The presence of racial disparity in acceptance of these treatment modalities can inform clinicians about patient factors affecting treatment choice for menopausal symptoms and opportunities to explore racial differences in quality of care.

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p<0.01) were more likely to be admitted to the hospital. Of patients admitted, those on the weekend (RR .96 95% CI: .95, .97 p< .01), black patients (RR .97 95% CI: .95, .98 p< .01), younger patients (RR .92 95% CI: .89, .94 p< .01), and those with co-morbidities (RR .86 95% CI: .84, .88 p< .01) were less likely to undergo same-day surgery for ectopic pregnancy. Similarly, patients admitted on the weekend (RR .97 95% CI: .95, .97 p< .01) and those with co-morbidities (RR .88 95% CI: .86, .89 p< .01) were also less likely to receive surgery within one day. Furthermore, patients on the weekend (RR 1.49, 95% CI: 1.46, 1.53 p<0.01) and those with co-morbidities (RR 3.90, 95% CI: 3.73, 4.09, p< .01) were more likely to have a blood transfusion during admission.CONCLUSIONS: Ectopic pregnancies evaluated in the ED during the weekend are more likely to be admitted to the hospital, but less likely to undergo same day or surgery within one day of admission. Weekend admissions were independently at significantly higher risk for blood transfusions even after adjustment for timing of surgical management. Further studies are needed to understand factors such as provider staffing which may contribute to this weekend effect, and to work to mitigate this impact.