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June 26, 2018

Abortion-Related Adverse Events by Facility Type: Reassurance From a National Analysis

Author Affiliations
  • 1Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York
JAMA. 2018;319(24):2481-2483. doi:10.1001/jama.2018.7906

In this issue of JAMA, Roberts and colleagues1 report findings from their analysis of abortion-related adverse event rates stratified by facility type. The authors used 2011-2014 data from Truven, a health insurance claims database covering a sample of privately insured people in all 50 states, to compare the rate of additional abortion-related claims within 60 days of the abortion among women who had abortions in office-based settings (including facilities such as abortion clinics, nonspecialized clinics, and physician offices) vs claims among women who had abortions in ambulatory surgery centers (ASCs). The study sample included 49 287 patients who had 50 311 abortions, of which 27% were first-trimester medication abortions, 47% were first-trimester procedures, and 26% were second-trimester or later procedures. Of the abortions, 89% took place in an office setting, and 11% took place in an ASC.