About 1 in 5 American women report having two or more chronic diseases. (Organization for Economic Co-operation and Development)
PCORI has funded 78 patient-centered CER studies that focus on conditions that specifically or more often affect women, in addition to a dozen other projects that are focused on engaging more women in the research process. (As of February 2022)
At least 32 PCORI-funded studies relating to women's health specifically focus on reproductive and perinatal health. (As of February 2022)
PCORI Story: 'We Know What the Research Says:' Transforming Peripartum Care for Black Birthing People
The US healthcare system must do better by Black birthing people. PCORI-funded studies are just one of the ways through which three Black women researchers are supporting and fortifying the networks of diverse birthing support needed to address health inequities for Black birthing people.
Telehealth Strategies for the Delivery of Maternal Health Care: A Rapid Review
PCORI commissioned a rapid review to assess evidence on the effectiveness of telehealth strategies for the delivery of maternal healthcare. Because telemedicine has experienced a swift and widespread adoption in the United States, PCORI sought to understand the evidence base on a compressed timeline in order to inform our future research investments.
The evidence synthesized in this rapid review indicates that telehealth for maternal health care delivery is a promising alternative and/or supplement to usual, in-person care. Equally important are the evidence gaps identified in this review that point us to future research priorities. Full results of this rapid review are also available in the Annals of Internal Medicine.
Study Results that Support Better-Informed Decisions
A Risk-Based Approach for Triaging Mammography Examinations
An algorithm based on clinical indication, breast symptoms, breast cancer history, and age successfully maximized cancer detection, according to this PCORI-funded study‘s research team. Reporting in JAMA Network Open, the study found that 12 percent of mammograms with very high or high cancer detection rates accounted for 55 percent of detected cancers, while 44 percent of mammograms with very low cancer detection rate accounted for just 13 percent of detected cancers.
The findings suggest that triaging individuals most likely to have cancer detected during periods of reduced capacity, such as the COVID-19 pandemic, could result in detecting the most cancers while performing the fewest examinations compared with a non-risk-based approach.
Individualized Patient Decision Making for Treatment Choices among Minorities with Lupus
Lupus is an illness in which the immune system attacks parts of the body; it primarily affects young women. Lupus can cause a kidney disease called lupus nephritis, a swelling of the kidneys. Lupus nephritis is more common and severe in minority groups.
In this PCORI-funded study, based at the University of Alabama at Birmingham, the research team made an online decision aid specifically for women with lupus nephritis to help them make choices about available treatments. They then compared the use of this tool with reading an educational pamphlet about lupus. They found that compared with women who read the pamphlet, women who used the decision aid felt less doubt about their choices
Women's Health Study Spotlights
Evidence for Decisions from PCORI-Funded Studies
Evidence Updates: Treating Urinary Incontinence in Women without Surgery
Millions of women experience urinary incontinence; however, many women don’t seek treatment because they don’t realize that improvement is possible.
A recent review of research found that several nonsurgical treatments for urinary incontinence can help.
Evidence Visualization: Effect of Pelvic Floor Muscle Training on Urinary Incontinence
This interactive visualization on pelvic floor muscle training, or PFMT, uses data from randomized controlled trials to assess the efficacy of PFMT to treat urinary incontinence, or UI.
It stemmed from a PCORI-funded systematic review on nonsurgical treatments for urinary incontinence. Pelvic floor exercises were also highlighted as an effective nonsurgical treatment for UI in the Evidence Updates.