A5016274479- Dialysis and Renal Disease Management
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Air Quality and Health Impacts
- Primary Care and Health Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Interprofessional Education and Collaboration
- Frailty in Older Adults
- Mental Health Treatment and Access
- Global Health Care Issues
- Patient Dignity and Privacy
- Mental Health and Psychiatry
- Health Systems, Economic Evaluations, Quality of Life
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Chronic Kidney Disease and Diabetes
- Counseling Practices and Supervision
- Child and Adolescent Psychosocial and Emotional Development
- Palliative Care and End-of-Life Issues
University of Washington
2019-2024
Vanderbilt University
2019-2020
Rationale: It is unknown whether air pollution associated with radiographic features of interstitial lung disease in individuals chronic obstructive pulmonary (COPD). Objectives: To determine increases prevalence abnormalities (ILA) or percent high-attenuation area (HAA) on computed tomography (CT) a heavy smoking history and COPD. Methods: We performed cross-sectional study SPIROMICS (Subpopulations Intermediate Outcome Measures COPD Study), focused current former smokers 10-year exposure...
Student-run free clinics (SRFCs) serve uninsured patients and offer unique educational opportunities. However, the impact of these on hospital utilization is unclear. In this pre-post observational study, we used multivariable modeling to test hypothesis that Shade Tree Clinic, SRFC affiliated with Vanderbilt University Medical Center (VUMC), would have decreased after joining clinic. To evaluate relationship between STC VUMC, conducted a sub-analysis referred from VUMC using univariate...
Background: Self-rated health (SRH) and the surprise question (SQ) capture perceptions of are independent risk factors for poor outcomes. Little is known about their association with physiologic functional decline. Objective: Determine SRH SQ frailty status in older adults chronic kidney disease (CKD) utility as screening tools. Design: Prospective cohort study. Setting/Subjects: Two hundred seventy-two adults, age ≥60 years, advanced CKD seen nephrology clinic. Measurements: Patients...
Significance Statement Effective advance care planning is a national priority for nephrologists. Yet, multiple barriers stymie patient–provider communication about treatment goals and patient preferences, including limited provider time reluctance to initiate these conversations. This study examined single-item measure eliciting patients’ preference when confronted with serious illness. simple associated two validated tools measuring health outcome priorities as well acceptability of...
<b><i>Background:</i></b> Older adults with advanced non-dialysis-dependent chronic kidney disease (NDD-CKD) face a high risk of hospitalization and related adverse events. <b><i>Methods:</i></b> This prospective cohort study followed nephrology clinic patients ≥60 years old NDD-CKD stages 4-5. After an eligible patient’s office visit, staff asked the provider to rate death within next year using surprise question (“Would you be surprised if...