A5032478554- Coronary Interventions and Diagnostics
- Health Systems, Economic Evaluations, Quality of Life
- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiovascular Function and Risk Factors
- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Heart Failure Treatment and Management
- Reproductive Biology and Fertility
- Cardiac Health and Mental Health
- Ovarian function and disorders
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Cardiovascular Health and Risk Factors
- Peripheral Artery Disease Management
- Diabetes Management and Research
- Cardiomyopathy and Myosin Studies
- Cerebrovascular and Carotid Artery Diseases
- Blood Pressure and Hypertension Studies
- Atrial Fibrillation Management and Outcomes
- Sperm and Testicular Function
- Venous Thromboembolism Diagnosis and Management
- Diabetes Treatment and Management
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
MedStar Health
2018-2025
Georgetown University
2024
University of Oxford
2024
Washington Hospital
2018-2023
MedStar Heart & Vascular Institute
2019-2022
MedStar Washington Hospital Center
2018-2021
Miriam Hospital
2018-2020
University of Virginia Health System
2020
Providence College
2020
Research Network (United States)
2019
It has not been clearly established whether percutaneous coronary intervention (PCI) can provide an incremental benefit in quality of life over that provided by optimal medical therapy among patients with chronic artery disease.We randomly assigned 2287 stable disease to PCI plus or alone. We assessed angina-specific health status (with the use Seattle Angina Questionnaire) and overall physical mental function RAND 36-item survey [RAND-36]).At baseline, 22% were free angina. At 3 months, 53%...
Questions persist concerning the comparative effectiveness of percutaneous coronary intervention (PCI) and coronary-artery bypass grafting (CABG). The American College Cardiology Foundation (ACCF) Society Thoracic Surgeons (STS) collaborated to compare rates long-term survival after PCI CABG.We linked ACCF National Cardiovascular Data Registry STS Adult Cardiac Surgery Database claims data from Centers for Medicare Medicaid Services years 2004 through 2008. Outcomes were compared with use...
Hospitalist physicians face increasing pressure to maximize productivity, which may undermine the efficiency and quality of care.To determine association between hospitalist workload inpatient care.We conducted a retrospective cohort study 20,241 admissions inpatients cared for by private group at large academic community hospital system February 1, 2008, January 31, 2011.Daily as measured relative value units patient encounters from billing records.The main outcomes were length stay (LOS),...
This trial aimed to identify the effects of providing pharmacogenomic (PGx) results and recommendations for patients with chronic pain treated in primary care practices compared standard care. An open-label, prospective, largely virtual, type-2 hybrid effectiveness randomized participants PGx or arms. Adults ≥ 3 months who were tramadol, codeine, hydrocodone enrolled. Alternative analgesics recommended CYP2D6 intermediate poor metabolizers (IM/PMs). Prescribing decisions at providers'...
Background— The COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive druG Evaluations) trial compared the effect of percutaneous coronary intervention (PCI) plus optimal medical therapy with alone on cardiovascular events in 2287 patients stable disease. After 4.6 years, there was no difference primary end point death or myocardial infarction, although PCI improved quality life. present study evaluated relative cost cost-effectiveness trial. Methods Results— Resource use...
PURPOSE: Adenocarcinoma of the appendix is a rare neoplasm, and controversies persist regarding management. The purpose this study was to identify prognostic factors define management strategies for patients with adenocarcinoma appendix. METHODS: A retrospective case series conducted at three medical school teaching hospitals over 20-year period from 1972 1992. Overall survival determined by actuarial life table method. Comparisons were made using exact nonparametric log-rank tests. RESULTS:...
To develop a tool for precisely assessing dementia severity, items should be selected according to their relationship the overall progression of disease. Using an item characteristic curve analysis (ICC), were examined from folstein Mini-Mental State Exam (MMSE), useful clinical evaluating dementia. Mmse data available 86 patients who met DSM-III criteria primary degenerative — possible or probable Alzheimer's disease (AD). A logistic regression probability correct performance on item, given...
<h3>Background</h3> Although clinical trials have shown that proper management of diabetes can improve outcomes, and treatment guidelines are widespread, glycated hemoglobin (HbA1c) levels in the United States rising. Since process measures improving, poor glycemic control may reflect failure health care providers to intensify therapy when indicated—<i>clinical inertia</i>. We asked whether interventions aimed at provider behavior could overcome this barrier control. <h3>Methods</h3> In a...
The purpose of this study was to develop a long-term model predict mortality after percutaneous coronary intervention in both patients with ST-segment elevation myocardial infarction and those more stable disease.
PURPOSE: The purpose of this study was to evaluate the safety and efficacy laparoscopic-assisted sigmoid colectomy for treatment diverticulitis. METHODS: Norfolk Surgical Group Laparoscopic Surgery Registry identified all patients undergoing laparoscopic colon rectal surgery. Retrospective chart review performed elective resection a final diagnosis diverticulitis minimum follow-up 12 months. Demographic data, indications surgery, operative conversion rate, reason conversion, complications,...
OBJECTIVE—Management of diabetes is frequently suboptimal in primary care settings, where providers often fail to intensify therapy when glucose levels are high, a problem known as clinical inertia. We asked whether interventions targeting inertia can improve outcomes. RESEARCH DESIGN AND METHODS—A controlled trial over 3-year period was conducted municipal hospital clinic large academic medical center. studied all patients (4,138) with type 2 who were seen continuity clinics by 345 internal...