- Thyroid Cancer Diagnosis and Treatment
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Thyroid and Parathyroid Surgery
- Head and Neck Anomalies
- Radiation Dose and Imaging
- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Head and Neck Cancer Studies
- Nutrition and Health in Aging
- Healthcare Quality and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Health Policy Implementation Science
- Neuroendocrine Tumor Research Advances
- Airway Management and Intubation Techniques
- Innovations in Medical Education
- Health Sciences Research and Education
- Voice and Speech Disorders
- Clinical practice guidelines implementation
- Healthcare cost, quality, practices
- Climate Change and Health Impacts
- Primary Care and Health Outcomes
Public Health Wales
2021-2025
University Hospital of Wales
2021-2025
Oxleas NHS Foundation Trust
2025
White River Junction VA Medical Center
2015-2024
Dartmouth College
2015-2024
Dartmouth Institute for Health Policy and Clinical Practice
2015-2024
University Hospitals Coventry and Warwickshire NHS Trust
2016-2024
Office of Multidisciplinary Activities
2021-2024
Dartmouth–Hitchcock Medical Center
2014-2024
St. Louis County Missouri
2019-2023
Increasing cancer incidence is typically interpreted as an increase in the true occurrence of disease but may also reflect changing pathological criteria or increased diagnostic scrutiny. Changes approach to thyroid nodules have resulted apparent cancer.To examine trends incidence, histology, size distribution, and mortality United States.Retrospective cohort evaluation patients with cancer, 1973-2002, using Surveillance, Epidemiology, End Results (SEER) program data on from National Vital...
Since the publication of Standards for QUality Improvement Reporting Excellence (SQUIRE 1.0) guidelines in 2008, science field has advanced considerably. In this manuscript, we describe development SQUIRE 2.0 and its key components. We undertook revision between 2012 2015 using (1) semistructured interviews focus groups to evaluate 1.0 plus feedback from an international steering group, (2) two face-to-face consensus meetings develop interim drafts (3) pilot testing with authors a public...
We have previously reported on a doubling of thyroid cancer incidence-largely due to the detection small papillary cancers. Because they are commonly found in people who died other causes, and because mortality had been stable, we argued that increased incidence represented overdiagnosis.To determine whether has stabilized.Analysis secular trends patients diagnosed with cancer, 1975 2009, using Surveillance, Epidemiology, End Results (SEER) program from National Vital Statistics System.Nine...
The rapidly rising incidence of papillary thyroid cancer may be due to overdiagnosis a reservoir subclinical disease. To conclude that is occurring, evidence for an association between access health care and the necessary.We used Surveillance, Epidemiology, End Results (SEER) data examine U.S. trends in Medicare-age non-Medicare-age cohorts over three decades. We performed ecologic analysis across 497 counties, examining nine county-level socioeconomic markers cancer.Papillary most Americans...
Since its publication in 2008, SQUIRE (Standards for Quality Improvement Reporting Excellence) has contributed to the completeness and transparency of reporting quality improvement work, providing guidance authors reviewers reports on healthcare work. In interim, enormous growth occurred understanding factors that influence success, failure, efforts. Progress been particularly strong three areas: theoretical basis work; impact contextual outcomes; development methodologies studying...
Critical Care Research| November 01 2015 Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process Greg Ogrinc, MD, MS; MS Ogrinc is senior associate dean medical education, Geisel School of Medicine at Dartmouth, chief staff White River Junction VA, and professor community family medicine, The Dartmouth Institute Health Policy Clinical Practice the Hanover, New Hampshire. Louise Davies scholar, Scholars Program,...
The Veterans Affairs (VA) healthcare system provides beneficiary travel reimbursement ("travel pay") to qualifying patients for traveling appointments. Travel pay is a large expense the VA and hence U.S. Government, projected cost nearly $1 billion in 2015. Telemedicine has potential save money by reducing patient thus amount of disbursed. In this study, we quantify savings also report trends telemedicine volumes over time.All visits based at Hospital White River Junction, VT between 2005...
The SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence) guidelines were published in 2015 to increase the completeness, precision, and transparency of reports about efforts improve safety, value, quality health care. principles methods applied work care are often educational improvement as well. In 2016, a group was convened develop an extension that would meet needs education community. This article describes development SQUIRE-EDU over three-year period its key components....
Background Cancer rates of the head and neck are traditionally linked to public health issues. Objective To describe epidemiology cancer in United States. Design Setting National Institute's Surveillance Epidemiology End Results (SEER) program. RESULTS: A total 75,000 cases were diagnosed 2001. Incidence is rising thyroid (up 52%), bone (43%) soft tissues (20%), salivary tongue (16%), tonsil (12%), nose (12%). falling lip (down 58%), hypopharynx (35%), cervical esophagus (32%), oropharyngeal...
<h3>Objective</h3> To compare the survival rate of people with papillary thyroid cancer limited to gland who have not had immediate, definitive treatment for their those such treatment. <h3>Design</h3> Cohort study incident cases and initial data from National Cancer Institute's Surveillance, Epidemiology, End Results (SEER) program. Data on cause death was taken Vital Statistics System. <h3>Patients</h3> Patients gland. <h3>Main Outcome Measure</h3> Cancer-specific survival....
Abstract Objectives/Hypothesis: To identify the trigger events that lead to detection of otherwise asymptomatic thyroid cancers. Study Design: Retrospective cohort. Methods: Chart abstraction patients who underwent thyroidectomy. Iterative development a classification algorithm categorize events. Results: A total 279 thyroidectomies were performed, which resulted in 95 new diagnoses cancer. Just less than half identified cancers (44 cancers, 46%) 127 performed after identification...
The purpose of this publication was to inform surgeons as the modern state‐of‐the‐art evidence‐based guidelines for management recurrent laryngeal nerve invaded by malignancy through blending domains 1) surgical intraoperative information, 2) preoperative glottic function, and 3) real‐time electrophysiologic information. These generated International Neural Monitoring Study Group (INMSG) are envisioned assist clinical decision‐making process involved in during thyroid surgery incorporating...
To report data on death or permanent disability after tonsillectomy.Electronic mail survey.A 32-question survey was disseminated via the American Academy of Otolaryngology-Head and Neck Surgery electronic newsletter. Recipients were queried regarding adverse events tonsillectomy, capturing demographic data, risk factors, detailed descriptions. Events classified using a hierarchical taxonomy.A group 552 respondents reported 51 instances post-tonsillectomy mortality, four anoxic brain injury....