A5084041129- Colorectal Cancer Screening and Detection
- Inflammatory Bowel Disease
- Gastrointestinal motility and disorders
- Microscopic Colitis
- Health Systems, Economic Evaluations, Quality of Life
- Pelvic floor disorders treatments
- Gastroesophageal reflux and treatments
- Diverticular Disease and Complications
- Eosinophilic Esophagitis
- Gastric Cancer Management and Outcomes
- Social Media in Health Education
- Helicobacter pylori-related gastroenterology studies
- Congenital gastrointestinal and neural anomalies
- Esophageal and GI Pathology
- Colorectal Cancer Surgical Treatments
- Healthcare Systems and Technology
- Urinary Bladder and Prostate Research
- Patient-Provider Communication in Healthcare
- Anorectal Disease Treatments and Outcomes
- Urinary Tract Infections Management
- Global Cancer Incidence and Screening
- Pancreatic and Hepatic Oncology Research
- Pregnancy and Medication Impact
- Empathy and Medical Education
- Electronic Health Records Systems
Cedars-Sinai Medical Center
2016-2025
Sinai Health System
2024
University of California, Los Angeles
2014-2020
UCLA Health
2017
VA Greater Los Angeles Healthcare System
2014-2016
Hospital of the University of Pennsylvania
2011
Thomas Jefferson University
2006-2010
Proton pump inhibitors (PPIs) increase the risk for enteric infections that is likely related to PPI-induced hypochlorhydria. Although impact of acid suppression on severe acute respiratory syndrome coronavirus 2 unknown thus far, previous data revealed pH ≤3 impairs infectivity similar 1. Thus, we aimed determine whether use PPIs increases odds acquiring disease 2019 (COVID-19) among community-dwelling Americans.From May 3 June 24, 2020, performed an online survey described participating...
Digestive diseases account for >100 million ambulatory care visits annually in the U.S. Yet, comparatively less is known about true burden of gastrointestinal (GI) symptoms general U.S.The aim this study was to use data from "National GI Survey"-a population-based audit >71,000 participants-to determine prevalence and predictors community-dwelling Americans.We conducted National Survey using a mobile app called MyGiHealth, which employs computer algorithm that systematically collects...
Background & AimsAlthough dysphagia is common, there limited information about the prevalence and burden of illness in United States. We performed a population-based survey more than 31,000 adults to evaluate epidemiology, clinical characteristics, health care–seeking behavior individuals with dysphagia.MethodsWe cross-sectional analysis States who completed an online, self-administered from April 4 through 19, 2018. All respondents were asked which following symptoms they had ever...
attributable to indirect effects of the pandemic such as stay-at-home policies and reduced medical social resources for patients with AUD.Our study is limited by potential misclassification bias in death certificate data.However, AUD typically underrecognized, we would expect factors result lower observed rates.Our findings suggest that may have had a disproportionate association AUD-related deaths subgroups high vulnerability tailored strategies are needed prevention intervention combat...
Although screening for colorectal cancer (CRC) is recommended all adults aged 50 to 75 years in the United States, there are racial and ethnic disparities who receives screening. Individuals lacking appropriate CRC cite various reasons nonadherence, including lack of provider recommendation The purpose this study evaluate association between patient race as primary reason nonadherence.We conducted a cross-sectional observational individuals from 2009 California Health Interview Survey...
Virtual reality (VR) has emerged as a novel and effective non-pharmacologic therapy for pain, there is growing interest to use VR in the acute hospital setting. We sought explore cost effectiveness thresholds must meet be cost-saving an inpatient pain management program. The result framework administrators evaluate return on investment of implementing programs varying cost. Utilizing decision analysis software, we compared adjuvant vs. usual care among hospitalized patients. In strategy,...
Few studies have examined inflammatory bowel disease (IBD) patients' knowledge and understanding of biologic therapies outside traditional surveys. Here, we used social media data to examine IBD the risks benefits associated with how this affects decision-making.We collected posts from Twitter e-forum discussions >3000 sites posted between June 27, 2012 2015. Guided by natural language processing, identified specific keywords that discussed and/or biologics. We then manually coded resulting...
OBJECTIVES: Chronic idiopathic constipation (CIC) is characterized by unsatisfactory defecation and difficult or infrequent stools. CIC affects 9%–20% of adults in the United States, although prevalent, gaps knowledge remain regarding healthcare seeking medication use community. We recruited a population-based sample to determine prevalence predictors (i) individuals having discussed their symptoms with provider (ii) therapies. METHODS: representative Americans aged 18 years older who had...
OBJECTIVES: Recent drug approvals have increased the availability of biologic therapies for inflammatory bowel disease (IBD), making it difficult patients with ulcerative colitis (UC) and Crohn's (CD) to navigate treatment options. Here we developed a conjoint analysis examine patient decision-making surrounding medicines IBD. We used results create an online decision aid that generates unique "preferences report" each assist shared their provider. METHODS: administered adaptive choice-based...
OBJECTIVES: National societies provide little guidance regarding which colonoscopy bowel preps are best tolerated and most effective; this reflects a lack of comparative effectiveness studies that directly evaluate the available in “real-world” setting. To address gap, we conducted prospective, commercially unfunded study currently measured their impact on cleansing. METHODS: We included patients aged ≥18 years, who presented for an outpatient at large medical center serving more than 70...
<h3>Importance</h3> Delaying critical care for treatable conditions owing to fear of contracting COVID-19 in the emergency department (ED) is associated with avoidable morbidity and mortality. <h3>Objective</h3> To assess quantify how people decided whether present ED during pandemic unrelated using conjoint analysis, a form trade-off analysis that examines individuals make complex decisions. <h3>Design, Setting, Participants</h3> This cross-sectional survey study was conducted nationwide...
Background Current qualitative literature about the experiences of women dealing with urinary tract infections (UTIs) is limited to patients recruited from tertiary centers and medical clinics. However, traditional focus groups interviews may limit what share. Using digital ethnography, we analyzed free-range conversations an online community. Objective This study aimed investigate characterize patient perspectives UTIs using ethnography. Methods A data-mining service was used identify...
INTRODUCTION: Chronic idiopathic constipation (CIC) is a common disorder associated with significant impairment in quality of life. This clinical practice guideline, jointly developed by the American Gastroenterological Association and College Gastroenterology, aims to inform clinicians patients providing evidence-based recommendations for pharmacological treatment CIC adults. METHODS: The Gastroenterology formed multidisciplinary guideline panel that conducted systematic reviews following...
Objectives: Healthcare delivery now mandates shorter visits with higher documentation requirements, undermining the patient–provider interaction. To improve clinic visit efficiency, we developed a portal that systematically collects patient symptoms using computer algorithm called Automated Evaluation of Gastrointestinal Symptoms (AEGIS). AEGIS also automatically "translates" report into full narrative history present illness (HPI). We aimed to compare quality computer-generated vs....
OBJECTIVES: Prior reports have linked patient transmission of carbapenem-resistant Enterobacteriaceae (CRE, or "superbug") to endoscopes used during endoscopic retrograde cholangiopancreatography (ERCP). We performed a decision analysis measure the cost-effectiveness four competing strategies for CRE risk management. METHODS: calculate approaches reduce among patients presenting hospital symptomatic common bile duct stones. The included following: (1) perform ERCP followed by US Food and...