J Pediatr Adolesc Gynecol
December 2024
Study Objective: The purpose of this study is to better understand the pediatric and adolescent gynecology (PAG) experience from the obstetrics and gynecology (OBGYN) resident perspective and its impact on physician comfort with caring for younger patients.
Methods: This is a cross-sectional survey study of physicians enrolled in OBGYN residency programs in the United States. For each program, an internet search was also performed to identify the closest PAG providers.
Advancements in cancer screening and implementation of targeted treatments have significantly improved survival rates to 85% for pediatric and AYA survivors. Greater than 75% of survivors will live to experience the long-term adverse outcomes of cancer therapies, termed late effects (LE), that disrupt quality of life (QoL). Infertility and poor reproductive outcomes are significant disruptors of QoL in survivorship, affecting 12-88% of survivors who receive at-risk therapies.
View Article and Find Full Text PDFBackground: Past studies comparing attitudes toward transvaginal natural orifice translumenal endoscopic surgery (NOTES(®); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) to laparoscopic surgery have produced a wide variety of conflicting results, with some studies showing a preference for NOTES, a preference for transgastric NOTES only, or a rejection of NOTES. Given the disparity in results, our study aimed to identify demographic data as well as clinical factors, such as risk of infection, need for postsurgical abstinence from sexual activity, and risk of infertility, that significantly affect women's opinions.
Materials And Methods: At outpatient general surgery clinics, 142 women completed a survey regarding their opinions about transvaginal NOTES and their main concerns regarding surgery.