Medical contraindications to combined hormonal contraceptive use among women using methods prescribed by a pharmacist.

Contraception
Maria I RodriguezK John McConnell

Abstract

To determine whether pharmacist prescription of combined hormonal contraception is associated with inappropriate prescription to women with medical contraindications. We conducted a retrosopective cohort study of all short-acting, hormonal contraceptive users (pill, patch, ring, injectable) in Oregon's All Payer All Claims database from January 1, 2016 to December 31, 2018. Our primary outcome was the proportion of women receiving a combined hormonal method who had a Medical Eligibility Category (MEC) 3 or 4 condition. We identified potential contraindications using International Classification of Disease codes. We conducted descriptive analyses of contraindication prevalence and prescription error rate by prescriber type. We used a multivariable logistic regression model to test the association between pharmacist prescriber and population characteristics. Our study sample consisted of 439,240 contraceptive users, of which 3782 (0.86%) received their prescriptions from a pharmacist. Women aged 25 to 29 were more likely than women over age 35 to receive contraception from a pharmacist (adjusted odds ratio (aOR) 2.74, 95% confidence interval [CI] 2.44-3.08). Pharmacist prescriptions were slightly less likely in rural areas (aOR 0...Continue Reading

References

Sep 24, 2005·Health Services Research·Kimberly J O'MalleyCarol M Ashton
Apr 22, 2006·Contraception·Solmaz ShotorbaniJacqueline Gardner
Mar 25, 2008·Journal of the American Pharmacists Association : JAPhA·Jacqueline S GardnerSolmaz Shotorbani
Sep 2, 2008·Obstetrics and Gynecology·Daniel GrossmanJoseph E Potter
Feb 24, 2011·Obstetrics and Gynecology·Daniel GrossmanJoseph E Potter
Oct 25, 2011·Contraception·Lawrence B Finer, Mia R Zolna
Jan 7, 2015·Obstetrics and Gynecology·UNKNOWN Committee on Health Care for Underserved Women
Nov 26, 2015·Obstetrics and Gynecology Clinics of North America·Daniel Grossman
Apr 10, 2016·American Journal of Obstetrics and Gynecology·Julianne R LauringCynthia H Chuang
Jun 9, 2016·Obstetrics and Gynecology·Maria I RodriguezAlison B Edelman
Jun 17, 2016·The Annals of Pharmacotherapy·Alex J Adams, Krystalyn K Weaver
Aug 11, 2017·Obstetrics and Gynecology·Abigail IseyemiJeffrey F Peipert
May 29, 2019·Obstetrics and Gynecology·Lorinda AndersonMaria I Rodriguez
May 21, 2020·JAMA Network Open·Maria I RodriguezBlair G Darney

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