- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Religion, Spirituality, and Psychology
- Antiplatelet Therapy and Cardiovascular Diseases
- Lipoproteins and Cardiovascular Health
- Health disparities and outcomes
- Pharmaceutical Practices and Patient Outcomes
- Cardiac Arrest and Resuscitation
- Reproductive Health and Contraception
- Reproductive Health and Technologies
- Bacterial Infections and Vaccines
- Clinical practice guidelines implementation
- Ethics in Clinical Research
- Forensic Toxicology and Drug Analysis
- Health Systems, Economic Evaluations, Quality of Life
- Opioid Use Disorder Treatment
- Patient Dignity and Privacy
- Hip disorders and treatments
- Mobile Health and mHealth Applications
- Alzheimer's disease research and treatments
- COVID-19 and Mental Health
- Neuropeptides and Animal Physiology
- Liver Disease and Transplantation
University of New Mexico
2025
University of Michigan
2020-2025
Washington University in St. Louis
2024
Tisch Cancer Institute
2023
Columbia University
2017-2020
Michigan United
2020
Poole Hospital
2017
University of Chicago
2011-2016
University of Chicago Medical Center
2016
Many large provider networks are investing heavily in preventing disease within the communities that they serve. We explore potential benefits and challenges associated with tackling depression at community level using a unique dataset designed for one such network. The economic costs of having (increased medical care use, lower quality life, decreased workplace productivity) among highest any disease. Depression often goes undiagnosed, yet many believe can be treated or prevented...
Background Although medical ethicists and educators emphasise patient-centred decision-making, previous studies suggest that patients often prefer their doctors to make the clinical decisions. Objective To examine associations between a preference for physician-directed decision-making patient health status sociodemographic characteristics. Methods Sociodemographic information from all consenting general internal medicine at University of Chicago Medical Center were examined. The primary...
While left ventricular assist devices (LVADs) increase survival for patients with advanced heart failure (HF), racial and sex access outcome inequities remain are poorly understood.To assess risk-adjusted in outcomes both Black female to examine heterogeneity treatment decisions among whom clinician discretion has a more prominent role.This retrospective cohort study of 12 310 Medicare beneficiaries used 100% Fee-for-Service administrative claims. Included had been admitted from 2008 2014....
There is a need to better assess the cumulative effect on morbidity and mortality in patients undergoing durable left ventricular assist device (LVAD) implantation. This study evaluates patient-centered performance metric (days alive out of hospital [DAOH]) for LVAD therapy.
Importance Aspirin is an effective and low-cost option for reducing atherosclerotic cardiovascular disease (CVD) events improving mortality rates among individuals with established CVD. To guide efforts to mitigate the global CVD burden, there a need understand current levels of aspirin use secondary prevention Objective report evaluate across low-, middle-, high-income countries. Design, Setting, Participants Cross-sectional analysis using pooled, individual participant data from nationally...
Background: Older adults may experience a significant digital divide and need support with using technology to transition telehealth. This study examines the role of social for telehealth utilization among older during COVID-19 pandemic. Materials Methods: We used data from Sample Person Interview National Health Aging Trends Study. Using logistic regression, we measured association between support. Results: Nearly one in five respondents pandemic (weighted %: 20.6 [585/3188]). Currently...
Objectives University students are at significantly higher risk of serogroup B meningococcal (MenB) infection, which can result in debilitating sequelae and excessive healthcare usage. This study aimed to elucidate the impact universal pre-enrollment vaccination on MenB outbreak probability cost-effectiveness outbreak-only scenarios. Methods We developed an infectious disease transmission model determine number outbreaks averted under a Markov simulate costs accrued QALYs lost associated...
Few studies using rigorous clinical diagnosis have considered whether associations with cognitive decline are potentiated by interactions between genetic and modifiable risk factors. Given the increasing burden of impairment (CI) dementia, we assessed Apolipoprotein E ε4 (APOE4) genotype status modifies association incident CI key factors .
Introduction Limited research has examined the economic impact of vision difficulty (VD) and dementia on older adults their caregivers. We aimed to determine whether with VD and/or dementia, caregivers, face more hardships than counterparts without or dementia. Methods used cross-sectional data from 2015 National Health Aging Trends Study (NHATS), a population-based survey Medicare beneficiaries, linked family/unpaid caregivers Caregiving (NSOC). Regression models characterized association...
Importance In 2020, the Centers for Medicare & Medicaid Services revised its national coverage determination, removing requirement to obtain review from a Medicare-approved heart transplant center implant durable left ventricular assist device (LVAD) bridge-to-transplant (BTT) intent at an LVAD-only center. The association between center-level availability and access transplant, gold-standard therapy advanced failure (HF), is unknown. Objective To investigate of with LVAD...
Abstract Background: Enrollment and participation of a diverse patient (pt) population for early phase clinical trials is crucial determining the safety efficacy new cancer therapies. However, strict eligibility criteria, co-occurring conditions, socioeconomic barriers can limit pt participation. Improving methods recruitment, enrollment, support while on has potential to accelerate trial accrual diversity within cohorts. Methods: We conducted retrospective chart review oncology pts seen by...
Background Electronic medical record–based interventions such as best practice alerts, or reminders, have been proposed to improve evidence-based medication prescribing. Formal implementation evaluation including long-term sustainment are not commonly reported. Preprocedural management is often a complex issue for patients taking antithrombotic medications. Methods We implemented alert (BPA) that recommended referral an anticoagulation clinic before outpatient elective gastrointestinal (GI)...
Although frequent attendance at religious services is associated with healthier behaviors and improved health outcomes, this relationship confounded to the extent that attending requires displays a certain degree of health. This study surveyed patients over multiple hospitalizations large urban academic medical center test hypothesis changes in status would be accompanied by parallel but not self-rated religiosity spirituality. Study data confirmed hypothesis, suggesting cross-sectional...