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Book: Health care for underserved women

Nicholson, Wanda K.

(Obstetrics and gynecology clinics of North America ; volume 44, number 1 (March 2017))

2017

Author's details	editor Wanda Kay Nicholson
Series title	Obstetrics and gynecology clinics of North America ; volume 44, number 1 (March 2017)
Collection
Language	English
Size	xv, 141 Seiten, Illustrationen
Publisher	Elsevier
Publishing place	Philadelphia, Pennsylvania
Publishing country	United States
Document type	Book
HBZ-ID	HT019302665
ISBN	978-0-323-50982-4 ; 0-323-50982-7
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Losing Weight During the Postpartum Period.

Tsai, Adam Gilden / Nicholson, Wanda K

JAMA

2017 Volume 317, Issue 23, Page(s) 2375–2376

MeSH term(s)	Body Mass Index ; Body Weight ; Female ; Humans ; Obesity ; Postpartum Period ; Weight Gain ; Weight Loss
Language	English
Publishing date	2017--20
Publishing country	United States
Document type	Editorial ; Comment
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2017.7036
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Article ; Online: Pregnancy-related factors may signal additional protection or risk of future cardiovascular diseases.

Reddy, Shivani M / Tsujimoto, Tamy H M / Qaqish, Bajhat F / Fine, Jason P / Nicholson, Wanda K

BMC women's health

2022 Volume 22, Issue 1, Page(s) 528

Abstract: Background: Cardiovascular disease (CVD) guidelines recommend using the Pooled Cohort Equation (PCE) to assess 10-year CVD risk based on traditional risk factors. Pregnancy-related factors have been associated with future CVD. We examined the ... ...

Abstract	Background: Cardiovascular disease (CVD) guidelines recommend using the Pooled Cohort Equation (PCE) to assess 10-year CVD risk based on traditional risk factors. Pregnancy-related factors have been associated with future CVD. We examined the contribution of two pregnancy-related factors, (1) history of a low birthweight (LBW) infant and (2) breastfeeding to CVD risk accounting for traditional risk factors as assessed by the PCE. Methods: A nationally representative sample of women, ages 40-79, with a history of pregnancy, but no prior CVD, was identified using NHANES 1999-2006. Outcomes included (1) CVD death and (2) CVD death plus CVD surrogates. We used Cox proportional hazards models to adjust for PCE risk score. Results: Among 3,758 women, 479 had a LBW infant and 1,926 reported breastfeeding. Mean follow-up time was 12.1 years. Survival models showed a consistent reduction in CVD outcomes among women with a history of breastfeeding. In cause-specific survival models, breastfeeding was associated with a 24% reduction in risk of CVD deaths (HR 0.76; 95% CI 0.45─1.27, p = 0.30) and a 33% reduction in risk of CVD deaths + surrogate CVD, though not statistically significant. (HR 0.77; 95% CI 0.52─1.14, p = 0.19). Survival models yielded inconclusive results for LBW with wide confidence intervals (CVD death: HR 0.98; 95% CI 0.47─2.05; p = 0.96 and CVD death + surrogate CVD: HR 1.29; 95% CI 0.74─2.25; p = 0.38). Conclusion: Pregnancy-related factors may provide important, relevant information about CVD risk beyond traditional risk factors. While further research with more robust datasets is needed, it may be helpful for clinicians to counsel women about the potential impact of pregnancy-related factors, particularly the positive impact of breastfeeding, on cardiovascular health.
MeSH term(s)	Pregnancy ; Infant, Newborn ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Cardiovascular Diseases/epidemiology ; Nutrition Surveys ; Risk Factors ; Proportional Hazards Models ; Infant, Low Birth Weight
Language	English
Publishing date	2022-12-17
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	2050444-5
ISSN	1472-6874 ; 1472-6874
ISSN (online)	1472-6874
ISSN	1472-6874
DOI	10.1186/s12905-022-02125-x
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Article ; Online: Screening for Speech and Language Delay and Disorders in Children: US Preventive Services Task Force Recommendation Statement.

Barry, Michael J / Nicholson, Wanda K / Silverstein, Michael / Chelmow, David / Coker, Tumaini Rucker / Davis, Esa M / Donahue, Katrina E / Jaén, Carlos Roberto / Li, Li / Mangione, Carol M / Ogedegbe, Gbenga / Rao, Goutham / Ruiz, John M / Stevermer, James / Tsevat, Joel / Underwood, Sandra Millon / Wong, John B

JAMA

2024 Volume 331, Issue 4, Page(s) 329–334

Abstract: Importance: Speech and language delays and disorders can pose significant problems for children and their families. Evidence suggests that school-aged children with speech or language delays may be at increased risk of learning and literacy disabilities, ...

Abstract	Importance: Speech and language delays and disorders can pose significant problems for children and their families. Evidence suggests that school-aged children with speech or language delays may be at increased risk of learning and literacy disabilities, including difficulties with reading and writing. Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of screening for speech and language delay and disorders in children 5 years or younger. Population: Asymptomatic children 5 years or younger whose parents or clinicians do not have specific concerns about their speech, language, hearing, or development. Evidence assessment: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children who do not present with signs or symptoms or parent/caregiver concerns. Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for speech and language delay and disorders in children 5 years or younger without signs or symptoms. (I statement).
MeSH term(s)	Child ; Humans ; Advisory Committees ; Language Development Disorders/diagnosis ; Mass Screening ; Child, Preschool ; Asymptomatic Diseases
Language	English
Publishing date	2024-01-23
Publishing country	United States
Document type	Journal Article ; Practice Guideline ; Systematic Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2023.26952
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Article ; Online: Primary Care Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendation Statement.

Barry, Michael J / Nicholson, Wanda K / Silverstein, Michael / Chelmow, David / Coker, Tumaini Rucker / Davis, Esa M / Jaén, Carlos Roberto / Krousel-Wood, M Tonette / Lee, Sei / Li, Li / Rao, Goutham / Ruiz, John M / Stevermer, James J / Tsevat, Joel / Underwood, Sandra Millon / Wiehe, Sarah

JAMA

2024 Volume 331, Issue 11, Page(s) 951–958

Abstract: Importance: Child maltreatment, which includes child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. The prevalence of child maltreatment in the US is uncertain and likely ...

Abstract	Importance: Child maltreatment, which includes child abuse and neglect, can have profound effects on health, development, survival, and well-being throughout childhood and adulthood. The prevalence of child maltreatment in the US is uncertain and likely underestimated. In 2021, an estimated 600 000 children were identified by Child Protective Services as experiencing abuse or neglect and an estimated 1820 children died of abuse and neglect. Objective: The US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate benefits and harms of primary care-feasible or referable behavioral counseling interventions to prevent child maltreatment in children and adolescents younger than 18 years without signs or symptoms of maltreatment. Population: Children and adolescents younger than 18 years who do not have signs or symptoms of or known exposure to maltreatment. Evidence assessment: The USPSTF concludes that the evidence is insufficient to determine the balance of benefits and harms of primary care interventions to prevent child maltreatment in children and adolescents younger than 18 years without signs or symptoms of or known exposure to maltreatment. Recommendation: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment. (I statement).
MeSH term(s)	Adolescent ; Child ; Humans ; Advisory Committees ; Behavior Therapy ; Child Abuse/mortality ; Child Abuse/prevention & control ; Child Protective Services/statistics & numerical data ; Primary Health Care/methods ; Referral and Consultation ; Risk Assessment ; United States/epidemiology
Language	English
Publishing date	2024-03-16
Publishing country	United States
Document type	Journal Article ; Practice Guideline ; Research Support, N.I.H., Extramural ; Systematic Review
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2024.1869
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Article ; Online: Don't forget eclampsia in the efforts to reduce maternal morbidity and mortality.

Nicholson, Wanda K / Stones, William / Visser, Gerard H A / Barnea, Eytan R / Nassar, Anwar H

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2021 Volume 152, Issue 2, Page(s) 165–171

Abstract: Hypertensive disorders are a leading cause of maternal morbidity and mortality worldwide. Despite advances in prevention and clinical management, women in low-resource countries continue to bear the burden of the sequelae of severe pre-eclampsia- ... ...

Abstract	Hypertensive disorders are a leading cause of maternal morbidity and mortality worldwide. Despite advances in prevention and clinical management, women in low-resource countries continue to bear the burden of the sequelae of severe pre-eclampsia-eclampsia. Sustainable strategies to improve the care of women with hypertensive disease, to identify those at risk for hypertensive disease, and to reduce the risk of eclampsia will require partnerships between clinicians and health policy makers. Resources are needed to scale up healthcare access and infrastructure, establish evidence-based protocols for care, and ensure an adequate supply of equipment and drugs. Additionally, efforts for a sustained workforce of perinatal clinicians and staff trained in the assessment and management of hypertensive disease are needed. Effective postpartum care and monitoring are essential to prevent morbidity and mortality due to cardiovascular disease. Culturally appropriate strategies are needed to educate women and their families on the symptoms of pre-eclampsia to address delays in seeking care during pregnancy and postpartum. With targeted, sustained efforts and resources, eclampsia and its associated co-morbidities can be preventable.
MeSH term(s)	Eclampsia/mortality ; Eclampsia/prevention & control ; Female ; Humans ; Hypertension, Pregnancy-Induced/prevention & control ; Maternal Mortality ; Pre-Eclampsia/diagnosis ; Pre-Eclampsia/prevention & control ; Pregnancy
Language	English
Publishing date	2021-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.13530
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Article ; Online: Putting Evidence Into Practice: An Update on the US Preventive Services Task Force Methods for Developing Recommendations for Preventive Services.

Barry, Michael J / Wolff, Tracy A / Pbert, Lori / Davidson, Karina W / Fan, Tina M / Krist, Alex H / Lin, Jennifer S / Mabry-Hernandez, Iris R / Mangione, Carol M / Mills, Justin / Owens, Douglas K / Nicholson, Wanda K

Annals of family medicine

2023 Volume 21, Issue 2, Page(s) 165–171

Abstract: Purpose: The US Preventive Services Task Force (USPSTF) is an independent body that makes evidence-based recommendations regarding preventive services to improve health for people nationwide. Here, we summarize current USPSTF methods, describe how ... ...

Abstract	Purpose: The US Preventive Services Task Force (USPSTF) is an independent body that makes evidence-based recommendations regarding preventive services to improve health for people nationwide. Here, we summarize current USPSTF methods, describe how methods are evolving to address preventive health equity, and define evidence gaps for future research. Methods: We summarize current USPSTF methods as well as ongoing methods development. Results: The USPSTF prioritizes topics on the basis of disease burden, extent of new evidence, and whether the service can be provided in primary care and going forward will increasingly consider health equity. Analytic frameworks specify the key questions and linkages connecting the preventive service to health outcomes. Contextual questions provide information on natural history, current practice, health outcomes in high-risk groups, and health equity. The USPSTF assigns a level of certainty to the estimate of net benefit of a preventive service (high, moderate, or low). The magnitude of net benefit is also judged (substantial, moderate, small, or zero/negative). The USPSTF uses these assessments to assign a letter grade from A (recommend) to D (recommend against). I statements are issued when evidence is insufficient. Conclusions: The USPSTF will continue to evolve its methods for simulation modeling and to use evidence to address conditions for which there are limited data for population groups who bear a disproportionate burden of disease. Additional pilot work is underway to better understand the relations of the social constructs of race, ethnicity, and gender with health outcomes to inform the development of a USPSTF health equity framework.
MeSH term(s)	Humans ; United States ; Evidence-Based Medicine ; Advisory Committees ; Preventive Health Services ; Forecasting ; Health Equity
Language	English
Publishing date	2023-03-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	2171425-3
ISSN	1544-1717 ; 1544-1709
ISSN (online)	1544-1717
ISSN	1544-1709
DOI	10.1370/afm.2946
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Article ; Online: FIGO position paper on reference charts for fetal growth and size at birth: Which one to use?

Visser, Gerard H A / Nicholson, Wanda K / Barnea, Eytan R / Ramasauskaite, Diana / Nassar, Anwar H

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2020 Volume 152, Issue 2, Page(s) 148–151

Abstract: Publication of the Intergrowth-21st and WHO growth charts raises the question of which growth data prenatal providers should use in clinical practice. Is it better to use a universal chart applied globally, or metrics based on local or regional growth ... ...

Abstract	Publication of the Intergrowth-21st and WHO growth charts raises the question of which growth data prenatal providers should use in clinical practice. Is it better to use a universal chart applied globally, or metrics based on local or regional growth patterns? And what about customized charts versus local charts? FIGO has reviewed the different growth charts and studies assessing their reproducibility and predictive values for small- and large-for-gestational age newborns and, where available, adverse fetal outcomes. It concludes that local or regional charts are likely to be best for identifying the 10th percentile of newborns at highest risk. However, international standards for growth may also be used when coupled with locally appropriate thresholds for risk interpretation.
MeSH term(s)	Birth Weight/physiology ; Female ; Fetal Development/physiology ; Gestational Age ; Growth Charts ; Humans ; Infant, Newborn ; Infant, Small for Gestational Age/growth & development ; Pregnancy ; Reproducibility of Results
Language	English
Publishing date	2020-12-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.13500
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Article ; Online: Ethnoracial Differences in Premenopausal Hysterectomy: The Role of Symptom Severity.

Robinson, Whitney R / Mathias, Joacy G / Wood, Mollie E / Anderson, Lauren G / Howard, Annie Green / Carey, Erin T / Nicholson, Wanda K / Carey, Timothy S / Myers, Evan R / Stürmer, Til / Doll, Kemi M

Obstetrics and gynecology

2023 Volume 142, Issue 2, Page(s) 350–359

Abstract: Objective: To evaluate whether greater symptom severity can explain higher hysterectomy rates among premenopausal non-Hispanic Black compared with White patients in the U.S. South rather than potential overtreatment of Black patients.: Methods: Using ...

Abstract	Objective: To evaluate whether greater symptom severity can explain higher hysterectomy rates among premenopausal non-Hispanic Black compared with White patients in the U.S. South rather than potential overtreatment of Black patients. Methods: Using electronic health record data from 1,703 patients who underwent hysterectomy in a large health care system in the U.S. South between 2014 and 2017, we assessed symptom severity to account for differences in hysterectomy rates for noncancerous conditions among premenopausal non-Hispanic Black, non-Hispanic White, and Hispanic patients. We used Poisson generalized linear mixed modeling to estimate symptom severity (greater than the 75th percentile on composite symptom severity scores of bleeding, bulk, or pelvic pain) as a function of race-ethnicity. We calculated prevalence ratios (PRs). We controlled for factors both contra-indicating and contributing to hysterectomy. Results: The overall median age of non-Hispanic White (n=1,050), non-Hispanic Black (n=565), and Hispanic (n=158) patients was 40 years. The White and Black patients were mostly insured (insured greater than 95%), whereas the Hispanic patients were often uninsured (insured 58.9%). White and Black patients were mostly treated outside academic medical centers (nonmedical center: 63.7% and 58.4%, respectively); the opposite was true for Hispanic patients (nonmedical center: 34.2%). Black patients had higher bleeding severity scores compared with Hispanic and White patients (median 8, 7, and 4 respectively) and higher bulk scores (median 3, 1, and 0, respectively), but pain scores differed (median 3, 5, and 4, respectively). Black and Hispanic patients were disproportionately likely to have severe symptoms documented on two or more symptoms (referent: not severe on any symptoms) (adjusted PR [Black vs White] 3.02, 95% CI 2.29-3.99; adjusted PR [Hispanic vs White] 2.61, 95% CI 1.78-3.83). Although Black and Hispanic patients were more likely to experience severe symptoms, we found no racial and ethnic differences in the number of alternative treatments attempted before hysterectomy. Conclusion: We did not find evidence of overtreatment of Black patients. Our findings suggest potential undertreatment of Black and Hispanic patients with uterine-sparing alternatives earlier in their disease progression.
MeSH term(s)	Female ; Humans ; Black People/statistics & numerical data ; Ethnicity ; Hispanic or Latino/statistics & numerical data ; Hysterectomy/adverse effects ; United States/epidemiology ; White/statistics & numerical data ; Premenopause/ethnology ; Patient Acuity ; Adult ; Overtreatment ; Genital Diseases, Female/epidemiology ; Genital Diseases, Female/ethnology ; Genital Diseases, Female/surgery
Language	English
Publishing date	2023-07-05
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	207330-4
ISSN	1873-233X ; 0029-7844
ISSN (online)	1873-233X
ISSN	0029-7844
DOI	10.1097/AOG.0000000000005225
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Article ; Online: Screening for Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Recommendation Statement.

Mangione, Carol M / Barry, Michael J / Nicholson, Wanda K / Cabana, Michael / Chelmow, David / Coker, Tumaini Rucker / Davis, Esa M / Donahue, Katrina E / Jaén, Carlos Roberto / Li, Li / Ogedegbe, Gbenga / Rao, Goutham / Ruiz, John M / Stevermer, James / Underwood, Sandra Millon / Wong, John B

JAMA

2023 Volume 329, Issue 17, Page(s) 1487–1494

Abstract: Importance: In the US, tuberculosis remains an important preventable disease, including active tuberculosis, which may be infectious, and latent tuberculosis infection (LTBI), which is asymptomatic and not infectious but can later progress to active ... ...

Abstract	Importance: In the US, tuberculosis remains an important preventable disease, including active tuberculosis, which may be infectious, and latent tuberculosis infection (LTBI), which is asymptomatic and not infectious but can later progress to active disease. The precise prevalence rate of LTBI in the US is difficult to determine; however, estimated prevalence is about 5.0%, or up to 13 million persons. Incidence of tuberculosis varies by geography and living accommodations, suggesting an association with social determinants of health. Objective: To update its 2016 recommendation, the US Preventive Services Task Force (USPSTF) commissioned a systematic review on LTBI screening and treatment in asymptomatic adults seen in primary care, as well as the accuracy of LTBI screening tests. Population: Asymptomatic adults 18 years or older at increased risk for tuberculosis. Evidence assessment: The USPSTF concludes with moderate certainty that there is a moderate net benefit in preventing active tuberculosis disease by screening for LTBI in persons at increased risk for tuberculosis infection. Recommendation: The USPSTF recommends screening for LTBI in populations at increased risk. (B recommendation).
MeSH term(s)	Adult ; Humans ; Latent Tuberculosis/complications ; Latent Tuberculosis/diagnosis ; Latent Tuberculosis/epidemiology ; Latent Tuberculosis/etiology ; Mass Screening/adverse effects ; Mass Screening/methods ; Risk Assessment ; Tuberculosis/epidemiology ; Tuberculosis/etiology ; Tuberculosis/prevention & control ; United States/epidemiology ; Social Determinants of Health/statistics & numerical data
Language	English
Publishing date	2023-05-02
Publishing country	United States
Document type	Journal Article ; Practice Guideline ; Research Support, U.S. Gov't, P.H.S. ; Systematic Review
ZDB-ID	2958-0
ISSN	1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
ISSN (online)	1538-3598
ISSN	0254-9077 ; 0002-9955 ; 0098-7484
DOI	10.1001/jama.2023.4899
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