Comparative Effectiveness and Safety of Intrauterine Contraception and Tubal Ligation.

ABSTRACT:

Background

Tubal ligation remains common in the USA, especially among low-income patients.

Objective

To compare the effectiveness and safety of intrauterine contraceptives (IUC) to laparoscopic tubal ligation for Medicaid clients.

Design

We partnered with patient and clinician stakeholders to conduct a retrospective cohort study using California Medicaid claims for patients who had an IUC placed or laparoscopic tubal ligation performed in 2008-2014, excluding procedures performed within 42 days of a birth. We applied log-linear (Poisson) event-history regression models for clustered person-period data to adjust for sociodemographic variables and pre-procedure health status when examining associations between these contraceptive procedures and claims related to contrac

SUBMITTER: Schwarz EB 

PROVIDER: S-EPMC8863411 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature