A5060212629- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Clinical practice guidelines implementation
- Primary Care and Health Outcomes
- Lipoproteins and Cardiovascular Health
- Musculoskeletal pain and rehabilitation
- Pain Management and Placebo Effect
- Chronic Disease Management Strategies
- Healthcare Policy and Management
- Opioid Use Disorder Treatment
- Ethics in Clinical Research
- Health Promotion and Cardiovascular Prevention
- Atrial Fibrillation Management and Outcomes
- Pain Mechanisms and Treatments
- Pain Management and Opioid Use
- Meta-analysis and systematic reviews
- Library Collection Development and Digital Resources
- Sodium Intake and Health
- Hormonal Regulation and Hypertension
- Venous Thromboembolism Diagnosis and Management
- Health and Medical Research Impacts
- Pharmaceutical industry and healthcare
- Data-Driven Disease Surveillance
- Thermoregulation and physiological responses
University of Alberta
2015-2024
University of California, Davis
2023
Day Family Medicine
2023
Research Network (United States)
2019
Memorial Sloan Kettering Cancer Center
2019
The University of Texas MD Anderson Cancer Center
2019
University of British Columbia
2011-2016
McMaster University
2016
Simon Fraser University
2016
Vancouver Coastal Health
2016
To develop a clinical practice guideline to support the management of chronic pain, including low back, osteoarthritic, and neuropathic pain in primary care.The was developed with an emphasis on best available evidence shared decision-making principles. Ten health professionals (4 generalist family physicians, 1 management-focused physician, anesthesiologist, physical therapist, pharmacist, nurse practitioner, psychologist), patient representative, nonvoting pharmacist methodologist...
<b>Objective</b> To determine the quality of health recommendations and claims made on popular medical talk shows. <b>Design</b> Prospective observational study. <b>Setting</b> Mainstream television media. <b>Sources</b> Internationally syndicated shows that air daily (<i>The Dr Oz Show</i> <i>The Doctors</i>). <b>Interventions</b> Investigators randomly selected 40 episodes each Doctors</i> from early 2013 identified evaluated all program. A group experienced evidence reviewers...
Family medicine physicians manage the highest complexity of conditions in their practices.[1][1] must actively stay up to date on new advances and recent evidence; care for patients all ages throughout many stages lives; share patients' struggles triumphs
To update the 2015 clinical practice guideline and provide a simplified approach to lipid management in prevention of cardiovascular disease (CVD) for primary care.Following Institute Medicine's Clinical Practice Guidelines We Can Trust, multidisciplinary, pan-Canadian panel was formed. This represented by care providers, free from conflicts interest with industry, included patient perspective. A separate scientific evidence team performed reviews on statins, ezetimibe, proprotein convertase...
<h3>Background</h3>The use of diuretics, statins, and inhaled long-acting β2-agonists (LABAs) is linked to muscle cramps but largely by anecdotal evidence. This study sought population-level data better evaluate these associations.<h3>Methods</h3>Linked health care databases containing prescribing information (December 1, 2000, November 30, 2008) about 4.2 million residents British Columbia, Canada, were evaluated using sequence symmetry analysis determine in adults 50 years or older whether...
In 2007, the province of British Columbia implemented incentive payments to primary care physicians for provision comprehensive, continuous, guideline-informed patients with 2 or more chronic conditions. We examined impact this program on access and continuity, rates hospital admission costs.We analyzed all BC who qualified based their diagnostic profile. tracked contacts admissions (total, via emergency department targeted conditions), cost physician services, pharmaceuticals, 24 months...
Introduction Sleep-time blood pressure correlates more strongly with adverse cardiovascular events than does daytime pressure. The BedMed trial evaluates whether bedtime antihypertensive administration, as compared conventional morning use, reduces major events. Methods and analysis Design Prospective randomised, open-label, blinded end-point trial. Participants Hypertensive primary care patients using lowering medication free from glaucoma. Setting Community providers in 5 Canadian...
Abstract Background Polypharmacy is associated with poorer health outcomes in older adults. Other than the multimorbidity, factors contributing to this association could include medication adverse effects and interactions, difficulties managing complicated regimes, reduced adherence. It unknown how reversible these negative associations may be if polypharmacy reduced. The purpose of study was determine feasibility implementing an operationalized clinical pathway aimed reduce primary care...
Objectives Describe nursing home polypharmacy prevalence in the context of prescribing for diabetes and hypertension determine possible associations between lower surrogate markers treated (overtreatment) polypharmacy. Design Cross-sectional study. Setting 6 homes British Columbia, Canada. Participants 214 patients residing one selected facilities during data collection period. Primary secondary outcome measures Polypharmacy was defined as ≥9 regular medications. Overtreatment being...
Abstract Background Polypharmacy in older adults can be associated with negative outcomes including falls, impaired cognition, reduced quality of life, and general functional decline. It is not clear to what extent these are reversible if the number medications reduced. Primary care does have a systematic approach for reducing inappropriate polypharmacy, there few, any, approaches that account patient’s priorities preferences. The primary objective this study test effect TAPER (Team Approach...