Don't misuse misosprostol prior to inserting IUD (VIDEO)
September 5th 2014Vaginal misoprostol applied prior to intrauterine device (IUD) insertion does not make the procedure go any easier or lessen the patient’s pain, a Dutch study shows. And because the drug has side-effects, the research team suggests it probably shouldn’t be used at all for this purpose. Video provided by The Doctor's Channel.
Medicaid reimbursement impacts Pap, mammography screening
September 4th 2014An analysis of data from 46 states and the District of Columbia shows that the level of Medicaid reimbursement for office visits has an impact on likelihood of patient screening with Pap tests and other diagnostics for cancer.
Antiprogestin CDB-2914 promising for uterine fibroids (VIDEO)
September 4th 2014William Fredette, MD, discusses the benefits of Antiprogestin CDB-2914 for reducing uterine fibroid size and bleeding, and improving quality of life for affected women, as reported in the journal Fertility and Sterility. Video provided by The Doctor's Channel.
Postmenopausal status ups odds of malignant endometrial polyps (VIDEO)
September 4th 2014Mary Leuchars, MD, discusses the higher prevalence of malignant or pre-malignant polyps in women undergoing recession of indometrial polyps, who are also post-menopausal and who have abnormal uterine bleeding, as reported in the journal Obstetrics & Gynecology.
ASCO Guidelines urges discussion of breast cancer risk reduction (VIDEO)
September 4th 2014William Fredette, MD, discusses an updated practice guideline from the American Society of Clinical Oncology (published in the Journal of Clinical Oncology), where it calls on doctors caring for women at increased risk of breast cancer to discuss with them the risks and benefits of specific chemoprevention agents to lower their risk. Video provided by The Doctor's Channel and Reuters.
Editorial | Graduate medical education at the crossroads
September 1st 2014If you are like me, you had no idea who provided the money to pay your salary as a resident. I just assumed it was my hospital. But the federal government spends more than $15 billion per year on residency and fellowship training, and many are asking why physicians deserve this special largesse denied other professionals.
Use of contained power morcellation shows promise
August 28th 2014A small four-institution study shows promise for use of an insufflated isolation bag as a way of reducing risks of power morcellation while retaining the benefits of minimally invasive surgery. The authors caution, however, that their results are observational and represent outcomes in the hands of high-volume surgeons.
Rate of labor inductions on the decline
August 28th 2014A recent report from the Centers for Disease Control and Prevention shows that the number of induced deliveries is on the decline after almost 20 years of increases. The data are taken from the Natality Data File from the National Vital Statistics System and represent births in singleton deliveries, which are the majority of newborns.