{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:40:18Z","timestamp":1782513618548,"version":"3.54.5"},"reference-count":19,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:p> Objectives. We compared complication rates after surgical abortions performed by physician assistants with rates after abortions performed by physicians. <\/jats:p><jats:p> Methods. A 2-year prospective cohort study of women undergoing surgically induced abortion was conducted. Ninety-one percent of eligible women (1363) were enrolled. <\/jats:p><jats:p> Results. Total complication rates were 22.0 per 1000 procedures (95% confidence interval [CI] = 11.9, 39.2) performed by physician assistants and 23.3 per 1000 procedures (95% CI = 14.5, 36.8) performed by physicians (P = .88). The most common complication that occurred during physician assistant\u2013performed procedures was incomplete abortion; during physician-performed procedures the most common complication was infection not requiring hospitalization. A history of pelvic inflammatory disease was associated with an increased risk of total complications (odds ratio = 2.1; 95% CI = 1.1, 4.1). <\/jats:p><jats:p> Conclusions. Surgical abortion services provided by experienced physician assistants were comparable in safety and efficacy to those provided by physicians. <\/jats:p>","DOI":"10.2105\/ajph.94.8.1352","type":"journal-article","created":{"date-parts":[[2008,12,2]],"date-time":"2008-12-02T01:58:24Z","timestamp":1228183104000},"page":"1352-1357","source":"Crossref","is-referenced-by-count":48,"title":["Physician Assistants as Providers of Surgically Induced Abortion Services"],"prefix":"10.2105","volume":"94","author":[{"given":"Marlene B.","family":"Goldman","sequence":"first","affiliation":[{"name":"Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane S.","family":"Occhiuto","sequence":"additional","affiliation":[{"name":"Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura E.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane G.","family":"Zapka","sequence":"additional","affiliation":[{"name":"Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Heather","family":"Palmer","sequence":"additional","affiliation":[{"name":"Marlene B. Goldman is with the Department of Obstetrics, Gynecology, and Reproductive Biology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Mass. Jane S. Occhiuto is with the Department of Epidemiology and Laura E. Peterson and R. Heather Palmer are with the Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass. Jane G. Zapka is with the Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"R1","unstructured":"Koonin LM, Strauss LT, Chrisman CE, Parker WY. Abortion surveillance\u2014United States, 1997. MMWR CDC Surveill Summ. 2000;49:1\u201343."},{"key":"R2","unstructured":"Elam-Evans LD, Strauss LT, Herndon J, et al. Abortion surveillance\u2014United States, 2000. MMWR Surveill Summ. 2003;52:1\u201332."},{"key":"R3","unstructured":"Kozak LJ, Owings MF. Ambulatory and inpatient procedures in the United States, 1995. Vital Health Stat 13. 1998;No. 135:1\u2013116."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1126\/science.7071579"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1992.03490220075032"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.2307\/2135905"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.2307\/4065200"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.2307\/2991501"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.2307\/2136108"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.2307\/2953399"},{"key":"R11","unstructured":"Westhoff C. Abortion training in residency programs. J Am Med Womens Assoc. 1994;49:150\u2013152, 164."},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.2307\/2648194"},{"key":"R14","doi-asserted-by":"publisher","DOI":"10.1016\/0091-2182(94)90130-9"},{"key":"R15","unstructured":"Lieberman D, Lalwani A. Physician-only and physician assistant statutes: a case of perceived but unfounded conflict. J Am Med Womens Assoc. 1994;49:146\u2013149."},{"key":"R18","doi-asserted-by":"publisher","DOI":"10.2307\/2136024"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200101000-00007"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.76.5.550"},{"key":"R24","unstructured":"Ferris LE, McMain-Klein M, Colodny N, Fellows GF, Lamont J. Factors associated with immediate abortion complications. Can Med Assoc J. 1996;154:1677\u20131685."},{"key":"R25","unstructured":"Frye AA, Atrash HK, Lawson HW, McKay T. Induced abortion in the United States: a 1994 update. J Am Med Womens Assoc. 1994;49:131\u2013136."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.94.8.1352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T22:05:19Z","timestamp":1652133919000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.94.8.1352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,8]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2004,8]]}},"alternative-id":["10.2105\/AJPH.94.8.1352"],"URL":"https:\/\/doi.org\/10.2105\/ajph.94.8.1352","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,8]]}}}