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  1. Article ; Online: Telemedicine in Urogynecology.

    Toaff, Miriam C / Grimes, Cara L

    Obstetrics and gynecology clinics of North America

    2021  Volume 48, Issue 3, Page(s) 487–499

    Abstract: Telemedicine, which provides safe, equitable, patient-centered care, has gained significant momentum in recent years. Success using telemedicine has been seen across diverse groups of patients for a variety of diagnoses, including older adults and ... ...

    Abstract Telemedicine, which provides safe, equitable, patient-centered care, has gained significant momentum in recent years. Success using telemedicine has been seen across diverse groups of patients for a variety of diagnoses, including older adults and gynecology patients. In response to the coronavirus disease 2019 pandemic, federal and local governments have issued provisions to improve reimbursement and accessibility to telemedicine. In urogynecology, virtual care is growing in popularity, along with a growing body of literature in support of this method of providing care. Providers should use clinical judgment and existing data to guide them on which clinical conditions are appropriate for virtual care.
    MeSH term(s) COVID-19/epidemiology ; Female ; Gynecology/methods ; Health Services Accessibility ; Humans ; Insurance, Health, Reimbursement ; Pandemics ; Reconstructive Surgical Procedures/methods ; SARS-CoV-2 ; Telemedicine/methods ; Urinary Tract Infections/diagnosis ; Urology/methods
    Language English
    Publishing date 2021-08-20
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1004315-9
    ISSN 1558-0474 ; 0889-8545
    ISSN (online) 1558-0474
    ISSN 0889-8545
    DOI 10.1016/j.ogc.2021.05.004
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  2. Article ; Online: PROJECT PREVENT: a randomized controlled trial of preoperative vaginal metronidazole to decrease patient issues and infections after hysterectomy.

    Pradhan, Tana / Zhang, Helen / Kadesh, Amanda / Buskwofie, Ama / Patankar, Sonali / Menon, Sharifa / Ryntz, Timothy / Grimes, Cara L

    BMJ surgery, interventions, & health technologies

    2024  Volume 6, Issue 1, Page(s) e000241

    Abstract: Objectives: To evaluate if vaginal metronidazole for 5 days before hysterectomy decreases postoperative infections and patient issues.: Design: This randomized trial compared vaginal metronidazole for 5 days before a scheduled hysterectomy to no ... ...

    Abstract Objectives: To evaluate if vaginal metronidazole for 5 days before hysterectomy decreases postoperative infections and patient issues.
    Design: This randomized trial compared vaginal metronidazole for 5 days before a scheduled hysterectomy to no intervention. Sample size calculation was based on a 20% difference in issues and infection (30% incidence and 10% in the intervention arm) with 80% power and an alpha error of 0.05 and indicated 62 subjects needed in each arm.
    Setting: Outpatient gynecology clinics at a single academic institution.
    Participants: 154 subjects were screened for eligibility between July 2020 and September 2022. 133 underwent hysterectomy including 68 subjects (51.1%) randomized to the metronidazole and 65 (48.9%) controls. Overall, the population was racially and ethnically diverse. There was no significant difference in characteristics between the two groups.
    Interventions: Vaginal metronidazole for 5 days before hysterectomy.
    Main outcome measures: Postoperative patient issues and documented postoperative infections at 4-8 weeks after surgery.
    Results: There was no difference in the composite rate of patient-reported issues and/or documented postoperative infection (53/133 (39.8%) with no difference between groups (29/68 (42.6%) vs 24/65 (36.9%), p=0.50). There was no difference in patient-reported issues which was 51/133 (38.3%) with no difference between groups (28/68 (41.2%) vs 23/65 (33.8%), p=0.49) or in documented infections with a rate of 25/133 (18.8%) with no significant difference between groups (15/68 (22.0%) vs 10/65 (15.4%), p=0.33). In the intervention arm, the compliance rate was 73.5% for all 5 days of vaginal metronidazole, and a per-protocol analysis was performed which resulted in no significant difference between groups.
    Conclusions: There is insufficient evidence to suggest a significant benefit of preoperative vaginal metronidazole to prevent surgical site infections and postoperative patient issues in patients undergoing hysterectomy.
    Trial registration number: ClinicalTrials.gov, NCT04478617.
    Language English
    Publishing date 2024-04-04
    Publishing country England
    Document type Journal Article
    ISSN 2631-4940
    ISSN (online) 2631-4940
    DOI 10.1136/bmjsit-2023-000241
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  3. Article: Review of Endometrial Receptivity Array: A Personalized Approach to Embryo Transfer and Its Clinical Applications.

    Rubin, Sarah C / Abdulkadir, Mawerdi / Lewis, Joshua / Harutyunyan, Aleksandr / Hirani, Rahim / Grimes, Cara L

    Journal of personalized medicine

    2023  Volume 13, Issue 5

    Abstract: Successful outcomes of in vitro fertilization (IVF) rely on both the formation of a chromosomally normal embryo and its implantation in a receptive endometrium. Pre-implantation genetic testing for aneuploidy (PGT-A) has been widely accepted as a tool to ...

    Abstract Successful outcomes of in vitro fertilization (IVF) rely on both the formation of a chromosomally normal embryo and its implantation in a receptive endometrium. Pre-implantation genetic testing for aneuploidy (PGT-A) has been widely accepted as a tool to assess the viability of an embryo. In 2011, the endometrial receptivity array (ERA) was first published as a tool to determine when the endometrium is most receptive to an embryo, commonly referred to as the "window of implantation" (WOI). The ERA uses molecular arrays to assess proliferation and differentiation in the endometrium and screens for inflammatory markers. Unlike PGT-A, there has been dissent within the field concerning the efficacy of the ERA. Many studies that contest the success of the ERA found that it did not improve pregnancy outcomes in patients with an already-good prognosis. Alternatively, studies that utilized the ERA in patients with repeated implantation failure (RIF) and transfer of known euploid embryos demonstrated improved outcomes. This review aims to describe the ERA as a novel technique, review the various settings that the ERA may be used in, such as natural frozen embryo transfer (nFET) and hormone replacement therapy frozen embryo transfer (HRT-FET), and provide a summary of the recent clinical data for embryo transfers in patients with RIF utilizing the ERA.
    Language English
    Publishing date 2023-04-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm13050749
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  4. Article ; Online: Anticipated Impact of Dobbs v Jackson Women's Health Organization on Training of Residents in Obstetrics and Gynecology: A Qualitative Analysis.

    Grimes, Cara L / Halder, Gabriela / Beckham, A Jenna / Kim-Fine, Shunaha / Rogers, Rebecca / Iglesia, Cheryl

    Journal of graduate medical education

    2023  Volume 15, Issue 3, Page(s) 339–347

    Abstract: Background: On June 24, 2022, the Supreme Court of the United States in the case of : Objective: To qualitatively explore the anticipated impacts of the : Methods: A participatory action research approach employing methods of qualitative analysis ... ...

    Abstract Background: On June 24, 2022, the Supreme Court of the United States in the case of
    Objective: To qualitatively explore the anticipated impacts of the
    Methods: A participatory action research approach employing methods of qualitative analysis was used. Trainees and leaders in national OB/GYN professional and academic organizations with missions related to clinical care and training of medical students, residents, and fellows in OB/GYN participated. Two focus groups were held via Zoom in July 2022. Using an iterative process, transcripts underwent coding by 2 independent researchers to identify categories and common themes. Themes were organized into categories and subcategories. An additional reviewer resolved discrepancies.
    Results: Twenty-six OB/GYN leaders/stakeholders representing 14 OB/GYN societies along with 4 trainees participated. Eight thematic categories were identified: competency, provision of reproductive health care, residency selection, inequity in training, alternative training, law-based vs evidence-based medicine, morality and ethics, and uncertainty about next steps.
    Conclusions: This qualitative study of leaders and learners in OB/GYN identified 8 themes of potential impacts of the
    MeSH term(s) Pregnancy ; Female ; Humans ; United States ; Gynecology/education ; Obstetrics/education ; Internship and Residency ; Women's Health ; Curriculum
    Language English
    Publishing date 2023-06-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8357
    ISSN (online) 1949-8357
    ISSN 1949-8357
    DOI 10.4300/JGME-D-22-00885.1
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  5. Article ; Online: Gender Affirmation: Individual writing group members are noted in the Acknowledgment section.The following position statement is meant to iterate our support for gender inclusion of both patients and health care providers. Our goal in writing this document is to be as all-encompassing as possible. Acknowledging the plethora and range of gender-related terminology, we will use "transgender and gender diverse."

    Ferrando, Cecile / Tucker, Lori / Harroche, Jessica / Mishra, Kavita / Knoepp, Leise R / Grimes, Cara L

    Urogynecology (Hagerstown, Md.)

    2022  Volume 28, Issue 11, Page(s) 735–737

    MeSH term(s) Humans ; Transgender Persons ; Goals ; Gender Identity ; Health Personnel ; Writing
    Language English
    Publishing date 2022-10-16
    Publishing country United States
    Document type Journal Article
    ISSN 2771-1897
    ISSN (online) 2771-1897
    DOI 10.1097/SPV.0000000000001268
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  6. Article ; Online: Accessibility and Usability of Hospital Chargemasters in New York State.

    Reddy, Sonika / Daly, Gwendolyn / Baban, Saman / Kadesh, Amanda / Block, Adam E / Grimes, Cara L

    Journal of general internal medicine

    2021  Volume 37, Issue 8, Page(s) 2130–2131

    MeSH term(s) Hospitals ; Humans ; New York
    Language English
    Publishing date 2021-10-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-021-07173-x
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  7. Article ; Online: Mode of delivery and neonatal outcomes in pregnancies with fetal growth restriction and abnormal umbilical artery Dopplers.

    Futterman, Itamar D / Snyder, Alexandra / O'Hagan, Kelsey / Siegel, Marisa R / Grimes, Cara L

    American journal of obstetrics & gynecology MFM

    2021  Volume 4, Issue 1, Page(s) 100497

    MeSH term(s) Female ; Fetal Growth Retardation/epidemiology ; Humans ; Infant, Newborn ; Pregnancy ; Ultrasonography, Doppler ; Ultrasonography, Prenatal ; Umbilical Arteries/diagnostic imaging
    Language English
    Publishing date 2021-10-06
    Publishing country United States
    Document type Letter
    ISSN 2589-9333
    ISSN (online) 2589-9333
    DOI 10.1016/j.ajogmf.2021.100497
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  8. Article ; Online: Trainee Perspectives Regarding the Effect of the

    Meriwether, Kate V / Kim-Fine, Shunaha / Ablove, Tova / Ollendorff, Arthur / Dale, Lindsay E / Krashin, Jamie W / Winkelman, William D / Orejuela, Francisco / Mazloomdoost, Donna / Grimes, Cara L / Beckham, A Jenna / Propst, Katie / Florian-Rodriguez, Maria E / Turk, Jema K / Chang, Olivia H / Horvath, Sarah / Ros, Stephanie T / Crisp, Catrina C / Petersen, Timothy R /
    Iglesia, Cheryl B

    Journal of women's health (2002)

    2024  

    Abstract: Objectives: ...

    Abstract Objectives:
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2023.0960
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  9. Article ; Online: Inadequacy and underreporting of study subjects' race and ethnicity in federally funded pelvic floor research.

    Grimes, Cara L / Clare, Camille A / Meriwether, Kate V / Husk, Katherine / Rogers, Rebecca G

    American journal of obstetrics and gynecology

    2021  Volume 225, Issue 5, Page(s) 562.e1–562.e6

    Abstract: Background: The inclusion of participants who are Black, Indigenous people of color, and participants of various ethnicities is a priority of federally sponsored research.: Objective: This study aimed to describe the reporting of race and ethnicity ... ...

    Abstract Background: The inclusion of participants who are Black, Indigenous people of color, and participants of various ethnicities is a priority of federally sponsored research.
    Objective: This study aimed to describe the reporting of race and ethnicity in federally funded research published by the Eunice Kennedy Shriver National Institute of Child Health and Human Development-funded Pelvic Floor Disorders Network.
    Study design: Pelvic Floor Disorders Network publications were reviewed to determine whether race or ethnicity was reported. The number of participants included in each manuscript who were identified as White, Black, Asian, American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, and "other," and the number of participants who identified as having Hispanic ethnicity were recorded. Data were analyzed by publication and by the pelvic floor disorder investigated, including urinary incontinence, pelvic organ prolapse, fecal incontinence, pregnancy-related pelvic floor disorders, and multiple pelvic floor disorders. Many publications reported on overlapping patient populations, which included primary trials and secondary analyses and studies. Data were analyzed both by counting participants every time they were reported in all papers and by counting the unique number of participants in only the original trials (primary paper published).
    Results: A total of 132 Pelvic Floor Disorders Network publications were published between 2003 and 2020. Of these, 21 were excluded because they were methods papers or described research without participants. Of the 111 remaining articles, 90 (81%) included descriptions of race and 55 (50%) included descriptions of ethnicity. All 13 primary trials described race and 10 of 13 (76.9%) described ethnicity. Of those publications that described race, 50 of 90 (56%) included only the categories of "White," "Black," and "Other," and 14 of 90 (16%) only described the percentage of White patients. Of the 49,218 subjects, there were 43,058 (87%) with reported race and 27,468 (56%) with reported ethnicity. Among subjects with race and ethnicity reported, 79% were reported as White, 9.9% as Black, 0.4% as Asian, 0.1% as American Indian or Alaska Native, and 4% as "other," whereas 13% were reported to be of Hispanic ethnicity. The racial and ethnic diversity varied based on the pelvic floor disorder studied (P<.01), which was driven by pregnancy-related and fecal incontinence studies because these had lower proportions of White patients than studies of other pelvic floor disorders.
    Conclusion: Federally funded Pelvic Floor Disorders Network research does not consistently report the race and ethnicity of participants. Even in the publications that report these characteristics, Black, Indigenous people of color, and people of Hispanic ethnicity are underrepresented. Consistent reporting and recruitment of a diverse population of women is necessary to address this systemic inequity.
    MeSH term(s) Biomedical Research ; Continental Population Groups/statistics & numerical data ; Ethnic Groups/statistics & numerical data ; Female ; Humans ; National Institute of Child Health and Human Development (U.S.) ; Pelvic Floor Disorders ; Research Subjects/statistics & numerical data ; Research Support as Topic ; United States
    Language English
    Publishing date 2021-08-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2021.08.036
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  10. Article: Response of an Obstetric Unit during the Coronavirus Disease of 2019 (COVID-19) Pandemic: Experiences from a Tertiary Care Center.

    Kumaraswami, Sangeeta / Pradhan, Tana S / Vrabie-Wolf, Sorana / Lodhi, Sadaf / Rajendran, Geetha P / Tedjarati, Sean S / Grimes, Cara L

    AJP reports

    2020  Volume 10, Issue 3, Page(s) e281–e287

    Abstract: ... ...

    Abstract Objective
    Keywords covid19
    Language English
    Publishing date 2020-09-23
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2628074-7
    ISSN 2157-7005 ; 2157-6998
    ISSN (online) 2157-7005
    ISSN 2157-6998
    DOI 10.1055/s-0040-1716731
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