Improving Documentation Rates of Contraception and Reproductive Planning in Patients With Rheumatic Disease
Authors' conclusion
By integrating an electronic, previsit questionnaire into the patient portal, documentation was significantly improved for contraception and pregnancy planning. The results were sustained for six months.
Study context
- Population
- Female patients aged 18 to 45 years with autoimmune inflammatory rheumatic diseases, single academic centercharts reviewed
- Comparison
- Previsit electronic reproductive Health Assessment Questionnaire vs baseline (preintervention)
- Outcome
- Provider documentation of contraception and pregnancy planning
Methodological detailspre-post intervention, single-centre, before-after comparison, chart review
- Pre-post intervention
- Single-centre
- Before-after comparison
- Chart review
Main finding
As reported in the abstract
Provider documentation of contraception
Contraception documentation, before to after implementation of the previsit questionnaire
from 44.6 to 70.5%
Further findings
| Outcome | P value |
|---|---|
| Pregnancy planning documentation in patients prescribed teratogenic medicationsPostintervention vs Baseline | P < 0.0001 |
- Provider documentation of pregnancy planning — Pregnancy planning documentation, before to after implementation of the previsit questionnaire · Postintervention vs Baseline · statistically significant increase
- from 15.5 to 60.2% · P < 0.0001
- Pregnancy planning documentation in patients prescribed teratogenic medications: statistically significant better documentation after the intervention
Impact of patient age, race and ethnicity, encounter type and provider sex on documentation rates
- No significant impact on documentation rates
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Improving Documentation Rates of Contraception and Reproductive Planning in Patients With Rheumatic Disease. Arthritis Care Res (Hoboken). Published 24 June 2025. doi:10.
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