A5049195881- Pregnancy and Medication Impact
- Reproductive System and Pregnancy
- Endometriosis Research and Treatment
- Systemic Lupus Erythematosus Research
- Reproductive Health and Contraception
- Reproductive Health and Technologies
- Diversity and Career in Medicine
- Adolescent and Pediatric Healthcare
- Pharmacological Effects and Toxicity Studies
- Congenital Heart Disease Studies
- Cardiovascular Issues in Pregnancy
- Autoimmune and Inflammatory Disorders Research
- Medical Education and Admissions
- Global Health Workforce Issues
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cystic Fibrosis Research Advances
- Rheumatoid Arthritis Research and Therapies
- Pregnancy and preeclampsia studies
- Attachment and Relationship Dynamics
- Assisted Reproductive Technology and Twin Pregnancy
- Healthcare Policy and Management
- Eosinophilic Esophagitis
- Mobile Health and mHealth Applications
- Chronic Myeloid Leukemia Treatments
- IgG4-Related and Inflammatory Diseases
University of Pittsburgh
2015-2025
Innovative Research (United States)
2022-2023
University of Pittsburgh Medical Center
2015-2023
Magee-Womens Research Institute
2021-2022
UPMC Health System
2020
Objective To develop an evidence‐based guideline on contraception, assisted reproductive technologies ( ART ), fertility preservation with gonadotoxic therapy, use of menopausal hormone replacement therapy HRT pregnancy assessment and management, medication in patients rheumatic musculoskeletal disease RMD ). Methods We conducted a systematic review evidence relating to , preservation, lactation, populations, using Grading Recommendations Assessment, Development Evaluation methodology rate...
Objective To develop an evidence‐based guideline on contraception, assisted reproductive technologies ( ART ), fertility preservation with gonadotoxic therapy, use of menopausal hormone replacement therapy HRT pregnancy assessment and management, medication in patients rheumatic musculoskeletal disease RMD ). Methods We conducted a systematic review evidence relating to , preservation, lactation, populations, using Grading Recommendations Assessment, Development Evaluation methodology rate...
To evaluate the incidence of cardiovascular disease (CVD) morbidity and mortality over course 10 years among more than 160,000 postmenopausal women in Women's Health Initiative (WHI) relation to self-reported rheumatoid arthritis (RA), taking disease-modifying antirheumatic drugs (DMARDs), anti-cyclic citrullinated peptide (anti-CCP) positivity, factor (RF) CVD risk factors, joint pain, inflammation (white blood cell count interleukin-6 levels). Anti-CCP RF were measured a sample WHI...
The United States has abysmal reproductive health indices that, in part, reflect stark inequities experienced by people of color and those with preexisting medical conditions. growth "femtech," or technology-based solutions to women's issues, the public private sectors is promising, yet these are often geared toward health-literate, socioeconomically privileged, and/or relatively healthy white cis-women. In this viewpoint, we propose a set guiding principles for building technologies that...
In the United States, race-based disparities in cardiovascular disease care have proven to be pervasive, deadly, and expensive. African American/Black, Hispanic/Latinx, Native/Indigenous American individuals are at an increased risk of less likely receive high-quality, evidence-based medical as compared with their White counterparts. Although States population is diverse, workforce that provides its much-needed lacks diversity. The available data show provided by physicians from racially...
Objective Although women with rheumatic and musculoskeletal diseases (RMDs) are at an elevated risk for adverse pregnancy perinatal outcomes, some report that they lack access to resources support informed reproductive decision‐making. We developed MyVoice:Rheum, a web‐based decision aid RMDs in conducted pilot trial assess feasibility acceptability of MyVoice:Rheum its preliminary effectiveness compared freely available online pamphlet about RMDs. Methods Using parallel‐arm randomized...
Objective Little is known about whether and how rheumatologists provide family planning counseling reproductive health care (FPCC) to reproductive‐age women with rheumatic diseases. This qualitative study sought assess rheumatologists’ perspectives, attitudes, practices regarding FPCC. Methods Semistructured interviews were conducted a geographically diverse US sample of (n = 12). Interviews transcribed verbatim, code book was inductively developed based on transcript content. Two coders...
To determine contraception use among a cohort of reproductive-age women (ages 18-50 years) with rheumatic diseases.
Objective This study explored how women’s beliefs about drug safety and interactions with their health care providers influenced decisions to continue arthritis medications during pregnancy lactation. Methods We collaborated ArthritisPower, a patient‐powered research network, CreakyJoints, its partner online community, develop disseminate survey among members inflammatory who had at least one after diagnosis. Participants’ free‐text responses were evaluated by using thematic analysis....
The United States has the highest rate of maternal mortality any developed country in world.1 This excess burden is related, part, to rising prevalence pregnant people with chronic diseases, such as systemic lupus erythematosus, pulmonary hypertension, asthma, cystic fibrosis, diabetes, epilepsy, kidney disease, and inflammatory bowel disease.2-6 Patients diseases are significantly more likely experience adverse pregnancy perinatal outcomes than healthy people.7-9 In addition, color, who...
This Viewpoint discusses the exclusion of abortion care from many established medical sources (such as hospitals) and coverage by major payers how health system should legitimize ensure clinician training in safe care.
Objective: More people with cystic fibrosis (pwCF) are reaching adulthood and considering their reproductive futures. Unfortunately, many pwCF report gaps in healthcare. We describe measures of stakeholder engagement developing a goals decision aid for women CF called MyVoice:CF. Methods: Stakeholders reviewed the content, design, usability tool, which was informed by prior research related to family planning experiences preferences as well conceptual understanding making. evaluated via...
Women with inflammatory arthritis appear to have fewer children as compared healthy women, but few studies assessed how patients' attitudes and decision making influence their family sizes. Little is also known about patients experience other aspects of reproductive lives, such menstruation contraception.We partnered ArthritisPower, a patient-powered research network, its associated online patient community, CreakyJoints, create disseminate survey among female members aged 18-50 years...