A5037674533- Ovarian cancer diagnosis and treatment
- Colorectal Cancer Screening and Detection
- Intraperitoneal and Appendiceal Malignancies
- Global Health Workforce Issues
- Innovations in Medical Education
- Colorectal Cancer Surgical Treatments
- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Primary Care and Health Outcomes
- Economic and Financial Impacts of Cancer
- Cancer Diagnosis and Treatment
- Diversity and Career in Medicine
- Health and Medical Research Impacts
- Patient-Provider Communication in Healthcare
- Cardiovascular and exercise physiology
- Palliative Care and End-of-Life Issues
- Endometrial and Cervical Cancer Treatments
- Cultural Competency in Health Care
- Hospital Admissions and Outcomes
- Clinical practice guidelines implementation
- Oral health in cancer treatment
- Thyroid Cancer Diagnosis and Treatment
- Pregnancy-related medical research
- Interpreting and Communication in Healthcare
- Cardiovascular Health and Risk Factors
The University of Melbourne
2024
Monash University
2024
Northwestern University
2024
The Ohio State University
2023
The Ohio State University Wexner Medical Center
2023
University of Iowa
2018-2022
Carver Bible College
2021
ORCID
2020
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...
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...
Abstract Purpose We aim to understand if rurality impacts patients’ odds of presenting with stage IV ovarian cancer at diagnosis independent distance primary care provider and the socioeconomic status a patient's residential census tract. Methods A cohort 1,000 women in Iowa, Kansas, Missouri were sampled analyzed from registries’ statewide population data. The sample contained those histologically confirmed 2011‐2012. All variables captured through an extension standard registry protocol...
National Comprehensive Cancer Network guidelines recommend ovarian cancer patients receive cancer-directed surgery from a gynecologic oncologist surgeon. We aimed to determine if rurality impacts type of surgeon and estimate the interaction between cytoreductive surgery, chemotherapy initiation, survival.Our population-based cohort Iowan (N=675) included women diagnosed with histologically confirmed stages IB-IV in 2010 2016 at ages 18 89 years old who received Iowa. Multivariable logistic...
BACKGROUND: Despite evidence of superior outcomes for rectal cancer at high-volume, multidisciplinary centers, many patients undergo surgery in low-volume hospitals. OBJECTIVE: This study aimed to examine considerations former with when selecting their surgeon and evaluate which were associated high-volume DESIGN: In this retrospective cohort study, surveyed about what they considered a surgeon. SETTINGS: Study data obtained via survey the statewide Iowa Cancer Registry. PATIENTS: All...
Objective: National Comprehensive Cancer Network (NCCN) guidelines recommend that patients with ovarian cancer receive surgical care from a gynecologic oncologist. However, 15%–30% of do not this specialist. The reasons for remain unknown. We aim at assessing the barriers and attitudes perceived by who did their primary surgery oncologist diagnosing providers in an exploratory qualitative study. Materials Methods: Patients were sampled through Iowa Registry. Participants interviewed...
Doctors are required to notify Child Protective Services (CPS) if parents do not provide appropriate medical care for their children. But criteria reporting neglect vague. Which treatments properly fall within the realm of shared decision-making in which can decide whether accept doctors' recommendations? so clearly child's interest that it would be neglectful refuse them? When report concerns CPS may controversial. It seem inhumane allow a child suffer because parental refusal administer...
Background: Healthcare delivery science education (HDSE) is increasingly needed by physicians balancing clinical care, practice management, and leadership responsibilities in their daily lives. However, most practicing have received little HDSE undergraduate through residency training. The purpose of this study to 1) quantify the perception need for interest among a diverse sample physicians, 2) determine if perspectives on vary specialty, rurality, years practice. Methods: Using...
Healthcare Delivery Science Education (HDSE) covers important aspects of the business medicine, including, operations management, managerial accounting, entrepreneurship, finance, marketing, negotiations, e-health and policy/advocacy. We need to investigate understand practicing physicians' viewpoints on HDSE in order inform interventions capable preventing double loss phenomena improving medical continuing education opportunities HDSE. This qualitative study aims provide a rich,...
To determine if there was a higher percentage of patients treated surgically and with advanced radiotherapy in 2016 (N = 897) versus 2009 1136), the patient tumor characteristics associated surgical care radiotherapy, chemotherapy or targeted agent use varied over time for squamous cell carcinoma head neck.We utilized Surveillance Epidemiology End Results Patterns Care datasets. Rao-Scott Chi-square tests logistic regressions were applied to differences surgery, (RT), by year.There lower...
Introduction: A positive public health trend in Iowa the last decade has been decreasing mortality by stroke. However, there an alarming increased occurrence of stroke younger population (≤45 years) from 2010-2018. The risk factors responsible for rising incidence young need attention prevention. Hypothesis: This analysis examines whether over time persons with will have a different frequency and distribution some cardiovascular at their Additionally, we analyze if factor prevalence varies...
e17523 Background: Receipt of surgery and adjuvant chemotherapy greatly impact survival outcomes for ovarian cancer, the deadliest gynecologic malignancy with a high recurrence/progression rate. Most patients receive first-line, platinum-based chemotherapy. Platinum-based causes severe side effects, including nephrotoxicity myelosuppression. Evidence other chemotherapeutic agents is lacking options are limited women who cannot tolerate first-line We aimed to determine prevalence premature...