- Heart Failure Treatment and Management
- Atrial Fibrillation Management and Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Medication Adherence and Compliance
- Antiplatelet Therapy and Cardiovascular Diseases
- Pharmaceutical Practices and Patient Outcomes
- Diabetes Treatment and Management
- Cardiovascular Function and Risk Factors
- Lipoproteins and Cardiovascular Health
- Venous Thromboembolism Diagnosis and Management
- Acute Myocardial Infarction Research
- Cardiac pacing and defibrillation studies
- Hormonal Regulation and Hypertension
- Blood Pressure and Hypertension Studies
- Pharmaceutical Economics and Policy
- Cardiac Arrhythmias and Treatments
- Cardiac Imaging and Diagnostics
- Cardiac Health and Mental Health
- Healthcare Systems and Practices
- Health Sciences Research and Education
- Potassium and Related Disorders
- Cardiac Valve Diseases and Treatments
- Cardiac Arrest and Resuscitation
- Pharmacy and Medical Practices
- Electrolyte and hormonal disorders
University of British Columbia
2013-2025
St. Paul's Hospital
2020-2025
Centre for Advancing Health Outcomes
2021-2024
St. Paul's Co-educational College
2021-2024
Rick Hansen Foundation
2024
St. Paul's Hospital
2023
Abbotsford Veterinary Clinic
2023
Surrey Memorial Hospital
2022-2023
University of Alberta
2012-2022
Vancouver General Hospital
2015-2021
<h3>Importance</h3> Guidelines currently recommend ticagrelor over clopidogrel for patients with acute coronary syndrome (ACS) based on randomized clinical trial data in which reduced major adverse events (MACE) vs but increased bleeding and dyspnea. <h3>Objective</h3> To compare the risk of MACE ACS treated percutaneous intervention (PCI), to dyspnea, evaluate association between P2Y<sub>12</sub>inhibitor adherence MACE. <h3>Design, Setting, Participants</h3> Population-based cohort study...
To develop a clinical practice guideline to support the management of chronic pain, including low back, osteoarthritic, and neuropathic pain in primary care.The was developed with an emphasis on best available evidence shared decision-making principles. Ten health professionals (4 generalist family physicians, 1 management-focused physician, anesthesiologist, physical therapist, pharmacist, nurse practitioner, psychologist), patient representative, nonvoting pharmacist methodologist...
<b>Objective</b> To determine the quality of health recommendations and claims made on popular medical talk shows. <b>Design</b> Prospective observational study. <b>Setting</b> Mainstream television media. <b>Sources</b> Internationally syndicated shows that air daily (<i>The Dr Oz Show</i> <i>The Doctors</i>). <b>Interventions</b> Investigators randomly selected 40 episodes each Doctors</i> from early 2013 identified evaluated all program. A group experienced evidence reviewers...
Abstract Aims Post-acute coronary syndrome (ACS) P2Y12 inhibitor non-adherence is common and associated with greater risk of major adverse cardiovascular events (MACEs). Non-adherence can follow different trajectories from an inability to initiate, implement, or continue therapy for the intended duration. We aimed evaluate adherence among ACS patients treated percutaneous intervention (PCI), their frequency, association MACE. Methods results conducted a cohort study adults discharged alive...
Background: While the effect of various combinations treatments on mortality and morbidity outcomes in heart failure with reduced ejection fraction (HFrEF) have been evaluated, impact quality life is unknown. This study evaluated compared composite pharmacological therapies HFrEF using a frequentist network meta analysis systematic review methodology. Methods: We searched MEDLINE, EMBASE Cochrane Central Register Controlled Trials for randomized controlled trials published between January...
Importance Shared decision-making (SDM) is a key component of the provision ethical care, but prior reviews have indicated that clinical practice guidelines seldom promote or facilitate SDM. It currently unknown whether these findings extend to contemporary cardiovascular guidelines. Objective To identify and characterize integration SDM in guideline recommendations using systematic classification system. Design, Setting, Participants This cross-sectional study assessed latest subsequent...