A5074244901- Liver Disease Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Economic and Financial Impacts of Cancer
- Liver Disease and Transplantation
- Palliative Care and End-of-Life Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Hepatocellular Carcinoma Treatment and Prognosis
- Health and Wellbeing Research
- Health Systems, Economic Evaluations, Quality of Life
- Breast Cancer Treatment Studies
- Multiple and Secondary Primary Cancers
- Colorectal Cancer Screening and Detection
- Cancer Risks and Factors
- Health disparities and outcomes
- Healthcare Policy and Management
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Nutrition and Health in Aging
- Chronic Lymphocytic Leukemia Research
- Physical Activity and Health
- Cervical Cancer and HPV Research
- Advanced Breast Cancer Therapies
- Renal cell carcinoma treatment
University of North Carolina at Chapel Hill
2020-2025
University of Alabama at Birmingham
2006-2024
UNC Lineberger Comprehensive Cancer Center
2019-2024
Chonnam National University Hwasun Hospital
2023
Segeberger Kliniken
2023
JPS Health Network
2017-2022
Duke University
2021
University of North Texas
2011-2019
University of North Texas Health Science Center
2011-2019
University of South Dakota
2019
Lay navigators in the Patient Care Connect Program support patients with cancer from diagnosis through survivorship to end of life. They empower engage their health care and navigate them increasingly complex system. Navigation programs can improve access care, enhance coordination overcome barriers timely, high-quality care. However, few data exist regarding financial implications implementing a lay navigation program.To examine influence on spending resource use among geriatric within The...
Despite evidence of clinical benefits, widespread implementation remote symptom monitoring has been limited. We describe a process adapting intervention developed in research setting to real-world at two cancer centers.
Lung cancer mortality rates for American Indians (AIs) are the highest among US race groups. End-of-life (EOL) care presents opportunities to limit aggressive and potentially unnecessary treatment. We evaluated differences in EOL quality of between AI White (WH) decedents with lung cancer. Our cohort included adult WH diagnosed (2003-2020) North Carolina, who had health insurance claims during month preceding death. outcomes assessed last 30 days life intravenous chemotherapy, hospital...
Abstract Background American Indians (AI) experience disparities in cancer outcomes. Little is known about the quality of end-of-life (EOL) care AI patients with cancer. Methods We retrospectively analyzed EOL for North Carolina who died (decedents) diagnosed any (2003-2018) using Cancer Information and Population Health Resource. Measures were informed by existing literature included in-hospital death, hospice use other healthcare utilization within last 30 days life. Associations between...
The purpose of this study was to investigate the association between Attention Deficit/Hyperactivity Disorder (ADHD) and various factors using a representative sample US children in comprehensive manner. This includes variables that have not been previously studied such as watching TV/playing video games, computer usage, family member's smoking, participation sports.This cross-sectional 68,634 children, 5-17 years old, from National Survey Children's Health (NSCH, 2007-2008). We performed...
The Patient Care Connect Program (PCCP) is a lay patient navigation program, implemented by the University of Alabama at Birmingham Health System Cancer Community Network. PCCP’s goal to provide better health and care, as well lower overall expenditures. program focuses on enhancing patients, with emphasis empowerment promoting proactive participation in care. Navigator training emphasizes palliative care principles includes development skills facilitate advance planning conversations. Lay...
Background Higher physician self-reported empathy has been associated with higher overall patient satisfaction. However, more evidence-based research is needed to determine such association in an emergent care setting. Objective To evaluate the between and after-care instant patient-to-provider satisfaction among Emergency Department (ED) healthcare providers varying years of medical practice experience. Research design A prospective observational study conducted a tertiary hospital ED....
Previous randomized controlled trials have demonstrated benefit from remote symptom monitoring (RSM) with electronic patient-reported outcomes. However, the racial diversity of enrolled patients was low and did not reflect real-world proportions for individuals cancer.
The adoption of health information technology has been recommended as a viable mechanism for improving quality care and patient outcomes. However, the capacity (i.e., availability use multiple advanced functionalities), particularly in federally qualified centers (FQHCs) on is not well understood. We examined associations between (HIT) at FQHCs care, measured by receipt discharge summary, frequency patients receiving reminders/notifications preventive care/follow-up timely appointment...
Long-term survivors of pediatric and young adult (PAYA) cancers have a high incidence subsequent neoplasms, but few risk factors other than cancer treatment been identified. We aimed to describe the burden human papillomavirus (HPV)-associated malignancies among PAYA assess whether HPV infections might be reasonable area future etiologic research on in this population. used longitudinal data from 9 population-based registries Surveillance, Epidemiology, End Results program collected between...
Rationale: Physical inactivity among patients with chronic obstructive pulmonary disease is associated exacerbations requiring high-cost health care utilization including urgent, emergent, and hospital care.Objectives: To examine the effectiveness of a behavioral lifestyle physical activity intervention combined self-management education to prevent utilization.Methods: This was an analysis secondary outcomes Chronic Obstructive Pulmonary Disease Self-Management Activation Research Trial,...
<h3>PURPOSE</h3> The paradox of primary care is the observation that associated with apparently low levels evidence-based for individual diseases, but systems based on have healthier populations, use fewer resources, and less health inequality. purpose this article to explore, from a complex perspective, mechanisms might account effects beyond disease-specific care. <h3>METHODS</h3> In an 8-session, participatory group model-building process, patient, caregiver, clinician community...
Physical inactivity is associated with poor outcomes among patients chronic obstructive pulmonary disease (COPD).To determine effectiveness of a behavioral intervention intended to increase daily physical activity the goal improving health-related quality life and functional performance.We conducted randomized trial COPD cared for in primary care clinics. The were at least 45 years age eligible rehabilitation. All received self-management education during 6-week run-in period. Subsequently,...
Racial health disparities persist among black and white women for colorectal cancer. Understanding racial differences in the gut microbiota related covariates (e.g., stress) may yield new insight into unexplained cancer disparities.
The impact of National Comprehensive Cancer Network (NCCN) treatment guideline concordance on costs, health care utilization, and mortality for patients with breast cancer secondary metastases is unknown.From 2007 to 2013, women early-stage who received (n = 5651) were evaluated first recorded systemic therapy NCCN guidelines within the Surveillance, Epidemiology, End Results Program-Medicare linked database. Generalized linear mixed effects models factors associated nonconcordance relation...
To evaluate the associations between real-time overall patient satisfaction and Emergency Department (ED) crowding as determined by percepton estimation tool score in a high-volume ED.A prospective observational study.A tertiary acute hospital ED Level 1 trauma center.ED patients.Crowding status was measured two tools [National Overcrowding Scale (NEDOCS) Severely overcrowded-Overcrowded-Not overcrowded Estimation Tool (SONET)] perception of surveys administered at discharge.ED...
Objectives To determine the utility of contrast‐enhanced ultrasound (US) for characterizing renal lesions that were indeterminate on prior imaging. Methods This Institutional Review Board–approved retrospective diagnostic accuracy study evaluated all patients who underwent US examinations from 2006 to 2015 at our tertiary care hospital. We compared number definitively characterized by with The was final diagnosis histologic examination and follow‐up (mean, 3.63 years). Accuracy agreement...
Abstract Background: Studies evaluating the effects of cancer treatments are prone to immortal time bias that, if unaddressed, can lead appearing more beneficial than they are. Methods: To demonstrate impact bias, we compared results across several analytic approaches (dichotomous exposure, dichotomous exposure excluding time, time-varying landmark analysis, clone-censor-weight method), using surgical resection among women with metastatic breast as an example. All adult diagnosed incident...