbage out” Phenomenon Unreliable Databases Data Dredging Inadequate Control For Confounding Factors Weak Associations MISLEADING & CAUSE UNNECESSARY ALARM
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PREMISE: PURPOSE OF MEDICAL JOURNAL RESEARCHARTICLES IS TO IMPROVE PATIENT CARE
PREMISE: PURPOSE OF MEDICAL JOURNAL RESEARCHARTICLES IS TO IMPROVE PATIENT CARE
SHOULD BE USEFUL TO PHYSICIANS VALID RESULTS CLINICALLY RELEVANT CONCISE
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INSTEAD - ERA OF INFORMATION OVERLOAD AND SOCIAL MEDIA INSTEAD - ERA OF INFORMATION OVERLOAD AND SOCIAL MEDIA
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CHANGING SCENE FOR KEEPING UP WITH THE OB/GYN LITERATURECHANGING SCENE FOR KEEPING UP WITH THE OB/GYN LITERATURE
RELIABLE AND USEFUL SOURCES – BE EFFICIENT GREEN & GRAY JOURNAL (Libraries – Online Only) UP TO DATE www.uptodate.com ACOG PRACTICE BULLETINS www.acog.org ABOG MOC PROGRAM www.abog.org INDIVIDUALIZED LITERATURE SEARCHES
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EXAMPLE OF FREE AUTOMATIC SEARCHESBASED ON YOUR PRACTICE AND INTERESTS
pubcrawler.gen.tcd.ie [email protected]
EXAMPLE OF FREE AUTOMATIC SEARCHESBASED ON YOUR PRACTICE AND INTERESTS
pubcrawler.gen.tcd.ie [email protected]
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GOOD PATIENT CARE:
EVIDENCE BASED MEDICINE IMPORTANTBUT SO ARE:
COMPASSION COMMUNICATION CLINICAL JUDGEMENT COMMON SENSE