Abstract | OBJECTIVE: The purpose of this study was to determine compliance with postmolar pregnancy surveillance in our indigent population. STUDY DESIGN: Data for all women who were diagnosed with molar pregnancy from January 1996 through December 2000 were entered prospectively into a database. After remission, postmolar pregnancy surveillance was continued for 6 months. Patients whose condition required chemotherapy for gestational trophoblastic tumor had 12 months of follow-up. Medical records were reviewed. RESULTS:
Molar pregnancies occurred in 121 women: 103 Hispanic women (85%), 12 African American women (10%), and 6 white women (5%). Eighty-two women (68%) achieved remission without chemotherapy; 23 women (19%) were lost to follow-up without achieving remission, and 16 women (13%) had gestational trophoblastic tumor. Fifty-six Hispanic women (54%) completed postmolar pregnancy surveillance, compared with two African American women (11%, P <.01). Hispanic patients who were fluent in Spanish only were more likely to complete follow-up than bilingual Hispanic patients (62% vs 41%, P <.01). CONCLUSION: Hispanic women who were fluent in Spanish only were most likely to complete the recommended postmolar human chorionic gonadotropin surveillance.
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Authors | Jennifer E Allen, Melanie R King, Diana F Farrar, David S Miller, John O Schorge |
Journal | American journal of obstetrics and gynecology
(Am J Obstet Gynecol)
Vol. 188
Issue 5
Pg. 1151-3
(May 2003)
ISSN: 0002-9378 [Print] United States |
PMID | 12748460
(Publication Type: Journal Article)
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Chemical References |
- Antibiotics, Antineoplastic
- Antimetabolites, Antineoplastic
- Dactinomycin
- Methotrexate
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Topics |
- Adolescent
- Adult
- Black or African American
(statistics & numerical data)
- Antibiotics, Antineoplastic
(therapeutic use)
- Antimetabolites, Antineoplastic
(therapeutic use)
- Dactinomycin
(therapeutic use)
- Female
- Hispanic or Latino
(statistics & numerical data)
- Humans
- Hydatidiform Mole
(drug therapy, epidemiology, ethnology)
- Methotrexate
(therapeutic use)
- Patient Compliance
(statistics & numerical data)
- Population Surveillance
- Poverty
- Pregnancy
- Prospective Studies
- Retreatment
- Texas
- Uterine Neoplasms
(drug therapy, epidemiology, ethnology)
- White People
(statistics & numerical data)
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