2024
Reduction in Unindicated Cervical Cancer Screening in Adolescents in a Large Health Care System.
Geng B, Oliveira C, Hosier H, Sheth S, Vash-Margita A. Reduction in Unindicated Cervical Cancer Screening in Adolescents in a Large Health Care System. Journal Of Lower Genital Tract Disease 2024 PMID: 39037856, DOI: 10.1097/lgt.0000000000000831.Peer-Reviewed Original ResearchBest Practice AdvisoryCervical cancer screeningElectronic medical recordsHealth care systemCancer screeningPap testCare systemLarger health care systemPre/post intervention studyEvidence-based guidelinesProvider notificationPostinterventionPractice advisoryIntervention studiesPreinterventionFisher's exact testHuman papillomavirus test resultsLogistic regressionRetrospective chart reviewReproductive healthMedical recordsHuman papillomavirus testingPatient characteristicsChart reviewKruskal-Wallis testCoronavirus Disease 2019 (COVID-19) Vaccination and Stillbirth in the Vaccine Safety Datalink
Denoble A, Vazquez-Benitez G, Sheth S, Ackerman-Banks C, DeSilva M, Zhu J, Daley M, Getahun D, Klein N, Vesco K, Irving S, Nelson J, Williams J, Hambidge S, Donahue J, Weintraub E, Kharbanda E, Lipkind H. Coronavirus Disease 2019 (COVID-19) Vaccination and Stillbirth in the Vaccine Safety Datalink. Obstetrics And Gynecology 2024, 144: 215-222. PMID: 38843526, PMCID: PMC11250101, DOI: 10.1097/aog.0000000000005632.Peer-Reviewed Original ResearchVaccine Safety DatalinkAntepartum stillbirthVaccine Safety Datalink sitesLive birthsCOVID-19 vaccineVaccine dosePregnancy start dateRisk of severe morbidityRisk of stillbirthConditional logistic regressionCase-control studyVaccine manufacturersSingleton pregnanciesGestational ageFetal deathPostpartum visitMaternal ageIndex dateSevere morbidityDiagnostic codesPregnancyStillbirthPregnant peopleCOVID-19Logistic regressionComparative Readability Assessment of Four Large Language Models in Answers to Common Contraception Questions [ID 2683638]
Patel A, Panakam A, Amin K, Doshi R, Patil A, Sheth S. Comparative Readability Assessment of Four Large Language Models in Answers to Common Contraception Questions [ID 2683638]. Obstetrics And Gynecology 2024, 143: 12s-12s. DOI: 10.1097/01.aog.0001013004.01563.47.Peer-Reviewed Original ResearchContraception questionsSixth-grade reading levelRecommended sixth-grade reading levelReproductive health educationAverage reading grade levelFlesch-Kincaid Grade LevelContraceptive counselingReading grade levelContraceptionAutomated Readability IndexColeman-LiauPatient education materialsPatientsSixth-grade levelBingePatient comprehensionHealth educationGunning FogGrade levelFlesch-KincaidReading levelEvaluating the Accuracy and Utility of Large Language Models in Answering Common Contraception Questions [ID 2683633]
Patel A, Jasani S, AlAshqar A, Panakam A, Amin K, Sheth S. Evaluating the Accuracy and Utility of Large Language Models in Answering Common Contraception Questions [ID 2683633]. Obstetrics And Gynecology 2024, 143: 12s-12s. DOI: 10.1097/01.aog.0001013000.12240.72.Peer-Reviewed Original ResearchLanguage modelContraception questionsAmerican Academy of Family PhysiciansReproductive health educationBardLanguageMicrosoft BingKruskal-Wallis testTextReference textNo significant differenceEvidence basisAcademy of Family PhysiciansContraceptive counselingContraceptionKruskal-WallisAmerican AcademySignificant differenceAssess responsePhysician reviewReferralFamily physiciansQuestionsRandomized Phase II Trial of Imiquimod with or without 9-Valent HPV Vaccine versus Observation in Patients with High-grade Pre-neoplastic Cervical Lesions (NCT02864147)
Sheth S, Oh J, Bellone S, Siegel E, Greenman M, Mutlu L, McNamara B, Pathy S, Clark M, Azodi M, Altwerger G, Andikyan V, Huang G, Ratner E, Kim D, Iwasaki A, Levi A, Buza N, Hui P, Flaherty S, Schwartz P, Santin A. Randomized Phase II Trial of Imiquimod with or without 9-Valent HPV Vaccine versus Observation in Patients with High-grade Pre-neoplastic Cervical Lesions (NCT02864147). Clinical Cancer Research 2024, 30: of1-of10. PMID: 38592381, DOI: 10.1158/1078-0432.ccr-23-3639.Peer-Reviewed Original ResearchConceptsRandomized phase II trialCD4/CD8 T cellsT cellsHPV clearanceArm BNo significant differenceClinical surveillanceRate of HPV clearanceSecondary outcomesPre-neoplastic cervical lesionsCervical intraepithelial neoplasiaT cell infiltrationT cell responsesSignificant differenceCIN3 patientsIntraepithelial neoplasiaArm ACervical lesionsImiquimod groupSurveillance armVaginal suppositoriesProspective trialsArm CHPV vaccinationImiquimod
2023
Human Papillomavirus Vaccination Status and Correlates Among Mid-Adult Women: Connecticut, USA, 2016–2019
Sheth S, Johnson N, Sullivan E, Torres A, Oliveira C, Niccolai L. Human Papillomavirus Vaccination Status and Correlates Among Mid-Adult Women: Connecticut, USA, 2016–2019. Journal Of Women's Health 2023, 33: 28-32. PMID: 37943625, PMCID: PMC10794823, DOI: 10.1089/jwh.2022.0456.Peer-Reviewed Original ResearchConceptsMid-adult womenVaccination statusHPV vaccinationHPV vaccineHuman Papillomavirus Vaccination StatusHPV vaccination statusHuman papillomavirus vaccinationAge 26 yearsHealth care providersCross-sectional surveyPapillomavirus vaccinationUnvaccinated womenVaccinated womenVaccine informationCare providersVaccinationAdult womenVaccineWomenBehavioral correlatesCorrelatesStatusPotential benefitsYearsParticipantsExpedited Partner Therapy: A Multicomponent Initiative to Boost Provider Counseling
Markowitz M, Ackerman-Banks C, Oliveira C, Fashina O, Pathy S, Sheth S. Expedited Partner Therapy: A Multicomponent Initiative to Boost Provider Counseling. Sexually Transmitted Diseases 2023, 51: 15-21. PMID: 37921862, PMCID: PMC11413968, DOI: 10.1097/olq.0000000000001894.Peer-Reviewed Original ResearchConceptsPartner therapyProvider counselingMulticomponent initiativesQuasi-experimental interrupted time-series studyExpedited Partner TherapyInterrupted time series studyRecords of patientsFrequent reinfectionsInterrupted time series modelObstetric indicationsGynecology clinicTherapy prescriptionPatients' perceptionsPatient acceptanceChlamydia trachomatisPatient encountersNeisseria gonorrhoeaeTherapyRegistered NursesTime-series studyPublic insurancePatientsAcademic obstetricsCounselingSignificant increaseUnindicated Cervical Cancer Screening in Adolescent Females Within a Large Healthcare System in the United States
Hosier H, Sheth S, Oliveira C, Perley L, Vash-Margita A. Unindicated Cervical Cancer Screening in Adolescent Females Within a Large Healthcare System in the United States. Obstetrical & Gynecological Survey 2023, 78: 470-472. DOI: 10.1097/ogx.0000000000001179.Commentaries, Editorials and LettersCervical cancer screeningIncidence rateUnindicated testsPatient-specific variablesCervical cancerCancer screeningHPV testingYale New Haven Health SystemCervical cancer screening testsAdolescent femalesEligible young womenRepeated cross-sectional studyWell-woman examinationsAtypical squamous cellsHealth system patientsCancer screening testsWomen ages 21Cross-sectional studyLow incidence rateLarge healthcare systemElectronic medical recordsEvidence-based strategiesSelf-reported raceGuideline adherenceHPV testFactors associated with receiving results and attending colposcopy in patients with positive HPV screens in Mexico City
León-Maldonado L, Hernández-Ramírez R, Torres-Ibarra L, Spiegelman D, Sheth S, Lazcano E, Cadena-Fiscal J, Salmerón J. Factors associated with receiving results and attending colposcopy in patients with positive HPV screens in Mexico City. Preventive Medicine Reports 2023, 35: 102347. PMID: 37593354, PMCID: PMC10428024, DOI: 10.1016/j.pmedr.2023.102347.Peer-Reviewed Original ResearchPercent of participantsColposcopy appointmentHealthcare facilitiesHigh-risk human papillomavirusMultivariable logistic regressionHealthcare system factorsScreening resultsPositive screening resultsColposcopy adherenceColposcopy clinicHPV screenPrevious PapMedian ageCervical cancerPap testHuman papillomavirusHigh school educationPatientsGreater adherenceExperienced nursesGood complianceLogistic regressionScheduling appointmentsLimited staff availabilityAdherenceDisparities in adherence to retesting guidelines in women with Trichomonas vaginalis infection
Getaneh F, Oliveira C, Pathy S, Sheth S. Disparities in adherence to retesting guidelines in women with Trichomonas vaginalis infection. American Journal Of Obstetrics And Gynecology 2023, 229: 284.e1-284.e10. PMID: 37393012, PMCID: PMC10530237, DOI: 10.1016/j.ajog.2023.06.045.Peer-Reviewed Original ResearchConceptsHospital-based obstetricsNon-Hispanic black womenTrichomonas vaginalis infectionPregnant subgroupsClinic populationSubgroup analysisVaginalis infectionNon-Hispanic white womenGuideline-concordant testingRetrospective cohort studyTrichomonas vaginalisMultivariable logistic regressionSingle marital statusHigh prevalence ratesNon-Hispanic blacksCharacteristics of womenBlack womenHigh rateCohort studyGynecology clinicTobacco smokingGuideline recommendationsEntire cohortAssociated FactorsPrevalence ratesUptake of Cervical Cancer Screening Among Female Patients Using a Mobile Medical Clinic
Degife E, Oliveira C, Znamierowski E, Meyer J, Sheth S. Uptake of Cervical Cancer Screening Among Female Patients Using a Mobile Medical Clinic. American Journal Of Preventive Medicine 2023, 65: 835-843. PMID: 37220860, PMCID: PMC10592483, DOI: 10.1016/j.amepre.2023.05.013.Peer-Reviewed Original ResearchConceptsCervical cancer screeningMobile medical clinicHealth-related social needsCervical cancerCancer screeningMedical clinicsFemale patientsCervical cancer screening uptakeCancer screening uptakeHuman papillomavirus vaccinationHigh-risk populationMultivariate logistic regressionElectronic health recordsPapillomavirus vaccinationScreening uptakePap testingRetrospective cohortPatient cohortClinic modelLower oddsPatientsUnstable housingClinicLogistic regressionCancerAssociation between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal
Paneru B, Karmacharya A, Bharati A, Makaju S, Adhikari B, Kafle D, Shakya S, Spiegelman D, Seth S, Stangl A, Shrestha A, Shrestha A. Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal. PLOS ONE 2023, 18: e0285771. PMID: 37200234, PMCID: PMC10194964, DOI: 10.1371/journal.pone.0285771.Peer-Reviewed Original ResearchConceptsCervical cancer screening uptakeCancer screening uptakeScreening uptakeMultivariable logistic regressionCancer Stigma ScaleCancer stigmaCervical cancerAge of menarcheFirst sexual intercourseLogistic regressionNepalese womenSexual intercourseReproductive health variablesCervical cancer screeningEffective screening programsSemi-urban areasCross-sectional studyPercent of womenMean total scoreFamily planning usersScreening servicesCancer screeningCommon cancerDisease burdenScreening programValidation of the Cancer Stigma Scale in Nepalese Women
Shrestha A, Stangl A, Paneru B, Poudel L, Karmacharya A, Makaju S, Spiegelman D, Shakya S, Shrestha A, Sheth S. Validation of the Cancer Stigma Scale in Nepalese Women. Asian Pacific Journal Of Cancer Prevention 2023, 24: 204-214. PMID: 36708569, PMCID: PMC10152840, DOI: 10.31557/apjcp.2023.24.1.207.Peer-Reviewed Original ResearchConceptsCancer Stigma ScaleCancer stigmaCancer patientsStigma ScaleCronbach's alphaNepali womenInternal consistencyCross-cultural adaptationNepalese populationNepalese womenSufficient internal consistencyCancerWomenPatientsSatisfactory internal reliabilityVulnerable groupsAlphaInternal reliabilityStigmaOverall scaleModel fit indicesHigh levelsSix-factor structurePilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events
Fan L, Sheth S, Pettker C. Pilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events. Obstetrical & Gynecological Survey 2023, 78: 29-30. DOI: 10.1097/01.ogx.0000912592.42410.a6.Peer-Reviewed Original Research
2022
Optimizing menstrual health and hygiene management in the U.S.: A mixed-methods study of the barriers and the role of healthcare professionals
Trant A, Espinal M, Kisanga E, Vash-Margita A, Lundsberg L, Sheth S, Fan L. Optimizing menstrual health and hygiene management in the U.S.: A mixed-methods study of the barriers and the role of healthcare professionals. Sexual & Reproductive Healthcare 2022, 35: 100808. PMID: 36563412, DOI: 10.1016/j.srhc.2022.100808.Peer-Reviewed Original ResearchConceptsResponse rateSurvey response rateThematic content analysisMH screeningPatient interviewsPatient surveyPatient understandingPatient's abilityPatientsHealthcare providersHealthcare professionalsHealth practicesMedical staffMenstrual productsStaff viewsDaily activitiesMixed-method studyMenstrual healthMenstruationDescriptive statisticsHealthHygiene managementScreeningAnnual incomeQualitative interviewsPilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events
Fan LL, Sheth SS, Pettker CM. Pilot Implementation of a Health Equity Checklist to Improve the Identification of Equity-Related Adverse Events. Obstetrics And Gynecology 2022, 140: 667-673. PMID: 36075061, DOI: 10.1097/aog.0000000000004934.Peer-Reviewed Original ResearchHealth Disparities in Uterine Cancer: Report From the Uterine Cancer Evidence Review Conference
Whetstone S, Burke W, Sheth S, Brooks R, Cavens A, Huber-Keener K, Scott D, Worly B, Chelmow D. Health Disparities in Uterine Cancer: Report From the Uterine Cancer Evidence Review Conference. Obstetrical & Gynecological Survey 2022, 77: 477-478. DOI: 10.1097/01.ogx.0000852908.82322.6a.Peer-Reviewed Original ResearchErratum to “Menstrual Health and Hygiene among Adolescents in the United States” [Journal of Pediatric Adolescent Gynecology. 2022 Jun;35(3):277-287]
Trant AA, Vash-Margita A, Camenga D, Braverman P, Wagner D, Espinal M, Kisanga EP, Lundsberg L, Sheth SS, Fan L. Erratum to “Menstrual Health and Hygiene among Adolescents in the United States” [Journal of Pediatric Adolescent Gynecology. 2022 Jun;35(3):277-287]. Journal Of Pediatric And Adolescent Gynecology 2022, 35: 605. PMID: 35906147, DOI: 10.1016/j.jpag.2022.07.001.Peer-Reviewed Original ResearchHealth Disparities in Uterine Cancer
Whetstone S, Burke W, Sheth SS, Brooks R, Cavens A, Huber-Keener K, Scott DM, Worly B, Chelmow D. Health Disparities in Uterine Cancer. Obstetrics And Gynecology 2022, 139: 645-659. PMID: 35272301, PMCID: PMC8936152, DOI: 10.1097/aog.0000000000004710.Peer-Reviewed Original ResearchConceptsHealth care cliniciansUterine cancerWomen's health care cliniciansHealth disparitiesEvidence-based educational materialsCare cliniciansGynecologic cancerEvidence summariesGynecologic oncologyPractice guidelinesEarly diagnosisAmerican CollegeGeneral obstetricsEvidence reviewDisease controlCancerPanel of expertsSubstantive knowledge gapsEducational materialsCliniciansPreventionContent expertsLiterature reviewRelevant literatureReviewExecutive Summary of the Uterine Cancer Evidence Review Conference
Chelmow D, Brooks R, Cavens A, Huber-Keener K, Scott DM, Sheth SS, Whetstone S, Worly B, Burke W. Executive Summary of the Uterine Cancer Evidence Review Conference. Obstetrics And Gynecology 2022, 139: 626-643. PMID: 35272316, PMCID: PMC8936160, DOI: 10.1097/aog.0000000000004711.Peer-Reviewed Original ResearchConceptsHealth care cliniciansUterine cancerEarly diagnosisWomen's health care cliniciansEvidence-based educational materialsCare cliniciansGynecologic cancerEvidence summariesGynecologic oncologyPatient advocacy organizationsPractice guidelinesAmerican CollegeGeneral obstetricsPanel membersEvidence reviewDisease controlPanel of expertsSubstantive knowledge gapsCancerCliniciansRelevant literaturePreventionEducational materialsDiagnosisContent experts