- Opioid Use Disorder Treatment
- Pharmaceutical Practices and Patient Outcomes
- Hepatitis C virus research
- HIV, Drug Use, Sexual Risk
- Respiratory and Cough-Related Research
- Pain Management and Opioid Use
- Health Systems, Economic Evaluations, Quality of Life
- Adolescent and Pediatric Healthcare
- Musculoskeletal pain and rehabilitation
- Asthma and respiratory diseases
- Liver Disease Diagnosis and Treatment
- Pharmacy and Medical Practices
- Migraine and Headache Studies
- Medication Adherence and Compliance
- Autoimmune and Inflammatory Disorders Research
- Prenatal Substance Exposure Effects
- Patient Safety and Medication Errors
- Pneumonia and Respiratory Infections
- Global Health Care Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Innovations in Medical Education
- Global Health Workforce Issues
- Substance Abuse Treatment and Outcomes
- Cannabis and Cannabinoid Research
University of Florida
2010-2025
North Florida/South Georgia Veterans Health System
2006-2024
Florida College
2014-2024
Geriatric Research Education and Clinical Center
2024
University of Arizona
2024
University of Pittsburgh
2024
University College London
2024
Park University
2023
Center for Drug Evaluation and Research
2021
University Hospital of North Tees
2013
State Medicaid programs have implemented initiatives to expand treatment coverage for opioid use disorder (OUD); however, some still require prior authorizations (PAs) filling buprenorphine prescriptions.To evaluate the changes in OUD among enrollees states that completely removed PA requirements.This retrospective cross-sectional study analyzed immediate and trend on during 2013 2020 associated with removal of requirements using a controlled interrupted time series analysis account...
Importance Monoclonal antibodies (mAbs) targeting calcitonin gene-related peptide (CGRP) or its receptor (anti-CGRP mAbs) offer effective migraine-specific preventive treatment. However, concerns exist about their potential cardiovascular risks due to CGRP blockade. Objective To compare the incidence of disease (CVD) between Medicare beneficiaries with migraine who initiated anti-CGRP-mAbs vs onabotulinumtoxinA in US. Design, Setting, and Participants This retrospective, sequential cohort...
Increasing gabapentinoid use has raised concerns of misuse and abuse in the United States (US). Little is known about characteristics general clinical practice over time. This cross-sectional study used data from National Ambulatory Medical Care Survey. We examined trends patient prescriber diagnoses associated with US ambulatory care visits involving gabapentinoids for adult 2003 to 2016. Using multivariable logistic regression, we estimated adjusted proportion gabapentinoid-involved among...
Little is known about economic and productivity loss by severity of asthma. We investigate health-care utilization, direct medical costs, indirect costs due to from asthma severity.We conducted a cross-sectional analysis the Medical Expenditure Panel Survey database (2010-2017) patients with aged ≥12 years categorized them into mild, moderate, severe groups based on symptom control medications. Study outcomes included asthma-related absenteeism. used zero-inflated Poisson regression models...
Little is known about opioid and gabapentinoid (OPI-GABA) use duration dose patterns' associations with adverse outcome risks. We examined between OPI-GABA trajectories subsequent drug overdose.
Rural clinical schools and regionally based medical have a major role in expanding the rural workforce. The aim of this cohort study was to compare location practice graduates from University Tasmania School Medicine's larger cities Hobart Launceston (UTAS SoM), with those who spent at least 1 year Clinical smaller regional city Burnie RCS) Australia. Specifically, quantify proportion worked an Australian or remote location, towns within Tasmania.The 2014 locations all UTAS SoM RCS between...
We examined trends in management of headache disorders United States (US) emergency department (ED) visits. conducted a cross-sectional study using 2007−2018 National Hospital Ambulatory Medical Care Survey data. included adult patient visits (≥18 years) with primary ED discharge diagnosis headache. classified medications by pharmacological group: opioids, butalbital, ergot alkaloids/triptans, acetaminophen/nonsteroidal anti-inflammatory drugs (NSAIDs), antiemetics, diphenhydramine,...
years), more likely to be male, and had lower rates of hypertension, congestive heart failure, pulmonary disease, chronic obstructive disease than white or black patients (P < .001for each pairwise comparison) (Table ).Discussion | More 40% Latinos in the Baltimore-Washington, DC metropolitan region who were tested for SARS-CoV-2 positive, a much higher proportion any other racial/ethnic group.While testing inclusion criteria standardized, differential access may have contributed positivity;...
Little information is known about the health-related quality of life (HRQOL) and patient's preference values by severity asthma. We evaluated HRQOL health utility impairment associated with asthma using SF-12 SF-6D.We conducted a cross-sectional analysis 2010-2016 Medical Expenditure Panel Survey database patients aged ≥18 years categorized them into mild, moderate, severe Study outcomes included physical component summary (PCS) mental (MCS) for measuring SF-6D utility. regression models...
Health system data incompletely capture the social risk factors for drug overdose. This study aimed to improve accuracy of a machine-learning algorithm predict opioid overdose by integrating human services and criminal justice with health claims determinants risk. prognostic included Medicaid beneficiaries (n = 237,259) in Allegheny County, Pennsylvania enrolled between 2015 2018, randomly divided into training, testing, validation samples. We measured 290 potential predictors (239 derived...
Objective: The effects of all-oral direct-acting antivirals (DAAs) on hepatocellular carcinoma (HCC) and liver-related all-cause mortality were assessed among Medicaid beneficiaries with hepatitis C virus (HCV). Subjects: This cohort study used 2013–2019 Arizona data from HCV aged 18–64 years. Methods: Risks HCC compared between patients or without DAA treatment, stratified by liver disease severity, using inverse probability treatment weighted multivariable Cox proportional hazards...
One-third of opioid (OPI) overdose deaths involve concurrent benzodiazepine (BZD) use. Little is known about and use (OPI-BZD) most associated with risk. We aimed to examine associations between OPI-BZD dose duration trajectories, subsequent OPI or BZD in US Medicare.Retrospective cohort study.US Medicare.Using a 5% national Medicare data sample (2013-16) fee-for-service beneficiaries without cancer initiating prescriptions, we identified 37 879 (age ≥ 65 = 59.3%, female 71.9%, white 87.6%,...