File:Effectiveness and safety of telehealth medication abortion in the USA.pdf
Original file (1,239 × 1,645 pixels, file size: 3.5 MB, MIME type: application/pdf, 19 pages)
Captions
Summary
[edit]DescriptionEffectiveness and safety of telehealth medication abortion in the USA.pdf |
English: Telehealth abortion has become critical to addressing surges in demand
in states where abortion remains legal but evidence on its effectiveness and safety is limited. California Home Abortion by Telehealth (CHAT) is a prospective study that follows pregnant people who obtained medication abortion via telehealth from three virtual clinics operating in 20 states and Washington, DC between April 2021 and January 2022. Individuals were screened using a standardized no-test protocol, primarily relying on their medical history to assess medical eligibility. We assessed effectiveness, defined as complete abortion after 200 mg mifepristone and 1,600 μg misoprostol (or lower) without additional intervention; safety was measured by the absence of serious adverse events. We estimated rates using multivariable logistic regression and multiple imputation to account for missing data. Among 6,034 abortions, 97.7% (95% confidence interval (CI) = 97.2–98.1%) were complete without subsequent known intervention or ongoing pregnancy after the initial treatment. Overall, 99.8% (99.6–99.9%) of abortions were not followed by serious adverse events. In total, 0.25% of patients experienced a serious abortion-related adverse event, 0.16% were treated for an ectopic pregnancy and 1.3% abortions were followed by emergency department visits. There were no differences in effectiveness or safety between synchronous and asynchronous models of care. Telehealth medication abortion is effective, safe and comparable to published rates of in-person medication abortion care. |
Date | |
Source | https://www.nature.com/articles/s41591-024-02834-w.pdf |
Author | Ushma D. Upadhyay, Leah R. Koenig, Karen Meckstroth, Jennifer Ko, Ena Suseth Valladares, M. Antonia Biggs |
Licensing
[edit]- You are free:
- to share – to copy, distribute and transmit the work
- to remix – to adapt the work
- Under the following conditions:
- attribution – You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
File history
Click on a date/time to view the file as it appeared at that time.
Date/Time | Thumbnail | Dimensions | User | Comment | |
---|---|---|---|---|---|
current | 20:39, 15 February 2024 | 1,239 × 1,645, 19 pages (3.5 MB) | Lovelano (talk | contribs) | Uploaded a work by Ushma D. Upadhyay, Leah R. Koenig, Karen Meckstroth, Jennifer Ko, Ena Suseth Valladares, M. Antonia Biggs from https://www.nature.com/articles/s41591-024-02834-w.pdf with UploadWizard |
You cannot overwrite this file.
File usage on Commons
The following page uses this file:
File usage on other wikis
The following other wikis use this file:
- Usage on www.wikidata.org
Metadata
This file contains additional information such as Exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it. If the file has been modified from its original state, some details such as the timestamp may not fully reflect those of the original file. The timestamp is only as accurate as the clock in the camera, and it may be completely wrong.
Publisher | Springer US |
---|---|
Image title |
|
Short title |
|
Author |
|
Software used | Springer |
File change date and time | 04:39, 10 February 2024 |
Date and time of digitizing | 04:37, 10 February 2024 |
Date metadata was last modified | 04:39, 10 February 2024 |
Copyright status | Copyrighted |
Identifier | doi:10.1038/s41591-024-02834-w |
Encrypted | no |
Page size |
|
Version of PDF format | 1.4 |