OB/GYN Clinical Alert articles from February 2002

OB/GYN Clinical Alert archives from February 2002

Hormone therapy and in-hospital survival after myocardial infarction in postmenopausal women.(heart attack)
February 1, 2002... Abstract & Commentary THE PRESENT STUDY WAS PERFORMED WITH 114,724 WOMEN aged 55 years or older with confirmed myocardial infarction (MI) who presented between April 1998 and January 2000 to one of 1674 hospitals participating in the...

Use of peripheral bone density measurements.
February 1, 2002... Abstract & Commentary Synopsis: The prevalence of unsuspected low bone density is high enough to warrant detection and treatment. Lower cost measurements of peripheral bone are effective. Source: Siris ES, et al. JAMA....

Estrogen replacement and improved nonverbal memory and attentional measure in postmenopausal women.
February 1, 2002... Abstract & Commentary Synopsis: In a cross-sectional analysis of HRT always-users and never-users in their mid-60s, always users displayed slightly better performance in delayed recall and attention. Source: Smith YR, et al. Fertil...

Simultaneously detected endometrial and ovarian carcinomas: A prospective clinicopathologic study.
February 1, 2002... Abstract & Commentary Synopsis: The prognosis for women with simultaneously detected carcinomas in the uterus and ovary with gross disease confined to the pelvis is surprisingly good, particularly for those with disease microscopically...

The aspirin story in reducing the incidence of preeclampsia.
February 1, 2002... Abstract & Commentary Synopsis: This study evaluates the ability of aspirin to lessen the incidence of preeclampsia in patients who had abnormal uterine artery Dopplers in the second trimester. Source: Coomarasamy A, et al. Obstet...

Maintaining board certification. (Special Feature).
February 1, 2002... THE PROCESS OF ACHIEVING CERTIFICATION BY THE American Board of Obstetrics and Gynecology (ABOG) is well known. All of us who are certified have successfully completed a residency program that is fully approved and have passed 2 examinations: a...

Get expert advice to your most challenging Ob-Gyn questions. (Coding Q & A).
February 1, 2002... Double-Billing for Twins Question: If a patient delivers twins, can my practice bill twice for the c-section using modifier -51 on the second procedure? Ohio Subscriber Answer: If only one surgery is performed and two babies are...

Cost implications of using an alternative treatment for patients with OA of the knee in managed care. (Clinical Briefs in Primary Care).(osteoarthritis)
February 1, 2002... Source: Waddell D, et al. Am J Manag Care. 2001;7:981-991. MANAGEMENT OF OSTEOARTHRITIS (OA) occupies an important position in day-to-day practices of clinicians. Commonly used tools for appropriate pharmacologic management include NSAIDs,...

First-line vs. second-line antibiotics for the treatment of acute uncomplicated sinusitis. (Clinical Briefs in Primary Care).
February 1, 2002... Source: Piccirillo JF, et al. JAMA. 2001;286:1849-1865. RECENT DATA SUGGEST THAT SINU-sitis is the fifth most common diagnosis for which clinicians prescribe antibiotics in the ambulatory setting. At a time when bacterial resistance, which...

Treatment of acute hepatitis C with interferon alfa-2b. (Clinical Briefs in Primary Care).
February 1, 2002... Source: Jaeckel E, et al. N Engl J Med. 2001;345:1452-1457. THE DISEASE MANAGEMENT MODEL OF the HIV virus suggests that early intervention may allow host defenses to subsequently control viral replication. Delay in clearing viral load ma...

Long or highly irregular menstrual cycles as a marker for risk of type 2 diabetes mellitus. (Clinical Briefs in Primary Care).
February 1, 2002... Source: Solomon CG, et al. JAMA. 2001;286:2421-2426. ONE OF THE BEST-STUDIED AT-RISK groups for type 2 diabetes mellitus (DM-2) is the PIMA Indian women. In this population, as well as women suffering polycystic ovary syndrome, menstrual...

Relation between depression after coronary artery bypass surgery and 12-month outcome. (Clinical Briefs in Primary Care).
February 1, 2002... Source: Connerney I, et al. Lancet. 2001;358:1766-1771. DESPITE THE FACT THAT THE MECHAnisms by which depression evokes its detrimental effect are obscure, the ponderous negative effects of depression on outcomes in patients suffering acute...

A randomized trial of valsartan in CHF. (Clinical Briefs in Primary Care).(chronic heart failure)
February 1, 2002... Source: Cohn JN, et al. NEngl J Med. 2001;345:1667-1775. MODULATION OF THE RENIN-angiotensin-aldosterone (RAA) system for patients with chronic heart failure (CHF) has become an established method for initial management, primarily by means...