- Global Cancer Incidence and Screening
- Economic and Financial Impacts of Cancer
- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Gastric Cancer Management and Outcomes
- Cancer Risks and Factors
- Breast Cancer Treatment Studies
- Patient Satisfaction in Healthcare
- Head and Neck Cancer Studies
- Multiple and Secondary Primary Cancers
- Colorectal Cancer Treatments and Studies
- Ovarian cancer diagnosis and treatment
- BRCA gene mutations in cancer
- Advances in Oncology and Radiotherapy
- Global Health Workforce Issues
- Genetic factors in colorectal cancer
- Patient-Provider Communication in Healthcare
- Clinical practice guidelines implementation
- Innovations in Medical Education
- Bladder and Urothelial Cancer Treatments
- Intraperitoneal and Appendiceal Malignancies
University of Iowa
2016-2025
University of Iowa Holden Comprehensive Cancer Center
2019-2025
University of Iowa Hospitals and Clinics
2021
University of Minnesota
2021
Boise VA Medical Center
2021
American Association of Colleges of Pharmacy
2021
University of Chicago
2014-2020
University Hospitals Birmingham NHS Foundation Trust
2018
Leiden University Medical Center
2018
Midatech Pharma (United Kingdom)
2018
The Blue Button feature of online patient portals promotes engagement by allowing patients to easily download their personal health information. This study examines the adoption and use in Department Veterans Affairs' (VA) record portal, My HealtheVet.An survey presented a 4% random sample HealtheVet users between March May 2012. Questions were designed determine characteristics associated with use, perceived value how non-VA providers share information providers.Of participants (N=18 398),...
BACKGROUND The Collaborative Stage (CS) Data Collection System enables multiple cancer registration programs to document anatomic and molecular pathology features that contribute the Tumor (T), Node (N), Metastasis (M) — TNM system of American Joint Committee on Cancer (AJCC). This article highlights changes in CS for colon rectal carcinomas as moved from AJCC 6th 7th editions. METHODS 18 Surveillance, Epidemiology, End Results (SEER) population‐based registries were analyzed years...
BACKGROUND Small tumor diagnostic tools including ultrasound‐guided fine needle aspiration (FNA) and computed tomography (CT) could be causing rising racially/ethnically different thyroid cancer incidence rates due to variable overdiagnosis of indolent tumors. Papillary tumors <40 mm are most likely overdiagnosed as by FNA CT. METHODS Age‐adjusted (AAIRs) for the years 2007‐2014 were calculated race/ethnicity (white, Hispanic, Asian, African American, Native American) patient/tumor...
The COVID-19 pandemic has prevented many adolescents from receiving their vaccines, including the human papillomavirus (HPV) vaccine, on time. However, little is known about impact of implementation clinic-level evidence-based interventions (EBIs) that help to improve HPV vaccine uptake. In this qualitative study, we explored pandemic's EBI and delivery.
Purpose: KRAS mutations and tumor location have been associated with response to targeted therapy among patients stage IV colorectal cancer (CRC) in various trials. This study performed the first population-based examination of associations between mutations, location, survival, assessed factors documented testing. Methods: Patients adenocarcinoma colon/rectum diagnosed from 2010 2013 were extracted SEER data. Analyses patient characteristics, testing, conducted using logistic regression....
Abstract Purpose The objective of this study was to assess perceptions, health behaviors, and disruptions related the COVID‐19 pandemic in a largely rural, Midwestern state, examine differences between rural urban respondents. Methods A questionnaire mailed August 2020 sample 10,009 registered voters Iowa ages 18‐100 years, with oversampling from 6 select counties. Previously validated tested items assessed precautions, care disruptions, emotional reactions, behavior changes, telehealth...
Data concerning the relative efficacy of intravesical bacillus Calmette-Guerin (BCG) on subgroups carcinoma in situ bladder are limited. We report outcome primary and associated with Ta or T1 transitional cell treated BCG.Between 1987 1997, 135 patients (median age 70 years) biopsy proven underwent a standard course 6 BCG instillations. Patients were divided into group 1-23 situ, 2-37 3-75 carcinoma.Median followup was 41 months. For groups 1 to 3, complete response rates at 3 months 74% (17...
Background: The 400 m walk test has been used in older adults; however, the applicability middle-aged populations is unknown. Methods: Data were obtained from Evaluation of Physical Activity Measures Middle-Aged Women (PAW) Study and included 66 women (52.6 ± 5.4 years). Participants instructed to at a brisk, maintainable pace; time taken complete was recorded seconds. Intraclass correlation coefficients (ICC) assess test-retest reliability. Spearman rank order examine concurrent validity...
Venous thromboembolisms (VTEs) have been a leading secondary cause of death among ovarian cancer patients, prompting multiple studies risk factors. The objective this meta-analysis is to quantify the associations between VTE and most commonly reported factors patients. PubMed, Embase, Cumulative Index Nursing Allied Health Literature (CINAHL) were used identify observational studies. Two reviewers independently abstracted data assessed quality via Newcastle–Ottawa tool. A random effects...
The COVID-19 pandemic involved business closures (e.g., gyms), social distancing policies, and prolonged stressful situations that may have impacted engagement in health behaviors. Our study assessed changes cancer-related behaviors during the pandemic, specifically physical activity, fruit/vegetable intake, smoking/tobacco use, alcohol consumption. Eight cancer centers administered mailed/web-based/telephone surveys between June 2020 March 2021. Surveys demographics, perceptions on...
Higher weight individuals report experiencing weight-based stigma in the healthcare setting; within cancer continuum, most robust evidence exists for screening. More research is needed to understand whether and how higher patients experience during treatment. We conducted semi-structured interviews with 15 breast cervical survivors diagnosed 2017-2019 Iowa who had a pre-diagnosis body mass index of 30+ kg/m2 calculated from their driver's license height weight. Interviews focused on...
Objectives: To determine emergency department (ED) patients' preferences about having medical students perform procedures as part of student clinical training. Methods: A questionnaire was administered to a sequential sample 150 patients 196 approached (76.5% participation rate) in teaching hospital ED. Patients were asked how many should have performed on other before the participant would allow procedure them. The included venipuncture, starting an IV, suturing face, arm, performing lumbar...
Abstract Purpose: Medication safety is a critical concern for older adults. Regional variation in potentially inappropriate prescribing practices may reflect important differences health care quality. Therefore, the objectives of this study were to characterize quality among adults across geographic region, and compare rural versus urban residence. Methods: Cross‐sectional 1,549,824 adult veterans with regular Veterans Affairs (VA) primary medication use during fiscal year 2007. Prescribing...
<h3>Importance</h3> Sentinel lymph node biopsy (SLNB) provides prognostic information for melanoma; however, a survival benefit has not been demonstrated. <h3>Objective</h3> To assess the association of SLNB with melanoma arising in head and neck subsites (HNM). <h3>Design, Setting, Participants</h3> Propensity score–matched retrospective cohort study using Surveillance Epidemiology End Results (SEER) database to compare US patients HNM meeting current recommendations SLNB, treated from 2004...