A5034066218- Global Cancer Incidence and Screening
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Colorectal Cancer Screening and Detection
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Family Support in Illness
- Muscle activation and electromyography studies
- Cancer Risks and Factors
- Economic and Financial Impacts of Cancer
- Geriatric Care and Nursing Homes
- Prosthetics and Rehabilitation Robotics
- Interprofessional Education and Collaboration
- Balance, Gait, and Falls Prevention
- Grief, Bereavement, and Mental Health
- Gastric Cancer Management and Outcomes
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Chronic Disease Management Strategies
- Breast Cancer Treatment Studies
- Spinal Cord Injury Research
- Colorectal Cancer Surgical Treatments
- Frailty in Older Adults
Dalhousie University
2016-2025
Nova Scotia Health Authority
2014-2025
Ontario Institute for Cancer Research
2012-2016
University of Toronto
2012-2016
University of Manitoba
2016
Capital Health
2016
Ottawa Hospital
2008-2015
Capital District Health Authority
2015
Cancer Care Nova Scotia
2011-2013
Victoria Park
2012
Abstract We assessed the comparative effectiveness and safety of pertuzumab plus trastuzumab chemotherapy versus for patients with HER2+ metastatic breast cancer (mBC) in Canada. conducted a population‐based retrospective study receiving first‐line treatment mBC across eight Canadian provinces. Patients were historical comparators, group. followed until death or up to 5 years following start (maximum follow‐up December 31, 2019). The primary outcome was overall survival (OS). One‐year...
A 3 × 4 electrode array was placed over each of seven muscles and surface electromyography (sEMG) data were collected during isometric contractions. For array, nine bipolar pairs formed off-line sEMG parameters calculated evaluated based on repeatability across trials comparison to an anatomically pair. The use time-domain for the selection pair from within a grid-like may improve upon existing placement methodologies.
Cancer causes substantial emotional and psychosocial distress, which may be exacerbated by delays in treatment. The COVID-19 pandemic has resulted increased wait times for many patients with cancer. In this study, the distress associated waiting cancer surgery during was investigated. This cross-sectional, convergent mixed-methods study included lower priority disease first wave of at an academic, tertiary care hospital eastern Canada. Participants underwent semi-structured interviews...
Patient engagement (PE) is not well defined and little guidance available to those attempting employ PE in decision-making relevant health system improvement. After completing a 2-year project, overseen by an Advisory Committee, our objectives were: 1) evaluate how effectively the project team engaged 2) examine Committee members perceived their role PE, 3) identify barriers facilitators order improve future efforts. Five of completed semi-structured interviews post-project about...
Abstract Background One of the key conceptual challenges in advancing our understanding how to more effectively sustain innovations health care is lack clarity and agreement on what sustainability actually means. Several reviews have helped synthesize clarify researchers conceptualize operationalize sustainability. In this study, we sought identify individuals who implement and/or evidence-informed define Methods We conducted in-depth, semi-structured interviews with implementation leaders...
Middle managers are given scant attention in the implementation literature health care, where focus is on senior leaders and frontline clinicians.To empirically examine role of middle relevant to innovation how experience process.A qualitative study was conducted using methods grounded theory. Data were collected through semistructured interviews with (N = 15) Nova Scotia New Brunswick, Canada. Participants purposively sampled, based their involvement initiatives obtain variation manager...
Strategies have been developed for use in primary care to identify patients at risk of declining health and dying, yet little is known about the perceptions doing so or broader implications impacts.To explore acceptability using a care-based electronic medical record algorithm help providers their practice dying.Qualitative descriptive study Ontario Nova Scotia, Canada.Six focus groups were conducted, supplemented by one-on-one interviews, with 29 healthcare providers, managers, policymakers...
Health care delivery and outcomes can be improved by using innovations (i.e., new ideas, technologies, practices) supported scientific evidence. However, evidence may not the foremost factor in adoption decisions is rarely sufficient. The objective of this study was to examine role adopt complex cancer care. Using an explanatory, multiple case design, we examined five purposively sampled cases Nova Scotia, Canada. Data were collected via documents key informant interviews. analysis involved...
Orientation sensors containing magnetometers use the earth's magnetic field as a reference. Ferromagnetic objects may distort this field, leading to inaccurate orientation output. We explored viability of these for motion analysis in an assistive mobility device rehabilitative setting. attached two MTx (XSens; Enschade, Netherlands), connected XBus Master data collection unit (XSens), plastic frame such that relative angle between was constant. then moved series devices proximity frame:...
After treatment, cancer survivors require ongoing, comprehensive care to improve quality of life, reduce disability, limit complications, and restore function. In Canada internationally, follow-up continues be delivered most often by oncologists in institution-based settings. There is extensive evidence demonstrate that this model does not work well for many or our systems. Randomized controlled trials have clearly demonstrated alternate approaches are equivalent oncologist-led terms patient...
Oncologists have traditionally been responsible for providing routine follow-up care cancer survivors; in recent years, however, primary providers (pcps) are taking a greater role during the period. In present study, we used longitudinal multi-province retrospective cohort study to examine how and specialist intersect delivery of breast care.Various databases (registry, clinical, administrative) were linked each four provinces: British Columbia, Manitoba, Ontario, Nova Scotia....
For people with lower extremity amputations, the decreased confidence and suboptimal gait associated dynamic instability can negatively affect mobility quality of life. Quantifying could enhance clinical decision making related to prosthetics inform future prosthetic research.To quantitatively examine adaptations in transfemoral amputees across various walking conditions.Cross-sectional study.Plantar-pressure data were collected from 11 individuals unilateral amputations using an in-shoe...
In order to maximize later health, there are established components and guidelines for quality follow-up care of breast cancer survivors. However, adherence in Canada may not be optimal, vary by province. We determined compared the proportion patients each province who received adherent non-adherent surveillance recurrence, new cancers late effects, recommended preventive care, physician visits comorbidities.
Transitioning routine follow-up to primary care could potentially increase guideline adherence by improving access and continuity of care.
This study sought to develop frailty "identification rules" using population-based health administrative data that can be readily applied across jurisdictions for living and deceased persons. Three identification rules were developed based on accepted definitions of frailty, markers service utilization, expert consultation, limited variables within two common databases: hospital discharge abstracts physician claims data. These used identify persons with from both decedent populations five...
Objectives Moving innovations into healthcare organisations to increase positive health outcomes remains a significant challenge. Even when knowledge and tools are adopted, they often fail become integrated the long-term routines of organisations. The objective this study was identify factors processes influencing sustainability in cancer survivorship care. Design Qualitative using semistructured, in-depth interviews, informed by grounded theory. Data were collected analysed concurrently...
Background: This study aimed to understand Canadian cancer survivors’ experiences during the return-to-work (RTW) process. Methods: A prospective qualitative longitudinal design was employed using principles of phenomenological inquiry. Cancer survivors took part in three in-depth interviews: at end treatment, and 3 9 months after first interview. Transcripts were analyzed constant comparative analysis, guided by Work model. Results: total 38 interviews conducted with 13 participants. The...
Abstract Background As part of a broader study to improve the capacity for advance care planning (ACP) in primary healthcare settings, research team set out develop and validate computerized algorithm help physicians identify individuals at risk death, also carried focus groups interviews with relevant stakeholder groups. Interviews patients family caregivers were parallel development validation examine (1) views on early identification deteriorating health or dying; (2) use identification;...
While efforts to improve cancer outcomes have typically focused on improving quality of care, recently, a growing emphasis has been placed timely access care. This retrospective cohort study examines, at population level, the relationship between and timeliness colorectal (CRC) care in single Canadian province (Nova Scotia). Through provincial registry, we identified all residents diagnosed with invasive CRC 2001 2005 that underwent non-emergent resection. Using anonymized administrative...