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Improving Rates of Post-Essure Hysterosalpingography in an Urban Population Using Electronic Tracking Reminders
Yu-Han Virginia Hu1, Kavita Shah Arora1
1Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.
Study Objective:
To demonstrate the efficacy of electronic reminders for follow-up hysterosalpingography (HSG) after Essure hysteroscopic sterilization in an urban tertiary care hospital obstetrics and gynecology practice.
Design:
Retrospective cohort study (Canadian Task Force classification II-3).
Setting:
Obstetrics and gynecology practice at a university-affiliated urban tertiary care teaching hospital.
Patients:
Two hundred and fifty patients who underwent Essure hysteroscopic sterilization between June 2011 and July 2014.
Intervention:
Implementation of electronic reminders for the office staff.
Measurements And Main Results:
Two hundred and fifty of 259 patients (96.5%) underwent Essure hysteroscopic sterilization and successful placement of coils into bilateral Fallopian tubes. Among these 250 patients, 135 (54%) returned for HSG at 3 months post-Essure as advised at the time of procedure. The use of electronic reminders prompted another 45 patients (18%) to return for HSG, improving the total post-Essure follow-up rate to 72%.
Conclusion:
Electronic reminders for the office staff of an urban tertiary care hospital's obstetrics and gynecology practice is an effective method for improving the rate of post-Essure HSG.
