Comparison of remote and in-clinic follow-up after XXXX / @entity396 abortion.

@entity1 @entity1499 @entity396
OBJECTIVE: This study compared adherence to follow-up and clinical outcomes between standard in-clinic and remote follow-up after @entity1499 / @entity396 abortion. STUDY DESIGN: This nonrandomized trial recruited @entity1 requesting medical abortion at two sexual health clinics in Toronto, Canada. @entity1 received @entity1499 50 mg/m(2) followed 3-7 days later by 800 mcg of @entity396 self-administered vaginally. For Day 15, follow-up @entity1 could choose standard in-clinic follow-up with ultrasound and assessment or remote telephone follow-up with serum b-hCG performed at a community laboratory and symptom checklist. Standard and remote follow-up groups were compared for adherence, defined as completing follow-up within 7 days of the scheduled time, and clinical outcomes. Characteristics associated with adherence were assessed using multivariable logistic regression. RESULTS: Of 129 @entity1 , 86 (67%) chose remote follow-up. Nonadherence rates for remote (28%) and standard (23%) follow-up groups did not differ in univariate (p=.57) or multivariable analysis (odds ratio: 1.09, 95% confidence interval: 0.39-3.01). Rates of emergency/hospital visits were 3% and 9% for remote and standard groups, respectively (p=.22), and complete loss to follow was 6% and 14% in remote and standard groups (p=.18). Nonadherent @entity1 were more likely to be undecided about their contraception (65% vs. 28%; p=.002), and this difference persisted in the multivariable analysis. CONCLUSION: Given a choice of remote or in-clinic follow-up after @entity1499 / @entity396 abortion, most @entity1 chose remote follow-up. Rates of adherence to follow-up, adverse outcomes and complete loss to follow-up were similar for @entity1 choosing remote and standard follow-up. IMPLICATIONS STATEMENT: Since standard and remote follow-up after @entity1499 / @entity396 abortion are associated with similar adherence to follow-up and similar safety profiles, @entity1 should be offered their choice of follow-up method.
