A5070018260- Clinical practice guidelines implementation
- Musculoskeletal pain and rehabilitation
- Acute Ischemic Stroke Management
- Dialysis and Renal Disease Management
- Pancreatic and Hepatic Oncology Research
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder Injury and Treatment
- Radiomics and Machine Learning in Medical Imaging
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Kidney Stones and Urolithiasis Treatments
- Microscopic Colitis
- Cancer survivorship and care
- Gender, Security, and Conflict
- Osteoarthritis Treatment and Mechanisms
- Organ Donation and Transplantation
- Pharmacy and Medical Practices
- Patient-Provider Communication in Healthcare
- Sex work and related issues
- Inflammatory Bowel Disease
- Pediatric Pain Management Techniques
- Healthcare Education and Workforce Issues
- Reliability and Agreement in Measurement
- Pain Management and Placebo Effect
NOSM University
2023-2025
Thunder Bay Regional Research Institute
2020-2024
Regional Health
2023-2024
Organ Recovery Systems (United States)
2024
Clinical Research Services
2023
Thunder Bay Regional Health Sciences Centre
2023
Queen's University
2023
University Health Network
2021
University of Toronto
2021
Lakehead University
2018
Extremity fractures are common, and most managed operatively; however, despite successful reduction, up to half of patients report persistent post-surgical pain. Furthermore, psychological factors such as stress, distress, anxiety, depression, catastrophizing, fear-avoidance behaviors have been associated with the development chronic The purpose this pilot study was examine feasibility a randomized controlled trial determine effect in-person cognitive behavioral therapy (CBT) vs. usual care...
Abstract Background Geographic disparity adds to the challenges of caring for patients with inflammatory bowel disease (IBD) in Canada. Northwestern Ontario is one least densely populated regions among Canadian provinces, limited existing research examining affected by IBD. Aims We sought 1) describe clinical trends and characteristics IBD 2) compare course residing urban versus rural areas. Methods Thunder Bay major site specialized care Ontario, allowing inclusion approximately all region....
A preference-based health utility score (PROPr) can be calculated using Patient-Reported Outcomes Measurement Information System domain scores. We assessed the construct validity of PROPr among patients treated with KRT (hemodialysis or kidney transplant).We performed a secondary analysis data collected in multicenter, cross-sectional studies adults KRT, recruited between April 2016 to March 2020 Toronto, Canada. All participants provided informed consent. The outcome was score....
Introduction Patients with kidney failure experience symptoms that are often under-recognised and undermanaged. These negatively impact health-related quality of life associated adverse clinical outcomes. Regular symptom assessment, using electronic patient reported outcomes measure (ePROMs) linked to systematic management, could improve such Clinical implementation ePROMs have been successful in routine oncology care, but not used for patients on dialysis. In this study, we describe a pilot...
Introduction: We aimed to investigate the factors impacting stone clearance following retrograde intrarenal surgery (RIRS) for lower pole kidney stones and determine whether there is a significant relationship between infundibular pelvic angle (IPA) of kidney's fragment clearance. Methods: retrospectively reviewed patients who underwent flexible ureteroscopy (f-URS) renal calculi December 2020 July 2023 at our institution. Patient demographics parameters were recorded, including size,...
Chronic, non-cancer pain affects approximately 20-30% of the population in North America, Europe, and Australia, with surgery trauma frequently cited as inciting events. Prospective studies fracture patients have demonstrated an association between somatic pre-occupation, poor coping, low recovery expectations following persistent pain, functional limitations, lower rates return to work. Psychological interventions, such cognitive behavioural therapy (CBT), that are designed modify unhelpful...
Case: We describe a case of superior pole sleeve fracture the patella in healthy 12-year-old boy and provide review literature. Patella fractures occur primarily paediatric population, with inferior more commonly seen. Superior are rare, which may make adequate diagnosis treatment difficult. Conclusion: This report aims to inform surgeons be diligent demonstrate effective use ultrasound imaging (as opposed magnetic resonance imaging) injury. Furthermore, this provides insight on diagnosis,...
Background: Patients with pancreatic ductal adenocarcinoma (PDAC) who undergo pancreatectomy have among the worst outcomes of cancer patients undergoing curative-intent treatment. This study determined impact pre-operative abdominal MRI on all-cause mortality for resected PDAC.Methods: All adult (≥18 years) PDAC underwent between January 2011 and December 2022 in Ontario, Canada, were identified this population-based cohort (ICD-O-3 codes: C250, C251, C252, C253, C257, C258). Patient...
BackgroundThe coronavirus pandemic highlighted the need for remote patient monitoring to deliver and provide access care education. A mobile-based app providing interactive tools education was piloted at Thunder Bay Regional Health Sciences Centre (TBRHSC) in November 2020. We aimed examine platform's impact on postoperative length of stay, hospital readmissions, emergency department (ED) visits 60 days postsurgery total hip knee arthroplasty patients Northwestern Ontario.MethodsData were...
Background A coordinated care system helps provide timely access to treatment for suspected acute stroke. In Northwestern Ontario (NWO), Canada, communities are widespread with several hospitals offering various diagnostic equipment and services. Thus, resources limited, health providers must often transfer patients stroke different hospital locations ensure the most appropriate within recommended time frames. However, frequently situated temporarily (locum) in NWO or providing remotely from...
<h3>Background:</h3> Patients with knee osteoarthritis (OA) in northwestern Ontario are referred by their primary care provider (PCP) to a centralized assessment clinic for evaluation an advanced practice physiotherapist (APP) determine if they will require surgical management. However, many patients found not management, resulting delays who do. A decision-support tool was developed address this issue and guide treatment options determining the need or nonsurgical approaches....
<sec> <title>BACKGROUND</title> A coordinated care system helps provide timely access to treatment for suspected acute stroke. In Northwestern Ontario (NWO), Canada, communities are widespread with several hospitals offering various diagnostic equipment and services. Thus, resources limited, health providers must often transfer patients stroke different hospital locations ensure the most appropriate within recommended time frames. However, frequently situated temporarily (locum) in NWO or...
Abstract Background A coordinated system of care is essential to provide timely access treatment for patients who present with a suspected acute stroke. In Northwestern Ontario (NWO), Canada, resources are limited and healthcare providers often must transfer stroke different hospital locations within recommended timeframes. However, providers, situated temporarily in NWO or remotely, may lack sufficient information about which route would be the most efficient appropriate circumstance....
Dastgheib, Melika; Aser, Renad F.; O'Malley, Pearse; Kaabi, Noor A.; Chowdhury, Mahdiba; Siddiqui, Rabail; Ahmed, Tibyan; Ford, Heather; Edwards, Beth; Mucsi, Istvan; Multi-Organ Transplant Program and Division of Nephrology Author Information
Poster: Transplantation: Clinical - Underrecognized Risk Factors, Traditional Considerations, and Outcomes