A5001148702- Musculoskeletal pain and rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Spine and Intervertebral Disc Pathology
- Health Policy Implementation Science
- Prostate Cancer Treatment and Research
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Opioid Use Disorder Treatment
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Global Health and Surgery
- Mental Health and Patient Involvement
- Osteoarthritis Treatment and Mechanisms
- Primary Care and Health Outcomes
- Delphi Technique in Research
- Social Media in Health Education
- Pharmaceutical Practices and Patient Outcomes
- Cancer Genomics and Diagnostics
- Patient Satisfaction in Healthcare
- Renal cell carcinoma treatment
- Peripheral Artery Disease Management
- Prostate Cancer Diagnosis and Treatment
- Focus Groups and Qualitative Methods
University of Washington
2009-2021
University of Washington Medical Center
2020
Back pain is one of the most important causes functional limitation, disability, and utilization health care resources for adults all ages, but especially among older adults. Despite high prevalence back in this population, questions remain unanswered regarding comparative effectiveness commonly used diagnostic tests treatments elderly. The overall goal Outcomes using Longitudinal Data (BOLD) project to establish a rich, sustainable registry describe natural history evaluate prospectively...
To estimate the prevalence of co-occurring pain sites among older adults with persistent back and associations multisite longitudinal outcomes.Secondary analysis a cohort study.Three integrated health systems in United States.Eight hundred ninety-nine pain.Participants reported following sites: stomach, arms/legs/joints, headaches, neck, pelvis/groin, widespread pain. Over 18 months, we measured back-related disability (Roland Morris, scored 0-24), intensity (11-point numerical rating...
The involvement of patients in research better aligns evidence generation to the gaps that themselves face when making decisions about health care. However, obtaining patients' perspectives is challenging. Amazon's Mechanical Turk (MTurk) has gained popularity over past decade as a crowdsourcing platform reach large numbers individuals perform tasks for small reward respondent, at cost investigator. appropriateness such methods medical yet be clarified.The goals this study were (1)...
By participating in priority-setting activities research, patients and members of the public help ensure that important questions are incorporated into future research agendas. Surveys, focus groups, online crowdsourcing increasingly used to obtain input, yet little is known about how they compare for prioritizing topics. To address this gap, Study Methods Assessing Research Topic Elicitation pRioritization (SMARTER) evaluated participant satisfaction with engagement experience across three...
The objective of this study was to compare outcomes and health care utilization older patients who did versus not fill opioid prescriptions within 90 days initiating for low back pain.For ≥65 years with new pain visits, we used propensity scores match those filled no ≥2 (and the first prescription 30 d) index visit. Over 24 months, examined patient-reported outcomes, utilization, subsequent fills.Among 1954 eligible matching, 238 (12%) days; 200 these were matched controls. Patients without...
Secondary analysis of lumbar epidural steroid injections for spinal stenosis randomized controlled trial data.To reevaluate whether outcomes older adults receiving with or without corticosteroid improve after using patient-prioritized Roland-Morris Disability Questionnaire (RDQ) items.Epidural are commonly used to treat symptoms, despite limited evidence their effectiveness in clinical trials. It is unclear evaluating would alter results a large trial.Outcomes from the (LESS) were reanalyzed...
Abstract: The Clinical and Health Outcomes Initiative in Comparative Effectiveness (CHOICE) program, which includes 12 ongoing comparative effectiveness research (CER) trials funded by the Agency for Healthcare Research Quality under American Recovery Reinvestment Act of 2009, has had firsthand experience dealing with unique challenges conducting CER since started fall 2010. This paper will explore collective CHOICE program discuss common successes investigators have experienced United...
Involving patients as partners in research is a defining characteristic of patient-centered outcomes (PCOR). While patients' experiential knowledge health condition or treatment may yield priorities not reflected by researchers and policy makers, the methods for identifying effectively collaborating with are still evolving. Patient registries crowdsourcing offer ease access convenience to both patients. Surveys focus groups, including online modalities, have been described prioritizing...
Improving maternal health has been a primary goal of international agencies for many years, with the aim reducing and child deaths improving access to antenatal care (ANC) services, particularly in low-and-middle-income countries (LMICs). Health interventions these aims have received more attention from clinical effectiveness perspective than cost impact economic efficiency.We collected data on resource use costs as part large, multi-country study assessing routine screening ultrasound (US)...
29 Background: FluPET, a next-generation imaging modality approved in 2016 for suspected PC recurrence with elevated PSA after prior therapy, is becoming more widely available; however, practice patterns and impact on outcomes unknown. We hypothesize FluPET ordered variety of reasons, findings often leading to changes treatment plan. Methods: In this prospective registry, providers are surveyed before, 1-2 weeks after, 1 year assess reasons obtaining projected plan, plan due findings,...
TPS5099 Background: Patients with biochemical recurrence (BCR) after local definitive therapy for prostate cancer (PC) represent the largest group of patients alive PC in United States. For BCR both radical prostatectomy and radiation, no further treatment options currently exist as standard care. FACBC PET/CT is a next-generation imaging modality approved 2016 suspected based on elevated PSA levels following prior treatment. allows earlier detection at lower oligometastatic who would...