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Postmolar surveillance at a trophoblastic disease center that serves indigent women.

AbstractOBJECTIVE:
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.
AuthorsJennifer E Allen, Melanie R King, Diana F Farrar, David S Miller, John O Schorge
JournalAmerican journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 188 Issue 5 Pg. 1151-3 (May 2003) ISSN: 0002-9378 [Print] United States
PMID12748460 (Publication Type: Journal Article)
Chemical References
  • Antibiotics, Antineoplastic
  • Antimetabolites, Antineoplastic
  • Dactinomycin
  • Methotrexate
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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