2018
Medicaid savings from the Contraceptive CHOICE Project: a cost-savings analysis
Madden T, Barker A, Huntzberry K, Secura G, Peipert J, McBride T. Medicaid savings from the Contraceptive CHOICE Project: a cost-savings analysis. American Journal Of Obstetrics And Gynecology 2018, 219: 595.e1-595.e11. PMID: 30194049, PMCID: PMC6741429, DOI: 10.1016/j.ajog.2018.08.043.Peer-Reviewed Original ResearchConceptsTitle X programContraceptive CHOICE ProjectCost savingsValue of investmentCost-savings analysisCHOICE ProjectFederal poverty lineUnintended pregnancyMissouri's Medicaid programPoverty lineContraceptive costsComparison groupPolicy interventionsHousehold incomeMedicaid savingsTotal cost savingsGroup costsX programEffective reversible contraceptive methodsProspective cohort studyReproductive-age womenIncomeReversible contraceptive methodsSubstantial cost savingsState of Missouri
2016
Changes in body composition in women using long-acting reversible contraception
dos Santos P, Madden T, Omvig K, Peipert J. Changes in body composition in women using long-acting reversible contraception. Contraception 2016, 95: 382-389. PMID: 28041992, PMCID: PMC5376505, DOI: 10.1016/j.contraception.2016.12.006.Peer-Reviewed Original ResearchConceptsENG implant usersCopper IUD usersLNG-IUSBody compositionBody weightIUD usersCopper IUDImplant usersWeight gainProspective cohort studyLevonorgestrel intrauterine systemSubgroup of womenBody composition changesLean body massLNG-IUS usersCopper intrauterine deviceContraceptive CHOICE ProjectBody massCohort studyENG implantHealthy womenIntrauterine systemMean ageBlack raceInclusion criteria
2015
Long-term utilization and continuation of intrauterine devices
Diedrich J, Madden T, Zhao Q, Peipert J. Long-term utilization and continuation of intrauterine devices. American Journal Of Obstetrics And Gynecology 2015, 213: 822.e1-822.e6. PMID: 26409157, PMCID: PMC4679676, DOI: 10.1016/j.ajog.2015.08.077.Peer-Reviewed Original ResearchConceptsYears of ageCu-intrauterine devicesIntrauterine deviceLNG intrauterine deviceMonth continuation ratesProspective cohort studyCox proportional hazardsSubsequent contraceptive useCopper intrauterine deviceContraceptive CHOICE ProjectLess discontinuationMenstrual profileMonths continuationCohort studyHazard ratioPrimary outcomeMultivariable analysisPregnancy historyContinuation ratesContraceptive useIUD continuationDiscontinuationProportional hazardsSurvival analysisLevonorgestrelFactors Associated With Unintended Pregnancy Outcome Among CHOICE Participants [243]
Eisenberg D, Lange J, Zhao Q, Madden T, Peipert J. Factors Associated With Unintended Pregnancy Outcome Among CHOICE Participants [243]. Obstetrics And Gynecology 2015, 125: 78s-79s. DOI: 10.1097/01.aog.0000463220.05568.8a.Peer-Reviewed Original ResearchUnintended pregnancyPregnancy outcomesCost contraceptionFirst unintended pregnancyUnintended pregnancy outcomesProspective cohort studyReproductive-aged womenMultivariable regression analysisOlder age groupsContraceptive CHOICE ProjectRace/ethnicityEctopic pregnancyCohort studyMultivariable analysisPrevious abortionPrior abortionInclusion criteriaLive birthsContraceptive methodsPregnancyInduced abortionAbortion historyPoisson regressionSecondary analysisAge groupsPositive Testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease in IUD Users
Birgisson N, Zhao Q, Secura G, Madden T, Peipert J. Positive Testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the Risk of Pelvic Inflammatory Disease in IUD Users. Journal Of Women's Health 2015, 24: 354-359. PMID: 25836384, PMCID: PMC4440993, DOI: 10.1089/jwh.2015.5190.Peer-Reviewed Original ResearchConceptsPelvic inflammatory diseaseChlamydia trachomatisIUD usersInflammatory diseasesIUD useIntrauterine deviceContraceptive methodsSelf-reported pelvic inflammatory diseaseNew IUD usersNeisseria gonorrhoeaeMajor public health problemProspective cohort studyHigh-risk womenPublic health problemYears of ageContraceptive CHOICE ProjectBirth control methodsCohort studyWomen 14Subsequent infertilityUnintended pregnancyReversible contraceptionHigh riskPID ratesPositive testingPreventing Unintended Pregnancy: The Contraceptive CHOICE Project in Review
Birgisson N, Zhao Q, Secura G, Madden T, Peipert J. Preventing Unintended Pregnancy: The Contraceptive CHOICE Project in Review. Journal Of Women's Health 2015, 24: 349-353. PMID: 25825986, PMCID: PMC4441000, DOI: 10.1089/jwh.2015.5191.Peer-Reviewed Original ResearchConceptsContraceptive CHOICE ProjectUnintended pregnancyLARC methodsRepeat abortionProspective cohort studyTeen pregnancyReversible contraceptive methodsCHOICE ProjectYears of ageNon-LARC methodsNon-LARC usersHealth care systemContraceptive method choiceWomen 14Cohort studyContraceptive counselingEffective contraceptionLARC usersContraceptive methodsPregnancyStudy participantsNational ratesGreater continuationCare systemAccess barriers
2014
The Contraceptive CHOICE Project Round Up
MCNICHOLAS C, MADDEN T, SECURA G, PEIPERT J. The Contraceptive CHOICE Project Round Up. Clinical Obstetrics & Gynecology 2014, 57: 635-643. PMID: 25286295, PMCID: PMC4216614, DOI: 10.1097/grf.0000000000000070.Peer-Reviewed Original ResearchMeSH KeywordsAbortion, InducedAdolescentAdultCohort StudiesContraceptive Agents, FemaleContraceptive Devices, FemaleCounselingFamily Planning ServicesFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansIntrauterine DevicesPregnancyPregnancy, UnplannedProspective StudiesTreatment OutcomeYoung AdultProvision of No-Cost, Long-Acting Contraception and Teenage Pregnancy
Secura G, Madden T, McNicholas C, Mullersman J, Buckel C, Zhao Q, Peipert J. Provision of No-Cost, Long-Acting Contraception and Teenage Pregnancy. New England Journal Of Medicine 2014, 371: 1316-1323. PMID: 25271604, PMCID: PMC4230891, DOI: 10.1056/nejmoa1400506.Peer-Reviewed Original ResearchConceptsRate of pregnancyReversible contraceptionLARC methodsLarge prospective cohort studyTeenage pregnancyProspective cohort studyReversible contraceptive methodsYears of ageTeenage girlsSame age groupHealth care costsContraceptive CHOICE ProjectCohort studyUnintended pregnancyIntrauterine deviceContraceptive methodsPregnancyWomen 15Care costsAge groupsNational ratesContraceptionTeenage birthsExperienced teensBirthPerformance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test
Min J, Buckel C, Secura G, Peipert J, Madden T. Performance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test. Contraception 2014, 91: 80-84. PMID: 25218500, PMCID: PMC4267981, DOI: 10.1016/j.contraception.2014.08.002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChecklistCohort StudiesContraceptive Agents, FemaleContraindicationsDrug ImplantsFalse Negative ReactionsFemaleHumansIllinoisIntrauterine DevicesLuteal PhaseMiddle AgedMissouriPatient CompliancePregnancyPregnancy TestsPregnancy Trimester, FirstPregnancy, UnplannedProspective StudiesSensitivity and SpecificityYoung AdultConceptsNegative urine pregnancy testUrine pregnancy testLuteal phase pregnanciesNegative predictive valuePregnancy checklistPregnancy testPositive predictive valuePredictive valueContraceptive initiationEarly pregnancyPositive urine pregnancy testHigh negative predictive valueInitiation of contraceptionSame-day initiationUrine pregnancy testingDays of enrollmentProspective cohort studyShort acting methodsContraceptive CHOICE ProjectCohort studyPositive screenReversible contraceptionPatient historyIntrauterine devicePregnancy testing
2013
Medical contraindications in women seeking combined hormonal contraception
Xu H, Eisenberg D, Madden T, Secura G, Peipert J. Medical contraindications in women seeking combined hormonal contraception. American Journal Of Obstetrics And Gynecology 2013, 210: 210.e1-210.e5. PMID: 24246525, PMCID: PMC3958945, DOI: 10.1016/j.ajog.2013.11.023.Peer-Reviewed Original ResearchConceptsMedical contraindicationsVenous thromboembolismHormonal contraceptionMedical historyActing reversible contraceptive (LARC) methodsTrue medical contraindicationsProspective cohort studyReproductive-aged womenAge 35 yearsCerebral vascular accidentConfidence intervalsReversible contraceptive methodsCHOICE ProjectSelf-reported historyMethod of contraceptionContraceptive CHOICE ProjectChart reviewCohort studyLiver diseaseVascular accidentMyocardial infarctionUnintended pregnancyBaseline enrollmentContraindicationsLow prevalenceContraceptive Failures in Overweight and Obese Combined Hormonal Contraceptive Users
McNicholas C, Zhao Q, Secura G, Allsworth J, Madden T, Peipert J. Contraceptive Failures in Overweight and Obese Combined Hormonal Contraceptive Users. Obstetrical & Gynecological Survey 2013, 68: 736-737. DOI: 10.1097/01.ogx.0000435765.37327.d9.Peer-Reviewed Original ResearchBody mass indexSignificant risk factorsContraceptive failureUnintended pregnancyVaginal ringMass indexObese femalesRisk factorsPrevious unintended pregnancyProspective cohort studyIdeal body weightHormonal contraceptive usersContraceptive vaginal ringContraceptive failure ratesReproductive age femalesReversible contraceptive methodsFailure rateContraceptive CHOICE ProjectSt Louis areaCohort studyObese womenBMI categoriesClinical outcomesHormonal contraceptionContraceptive usersThe impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation.
Allsworth J, M. Secura G, Zhao Q, Madden T, Peipert J. The impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation. American Journal Of Public Health 2013, 103: 1857-64. PMID: 23948012, PMCID: PMC3780737, DOI: 10.2105/ajph.2013.301371.Peer-Reviewed Original ResearchPreventing Unintended Pregnancies by Providing No-Cost Contraception
Peipert J, Madden T, Allsworth J, Secura G. Preventing Unintended Pregnancies by Providing No-Cost Contraception. Obstetrical & Gynecological Survey 2013, 68: 289-291. DOI: 10.1097/01.ogx.0000429300.39964.d3.Peer-Reviewed Original ResearchReversible contraceptive methodsUnintended pregnancy ratesLARC methodsUnintended pregnancyContraceptive methodsTeenage birth ratesPregnancy rateRepeat abortionNational ratesAbortion rateProspective cohort studyPrimary study outcomePercentage of abortionsBirth rateContraceptive CHOICE ProjectCohort studyProvider referralContinuation ratesEligible participantsContraceptive counselingPostabortion contraceptionEffective contraceptionCost contraceptionPregnancyContraceptionContinuation of the Etonogestrel Implant in Women Undergoing Immediate Postabortion Placement
Madden T, Eisenberg D, Zhao Q, Buckel C, Secura G, Peipert J. Continuation of the Etonogestrel Implant in Women Undergoing Immediate Postabortion Placement. Obstetrical & Gynecological Survey 2013, 68: 210-211. DOI: 10.1097/01.ogx.0000428166.89557.1d.Peer-Reviewed Original ResearchContinuation ratesUnintended pregnancyLARC methodsIntrauterine deviceCox proportional hazards modelInterval placementInterval insertionAdjusted hazard ratioProspective cohort studyLikelihood of discontinuationProportional hazards modelReversible contraceptive methodsContraceptive CHOICE ProjectCohort studyHazard ratioIrregular bleedingRecent pregnancyCommon reasonContraceptive methodsHazards modelPostabortion LARCSurvival analysisInterval groupSecondary analysisRepeat abortion
2012
Preventing Unintended Pregnancies by Providing No-Cost Contraception
Peipert J, Madden T, Allsworth J, Secura G. Preventing Unintended Pregnancies by Providing No-Cost Contraception. Obstetrics And Gynecology 2012, 120: 1291. PMID: 23168752, PMCID: PMC4000282, DOI: 10.1097/aog.0b013e318273eb56.Peer-Reviewed Original ResearchConceptsReversible contraceptive methodsUnintended pregnancyContraceptive methodsAbortion rateCost contraceptionRepeat abortionActing reversible contraceptive (LARC) methodsTeenage birthsProspective cohort studyEffective contraceptive methodsPercentage of abortionsContraceptive CHOICE ProjectSignificant reductionTeenage birth ratesProvider referralCohort studyContraceptive counselingLARC methodsLarge cohortPregnancyNational ratesCohortAbortion facilitiesContraceptionCHOICE ProjectContinuation of Reversible Contraception in Teenagers and Young Women
Rosenstock J, Peipert J, Madden T, Zhao Q, Secura G. Continuation of Reversible Contraception in Teenagers and Young Women. Obstetrics And Gynecology 2012, 120: 1298. PMID: 23168753, PMCID: PMC4037699, DOI: 10.1097/aog.0b013e31827499bd.Peer-Reviewed Original ResearchConceptsYears of ageReversible contraceptive methodsNon-LARC methodsContinuation ratesMethod continuationLARC methodsContraceptive methodsKaplan-Meier survival curvesYoung womenActing reversible contraceptive (LARC) methodsCox proportional hazards modelContraceptive method discontinuationProspective cohort studyHigh discontinuation ratesProportional hazards modelLower continuation ratesContraceptive CHOICE ProjectChart reviewCohort studyDiscontinuation ratesEffect of ageMethod discontinuationClinical significanceReversible contraceptionCost contraceptionEffectiveness of Long-Acting Reversible Contraception
Winner B, Peipert J, Zhao Q, Buckel C, Madden T, Allsworth J, Secura G. Effectiveness of Long-Acting Reversible Contraception. Obstetrical & Gynecological Survey 2012, 67: 552-553. DOI: 10.1097/01.ogx.0000421455.21771.a1.Peer-Reviewed Original ResearchUnintended pregnancyIntrauterine deviceContraceptive methodsContraceptive failureReversible contraceptionHazard ratioContraceptive pillsOlder womenLarge prospective cohort studyProspective cohort studyPrimary study outcomeOral contraceptive pillsCommon contraceptive methodsContraceptive failure ratesFinal multivariate modelLarge US populationReversible contraceptive methodsYears of ageLong-Acting Reversible ContraceptionFailure rateDMPA injectionCohort studyDaily dosingSecondary outcomesRate of failureContraceptive Failure Rates of Etonogestrel Subdermal Implants in Overweight and Obese Women
Xu H, Wade J, Peipert J, Zhao Q, Madden T, Secura G. Contraceptive Failure Rates of Etonogestrel Subdermal Implants in Overweight and Obese Women. Obstetrics And Gynecology 2012, 120: 21-26. PMID: 22678035, PMCID: PMC4043143, DOI: 10.1097/aog.0b013e318259565a.Peer-Reviewed Original ResearchConceptsObese womenContraceptive failure ratesIntrauterine deviceContraceptive methodsFirst-line contraceptive methodLarge prospective cohort studyKaplan-Meier survival curvesActing reversible contraceptive (LARC) methodsUrine pregnancy testingProspective cohort studyBody mass indexEtonogestrel subdermal contraceptive implantEtonogestrel subdermal implantSubdermal contraceptive implantFailure rateReversible contraceptive methodsT-testContraceptive CHOICE ProjectStudent's t-testReliable birth control methodsBirth control methodsCohort studyCumulative failure rateNormal weightMass indexEffectiveness of Long-Acting Reversible Contraception
Winner B, Peipert J, Zhao Q, Buckel C, Madden T, Allsworth J, Secura G. Effectiveness of Long-Acting Reversible Contraception. New England Journal Of Medicine 2012, 366: 1998-2007. PMID: 22621627, DOI: 10.1056/nejmoa1110855.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsCohort StudiesContraceptionContraceptive Devices, FemaleContraceptives, OralDrug ImplantsFemaleHumansInjectionsIntrauterine DevicesMedroxyprogesterone AcetateMiddle AgedMultivariate AnalysisPregnancyPregnancy, UnplannedTransdermal PatchTreatment OutcomeYoung AdultConceptsUnintended pregnancyReversible contraceptionContraceptive methodsLarge prospective cohort studyActing reversible contraceptive (LARC) methodsProspective cohort studyContraceptive failure ratesReversible contraceptive methodsYears of ageLong-Acting Reversible ContraceptionDMPA injectionOverall cohortCohort studyRate of failureContraceptive pillsContraceptive failurePregnancyYoung womenContraceptionPillsOlder participantsAgeFailure rateParticipantsRisk
2011
Continuation and Satisfaction of Reversible Contraception
Peipert J, Zhao Q, Allsworth J, Petrosky E, Madden T, Eisenberg D, Secura G. Continuation and Satisfaction of Reversible Contraception. Obstetrics And Gynecology 2011, 117: 1105-1113. PMID: 21508749, PMCID: PMC3548669, DOI: 10.1097/aog.0b013e31821188ad.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildContraceptionContraceptive Agents, FemaleContraceptive Devices, FemaleContraceptives, OralFemaleFollow-Up StudiesHumansIntrauterine DevicesKaplan-Meier EstimateMiddle AgedPatient SatisfactionProportional Hazards ModelsProspective StudiesTime FactorsTransdermal PatchYoung AdultConceptsOral contraceptive pillsIntrauterine deviceReversible contraception methodsContinuation ratesReversible contraceptionContraception methodsContraceptive methodsFirst-line contraceptive methodReversible contraception usersProspective cohort studyHigh contraceptive efficacyMonths of enrollmentDepot medroxyprogesterone acetateLevonorgestrel intrauterine systemCopper intrauterine deviceContraceptive CHOICE ProjectHigh rateSurvey time pointsCohort studyIntrauterine systemContraceptive pillsMedroxyprogesterone acetateOCP usersContraceptive efficacyHormonal methods