Publications by authors named "G M Schiff"
Background: Community-acquired acute kidney injury (CA-acute kidney injury) is under-recognized in the outpatient setting and is associated with adverse outcomes.
Methods: We analyzed the incidence of CA-acute kidney injury in an academic primary care practice and community health center and assessed recognition and follow-up as determined by repeat creatinine measurement (closed-loop). We reviewed 93,259 specimens for 36,593 unique patients from January 1, 2018, through December 31, 2021.
Article Synopsis
- The study aimed to implement a proactive system for monitoring potential drug-related symptoms using an electronic patient portal to enhance pharmacovigilance.
- An automated daily report tracked new prescriptions, inviting patients to report any new symptoms they might have experienced after starting these medications.
- Of the patients who participated, about 30% reported experiencing potential adverse drug reactions (ADRs), with gastrointestinal issues being the most common, demonstrating the effectiveness of this surveillance method in detecting ADRs.
Context: Opioid therapy is a cornerstone for treatment of cancer-related pain, but standardized management practices for patients with cancer and aberrant urine drug test (UDT) results are lacking.
Objectives: To identify the prevalence of UDT ordering (both screening and definitive testing) in the oncology setting and to examine clinician management practices for patients with cancer on opioid therapy with aberrant definitive UDT results.
Methods: We conducted a retrospective chart review of patients with cancer on opioid therapy at an academic cancer center in the United States.
Objectives: The 2021 US Cures Act may engage patients to help reduce diagnostic errors/delays. We examined the relationship between patient portal registration with/without note reading and test/referral completion in primary care.
Materials And Methods: Retrospective cohort study of patients with visits from January 1, 2018 to December 31, 2021, and order for (1) colonoscopy, (2) dermatology referral for concerning lesions, or (3) cardiac stress test at 2 academic primary care clinics.