Publications by authors named "E L Ciemins"

Rates of type 2 diabetes (T2D) continue to rise in the United States, with many patients failing to achieve glycemic targets. Primary care providers often serve as the sole clinician managing diabetes. Continuous glucose monitors (CGMs) have shown promise in diabetes management, yet their adoption in primary care settings, especially among patients with T2D not using intensive insulin therapy, remains limited.

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Importance: The current quality performance measure for colorectal cancer (CRC) screening is limited to initial screening. Despite low rates, there is no measure for appropriate follow-up with colonoscopy after receipt of an abnormal result of a stool-based screening test (SBT) for CRC. A quality performance measure is needed.

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Lower-extremity peripheral artery disease (PAD), the accumulation of atherosclerotic plaque in the arteries of the legs, causes substantial morbidity and mortality. Frequent under- and delayed diagnosis result in poor outcomes, disproportionately affecting individuals from racial and ethnic minority groups. To understand barriers to early detection and treatment and factors contributing to disparities, American Medical Group Association (AMGA) conducted roundtable discussions and semistructured interviews in 2021.

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Article Synopsis
  • Current multivariable equations for assessing cardiovascular disease (CVD) risk have limitations, prompting the development of the AHA PREVENT equations aimed at adults aged 30 to 79 without known CVD.
  • The study analyzed data from over 6.6 million adults across 25 datasets, utilizing traditional risk factors and additional predictors like social deprivation, to create sex-specific models with strong predictive capabilities.
  • The external validation showed solid performance with median C-statistics of 0.794 for women and 0.757 for men, indicating good distinction between individuals at different risk levels for CVD.
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Article Synopsis
  • * This study analyzes data from over 27 million individuals to assess the impact of low eGFR and severe albuminuria on health outcomes like kidney failure, mortality, and cardiovascular events.
  • * Results indicate differing health risks associated with the methods of estimating kidney function, revealing significant correlations between lower eGFR and adverse health outcomes over time.
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