Publications by authors named "Alexandra I Mansour"
Objectives: Although cardiac rehabilitation (CR) improves cardiovascular outcomes, adherence remains low. Higher patient-incurred out-of-pocket (OOP) spending may be a barrier to CR adherence. We evaluated the association between OOP spending for the first CR session and adherence.
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- Cardiac rehabilitation (CR) is effective post-percutaneous coronary intervention (PCI), but it isn't utilized enough; a liaison-mediated referral (LMR) may help increase participation by informing patients about CR's benefits before they leave the hospital.
- In a study of over 9,000 PCI patients, those who received an LMR had a significantly higher participation rate in CR sessions within 90 days of discharge (43.1% vs. 32.4%).
- The LMR group not only participated more but also started their CR sessions sooner, indicating that this referral method could effectively enhance patient outcomes after PCI.
Background: Cardiac rehabilitation (CR) is a supervised outpatient exercise and risk reduction program offered to patients who have undergone coronary revascularization procedures. Multiple professional societal guidelines support the use of CR after coronary artery bypass grafting (CABG) based on studies in combined percutaneous coronary intervention and CABG populations with surrogate outcomes. This statewide analysis of patients undergoing CABG evaluated the relationship between CR use and long-term mortality.
View Article and Find Full Text PDFBackground: For patients undergoing surgery at an Ambulatory Surgical Center, recent changes to Centers for Medicare and Medicaid Services policy allow for the omission of a 30-day preoperative History and Physical (H&P). Preoperative H&Ps for low-risk surgery may contribute to health care waste and lead to unnecessary preoperative testing and treatment cascades.
Methods: In this qualitative study, we conducted 30 semi-structured interviews with surgeons who frequently perform low-risk surgeries.
Background: Physical activity is associated with a lower risk of disease recurrence among colon cancer patients. Circulating tumor cells (CTC) are prognostic of disease recurrence among stage I-III colon cancer patients. The pathways through which physical activity may alter disease outcomes are unknown, but may be mediated by changes in CTCs.
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