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Intrinsic qualities of safety-net hospitals

Safety-Net Hospitals Have Higher Costs, Worse Outcomes

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Found to have higher mortality, readmission, surgical costs after controlling for patient factors
Lower-income patients with cancer are less likely to participate in clinical trials

Lower-Income Cancer Patients Less Likely to Participate in Trials

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Trial participation decreases with decreasing annual household income
Coadministering tetanus toxoid

Coadministering Tdap, Flu Vaccines Safe in Pregnancy

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No difference in adverse events, birth outcomes with concomitant versus sequential vaccination
Complications from epidural and spinal anesthetic procedures during cesarean deliveries dropped 25 percent over a recent 10-year period

Epidural-Related Complications Down for C-Sections

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Certain complications down 25 percent over decade
Patients undergoing hysteroscopic sterilization have more than a 10-fold higher risk of undergoing reoperation compared with patients undergoing laparoscopic sterilization

Hysteroscopic Sterilization Tied to Higher Reoperation Risk

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But similar risk of unintended pregnancy with hysteroscopic, laparoscopic methods
Cancer survivors tend to have worse dietary quality than the general population

Cancer Survivors Often Have Poor Dietary Quality

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Worse intake patterns than matched individuals from general population for empty calories, fiber
Women in certain racial/ethnic groups are more likely to be diagnosed with more advanced breast cancer

Advanced-Stage Breast CA More Likely in Certain Racial Groups

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African-American, white Hispanic women more likely to receive non-guideline-concordant treatment
Black and Hispanic women have significantly higher readmission rates than white women after childbirth

Racial Disparity Seen in Childbirth-Related Readmission

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Blacks, Hispanics have higher readmission rates after both vaginal birth, C-section
Maternal midpregnancy measures of glucose and insulin are associated with two different congenital heart disease phenotypes

Maternal Glucose Levels Linked to Two CHD Phenotypes

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Correlations with odds of tetralogy of Fallot but not dextrotransposition of the great arteries
Cesarean section seems to be associated with few physical and socio-emotional outcomes

Few Physical, Socio-Emotional Outcomes for C-Section

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Cesarean delivery associated with positive and negative outcomes; few associations seen overall