Timing of outpatient postpartum care utilization among women with chronic hypertension and hypertensive disorders of pregnancy

Aqua, Jasmine Ko; Ford, Nicole D; Pollack, Lisa M.; Lee, Jun Soo; Kuklina, Elena V.; Hayes, Donald K.; Vaughan, Adam S.; Coronado, Fátima

doi:10.1016/j.ajogmf.2023.101051

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…53 Higher hypertension-associated incremental expenditures among women could also be related to genderbased biases by providers (such as differential treatment and hypertension management by sex), 55,56 as well as varying levels of utilization of healthcare services. [57][58][59][60] The reasons for disproportionately higher hypertension-associated expenditures among women compared to men should be explored further.…”

Section: Discussionmentioning

confidence: 99%

Hypertension-associated Medical Expenditures Among Privately Insured US Individuals Aged 18 to 64 Years in 2021

Kumar,

He,

Pollack

et al. 2024

Preprint

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Background: There are no recent estimates for hypertension-associated medical expenditures. This study aims to estimate hypertension-associated incremental medical expenditures among privately insured US adults. Methods: We conducted a retrospective cohort study using IQVIA's Ambulatory Electronic Medical Records-US dataset linked with PharMetrics Plus claims data. Privately insured adults aged 18-64 years with 1 blood pressure measurement in 2020-2021 were included. Hypertension was identified as having 1 diagnosis code or 2 blood pressure measurements of 140/90 mmHg, or 1 antihypertensive medication in 2021. Annual total expenditures were estimated using a generalized linear model (GLM) with gamma distribution and log-link function. Out-of-pocket (OOP) expenditures were estimated using a two-part model that included logistic and GLM regression. Overlap propensity-score weights from logistic regression were used to obtain a balanced sample on hypertension status. Results: Among the 393,018 adults, 156556 (40%) were identified with hypertension. Compared to individuals without hypertension, those with hypertension had $2,926 (95% CI, $2,681-$3,170) higher total expenditures, and $328 (95% CI, $300-$355) higher OOP expenditures. Adults with hypertension had higher total inpatient ($3,272; 95% CI, $1,458-$5,086) and outpatient ($2,189; 95% CI, $2,009-$2,369) expenditures, when compared with those without hypertension. Hypertension-associated incremental total expenditures were higher for women ($3,242; 95% CI, $2,915-$3,569) than for men ($2,521; 95% CI, $2,139-$2,904). Conclusions: Among privately insured US adults, hypertension was associated with higher medical expenditures, including higher inpatient and OOP expenditures. These findings may help assess the economic value of interventions effective in preventing hypertension.

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Section: Discussionmentioning

confidence: 99%

Hypertension-associated Medical Expenditures Among Privately Insured US Individuals Aged 18 to 64 Years in 2021

Kumar,

He,

Pollack

et al. 2024

Preprint

Self Cite

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“…Telehealth encompasses a broader spectrum of services, including both clinical and non-clinical activities, in contrast to telemedicine. Telehealth technology can be categorized into four main groups: (i) telemedicine services, which utilize videoconferencing or audio-only communication for consultations, diagnostics, and treatment; (ii) the transfer of medical information, such as digital images, through store-and-forward imaging systems; (iii) the electronic gathering and transmission of health and medical data for remote patient monitoring; and (iv) the support of healthcare and medical operations [43][44][45]. Telehealth technology has the capability to provide a diverse range of services pertaining to pregnancy [46][47][48][49][50].…”

Section: Evolution Of the Number Of Articlesmentioning

confidence: 99%

“…This may be accomplished via the use of telemedicine. Hence, the need to provide digital training to nurses and midwives is paramount [19,43,44].…”

Section: Most Impactful Journals Countries and Publicationsmentioning

confidence: 99%

Digital Training for Nurses and Midwives to Improve Treatment for Women with Postpartum Depression and Protect Neonates: A Dynamic Bibliometric Review Analysis

Tzitiridou-Chatzopoulou,

Orovou,

Zournatzidou

2024

Healthcare

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The high prevalence of postpartum depression makes it necessary for midwives and nurses to implement prenatal interventions for expectant mothers. The current study aims to investigate and highlight the importance of the digital training of nurses in order to help women mitigate the symptoms of postpartum depression and protect infants. To approach this, we conducted a bibliometric analysis to address the study’s main objective. Articles were retrieved from the Scopus database for the timeframe 2000–2023. Data analysis was conducted using the statistical programming language R (version R-4.4.) and the bibliometric software VOSviewer (version 1.6.20) and Biblioshiny (version 4.1.4), focused on year, journal, and country. For this investigation, we selected a total of 31 MeSH keywords and sub-headings that exhibited significant frequencies. We consistently used six significant clusters of MeSH keywords. We obtained a total of 585 articles from the Scopus database that were major contributors to the field of PPD, as evidenced by their extensive publication of research articles and their influential role in the domain. The studies included a thorough analysis of depression research, the use of scales for diagnosing and screening PPD, psychological studies related to PPD, and the exploration of causes, mechanisms, outcomes, and genetic factors. Our study’s results demonstrate a steady and significant increase in the availability of information on PPD. Importantly, the novelty of the current study lies in highlighting the need for a transition in the ways in which nurses and midwives are trained to mitigate postpartum disease by integrating emerging technologies into their practices. The knowledge provided here has the potential to serve as a foundation for future advancements in obstetric psychology, both presently and in the future.

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Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care

Stanhope,

Stallworth,

Forrest

et al. 2024

Contemporary Clinical Trials

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Timing of outpatient postpartum care utilization among women with chronic hypertension and hypertensive disorders of pregnancy

Cited by 5 publications

References 30 publications

Hypertension-associated Medical Expenditures Among Privately Insured US Individuals Aged 18 to 64 Years in 2021

Hypertension-associated Medical Expenditures Among Privately Insured US Individuals Aged 18 to 64 Years in 2021

Digital Training for Nurses and Midwives to Improve Treatment for Women with Postpartum Depression and Protect Neonates: A Dynamic Bibliometric Review Analysis

Planning for the forgotten fourth trimester of pregnancy: A parallel group randomized control trial to test a postpartum planning intervention vs. standard prenatal care

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