A5091746173- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Gastric Cancer Management and Outcomes
- Emergency and Acute Care Studies
- Cerebrovascular and Carotid Artery Diseases
- Palliative Care and End-of-Life Issues
- Asthma and respiratory diseases
- Lung Cancer Treatments and Mutations
- Health Systems, Economic Evaluations, Quality of Life
- Heart Failure Treatment and Management
- Lung Cancer Diagnosis and Treatment
- Medication Adherence and Compliance
- Geriatric Care and Nursing Homes
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiovascular Health and Disease Prevention
- Mycobacterium research and diagnosis
- Acute Ischemic Stroke Management
- Genetic factors in colorectal cancer
- Diverticular Disease and Complications
- Healthcare Policy and Management
- Pneumonia and Respiratory Infections
- Chronic Disease Management Strategies
- Healthcare cost, quality, practices
- Multiple and Secondary Primary Cancers
- Pharmaceutical Practices and Patient Outcomes
Johnson University
2022-2025
Rutgers, The State University of New Jersey
2008-2025
The University of Texas Southwestern Medical Center
2013-2022
Southwestern Medical Center
2012-2021
Harold C. Simmons Comprehensive Cancer Center
2015-2021
Baylor Medical Center at Garland
2020
The University of Texas at Austin
2019
University of California, San Diego
2018
Parkland Health & Hospital System
2012-2018
RELX Group (Netherlands)
2018
Many groups have developed guidelines to shorten hospital length of stay in pneumonia order decrease costs, but the time until a patient hospitalized with becomes clinically stable has not been established.To describe resolution abnormalities vital signs, ability eat, and mental status patients community-acquired assess clinical outcomes after achieving stability.Prospective, multicenter, observational cohort study.Three university 1 community teaching Boston, Mass, Pittsburgh, Pa, Halifax,...
Background: A real-time electronic predictive model that identifies hospitalized heart failure (HF) patients at high risk for readmission or death may be valuable to clinicians and hospitals who care these patients. Methods: An automated 30-day was derived validated from clinical nonclinical factors present on admission in 1372 HF hospitalizations a major urban hospital between January 2007 August 2008. Data were extracted an medical record. The performance of the compared with mortality...
Asthma in the elderly is underdiagnosed and undertreated, there a paucity of knowledge on subject. The National Institute Aging convened this workshop to identify what known gaps remain suggest research directions needed improve understanding care asthma elderly. presenting at an advanced age often has similar clinical physiologic consequences as seen with younger patients, but comorbid illnesses psychosocial effects aging might affect diagnosis, presentation, population. At least 2...
<h3>Importance</h3> Colorectal cancer (CRC) screening saves lives, but participation rates are low among underserved populations. Knowledge on effective approaches for the underserved, including best test type to offer, is limited. <h3>Objective</h3> To determine (1) if organized mailed outreach boosts CRC compared with usual care and (2) FIT superior colonoscopy in an population. <h3>Design, Setting, Participants</h3> We identified uninsured patients, not up date screening, age 54 64 years,...
Statin therapy has been associated with increased insulin resistance; however, its clinical implications for diabetes control among patients is unknown.To assess progression after initiation of statin use in diabetes.This was a retrospective matched-cohort study using new-user and active-comparator designs to associations between national cohort covered by the US Department Veterans Affairs from fiscal years 2003-2015. Patients included were 30 or older; had diagnosed during period; regular...
<h3>Importance</h3> Although colonoscopy is frequently performed in the United States, there limited evidence to support threshold values for physician adenoma detection rate as a quality metric. <h3>Objective</h3> To evaluate association between and risks of postcolonoscopy colorectal cancer related deaths. <h3>Design, Setting, Participants</h3> Retrospective cohort study 3 large integrated health care systems (Kaiser Permanente Northern California, Kaiser Southern Washington) with 43...
To describe the epidemiology of perioperative anemia in patients with hip fracture and assess relationship between hemoglobin measurements clinical outcomes.Prospective observational cohort study.Four university community teaching hospitals.A consecutive 550 who underwent surgery for survived to discharge from August 1997 1998 were evaluated followed prospectively.Deaths, readmissions Functional Independence Motor mobility scores within 60 days discharge.Anemia (defined as <12.0 g/dL) was...
Background: Patients with community-acquired pneumonia who are at low risk for short-term mortality can be identified using a validated prediction rule, the Pneumonia Severity Index.Such patients should candidates outpatient treatment, yet many hospitalized.Objective: To assess program to safely increase proportion of low-risk treated home. Methods:The intervention provided physicians Index score and corresponding eligible offered enhanced visiting nurse services antibiotic...
Background: Cardiac complications after noncardiac surgery are a serious cause of illness and death. Echocardiography is being used before to assess risk for cardiac complications, but its role remains undefined. Objective: To examine the prognostic value operating characteristics transthoracic echocardiography assessing surgery. Design: Prospective cohort study. Setting: University-affiliated Veterans Affairs medical center. Patients: 339 consecutive men who were known have or suspected...
Investigating claims that patients are being sent home from the hospital "quicker and sicker" requires a way of objectively measuring appropriateness discharge.To define validate simple, usable measure clinical stability on discharge for with community-acquired pneumonia.Information daily vital signs status was collected in prospective, multicenter, observational cohort study. Unstable factors 24 hours prior to were temperature greater than 37.8 degrees C, heart rate 100/min, respiratory...
<h3>Background</h3> Compliance with medical therapy is often compromised because patients cannot afford to pay for medications. Inadequate physician knowledge of drug costs may unwittingly contribute this problem. <h3>Objective</h3> To measure attitudes about prescribing and medication compare differences among attending physicians residents. <h3>Design/Participants</h3> Written survey internal medicine house staff general in an urban hospital-based primary care center. <h3>Results</h3> One...
A 65-year old man with hypertension and degenerative joint disease presents to the emergency department a three-day history of productive cough fever. His temperature is 38.3°C (101°F), his blood pressure 144/92 mm Hg, respiratory rate 22 breaths per minute, heart 90 beats oxygen saturation 92 percent while he breathing room air. Physical examination reveals only crackles egophony in right lower lung field. The white-cell count 14,000 cubic millimeter, routine chemical tests are normal....
Hepatocellular carcinoma (HCC) surveillance is underutilized among patients with cirrhosis. Understanding which steps in the process are not being conducted essential for designing effective interventions to improve rates. The aim of our study was characterize reasons failure HCC a cohort cirrhotic HCC. We retrospective diagnosed at large urban safety-net hospital between 2005 and 2011. Patients were characterized by receipt over two-year period before diagnosis. Among without surveillance,...
Lobectomy is the standard of care for stage IA lung cancer. Some small retrospective studies have suggested similar results after limited resection tumors < or =2 cm in size. The objective study was to compare survival lobectomy and among Medicare patients with cancer.Using Surveillance, Epidemiology, End Results registry, linked records, we identified 1165 cases I cancer size that underwent (segmentectomy wedge resection). We used logistic regression determine propensity scores undergoing...
Although clinical practice guidelines recommend combination therapy with macrolides, including azithromycin, as first-line for patients hospitalized pneumonia, recent research suggests that azithromycin may be associated increased cardiovascular events.To examine the association of use all-cause mortality and events pneumonia.Retrospective cohort study comparing older pneumonia from fiscal years 2002 through 2012 prescribed receiving other guideline-concordant antibiotic therapy.This was...
OBJECTIVES: To study the relationship between health literacy and memory verbal fluency in older adults. DESIGN: Cross‐sectional cohort. SETTING: Twenty senior centers apartment buildings New York, York. PARTICIPANTS: Independently living, English‐ Spanish‐speaking adults aged 60 (N=414). MEASUREMENTS: Health was measured using Short Test of Functional Literacy Adults (S‐TOFHLA). The associations S‐TOFHLA scores immediate delayed recall (Wechsler Memory Scale II), (Animal Naming), global...
Women with lung cancer appear to have better survival. Whether this results from response treatment, different tumor biology, or a longer life expectancy is not well understood. This study sought assess sex differences in the natural history of after controlling for unrelated causes death and type treatment.This included 18,967 elderly patients stage I II non-small-cell diagnosed between 1991 1999 Surveillance, Epidemiology, End Results registry linked Medicare records. Patients were grouped...