{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:34:37Z","timestamp":1791974077786,"version":"4.4.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The disease and treatment burden of uterine fibroids (UF) in Black women is substantially greater compared with other racial groups, with higher rates of complications and poorer outcomes with both hysterectomy and myomectomy. The inequities in the access Black women have to minimally invasive routes of surgery contribute to their burden of illness. Laparoscopic radiofrequency ablation (LAP-RFA) is a minimally invasive, safe, and effective uterine-sparing treatment option.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This subgroup analysis of the LAP-RFA Pivotal Trial stratified outcomes by race comparing White women (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200928, 21%) versus Black women (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200946, 34%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At baseline, Black women had more fibroids on average (7.3 vs. 3.7;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009\u2264\u20090.001), a greater symptom severity score (SSS) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009\u2264\u20090.001), and a lower health-related quality of life (HRQoL) score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.005) than White women. At 36 months post-treatment with LAP-RFA, the statistical differences that existed with baseline SSS and HRQoL score were eliminated between Black and White women. Menstrual blood loss (140.1\u2009mL vs. 127.02\u2009mL;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.44) and mean fibroid volume reduction (47.5\u2009cm\n                      <jats:sup>3<\/jats:sup>\n                      vs. 36.0\u2009cm\n                      <jats:sup>3<\/jats:sup>\n                      ;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.17) were similar between Black and White women at 12 months. Although not statistically significant, the intraoperative total blood loss and uterine blood loss was lower in Black women than White women, despite greater operative time (160 minutes vs. 137 minutes;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.09).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These results are promising in providing an alternative uterine-sparing option for Black women and may help to provide a minimally invasive option that can address some of the racial inequities in care for Black women with UF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2020.9001","type":"journal-article","created":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T11:07:45Z","timestamp":1626865665000},"page":"593-599","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Uterine Fibroids in Black Women: A Race-Stratified Subgroup Analysis of Treatment Outcomes After Laparoscopic Radiofrequency Ablation"],"prefix":"10.1177","volume":"31","author":[{"given":"Jay M.","family":"Berman","sequence":"first","affiliation":[{"name":"Wayne State University Medical School, Detroit, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Bradley","sequence":"additional","affiliation":[{"name":"Department of OB-GYN and Reproductive Biology, Cleveland Clinic, Cleveland, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soyini M.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Fibroid and Pelvic Wellness Center of Georgia, Peachtree Corners, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Levy","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,19]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13102"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2018.61.2.192"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7076"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-019-0146-x"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000164"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002990"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2018.05.003"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2013.4334"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2020.02.110"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002738"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.8.1399"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13693422518353"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31828b7962"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.02.015"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001160"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-11-139"},{"key":"e_1_3_5_18_2","unstructured":"Wayne State University Institutional Review Board (IRB). Exempt review of research. 2017. Available at: https:\/\/research.wayne.edu\/irb\/docs\/exempt_research_guidance_updated_10_10_19.pdf Accessed October8 2020."},{"key":"e_1_3_5_19_2","first-page":"483","article-title":"Uterine leiomyomas. Racial differences in severity, symptoms and age at diagnosis","volume":"41","author":"Kjerulff KH","year":"1996","unstructured":"Kjerulff KH, , Langenberg P, , Seidman JD, , Stolley PD, , Guzinski GM. Uterine leiomyomas. Racial differences in severity, symptoms and age at diagnosis. J Reprod Med, 1996; 41:483\u2013490.","journal-title":"J Reprod Med"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2012.10.039"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2012.3733"},{"key":"e_1_3_5_22_2","unstructured":"Women of Color in the United States: Quick Take. Catalyst. Available at: https:\/\/www.catalyst.org\/research\/women-of-color-in-the-united-states Accessed October8 2020."},{"key":"e_1_3_5_23_2","unstructured":"Minority Participation in Clinical Trials: A Call to Action\u2014ASTRO Blog\u2014American Society for Radiation Oncology (ASTRO)\u2014American Society for Radiation Oncology (ASTRO). ASTRO. Available at: https:\/\/www.astro.org\/Blog\/August-2019\/Minority-Participation-in-Clinical-Trials-A-Call-t Accessed October8 2020."},{"key":"e_1_3_5_24_2","unstructured":"Women and minorities lacking in research and clinical trials for new cardiometabolic medications. EurekAlert! Available at https:\/\/www.eurekalert.org\/pub_releases\/2020-05\/aha-wam052720.php Accessed October8 2020."},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0550"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-016-0183-x"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.2147\/CEOR.S155038"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.11.012"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1914735"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001186"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8250952"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2010.03.010"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000204321.85599.0d"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.04.015"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2018.11.006"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.4314\/mmj.v29i1.8"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2020.9001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2020.9001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2020.9001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:54:56Z","timestamp":1777658096000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2020.9001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1089\/jwh.2020.9001"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2020.9001","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}