A Retrospective Cohort Study Comparing Clinical Outcomes and Unscheduled Follow-up of Telemedicine and In-person Medication Abortion
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- Number of unscheduled follow-ups
研究概览
简要总结
The objective of this study is to evaluate whether there are different clinical outcomes and unscheduled follow-ups between in-person and telemedicine medication abortion, and to better understand patients' experiences with telemedicine medication abortion and their motivations for seeking unscheduled follow-up care in a setting where abortion care, including both virtual and in-person follow-up care, is readily accessible.
详细描述
This study will be retrospective chart review comparing clinical and demographic characteristics, eligibility, treatment success, participation in unscheduled and scheduled follow-ups, and adverse events of patients who obtained a telemedicine medication abortion through the Telehealth Medication Abortion Clinic with patients who received an in-person medication abortion provided at the Family Planning Faculty Practice from June 2023 through September 2024.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Received telemedicine or in-person medication abortion at Columbia University Irving Medical Center's associated practices from June 12, 2023 through September 30, 2024
- •Gestational age <70 days (based on best obstetrical dating)
- •English or Spanish speaking
排除标准
- •Received mifepristone and misoprostol for early pregnancy loss
- •Patient determined to have contraindication to medication abortion
- •Opted for procedural management instead of medication abortion
- •Decided to continue with the pregnancy
- •Presenting for a second medication abortion at CUIMC during the study period
- •Non-English or Spanish speaking
研究组 & 干预措施
Telemedicine Med Ab
Patients who received medication abortion through the telemedicine medication abortion service during the study period.
干预措施: Telemedicine Medication Abortion (Other)
In-person Med Ab
Patients who received an in-person medication abortion at the clinic during the study period.
结局指标
主要结局
Number of unscheduled follow-ups
时间窗: 3 months after initial encounter
If patients engaged in follow-up are outside of their routinely scheduled follow-up visit 1-2 weeks after medication abortion
次要结局
未报告次要终点
研究者
Erika Levi, MD
Wyeth-Ayerst Associate Professor of Women's Health in Obstetrics and Gynecology
Columbia University