Adolescent Medicine & Pediatric Gynecology Outcomes

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Why Choose Us: Adolescent Medicine & Pediatric Gynecology

Our Outcomes: The Results of Our Care

Our adolescent medicine and pediatric gynecology specialists at Nemours/Alfred I. duPont Hospital for Children, in Wilmington, Del., address puberty and reproductive health issues in both girls and boys. As part of our commitment to keeping kids healthy, we monitor certain metrics related to disease detection and prevention. These include screening for and vaccinating against common sexually transmitted infections (STIs, also known as sexually transmitted diseases, or STDs).

Why Measuring Results Matters

At Nemours, we measure our results and compare them to national rates to help track our progress in providing pediatric care with the best possible results. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a couple of outcomes we track and focus on to improve the experience for both you and your child.

 

Detecting & Treating Sexually Transmitted Infections Early

Detecting & Treating Sexually Transmitted Infections Early


Making Sure Sexually Active Teen Girls Are Screened for Chlamydia

Chlamydia is a sexually transmitted infection that can cause pelvic inflammatory disease (PID) and an increased risk for infertility and chronic abdominal pain. Seventy percent of young women with chlamydia have no symptoms at all. That’s why it’s important to detect the infection early, and begin treatment right away. At Nemours, we exceed the national benchmark (average), with 57.4 percent of our sexually active female patients ages 16 to 20 screened for chlamydia every year.

 

Sexually Active Girls Ages 16–20 Screened for Chlamydia, Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

79.5%

Percent of girls screened for chlamydia, 2017

52.7%

National average (benchmark)

 

Data source: Nemours data collected electronically from Nemours/Alfred I. duPont Hospital for Children in Wilmington, Del., and our satellite Nemours duPont Pediatrics specialty care office in Philadelphia. *A patient is considered "sexually active" if she had a pregnancy encounter, an order or a result of a pregnancy test, an order or result for a chlamydia screening, a diagnosis that indicates she is sexually active, or a medication order for a contraceptive. The percentage reflects only our adolescent medicine providers, not pediatric gynecologists.
Benchmark: The Healthcare Effectiveness Data and Information Set (HEDIS) for Chlamydia trachomatis infection screening reported by Medicaid plans, 2008.  

Protecting Adolescents Against HPV

Protecting Adolescents Against HPV


Striving to Vaccinate as Many Teens as Possible

The human papillomavirus (HPV) is a very common sexually transmitted infection, with about 80 percent of adolescents and young adults infected in the United States. In many cases, HPV goes away on its own, but it can cause genital warts and changes in the cervix and vulva that can result in cervical and vulvar cancer. HPV can also lead to cancer in other areas, such as the tonsils, throat, penis and anus.

National organizations including the American Academy of Pediatrics (AAP), Centers for Disease Control and Prevention (CDC), American Academy of Family Physicians (AAFP) and National Cancer Institute (NCI) now recommend children 9 to 14 years old receive a two-dose series of the HPV vaccine. Teens 15 and older who start the series later still need the previously recommended three doses. At Nemours, our goal is to make sure all children 13 to 17 years old — both boys and girls — get the complete HPV vaccine series.

However, despite our best efforts, we’re unfortunately not getting as many adolescents (teens) vaccinated against HPV as we’d like. For one, when we get new patients it may take some time to get their records before we can give them vaccinations. And, since most patients come to us for specialist care and already have their own pediatrician, our job is to act as another resource to discuss families’ concerns about the vaccine, and to help initiate the vaccine series whenever possible.

Also, many parents opt to wait awhile or choose to opt out of the HPV vaccine altogether. Some may be afraid of allergic reactions or side effects. Others may be concerned about whether the vaccine actually works or why it needs to be given so young, when their children aren't yet sexually active. But the vaccine is most effective before a person becomes sexually active. Given that most people will likely be sexually active at some point in their lives, the HPV vaccination is simply an early preventative measure. And, after 12 years of experience with the vaccine, it has been proven to be safe and effective. 

 

Girls Ages 13–17 Vaccinated With First HPV Dose, Nemours/Alfred I. duPont Hospital for Children (Wilmington, Del.)

34%

Percent of girls vaccinated with first HPV dose, 2017

63%

National average (benchmark), 2015

 

Data source: Any female patient ages 13–17 seen Jan.–Dec. 2016 in the adolescent medicine specialty at Nemours/Alfred I. duPont Hospital for Children; Nemours duPont Pediatrics, Saint Francis; or Nemours duPont Pediatrics, Philadelphia who has documentation in the patient chart of receiving at least one HPV vaccine (any type) from any provider inside or outside of Nemours.
Benchmark: The Advisory Committee on Immunization Practices (ACIP) national benchmark rate of ≥1 dose HPV, female, 13-17 years.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Adolescent Medicine & Pediatric Gynecology

Here are just some of the reasons families choose us for their child’s care:

  • Region’s only children’s hospital with pediatric and adolescent gynecologists. Nemours/Alfred I. duPont Hospital for Children has the only pediatric-certified gynecologists in Delaware, Maryland, New Jersey and Pennsylvania. Our fellowship-trained pediatric and adolescent gynecologists provide both medical and surgical care.
  • The state’s only adolescent medicine practice. Our providers have specific training in adolescent medicine for boys and girls.
  • Diverse staff of all-female providers. Having a woman provider often helps girls — who are the majority of the patients we see — feel more comfortable during pelvic exams.
  • Multispecialty teams built around your child’s condition. With onsite pediatric specialists in areas such as behavioral health, transgender/nonbinary patient care, fertility preservation and reproductive survivorship care for oncology adolescents, your child gets comprehensive care all in one place.