Urogynecology
Pelvic Organ Prolapse
Geographic Variation in Apical Support Procedures for Pelvic Organ Prolapse (2022): Large dataset study looking at variations in prolapse surgeries by location, noted wide geographic variation among hospital referral regions for the treatment of POP.
Health Care Disparities Among English Speaking and Spanish speaking women with pelvic organ prolapse at Public and private hospitals: What are the barriers? (2016): The discrepancies in care for Spanish-speaking women and women being treated at public hospitals suggest that there are disparities in care for POP treatment for underserved women. These differences may be secondary to profit-driven pressures from private hospitals or language barriers, low socioeconomic status, low health literacy, and barriers to health care.
Attendance at Prescribed Pelvic Floor Physicial therapy in a Diverse, Urban Urogynecology Population (2018): Two-thirds (66%) of patients initiated PFPT but less than one-third (29%) completed the treatment course. There appears to be an opportunity to augment PFPT attendance, as well as explore racial disparities in attendance.
Racial characteristic of women undergoing surgery for pelvic organ prolapse in the United States (2007): Racial disparities between white and black women undergoing prolapse surgery appear to exist.
Racial disparities in knowledge of pelvic floor disorders among community-dwelling women (2015): Significant racial disparities exist in women's baseline knowledge regarding risk factors and treatment options for POP and UI. Targeted, culturally-sensitive educational interventions are essential to enhancing success in reducing the personal and economic burden of PFD, which have proven negative effects on women's quality of life
Incontinence
Measuring Barriers to Incontinence care seeking (2020):We offer the Barriers to Incontinence Care Seeking questionnaire (BICS‐Q) to epidemiologic researchers, given its factor validity and reliability, to operationalize barriers when studying relationships between ethnicity and health care disparities.
Racial and Socioeconomic disparities in short term urethral sling surgical outcomes (2017): Studied the racial and socioeconomic factors with the risk of adverse events in the first 30 days following urethral sling placement. Disparities exist.
Urinary Incontinence and Health-Seeking Behavior Among White, Black, and Latina Women: Despite similar experiences, there are different perceptions about care seeking among white, black, and Latina women. Culturally relevant educational resources that focus on a range of treatment options may improve knowledge and thus improve care-seeking behaviors in women with UI.
Racial differences in self-reported healthcare seeking and treatment for urinary incontinence in community-dwelling women from the EPI Study (2011): Black and white women seek healthcare for UI at similar, low rates. Improved patient-doctor relationships and public education may foster healthcare seeking behavior.
Barriers to urinary incontinence care seeking in White, Black, and Latina women (2015): Latinas experience more barriers to UI healthcare seeking compared with white and black women.
Disparity of Racial/Ethnic Representation in Publications Contributing to Overactive Bladder Diagnosis and Treatment Guidelines: Review of current OAB guidelines and their lack of addressing race and equity.
Fistula
A Bill of Rights for Patients with an Obstetric Fistula According to the seven categories of vulnerability proposed by Kipnis (cognitive, juridical, deferential, medical, allocational, social, and infrastructural), and the four generally accepted principles of biomedical ethics (respect, beneficence, non-maleficence, and fairness), women with obstetric fistulas are an exceptionally vulnerable population. Therefore, they merit special consideration in both clinical care and research settings.
Did J. Marion Sims deliberately addict his first fistula patients to opium? This article examines the controversy surrounding Sims' use of postoperative opium in these enslaved surgical patients. The evidence suggests that although these women were probably tolerant to the doses of opium that he used, there is no evidence that he deliberately tried to addict them to this drug. Sims' use of postoperative opium appears to have been well supported by the therapeutic practices of his day, and the regimen that he used was enthusiastically supported by many contemporary surgeons.
Ending fistula within a generation: making the dream a reality - The Lancet Global Health