- Bladder and Urothelial Cancer Treatments
- Colorectal Cancer Screening and Detection
- Urinary Tract Infections Management
- Urinary Bladder and Prostate Research
- Healthcare Policy and Management
- Palliative Care and End-of-Life Issues
- Heart Failure Treatment and Management
- Urinary and Genital Oncology Studies
- Pharmaceutical Practices and Patient Outcomes
- Lipoproteins and Cardiovascular Health
- Climate Change and Health Impacts
- Muscle and Compartmental Disorders
- Colorectal Cancer Surgical Treatments
- Medication Adherence and Compliance
- Cerebrovascular and Carotid Artery Diseases
- Diabetes Management and Research
- Healthcare Systems and Reforms
- Chronic Myeloid Leukemia Treatments
- Bone health and osteoporosis research
- Dialysis and Renal Disease Management
- Cystic Fibrosis Research Advances
- Diverticular Disease and Complications
- Patient Safety and Medication Errors
- Economic and Financial Impacts of Cancer
- Statistical Methods in Clinical Trials
Kaiser Permanente
2017-2025
Los Angeles Medical Center
2024
Cicely Saunders International
2019
King's College London
2019
Pasadena City College
2018
AdventHealth Orlando
2018
University at Buffalo, State University of New York
2013-2014
The aim of this study was to determine the impact all-cause inpatient harms on hospital finances and patient clinical outcomes.A retrospective analysis harm from 24 hospitals in a large multistate health system conducted during 2009 2012 using Institute Healthcare Improvement Global Trigger Tool for Measuring Adverse Events. Inpatient were detected categorized into (F-I), temporary (E), no harm.Of 21,007 inpatients study, 15,610 (74.3%) experienced harm, 2818 (13.4%) 2579 (12.3%) harm. A...
Examining drug exposure is essential to pharmacovigilance, especially for bisphosphonate (BP) therapy.To examine differences in 4 measures of oral BP exposure: treatment discontinuation, adherence, persistence, and nonpersistence.Among women aged ≥ 50 years who initiated therapy during 2002-2007 with at least 3 health plan membership follow-up, discontinuation was defined by evidence no further the study observation period. Among those 2 filled prescriptions period, adherence calculated each...
BACKGROUND: Osteoporosis-related fractures are a considerable economic burden on the U.S. health care system. Since 2008, Centers for Medicare & Medicaid Services have adopted Part C Five-Star Quality Rating measure to ensure that woman's previously unaddressed osteoporosis is managed appropriately after fracture. Despite effort improve this gap in care, 2013 CMS plan ratings fact sheet reported an average star rating of 1.4 stars measure, lowest score any across all plans. OBJECTIVE: To...
As novel therapies in oncology and particular hematological malignancies impose a high financial burden with limited increase life expectancy. Therefore, CEA is important to evaluate the value of new therapies. However, there dire need critically how valid are such studies. To review analyze methodology used conduct CEAs within hematologic disease. We conducted PubMed search using following keywords combined searches: CEAs, leukemia, lymphoma myeloma. Available data showed that systemic...
BACKGROUND: Therapy with angiotensinconverting enzyme inhibitors (ACEIs) and angiotensin receptor blockers (ARBs) requires laboratory monitoring to avoid hyperkalemia acute kidney failure. OBJECTIVE: To assess the frequency of recommended annual serum potassium creatinine determine potential factors associated care gaps among adults dispensed an ACEI or ARB. METHODS: This mixed-methods study integrated findings from a retrospective cohort individual patient interviews. Adults aged 21 years...
4543 Background: Annually over 10,000 people with bladder cancer in the US have cystectomy surgery urinary diversion (UD). While ileal conduit (IC) is most common, neobladder (NB) and continent pouch (CP) are options to retain continence. Few studies community settings examined patient clinician factors associated UD choice. Methods: Eligible patients were age ≥21 a for from 1/2010 6/2015 3 West coast Kaiser Permanente regions. Data obtained EHR chart review.We useda mixed effects logistic...
You have accessJournal of UrologyBladder Cancer: Epidemiology & Evaluation II1 Apr 2018MP71-13 INITIAL TREATMENT OF NON-MUSCLE INVASIVE BLADDER CANCER (NMIBC) IN A LARGE INTEGRATED DELIVERY SYSTEM Stephen Williams, Tiffany Luong, David Yi, Ayae Yamamoto, Aniket Kawatkar, Philip Kim, Ronald Loo, Margo Sidell, and Kim Danforth WilliamsStephen Williams More articles by this author , LuongTiffany Luong YiDavid Yi YamamotoAyae Yamamoto KawatkarAniket Kawatkar KimPhilip LooRonald Loo SidellMargo...
<h3>Background</h3> Chronic breathlessness is a common, distressing advanced illness symptom. Previous work has synthesised patient concerns, but not specifically within trial setting. <h3>Aims</h3> To determine the main concerns of participants in drug for chronic and assess change during trial. <h3>Methods</h3> Data was collected as part multi-centre randomised placebo controlled, double-blind feasibility Mirtazapine patients with (ISRCTN 33236160). The question 'What have been your or...
Background: Studies have shown positive outcomes for patients treated by hospitalists, however, the impact of Patientmanagement Accountable Metrics (PAM) contract among hospitalists on financial and clinical is unclear. This study intends to determine PAM these outcomes.Methods: retrospective cohort conducted in a 7-hospital health system southeast U.S. region included 93,037 adult inpatients 264 discharged 2018. It measures total cost, variable contribution margin, length stay (LOS), 30-day...
Malnutrition and low body mass are associated with higher mortality in peritoneal dialysis (PD).The Canada-USA (CANUSA) PD study showed that there was a 3% increase the relative risk of death 1% lower lean [1].In contrast, relationship obesity survival population is unclear.Even 'reverse epidemiology' phenomenon hemodialysis has been challenged [2].In >15 000 incident patients, U-shaped association between index (BMI) noted, greatest found BMI range 30-<35 kg/m 2 [3].We have shown concept...
INTRODUCTION: Irritable bowel syndrome (IBS) is a chronic disease characterized by abdominal pain, altered habits, bloating and gas. With rising incidence of colorectal cancer (CRC) among younger age groups, we aimed to evaluate the CRC in patients with IBS identify key risk factors for this patient population. METHODS: Retrospective cohort study using data from 2008-2018 diverse, community-based integrated healthcare system Southern California. We included members over 18 an International...