A5062348695- Patient-Provider Communication in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Radiomics and Machine Learning in Medical Imaging
- Patient Satisfaction in Healthcare
- Healthcare Systems and Technology
- Pharmaceutical industry and healthcare
- Palliative Care and End-of-Life Issues
- Statistical Methods in Clinical Trials
- Maternal and Perinatal Health Interventions
- Health Policy Implementation Science
- Medication Adherence and Compliance
- Asthma and respiratory diseases
- Emergency and Acute Care Studies
- Health Literacy and Information Accessibility
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Pharmaceutical studies and practices
- Pregnancy and preeclampsia studies
- Empathy and Medical Education
- Innovations in Medical Education
- Maternal and fetal healthcare
- Healthcare cost, quality, practices
- Respiratory and Cough-Related Research
- Chronic Disease Management Strategies
- Clinical Reasoning and Diagnostic Skills
Mayo Clinic in Florida
2015-2024
Mayo Clinic
2013-2024
WinnMed
2012-2024
Mayo Clinic in Arizona
2011-2023
Knowledge Foundation
2023
Colorado School of Public Health
2019-2022
University of Colorado Denver
2019-2022
University of Colorado Anschutz Medical Campus
2021
Department of Medical Sciences
2011-2018
University of Florida
2018
IMPORTANCEEvidence about the efficacy of laparoscopic resection rectal cancer is incomplete, particularly for patients with more advanced-stage disease.OBJECTIVE To determine whether noninferior to open resection, as determined by gross pathologic and histologic evaluation resected proctectomy specimen.DESIGN, SETTING, AND PARTICIPANTS A multicenter, balanced, noninferiority, randomized trial enrolled between October 2008 September 2013.The was conducted credentialed surgeons from 35...
To determine the disease-free survival (DFS) and recurrence after treatment of patients with rectal cancer open (OPEN) or laparoscopic (LAP) resection.This randomized clinical trial (ACOSOG [Alliance] Z6051), performed between 2008 2013, compared LAP OPEN resection stage II/III cancer, within 12 cm anal verge (T1-3, N0-2, M0) in who received neoadjuvant chemoradiotherapy. The rectum mesorectum were resected using instruments for dissection (included hybrid hand-assisted laparoscopic) under...
Cardiac stress testing in patients at low risk for acute coronary syndrome is associated with increased false-positive test results, unnecessary downstream procedures, and cost. We judged it unlikely that patient preferences were driving the decision to obtain testing.The Chest Pain Choice trial was a prospective randomized evaluation involving 204 who aid or usual care followed 30 days. The included 100-person pictograph depicting pretest probability of available management options...
Abstract Background Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary clinics is unclear. Methods We cluster-randomized 10 practices a concealed fashion to implement either aid (DA) about starting statins or one choosing antihyperglycemic agents. Each practice served as control group for another implementing the other type of DA. From April 2011 July 2012, 103 (DA=53) patients with 2...
For antidepressants, the translation of evidence comparative effectiveness into practice is suboptimal. This deficit directly affects outcomes and quality care for patients with depression. To overcome this problem, we developed Depression Medication Choice (DMC) encounter decision aid, designed to help clinicians consider available antidepressants extent which they improved depression other issues important patients.
<h3>Importance</h3> Shared decision-making (SDM) about anticoagulant treatment in patients with atrial fibrillation (AF) is widely recommended but its effectiveness unclear. <h3>Objective</h3> To assess the extent to which use of an SDM tool affects quality and decisions at-risk AF. <h3>Design, Setting, Participants</h3> This encounter-randomized trial recruited nonvalvular AF who were considering starting or reviewing their clinicians at academic, community, safety-net medical centers...
ABSTRACT Background: Although direct medical costs for constipation‐related visits are thought to be high, date there have been no studies examining whether longitudinal resource use is persistently elevated in children with constipation. Our aim was estimate the incremental and types of health care associated constipation from childhood early adulthood. Methods: A nested case‐control study conducted evaluate The original sample consisted 5718 a population‐based birth cohort who were born...
To improve identification of risk factors for pressure ulcer development and enhance targeted interventions prevention strategies.The records 12,566 adult patients hospitalized in intensive or progressive care units within Mayo Clinic were analyzed. Inclusion criteria Braden Scale 18 less during the hospitalization; exclusion preexisting length stay than 24 hours.This study is a retrospective cohort analysis electronic medical record data from January 1, 2007, to December 31, 2007. Only...
Little is known about humor's use in clinical encounters, despite its many potential benefits. We aimed to describe humor during encounters.We analyzed 112 recorded encounters. Two reviewers working independently identified instances of humor, as well information surrounding the logistics use.Of 66 (59%) contained 131 humor. Humor was similarly frequent primary care (36/61, 59%) and specialty (30/51, 59%), more common gender-concordant interactions (43/63, 68%), most counseling (81/112,...
Purpose Osteoporosis Choice, an encounter decision aid, can engage patients and clinicians in shared making about osteoporosis treatment. Its effectiveness compared to the routine provision of patient's estimated risk fracture using FRAX calculator is unknown. Methods Patient-level, randomized, three-arm trial enrolling women over 50 with osteopenia or eligible for treatment bisphosphonates, where use Choice was only usual care determine impact on patient knowledge, decisional conflict,...
Background— Percutaneous coronary intervention (PCI) for stable artery disease does not reduce the risk of death and myocardial infarction compared with optimal medical therapy (OMT), but many patients think otherwise. PCI Choice, a decision aid (DA), was designed use during clinical visit includes information on quality life mortality outcomes OMT versus alone disease. Methods Results— We conducted randomized trial to assess impact Choice DA usual care when there is choice between therapy....
Higher levels of patient activation for self-managing health are associated with positive clinical and care utilization outcomes. Identifying a patient's level can guide clinicians to tailor interventions improve their health. Effective self-management atrial fibrillation (AF) requires participate in treatment decisions, prevent complications, manage risk factors. Yet, little is known about patients AF. The purpose this descriptive study was identify factors AF.Patients (N=123), 66% male,...
To provide the simultaneous 7-year estimates of incremental costs smoking and obesity among employees dependents in a large health care system.We used retrospective cohort aged 18 years or older with continuous enrollment during study period. Longitudinal multivariate cost analyses were performed using generalized estimating equations demographic adjustments.The annual mean by age group ranged from $1274 to $1401. The morbid II $5467 $5530. These drop substantially when comorbidities are...
To describe the frequency, content, dynamics, and patterns of cost conversations in academic medical oncology across tumor types.We reviewed 529 audio recordings between May 3, 2012, to September 23, 2014, from a prospective three-site communication study which patients at any stage management for solid malignancy were seen routine appointments. Recordings deidentified, transcribed, flagged mention cost. We coded encounters used qualitative thematic analysis.Financial issues discussed 151...
Introduction Despite recommendations for COVID-19 vaccination in pregnant people, the effect of on neonatal outcomes remains unknown. We sought to determine association between status pregnancy and presence neonatally diagnosed congenital anomalies. Methods A comprehensive vaccine registry was combined with a delivery database create cohort including all patients aged 16–55 years event December 10, 2020 31, 2021 at hospital within Mayo Clinic Health System. Pregnancy were analyzed relation...