A5044318811- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Primary Care and Health Outcomes
- Heart Failure Treatment and Management
- Cardiac Health and Mental Health
- Healthcare Systems and Public Health
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Lipoproteins and Cardiovascular Health
- Medication Adherence and Compliance
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Artificial Intelligence in Healthcare and Education
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Cardiovascular Function and Risk Factors
- Artificial Intelligence in Healthcare
- Healthcare cost, quality, practices
- Emergency and Acute Care Studies
- Cardiovascular Health and Risk Factors
- Machine Learning in Healthcare
- Chronic Disease Management Strategies
- Peripheral Artery Disease Management
- Stuttering Research and Treatment
- Vascular Tumors and Angiosarcomas
- Cardiovascular Syncope and Autonomic Disorders
VA Palo Alto Health Care System
2022-2025
Stanford University
2020-2025
Cardiovascular Institute of the South
2020-2024
Center for Innovation
2023-2024
Palo Alto University
2024
Veterans Health Administration
2023
Stanford Health Care
2020-2022
Brigham and Women's Hospital
2015-2017
Harvard University
2013-2015
Massachusetts Eye and Ear Infirmary
2013-2015
Background: Racial inequities for patients with heart failure (HF) have been widely documented. HF who receive cardiology care during a hospital admission better outcomes. It is unknown whether there are differences in to or general medicine service by race. This study examined the relationship between race and service, its effect on 30-day readmission mortality Methods: We performed retrospective cohort from September 2008 November 2017 at single large urban academic referral center of all...
Clinicians typically estimate heart failure health status using the New York Heart Association Class, which is often discordant with patient-reported status. It unknown whether collecting improves accuracy of clinician assessments.
In this cross-sectional study, we evaluated the completeness, readability, and syntactic complexity of cardiovascular disease prevention information produced by GPT-4 in response to 4 kinds prompts.
This cross-sectional study evaluates contemporary patterns of lipoprotein a testing among US veterans receiving care through the Veterans Health Administration.
BACKGROUND: The impact of routine clinic use patient-reported outcome (PRO) measures on clinical outcomes in patients with heart failure (HF) has not been well-characterized. We tested if clinic-based a disease-specific PRO improves quality life at 1 year. METHODS: PRO-HF trial (Patient-Reported Outcome Measurement Heart Failure Clinic) was an open-label, parallel, patient-level randomized assessment or usual care academic HF between August 30, 2021, and June 2022, year follow-up. In the...
Patient-reported outcomes (PROs) may improve care for patients with heart failure. The Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) is a patient survey that captures symptom frequency, burden, physical limitations, social and quality of life. Despite the utility PROs KCCQ-12, implementation routine use these measures can be difficult. We conducted an evaluation clinician perceptions KCCQ-12 to identify barriers facilitators into clinical practice.
<sec> <title>BACKGROUND</title> Telehealth is a potential tool to alleviate geographic cardiology specialist shortages, but there limited data regarding current telehealth use for common conditions, including atrial fibrillation (AF). </sec> <title>OBJECTIVE</title> We evaluated variation in primary care and clinics patients with incident AF the Veterans Health Administration (VA). <title>METHODS</title> constructed cohort of diagnoses made outpatient setting 1/2022-9/2023. included...
Hearing loss is the most common sensory deficit in world, and frequently it originates inner ear. Yet, ear has been difficult to access for diagnosis because of its small size, delicate nature, complex three-dimensional anatomy, encasement densest bone body. Evolving optical methods are promising afford cellular pathologic changes To appropriately interpret results from these emerging technologies, important characterize properties cochlear tissues. Here, we focus on that characterization...
Fibroblast growth factor 23 (FGF23) is a circulating hormone important in phosphate homeostasis. Abnormal serum levels of FGF23 result systemic pathologies humans and mice, including renal wasting diseases hyperphosphatemia. We sought to uncover the role plays auditory system due shared molecular mechanisms genetic pathways between ear kidney development, critical roles multiple FGFs play development known hearing phenotype mice deficient klotho (KL), co-factor for signaling. Using...
<b>Background and Importance</b> Plasmacytomas are monoclonal proliferations of plasma cells that may arise within soft tissue or bone. The skull base is a rare site for plasmacytomas to occur, few cases have been reported in the literature. When present base, result cranial neuropathies often progress multiple myeloma more rapidly than other intracranial skeletal plasmacytomas. <b>Clinical Presentation</b> A 69-year-old man presented with primary complaint diplopia an examination consistent...
Early in the COVID-19 pandemic, cardiology clinics rapidly implemented telemedicine to maintain access care. Little is known about subsequent trends use and visit volumes across subspecialties. We conducted a retrospective cohort study including all patients with ambulatory visits at multispecialty cardiovascular center Northern California from March 2019 February 2020 (pre-COVID) 2021 (COVID). Telemedicine increased 3.5% of (1200/33,976) during pre-COVID period 63.0% (21,251/33,706) COVID...
atients with heart failure (HF) who are elderly, women, Black race, or Hispanic ethnicity historically underrepresented in clinical trials. 1 In-person recruitment is a barrier to participation that virtual enrollment may overcome. 2Designed as pragmatic trial (via email, text message, and telephone call) of patients seen HF clinic, the PRO-HF (Patient-Reported Outcome Measurement Heart Failure Clinic) evaluates impact routine assessment patient-reported health status before clinic visits....
Telehealth use has increased in specialty clinics, but there is limited evidence on the outcomes of telehealth primary cardiovascular disease (CVD) prevention.The objective this study was to evaluate initial CardioClick, a CVD prevention program.In 2017, Stanford South Asian Translational Heart Initiative (a preventive cardiology clinic focused high-risk patients) introduced which clinical pathway replacing in-person follow-up visits with video visits. We assessed patient engagement and...
Background Little is known about hospital pricing for coronary artery bypass grafting (CABG). Using new price transparency data, we assessed variation in CABG prices across US hospitals and the association between higher characteristics, including quality of care. Methods Results Prices diagnosis related group code 236 were obtained from Turquoise database linked by Medicare Facility ID to publicly available characteristics. Univariate multivariable analyses performed assess factors...