Geographical Health District and Distance Traveled Influence on Clinical Status at Admission of Patients with Gestational Trophoblastic Disease.
Valdete Aparecida Ribeiro da SilvaIzildinha MaestáRoberto Antonio de Araújo CostaAline de Ávila CamposAntonio Rodrigues Braga NetoNeil S HorowitzKevin Meyer EliasRoss S BerkowitzPublished in: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia (2023)
Patients from health districts outside the specialized center area had higher risk scores for both hydatidiform mole and gestational trophoblastic neoplasia at admission. Long distances (>80 km) seemed to adversely influence gestational trophoblastic disease clinical status at admission, indicating barriers to accessing specialized centers.
Keyphrases
- weight gain
- pregnant women
- emergency department
- healthcare
- public health
- end stage renal disease
- birth weight
- palliative care
- mental health
- chronic kidney disease
- newly diagnosed
- health information
- pregnancy outcomes
- body mass index
- prognostic factors
- south africa
- high grade
- risk assessment
- human health
- physical activity
- weight loss