Medical management of ectopic pregnancy with single-dose and 2-dose methotrexate protocols: human chorionic gonadotropin trends and patient outcomes

Slides:

Advertisements

Similar presentations

Use of metformin in polycystic ovary syndrome Ruchi Mathur, MD, Carolyn J. Alexander, MD, Jacqueline Yano, MA, Bradley Trivax, MD, Ricardo Azziz, MD, MPH,

Advertisements

First pregnancies, live birth, and in vitro fertilization outcomes after transplantation of frozen-banked ovarian tissue with a human extracellular matrix.

Human trophoblasts confer resistance to viruses implicated in perinatal infection Avraham Bayer, BSc, Elizabeth Delorme-Axford, PhD, Christie Sleigher,

Management of severe anemia secondary to menorrhagia in a Jehovah's Witness: a case report and treatment algorithm Griselda Gutierrez, MD, FACOG, Joy.

Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 5-year outcome from the randomized EMMY trial Sanne M.

Relationship between the time interval from antenatal corticosteroid administration until preterm birth and the occurrence of respiratory morbidity Femke.

Prevalence and factors associated with coinfection of human papillomavirus and Chlamydia trachomatis in adolescents and young women Dejan R. Nonato,

Changes in rates of hysterectomy and uterine conserving procedures for treatment of uterine leiomyoma Gavin F. Jacobson, MD, Ruth E. Shaber, MD, Mary.

Katherine Gabriel-Cox, MD, Gavin F

Auricular acupuncture as a treatment for pregnant women who have low back and posterior pelvic pain: a pilot study Shu-Ming Wang, MD, Peggy DeZinno,

Laura M. Glaser, MD, Farah A. Alvi, MD, MS, Magdy P. Milad, MD, MS

Efficacy of vaginal probiotic capsules for recurrent bacterial vaginosis: a double-blind, randomized, placebo-controlled study Wang Ya, MD, Cheryl Reifer,

Preeclampsia in healthy women and endothelial dysfunction 10 years later Miriam Kristine Sandvik, MD, PhD, Elisabeth Leirgul, MD, Ottar Nygård, MD, PhD,

Michael P. Diamond, MD, Richard S

Referral patterns between high- and low-volume centers and associations with uterine cancer treatment and survival: a population-based study of Medicare,

Paul D. Stein, MD, Fadi Matta, MD, Mary J. Hughes, DO

Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial Annefleur.

Warren Stevens, PhD, Tiffany Shih, PhD, Devin Incerti, PhD, Thanh G. N

Antioxidant supplementation and premature rupture of the membranes: a planned secondary analysis Joseph A. Spinnato, MD, Salvio Freire, MD, Joao Luiz.

Crown-rump length: are they different or similar after homologous vs heterologous oocyte/embryo donation? Ambra Iuculano, MD, Valentina Stagnati, MD,

662: Anti Müllerian hormone (AMH) levels in recurrent miscarriage patients are lower than those in a normal population, and predict pregnancy outcomes

The importance of the cerebroplacental ratio in the evaluation of fetal well-being in SGA and AGA fetuses Greggory R. DeVore, MD American Journal of.

Keith T. Chan, MD, Grace A. Tye, MD, Rita A. Popat, PhD, William T

Laparoscopic staging for apparent stage I epithelial ovarian cancer

Nazema Y. Siddiqui, MD, Kevin J. Stepp, MD, Susan J

Roy D. Ayalon, MD, Frederick Friedman, MD

Maternal mortality in the United States: predictability and the impact of protocols on fatal postcesarean pulmonary embolism and hypertension-related.

Myasis in uterine prolapse, successful treatment

Patient, surgeon, and hospital disparities associated with benign hysterectomy approach and perioperative complications Ambar Mehta, BS, Tim Xu, MPP,

Utilization of second trimester maternal serum screening for down syndrome by advanced maternal age women Peter Benn, James Egan American Journal of.

Birgit T. B. G. Schjoldager, MD, DMSc, Emmeli Mikkelsen, MB, Malene R

Evaluation of different add-back estradiol and progesterone treatments to gonadotropin- releasing hormone agonist treatment in patients with premenstrual.

Ectopic Pregnancy ImplantedOver the Uterine Artery

Donald L. Fylstra, MD American Journal of Obstetrics & Gynecology

Stefania Bellone, PhD, Hemendrah R. Shah, MD, Jesse K

Comparison of metabolic and inflammatory outcomes in women who used oral contraceptives and the levonorgestrel-releasing intrauterine device in a general.

Steven W. Champaloux, PhD, MPH, Naomi K

Warren Stevens, PhD, Tiffany Shih, PhD, Devin Incerti, PhD, Thanh G. N

Melody Goodman, PhD, Ojiugo Onwumere, BS, Laurel Milam, MA, Jeffrey F

200: Validation of a breastfeeding history questionnaire for the prediction of in-hospital formula supplementation in multiparous women Whitney R. Burns,

Murat Gonenc, MD, Mustafa U. Kalayci, MD, Ahmet N

Leslie R. Harrold, MD, MPH, Daniel Peterson, MS, Ashley J

Surviving the First Year of Peritoneal Dialysis: Enduring Hard Times

Performance of human chorionic gonadotropin curves in women at risk for ectopic pregnancy: exceptions to the rules Christopher B. Morse, B.A., Mary D.

The Effect of a Statewide Smoking Ordinance on Acute Myocardial Infarction Rates Paul Basel, BS, Becki Bucher Bartelson, PhD, Marie Claire Le Lait, MS,

Carmelo V. Venero, MD, Paul D. Thompson, MD, Antonio B. Fernandez, MD

Cutoff value of human chorionic gonadotropin in relation to the number of methotrexate cycles in the successful treatment of ectopic pregnancy Ewa Nowak-Markwitz,

Application of redefined human chorionic gonadotropin curves for the diagnosis of women at risk for ectopic pregnancy Beata E. Seeber, M.D., Mary D.

Repeated Hemoglobin A1C Ordering in the VA Health System

How and when human chorionic gonadotropin curves in women with an ectopic pregnancy mimic other outcomes: differences by race and ethnicity Katherine.

Establishing a human chorionic gonadotropin cutoff to guide methotrexate treatment of ectopic pregnancy: a systematic review Seema Menon, M.D., John.

Association of the very early rise of human chorionic gonadotropin with adverse outcomes in singleton pregnancies after in vitro fertilization Christopher.

Management of tubal ectopic pregnancy: methotrexate and salpingostomy are preferred to preserve fertility Stephanie Beall, M.D., Ph.D., Alan H. DeCherney,

Prevalence and Risk Factors for Erectile Dysfunction in the US

Massive Aquaresis After Tolvaptan Administration and Albumin Infusion in a Patient with Alcoholic Cirrhosis Charles Cho, MD, Joy L. Logan, MD, Yeong-Hau.

Use of “2-dose” regimen of methotrexate to treat ectopic pregnancy

Purple Urinary Bag Syndrome

Sister Mary Joseph's Node

Plasma Lactescence in Acute Pancreatitis

Clarisa R Gracia, M. D. , Hillary A Brown, M. D. , Kurt T Barnhart, M

Ectopic Pregnancy Journal of Obstetric, Gynecologic & Neonatal Nursing

Aviad Cohen, M. D. , Guy Bibi, M. D. , Benny Almog, M. D

Primary Care Management of Skin Abscesses Guided by Ultrasound

Achieving Fairness in Access to Kidney Transplant: A Work in Progress

Rebecca D. Chason, Joan S. Reisch, PhD, Don C. Rockey, MD

Afaf Tawfiq, M.D., Abdul-Fattah Agameya, M.D., Paul Claman, M.D.

Chantae Sullivan-Pyke, M. D. , Daniel J. Haisenleder, Ph. D

Kurt T Barnhart, M. D. , M. S. C. E. , Paolo Rinaudo, M. D. , Ph. D

Falls in Older Adults: Risk Assessment, Management and Prevention

David Tian, MD, Ram Jhingan Mohan, MD, Gary Stallings, MD

Presentation transcript:

Medical management of ectopic pregnancy with single-dose and 2-dose methotrexate protocols: human chorionic gonadotropin trends and patient outcomes Michelle C. Mergenthal, MD, Suneeta Senapati, MD, Jarcy Zee, PhD, Lynne Allen-Taylor, PhD, Paul G. Whittaker, DPhil, Peter Takacs, MD, Mary D. Sammel, ScD, Kurt T. Barnhart, MD American Journal of Obstetrics & Gynecology Volume 215, Issue 5, Pages 590.e1-590.e5 (November 2016) DOI: 10.1016/j.ajog.2016.06.040 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure Cox model survival estimates of time to resolution Broken line indicates single-dose methotrexate protocol, solid line indicates 2-dose protocol. Mergenthal et al. One- and 2-dose methotrexate protocols for ectopic pregnancy. Am J Obstet Gynecol 2016. American Journal of Obstetrics & Gynecology 2016 215, 590.e1-590.e5DOI: (10.1016/j.ajog.2016.06.040) Copyright © 2016 Elsevier Inc. Terms and Conditions