Navigation Links
Prenatal syphilis screening rates: Are they being accurately reported?

INDIANAPOLIS Prenatal syphilis screening, recommended by the Centers for Disease Control, medical professional organizations, and public health authorities, is critical to preventing still births and serious birth defects in babies of affected mothers. A study published in the April issue of the journal Sexually Transmitted Diseases reports that state Medicaid statistics, when used to determine screening rates, may seriously underestimate the number of expectant mothers being screened for syphilis.

Researchers led by Marc Rosenman, M.D., of the Indiana University School of Medicine and the Regenstrief Institute compared four years of Medicaid data from the state of Indiana with data from the Regenstrief Medical Record System (RMRS) for women seen in Wishard Health Services. Of the nearly 4,000 women with both Medicaid and RMRS data, only half had evidence of prenatal syphilis screening recorded in Medicaid claims data, while more than 99 percent had at least one laboratory report of syphilis screening recorded in the RMRS, indicating that Medicaid numbers were missing nearly half the women screened.

What our study points out is that analyses based on Medicaid data might not tell the whole story. And this problem is not unique to Indiana. Our findings add perspective to a CDC-funded study of Florida Medicaid data which reported a prenatal syphilis screening rate of about 50 percent, a rate very similar to what we found in Indiana Medicaid data, said Dr. Rosenman, an assistant professor of pediatrics at the IU School of Medicine and a research scientist at the Regenstrief Institute.

Why are Medicaid data incomplete? Reasons may vary from how the test is billed to how data are transmitted from a physicians office, clinic or hospital to a state agency.

Prenatal syphilis screening is a vital step in preventing serious illness. The nearly universal prenatal screening we report is not necessarily typical of other health systems across the state and nation, for a variety of reasons including that this study was conducted at a large public teaching hospital and began during a major syphilis outbreak in Indianapolis in 1998-1999, and since then physicians, health systems, and the county health department have probably all been extra conscientious in encouraging screening. But what is clear is that Medicaid data by far underestimate how much screening is taking place, said Dr. Rosenman. The same is probably true of other published estimates based on commercial insurance data.

Syphilis, a sexually transmitted disease, is on the increase in the United States. A simple blood test is used to screen for the disease. An at-risk woman should be screened for syphilis multiple times during her pregnancy including immediately prior to delivery.


Contact: Cindy Fox Aisen
Indiana University

Related medicine news :

1. Prenatal exposure to maternal antibodies linked to autistic behaviors in offspring
2. Mission Pharmacal Launches CitraNatal(TM) Prescription Prenatal Vitamin Line
3. Toward a faster prenatal test for Down syndrome
4. U.S. Syphilis Rate Grows for 7th Year in Row
5. Columbus Carried Syphilis From New World to Europe, Study Suggests
6. Boston Kids Enjoy Free Davis Vision Screenings
7. Cellectricon Launches Worlds First System for High Throughput RNAi Screening
8. Video: Walgreens to Provide $35 Million in Free Health Screenings with The Take Care Health Tour
9. Coalition to Prevent Deep-Vein Thrombosis (DVT) Turns Awareness Into Action as it Declares First-Of-Its-Kind National DVT Screening Day
10. Evanston-Northwestern Study Proves Effectiveness of MRSA Screening to Reduce Hospital Infections
11. Fifty-Plus Community Leaders and Local Celebrities Declare Their Support for Colon-Cancer Screening Awareness Initiative
Post Your Comments:
(Date:6/25/2016)... ... ... Austin residents seeking Mohs surgery services, can now turn to Dr. Jessica ... Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to include Mohs ... Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of Glenn Goldstein, ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort to ... treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain management ... (SCD) is a disorder of the red blood cells, which can cause episodes of ...
(Date:6/24/2016)... ... ... Comfort Keepers® of San Diego, CA is excited to announce they are ... drive cancer patients to and from their cancer treatments. Comfort Keepers provides quality ... and ongoing independence. Getting to and from medical treatments is one of the ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... client, The Grove Investment Group (TGIG), has initiated cultivation and processing operations at ... Las Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Consumers have taken ... regulators/payers have placed more emphasis on patient outcomes. ... support programs in the pharmaceutical industry have evolved ... Consequently, pharmaceutical companies are focusing on becoming more ... providing products and services that improve health. ...
(Date:6/24/2016)... SOUTH SAN FRANCISCO, Calif. , June 24, ... GBT ), a biopharmaceutical company developing novel ... with significant unmet needs, today announced the closing ... 6,400,000 shares of common stock, at the public ... the shares in the offering were offered by ...
(Date:6/24/2016)... 24, 2016 ... the addition of the " Global Markets for ... This report focuses on ... updated review, including its applications in various applications. The ... which includes three main industries: pharmaceutical and biotechnology, food ...
Breaking Medicine Technology: