A5070899249- Colorectal Cancer Screening and Detection
- Genetic factors in colorectal cancer
- Gastric Cancer Management and Outcomes
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Parathyroid Disorders and Treatments
- Enhanced Recovery After Surgery
- Frailty in Older Adults
- Global Cancer Incidence and Screening
- Gastrointestinal Bleeding Diagnosis and Treatment
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Colorectal Cancer Treatments and Studies
- Esophageal and GI Pathology
- Hepatocellular Carcinoma Treatment and Prognosis
- Appendicitis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Imaging and Pathology Studies
- Cancer Diagnosis and Treatment
- Esophageal Cancer Research and Treatment
- Nutrition and Health in Aging
- Advances in Oncology and Radiotherapy
- Systemic Sclerosis and Related Diseases
- Abdominal Surgery and Complications
- Healthcare cost, quality, practices
- Healthcare Systems and Public Health
University of Colorado Anschutz Medical Campus
2021-2024
University of Colorado Denver
2021
Stanford University
2017-2020
Methodist Dallas Medical Center
2018-2019
Stanford Health Care
2018
Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, quality indicators (QIs) are required to measure performance in health care. The goal of the Acute Pancreatitis Task Force on Quality was formally develop QIs patients with known or suspected AP using a modified version RAND/UCLA Appropriateness Methodology.A multidisciplinary expert panel composed physicians (gastroenterologists, hospitalists, surgeons) who acknowledged leaders their...
Abstract Background Although polyp size dictates surveillance intervals, endoscopists often estimate inaccurately. We hypothesized that an intervention providing didactic instruction and real-time feedback could significantly improve classification. Methods conducted a multicenter randomized controlled trial to evaluate the impact of different components online educational module on sizing. Participants were control (no video, no feedback), video only, or + feedback. The primary outcome was...
Abstract Background Gastrointestinal ( GI ) symptoms in systemic amyloidosis patients are poorly characterized. This purpose of this study is to define the epidemiology and clinical implications such symptoms. Methods was a retrospective cohort 583 amyloid seen at tertiary referral center. Of 96 symptomatic patients, 82 received endoscopic biopsies, subsequently grouped into those with histologic evidence (biopsy proven) vs without absent). Key Results 16.8% had symptoms, more abnormal NT...
<h3>Importance</h3> Early-onset colorectal cancer incidence rates are rising faster in White individuals than Black individuals. However, prior National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) racial stratification analyses used smaller SEER 13 databases, combined patients under age 50 years, did not stratify by sex, focus on adenocarcinoma histologic subtypes (screening target). <h3>Objective</h3> To perform a race- sex-stratified rate analysis aged 40 to 49...
INTRODUCTION: Risk stratification has been proposed as a strategy to improve participation in colorectal cancer (CRC) screening, but evidence is lacking. We performed randomized controlled trial of risk using the National Cancer Institute's Colorectal Assessment Tool (CCRAT) on screening intent and completion. METHODS: A total 230 primary care patients eligible for first-time CRC were assessment via CCRAT or education control. Follow-up completion was by record review phone at 6 12 months....
Upper GI bleeding (UGIB) is a common indication for inpatient esophagogastroduodenoscopy (EGD). Guideline adherence improves post-EGD care, including appropriate medication dosing/duration and follow-up procedures that reduce UGIB-related morbidity. We aimed to optimize standardize documentation improve process clinical outcomes in care. performed prospective quality improvement study of UGIB endoscopies at an academic tertiary referral center during 6/2019–7/2021. Guidelines were used...
Introduction: Colorectal cancer (CRC) remains the 3rd most common in US. Most CRCs are preventable, but screening participation suboptimal. Several factors have been associated with compliance, such as perception of CRC risk. Enrollment is complete our randomized controlled study examining impact National Cancer Institute Risk Assessment Tool (CCRAT) on attitudes and behavior. Here we present cohort’s baseline knowledge, risk perception, intent based transtheoretical model (TTM) behavioral...
Introduction: Gastrointestinal (GI) symptoms in systemic amyloidosis patients are poorly characterized. This purpose of this study is to define the epidemiology and clinical implications such context endoscopic investigation. Methods: was a retrospective single center cohort 583 amyloid seen at tertiary referral from June 2008 January 2017. Of 96 symptomatic patients, 82 received biopsies (either esophagogastroduodenoscopy or colonoscopy), subsequently grouped into those with histologic...
Although hepatocellular carcinoma (HCC) recurrence after curative resection is not uncommon, it primarily recurs in the liver prior to metastatic progression. We report a case of resected pT2N0 cryptogenic HCC that recurred superior paracervical musculature without evident intrahepatic recurrence. The patient also developed cervical spine instability requiring urgent neurosurgery. Cryptogenic thought arise from non-alcoholic fatty disease even cirrhosis. Unfortunately, portends worse...
Introduction: Detailed recommendations and guidelines for acute pancreatitis (AP) management currently exist. However, serve a different purpose than quality indicators/measures. Quality indicators (QIs) are developed to measure performance in health care. The goal of the APTFQ was formally develop QIs AP patients utilizing modified version Rand/UCLA Appropriateness Methodology (RAM). Methods: methodology this study design is outlined Figure 1. A multidisciplinary expert panel...
Introduction: Upper GI bleeding (UGIB) is a common indication forced inpatient esophagogastroduodenoscopy (EGD). Outcomes afterwards are often dependent in part by guideline-based post-EGD care. Our aim was to optimize and standardize documentation UGIB improve clinical Methods: National guidelines were used build optimized etiology- severity-specific note templates at an academic tertiary referral center. 39 attendings 15 fellows completed 10 minute training session template content & use....
Introduction: Colorectal cancer (CRC) incidence and mortality in patients age < 50 is increasing. Recent guidelines have decreased the average-risk screening from to 45, however yield of risk factors for advanced colorectal neoplasia (advanced polyps or adenocarcinoma) Veterans unknown. Our aim was describe rate (AN) estimate expanding 50. Methods: We conducted a single-center retrospective cohort study including 20-49 undergoing colonoscopy any indication 2012-2019. collected Veteran-...