A5010436182- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Hemodynamic Monitoring and Therapy
- Pharmaceutical Practices and Patient Outcomes
- Cardiovascular Health and Risk Factors
- Clinical Reasoning and Diagnostic Skills
- Electronic Health Records Systems
- Health disparities and outcomes
- Cardiac Health and Mental Health
- Artificial Intelligence in Healthcare and Education
- Ethics in Clinical Research
- Artificial Intelligence in Healthcare
- Atrial Fibrillation Management and Outcomes
- Biomedical Ethics and Regulation
- Health Sciences Research and Education
- Mobile Health and mHealth Applications
- Cardiac, Anesthesia and Surgical Outcomes
- Nutritional Studies and Diet
- Heart Rate Variability and Autonomic Control
- Health Promotion and Cardiovascular Prevention
- Machine Learning in Healthcare
- Patient-Provider Communication in Healthcare
- Non-Invasive Vital Sign Monitoring
- Health Literacy and Information Accessibility
New York University
2023-2025
Center for Health and Gender Equity
2025
Lutheran Family Health Centers
2023-2024
NYU Langone Health
2023-2024
San Francisco General Hospital
2013-2023
University of California, San Francisco
2013-2023
University of Illinois Chicago
2022
Contra Costa Health Services
2022
Kaiser Permanente
2018
University of Lausanne
2018
Background: The Centers for Disease Control and Prevention’s Million Hearts initiative includes an ambitious ≥80% blood pressure control goal in US adults with hypertension by 2022. We used the validated Blood Pressure Model to quantify changes clinic-based management processes needed attain control. Methods Results: simulates patient pressures weekly using 3 key modifiable processes: office visit frequency, clinician treatment intensification given uncontrolled pressure, continued...
The COVID-19 pandemic is a public health crisis, having killed more than 514 000 US adults as of March 2, 2021. mitigation strategies have unintended consequences on managing chronic conditions such hypertension, leading cause cardiovascular disease and disparities in the United States. During first wave States, combination observed racial/ethnic inequities deaths social unrest reinvigorated national conversation about systemic racism care society. 4th Annual University Utah Translational...
Black patients with hypertension often have the lowest rates of blood pressure (BP) control in clinical settings. It is unknown to what extent variation health care processes explains this disparity.
<h3>Background:</h3> National guidelines recommend different pharmacologic management of hypertension (HTN) without comorbidities for Black/African Americans (BAA) compared with non-BAA. We sought to 1) identify if these recommendations have influenced prescription patterns in BAA and 2) the differences uncontrolled HTN on antihypertensive medications. <h3>Methods:</h3> constructed a linked retrospective observational cohort using 2 years electronic health records data, comprising patients...
Background: Nearly half of Americans with diagnosed hypertension have uncontrolled blood pressure (BP) while some integrated healthcare systems, such as Kaiser Permanente Northern California, achieved control rates upwards 90%. Methods and Results: We adapted Permanente’s evidence-based treatment protocols in a racially ethnically diverse population at 12 safety-net clinics the San Francisco Health Network. The intervention consisted 4 elements: registry, simplified intensification protocol...
Background . The feasibility of digital health programs to prevent and manage diabetes in low-income patients has not been adequately explored. Methods Researchers collaborated with a company adapt prevention program for prediabetes at large safety net clinic. We conducted focus groups assess patient perspectives, revised lessons improved readability cultural relevance Hispanic patients, study the adapted English Spanish speaking cohorts, implemented real-time adaptations commercial use...
Background Self-monitoring of blood pressure (SMBP) improves (BP) outcomes at 12-months, but information is lacking on how SMBP affects hypertension care processes and longer-term BP outcomes. Methods Results We pooled individual participant data from 4 randomized clinical trials in the United Kingdom (combined n=2590) with varying intensities support. Multivariable random effects regression was used to estimate probability antihypertensive intensification 12 months for usual versus SMBP....
In LABBPS (Los Angeles Barbershop Blood Pressure Study), pharmacist-led hypertension care in Los County Black-owned barbershops significantly improved blood pressure control non-Hispanic Black men with uncontrolled at baseline. this analysis, 10-year health outcomes and costs of 1 year the intervention versus are projected.A discrete event simulation processes projected pressure, medication-related adverse events, fatal nonfatal cardiovascular disease noncardiovascular death participants....
The NIH Revitalization Act, implemented 29 years ago, set to improve the representation of women and minorities in clinical trials. In this study, we investigate progress made all phase therapeutic trials for neuroepithelial CNS tumors stratified by demographic-specific age-adjusted disease incidence mortality. Additionally, identify workforce characteristics associated with meeting established accrual benchmarks.Registry study published World Health Organization defined between January 2000...
Self-measured blood pressure (SMBP) with commercially available connected smartphone applications may help patients effectively use SMBP measurements.
BACKGROUND: The impact of preventing hypertension and maintaining normal blood pressure (BP) on life expectancy healthy (HLE) among Black adults, who are disproportionately affected by hypertension, has not been quantified. METHODS: We used a discrete event simulation to estimate HLE cohort adults from the Jackson Heart Study (n=4933) age 20 100 years or until death. modeled as having BP <130/80 mm Hg <120/80 across lifespan. In primary analysis, we assumed that lowering decreased risk...
Background The National Patient-Centered Clinical Research Network Blood Pressure Control Laboratory Surveillance System was established to identify opportunities for blood pressure (BP) control improvement and provide a mechanism tracking longitudinally. Methods Results We conducted serial cross-sectional study with queries against standardized electronic health record data in the (PCORnet) common model returned by 25 participating US systems. Queries produced BP metrics adults...
<b><i>Background:</i></b> Detection of chronic kidney disease (CKD) with urine albumin-to-creatinine ratio (UACR) among patients hypertension (HTN) provides an opportunity for early treatment, potentially mitigating risk CKD progression and cardiovascular complications. Differences in UACR testing patterns racial/ethnic populations at could contribute to known disparities <b><i>Methods:</i></b> We examined the prevalence low-income adult...
Background: Uncontrolled blood pressure (BP) is a leading preventable cause of death that remains common in the US population despite availability effective medications. New technology and program innovation has high potential to improve BP but may be expensive burdensome for patients, clinicians, health systems, payers not produce desired results or reduce existing disparities control. Methods Results: The PCORnet Blood Pressure Control Laboratory platform designed enable national...
A contextual understanding of hypertension control can inform population health management strategies to mitigate cardiovascular disease events. This retrospective cohort study links neighborhood-level data with patients' records describe racial/ethnic differences in uncontrolled and determine if what extent these are mediated by neighborhood socioeconomic status (nSES).We conducted a mediation analysis using sample patients from 2 care delivery systems San Francisco over years (n=47 031)....