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Laboratory testing for cytomegalovirus among pregnant women in the United States: a retrospective study using administrative claims data.


ABSTRACT: Routine cytomegalovirus (CMV) screening during pregnancy is not recommended in the United States and the extent to which it is performed is unknown. Using a medical claims database, we computed rates of CMV-specific testing among pregnant women.We used medical claims from the 2009 Truven Health MarketScan® Commercial databases. We computed CMV-specific testing rates using CPT codes.We identified 77,773 pregnant women, of whom 1,668 (2%) had a claim for CMV-specific testing. CMV-specific testing was significantly associated with older age, Northeast or urban residence, and a diagnostic code for mononucleosis. We identified 44 women with a diagnostic code for mononucleosis, of whom 14% had CMV-specific testing.Few pregnant women had CMV-specific testing, suggesting that screening for CMV infection during pregnancy is not commonly performed. In the absence of national surveillance for CMV infections during pregnancy, healthcare claims are a potential source for monitoring practices of CMV-specific testing.

SUBMITTER: Leung J 

PROVIDER: S-EPMC3582420 | biostudies-other | 2012 Dec

REPOSITORIES: biostudies-other

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Laboratory testing for cytomegalovirus among pregnant women in the United States: a retrospective study using administrative claims data.

Leung Jessica J   Cannon Michael J MJ   Grosse Scott D SD   Bialek Stephanie R SR  

BMC infectious diseases 20121203


<h4>Background</h4>Routine cytomegalovirus (CMV) screening during pregnancy is not recommended in the United States and the extent to which it is performed is unknown. Using a medical claims database, we computed rates of CMV-specific testing among pregnant women.<h4>Methods</h4>We used medical claims from the 2009 Truven Health MarketScan® Commercial databases. We computed CMV-specific testing rates using CPT codes.<h4>Results</h4>We identified 77,773 pregnant women, of whom 1,668 (2%) had a cl  ...[more]

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