Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

Geum Joon Cho; Jae Yoon Shim; Yung Taek Ouh; Log Young Kim; Tae Seon Lee; Ki Hoon Ahn; Soon Cheol Hong; Min Jeong Oh; Hai Joong Kim; Pil Ryang Lee

doi:10.1371/journal.pone.0185467

Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

Geum Joon Cho, Jae Yoon Shim, Yung Taek Ouh, Log Young Kim, Tae Seon Lee, Ki Hoon Ahn, Soon Cheol Hong, Min Jeong Oh, Hai Joong Kim, Pil Ryang Lee

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first delivery in 2009 and a second delivery between 2010 and 2013. Among 226,408 women who had a first delivery in 2009, 296 underwent UAE. A total of 127,506 women had a second delivery between 2010 and 2013. Of 296 women who underwent UAE after the first delivery, 94 had a second delivery between 2010 and 2013. Women with a previous UAE had a higher rate of UAE at the second delivery than women without a previous UAE. Multivariate adjusted analysis showed that a UAE at the first delivery increased the rate of UAE at the second delivery (odds ratio 25.56, 95% confidence interval 9.86–66.23). Women with a previous UAE should be appropriately counseled and monitored for the need for a repeat UAE.

Original language	English
Article number	e0185467
Journal	PloS one
Volume	12
Issue number	9
DOIs	https://doi.org/10.1371/journal.pone.0185467
Publication status	Published - 2017 Sept

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title = "Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy",

abstract = "This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first delivery in 2009 and a second delivery between 2010 and 2013. Among 226,408 women who had a first delivery in 2009, 296 underwent UAE. A total of 127,506 women had a second delivery between 2010 and 2013. Of 296 women who underwent UAE after the first delivery, 94 had a second delivery between 2010 and 2013. Women with a previous UAE had a higher rate of UAE at the second delivery than women without a previous UAE. Multivariate adjusted analysis showed that a UAE at the first delivery increased the rate of UAE at the second delivery (odds ratio 25.56, 95% confidence interval 9.86–66.23). Women with a previous UAE should be appropriately counseled and monitored for the need for a repeat UAE.",

author = "Cho, {Geum Joon} and Shim, {Jae Yoon} and Ouh, {Yung Taek} and Kim, {Log Young} and Lee, {Tae Seon} and Ahn, {Ki Hoon} and Hong, {Soon Cheol} and Oh, {Min Jeong} and Kim, {Hai Joong} and Lee, {Pil Ryang}",

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AU - Shim, Jae Yoon

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AU - Lee, Tae Seon

AU - Ahn, Ki Hoon

AU - Hong, Soon Cheol

AU - Oh, Min Jeong

AU - Kim, Hai Joong

AU - Lee, Pil Ryang

N1 - Publisher Copyright: © 2017 Cho et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

PY - 2017/9

Y1 - 2017/9

N2 - This study aimed to determine the rate of repeat uterine artery embolization (UAE) in women with a previous UAE. Study data were collected from the Korea National Health Insurance Claims Database of the Health Insurance Review and Assessment Service for 2009–2013. We enrolled women who had a first delivery in 2009 and a second delivery between 2010 and 2013. Among 226,408 women who had a first delivery in 2009, 296 underwent UAE. A total of 127,506 women had a second delivery between 2010 and 2013. Of 296 women who underwent UAE after the first delivery, 94 had a second delivery between 2010 and 2013. Women with a previous UAE had a higher rate of UAE at the second delivery than women without a previous UAE. Multivariate adjusted analysis showed that a UAE at the first delivery increased the rate of UAE at the second delivery (odds ratio 25.56, 95% confidence interval 9.86–66.23). Women with a previous UAE should be appropriately counseled and monitored for the need for a repeat UAE.

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Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

Abstract

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