Young adult (YA) cancer survivors face barriers to follow-up care, which can be exacerbated by living in a rural location. Telemedicine may mitigate these barriers, but little is known about the preferences of YA survivors for telemedicine or in-person survivorship visits. We surveyed 57 YA cancer survivors in a rural state to assess their preference for survivorship visits.
View Article and Find Full Text PDFObjective: To categorize injury types and occurrence among athletes participating in the Special Olympics (SO).
Design: Retrospective cross-sectional cohort study.
Setting: 2018 SO USA Games.
Objective: Evaluate whether rule changes by the National Federation of State High School Associations (NFHS) were associated with reduced injury rates in US high school ice hockey players.
Design: We compared injury rates for the 3 seasons before the rule changes (2011-2012, 2012-2013, and 2013-2014) with the 2 subsequent seasons (2014-2015 and 2015-2016) using data from the High School Reporting Information Online (RIO) database.
Setting: Convenience sample of US high schools.
Introduction: Joint injections can be effective treatments for musculoskeletal issues. We examined whether a brief teaching session delivered to residents and faculty would significantly improve resident confidence in performing shoulder and knee joint injections.
Methods: We implemented a 90-minute workshop instructed by two sports medicine providers.
J Am Osteopath Assoc
May 2019
Context: Although osteopathic manipulative treatment (OMT) is predominantly known for its benefits in improving musculoskeletal pain, many studies have examined the effects of OMT on hospitalized patients with a variety of conditions, showing improved outcomes in conditions such as pneumonia, postoperative and postpartum recovery, preterm newborn recovery, and newborn feeding dysfunction.
Objective: To determine the reasons osteopathic manipulative medicine (OMM) consultations are being ordered at a tertiary care teaching hospital.
Methods: This descriptive study was conducted at an academic medical center with a well-established electronic health record system.
Background: In 2008, it was shown that 11% of applications to a primary care sports medicine program contained unverifiable citations for publications. In 2009, the American Medical Society for Sports Medicine changed the application requirements, requiring proof that all claimed citations (publications and presentations) be included with the fellowship application.
Objective: We determined the rate of unverifiable academic citations in applications to primary care sports medicine fellowship programs after proof of citations was required.
Health Info Libr J
September 2016
Background: Public libraries may promote health through literacy, education and social connections.
Objective: To conduct the first broad-based, quantitative exploration of health and public library patronage.
Methods: Retrospective cross-sectional study.
Background And Objectives: Documenting obesity on the problem list has been shown to promote action about obesity and overweight, yet a majority of primary care providers do not record obesity on the medical problem list. With this in mind, our objectives were to determine the proportion of physicians' documentation of overweight (OW) or obesity on the problem list in our primary care teaching practice and to identify predictors of physician documentation of OW/obesity.
Methods: De-identified health records of 6,195 adult patients with BMI ? 25 kg/m2 seen by a family physician over a 2-year period were included.
Background: Several studies have been performed suggesting that a superolateral approach to cortisone injections for symptomatic osteoarthritis of the knee is more accurate than anteromedial or anterolateral approaches, but there are little data to correlate clinical outcomes with these results. Additionally, there are minimal data to evaluate the pain of such procedures, and this consideration may impact physician preferences for a preferred approach to knee injection.
Purpose: To determine the comparative efficacy and tolerability (patient comfort) of landmark-guided cortisone injections at 3 commonly used portals into the arthritic knee without effusion.
J Pain Symptom Manage
August 2015
Context: The Patient-Reported Outcome Mortality Prediction Tool (PROMPT) estimates six-month mortality risk in elderly patients with declining health, but its external validity has not been established.
Objectives: To prospectively validate the PROMPT in an independent patient cohort and explore its clinical utility.
Methods: The study cohort comprised a diverse sample of 467 patients aged 65 years and older.
Cancer Epidemiol Biomarkers Prev
December 2014
Background: Aversion to "ambiguity"-uncertainty about the reliability, credibility, or adequacy of information-about medical tests and treatments is an important psychological response that varies among individuals, but little is known about its nature and extent. The purpose of this study was to examine how individual-level ambiguity aversion relates to important health cognitions related to different cancer screening tests.
Methods: A survey of 1,074 adults, ages 40 to 70 years, was conducted in four integrated U.
Objectives: To develop clinical prediction models estimating the probability of maintaining erections adequate for intercourse 2 years after prostate cancer treatment, based on pretreatment characteristics.
Methods: Study participants consisted of prostate cancer patients with localized disease and functional erections before undergoing surgery (n = 536) or radiation therapy (n = 240) at a single USA institution. Baseline patient- and treatment-related data were collected from a clinical database and through chart review.
Prior studies on racial and ethnic disparities in survival after motor vehicle crashes have examined only population-based death rates or have been restricted to hospitalized patients. In the current study, we examined 3 components of crash survival by race/ethnicity: survival overall, survival to reach a hospital, and survival among those hospitalized. Nine years of data (from 2000 through 2008) from the National Automotive Sampling System Crashworthiness Data System were used to examine white non-Hispanic, black non-Hispanic, and Hispanic drivers aged ≥ 15 years with serious injuries (injury severity scores of ≥ 9).
View Article and Find Full Text PDFBackground: Mortality from traffic crashes is often higher in rural regions, and this may be attributable to decreased survival probability after severe injury.
Methods: Data were obtained from the National Automotive Sampling System - General Estimates System (NASS-GES) for 2002-2008. Using weighted survey logistic regression, three injury outcomes were analyzed: (a) Death overall, (b) Severe injury (incapacitating or fatal), and (c) Death, after severe injury.
Background: In the USA, the mortality rate from traffic injury is higher in rural and in southern regions, for reasons that are not well understood.
Methods: For 1754 (56%) of the 3142 US counties, we obtained data allowing for separation of the deaths/population rate into deaths/injury, injuries/crash, crashes/exposure and exposure/population, with exposure measured as vehicle miles travelled. A 'decomposition method' proposed by Li and Baker was extended to study how the contributions of these components were affected by three measures of rural location, as well as southern location.
Purpose: To examine factors associated with smoking cessation at pregnancy onset in Hispanic women.
Design: Cross-sectional analysis of baseline data from the prospective Latina Gestational Diabetes Mellitus Study.
Setting: Public obstetrical practices of a medical center in Massachusetts, 2000-2004.
BMC Pregnancy Childbirth
September 2010
Background: Disturbances in glucose metabolism during pregnancy are associated with negative sequalae for both mother and infant. The association between smoking and abnormal glucose tolerance (AGT) remains controversial. Therefore, the aim of this study was to examine the relationship between smoking prior to and during pregnancy and risk of AGT.
View Article and Find Full Text PDFBackground: New cardiac surgery programs continue to open across the United States, and it is not known how new programs deal with potentially low volumes during their start-up period. We compared patient, procedure, and physician characteristics and short-term mortality at established cardiac surgery programs, new programs in general hospitals, and new specialty cardiac hospitals.
Methods: We used Medicare Provider Analysis and Review, part B physician claims, and denominator files to evaluate established and new programs performing coronary artery bypass graft surgery (CABG) from 1994-2003.
Introduction: In 2002, Maine's Tobacco HelpLine began offering free nicotine replacement therapy (NRT), including patch and/or gum, to uninsured adult smokers without NRT benefits. This study assessed compliance, NRT use patterns, and satisfaction among smokers calling the HelpLine and using free NRT.
Methods: Telephone surveys were conducted in June-July 2005 among a sample of 541 eligible HelpLine callers authorized for NRT between February and March 2005, with 393 complete interviews (72.
Purpose: Studies of smoking during pregnancy and preterm birth among Hispanic women are sparse. Our goal was to evaluate the effect of cigarette smoking during pre-pregnancy, early pregnancy, and mid pregnancy on preterm birth among Hispanic women, the fastest growing ethnic group in the United States.
Methods: We evaluated data from a prospective cohort study of 1,041 Hispanic (predominantly Puerto Rican) women recruited between 2000 and 2004 in Springfield, Massachusetts.
Objective: The population reach of tobacco quitlines is an important measure of treatment seeking and penetration of services. Maine offers an opportunity to examine temporal changes in quitline reach and referral sources in the context of a comprehensive tobacco treatment programme. The impact of a $1.
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