A5029320578- Gastric Cancer Management and Outcomes
- Helicobacter pylori-related gastroenterology studies
- Colorectal Cancer Screening and Detection
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Anesthesia and Pain Management
- Pharmaceutical Practices and Patient Outcomes
- Food Security and Health in Diverse Populations
- Medication Adherence and Compliance
- Asthma and respiratory diseases
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Electronic Health Records Systems
- Inflammatory Bowel Disease
- Dermatology and Skin Diseases
- Blood Pressure and Hypertension Studies
- COVID-19 and healthcare impacts
- Telemedicine and Telehealth Implementation
- Pharmaceutical Economics and Policy
- Advances in Oncology and Radiotherapy
- Statistical Methods and Inference
- Pediatric health and respiratory diseases
- Food Allergy and Anaphylaxis Research
Sutter Health
2021-2025
Palo Alto Institute
2024
Medical Research Foundation
2024
RAND Corporation
2022-2023
Abstract Laboratory data from Electronic Health Records (EHR) are often used in prediction models where estimation bias and model performance missingness can be mitigated using imputation methods. We demonstrate the utility of two real-world EHR-derived cohorts ischemic stroke Geisinger heart failure Sutter to: (1) characterize patterns laboratory variables; (2) simulate missing mechanisms, arbitrary monotone; (3) compare cross-sectional multi-level multivariate algorithms applied to data;...
Excess opioid prescribing after surgery can result in prolonged use and diversion. Email feedback based on social norms may reduce the number of pills prescribed.
INTRODUCTION: Adenoma detection rate (ADR) is an accepted benchmark for screening colonoscopy. Factors driving ADR and its relationship with sessile serrated lesions (SSLDR) over time remain unclear. We aim to explore patient, physician, procedural influences on SSLDR trends. METHODS: Using a large healthcare system in northern California from January 2010 December 2020, total of 146,818 colonoscopies performed by 33 endoscopists were included. calculated using natural language processing....
e13708 Background: In oncology care, non-adherence can lead to catastrophic and costly outcomes. Patients are highly motivated follow prescribed treatment regimens. However, complex oral medication regimens common side effects increase the risk of non-adherence. addition, managing patients’ response effect involves significant outreach efforts. Smart phone web-based applications (apps) offer an effective communication tool for monitoring compliance increasing adherence in outpatient...
Abstract Poorly controlled cardiometabolic biometric health gap measures [e.g.,uncontrolled blood pressure (BP), HbA1c, and low-density lipoprotein cholesterol (LDL-C)] are mediated by medication adherence clinician-level therapeutic inertia (TI). The study of comparing relative contribution these two factors to disease control is lacking. We conducted a retrospective cohort using 7 years longitudinal electronic records (EHR) from primary care patients who were 35 or older. Cox-regression...
To examine racial and ethnic disparities in postoperative opioid prescribing.Electronic health records (EHR) data across 24 hospitals from a healthcare delivery system Northern California January 1, 2015 to February 2, 2020 (study period).Cross-sectional, secondary analyses were conducted differences by race ethnicity prescribing, measured as morphine milligram equivalents (MME), among patients who underwent select, but commonly performed, surgical procedures. Linear regression models...
Legislation mandating consultation with a prescription drug monitoring program (PDMP) was implemented in California on October 2, 2018. This mandate requires PDMP before prescribing controlled substance and integrates electronic health record (EHR)-based alerts; prescribers are exempt from the if they prescribe no more than 5-day postoperative opioid supply. Although previous studies have examined consequences of mandated consultation, few specifically analyzed changes after...
Medications frequently require prior authorization from payers before filling is authorized. Obtaining can create delays in prescriptions and ultimately reduce patient adherence to medication. Electronic (ePA), embedded the electronic health record (EHR), could remove some barriers but has not been rigorously evaluated. We sought evaluate impact of implementing an ePA system on prescription filling.ePA was implemented 2 phases September November 2018 a large US healthcare system. This...
Abstract Background: Gastric adenocarcinoma (GAC) is often diagnosed at advanced stages and portends a poor prognosis. We hypothesized that electronic health records (EHR) could be leveraged to identify individuals highest risk for GAC from the population seeking routine care. Methods: This was retrospective cohort study, with endpoint of incidence as ascertained through linkage an institutional tumor registry. utilized 2010 2020 data Palo Alto Medical Foundation, large multispecialty...
The impacts of homelessness on health and care access are detrimental. Intervention efforts to improve outcomes increase availability affordable housing have mainly originated from the public sector government. role that large community-based systems may play has yet be established. This study characterizes patients self-identified as homeless in acute facilities a integrated system Northern California inform development collaborative interventions addressing unmet needs this vulnerable...
Many studies have assessed the factors associated with overall video visit use during COVID-19 pandemic, but little is known about who most likely to continue visits and why. The authors combined a survey electronic health record data identify affecting continued of visit. In August 2020, stratified random sample 20,000 active patients from large care system were invited complete an email on seeking preferences COVID. Weighted logistic regression models applied, adjusting for sampling frame...
<p>Supplemental Table S3: Recoding schema for smoking variable structured data element in electronic health record (EHR).</p>
<p>Supplemental Table S4: Recoding schema for family history of gastric adenocarcinoma using information from structured data element.</p>
<p>Supplemental Table S2: rules-based consensus to phenotype dispensation of medical therapy eradicate Helicobacter pylori (Hp). Count depicts the number prescriptions identified within cohort.</p>
<p>Supplemental Table S6: Persons at risk for gastric adenocarcinoma (GAC), including cardia GAC, time point of observation. Hp, Helicobacter pylori.</p>
<p>Supplemental Table S2: rules-based consensus to phenotype dispensation of medical therapy eradicate Helicobacter pylori (Hp). Count depicts the number prescriptions identified within cohort.</p>
<div>AbstractBackground:<p>Gastric adenocarcinoma (GAC) is often diagnosed at advanced stages and portends a poor prognosis. We hypothesized that electronic health records (EHR) could be leveraged to identify individuals highest risk for GAC from the population seeking routine care.</p>Methods:<p>This was retrospective cohort study, with endpoint of incidence as ascertained through linkage an institutional tumor registry. utilized 2010 2020 data Palo Alto Medical...
<p>Supplemental Table S3: Recoding schema for smoking variable structured data element in electronic health record (EHR).</p>
<p>Supplemental Figure S1: Analytic flowchart demonstrating cohort inclusion and exclusion criteria, linkage with Palo Alto Medical Foundation (PAMF) tumor registry, downstream time-to-event capture. GAC, gastric adenocarcinoma.</p>
<p>Supplemental Table S5: Incidence of gastric adenocarcinomas (GAC), excluding cardia GAC and C16.8, C16.9. Person-years (p-y) at risk, cancer count, incidence per 100,000 p-y reported by characteristic. counts <10 were suppressed not reported. EHR, electronic health record; H2 blocker, histamine type 2 receptor blocker; Hp, Helicobacter pylori; ICD, international classification disease; LOINC, Logical Observation Identifiers, Names Codes; NSAID, non-steroidal anti-inflammatory...
<p>Supplemental Table S6: Persons at risk for gastric adenocarcinoma (GAC), including cardia GAC, time point of observation. Hp, Helicobacter pylori.</p>