Publications by authors named "K Kawamoto"
Background: University of Utah Health (UUH) is an academic medical center that achieved "committed to care excellence" in age-friendly care in 2021 and has a long-standing culture of quality improvement central to a learning health system. University of California San Francisco (UCSF) developed electronic health record (EHR) documentation metrics for inpatient assessment of the 4Ms (What Matters, Medication, Mentation, and Mobility) based on the Institute for Healthcare Improvement's recommended care practice for an Age-Friendly Healthcare System. In partnership with UCSF, we replicated the assessment and action EHR metrics with local adaptations for each of the 4Ms at UUH.
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- The study investigates the best surgical options for pancreatic neck cancer, comparing pancreaticoduodenectomy (PD) and distal pancreatectomy (DP) among 462 patients treated from 2012 to 2022.
- It identifies lymph node station #11p as having the highest rate of metastasis (28.6%) and shows that PD with #11p dissection offers better survival outcomes compared to DP, despite no significant survival differences overall between the two procedures.
- Researchers found that larger tumor size (≥2 cm) correlates with worse prognosis, highlighting the importance of lymph node dissection in surgical planning for pancreatic neck cancer.
Article Synopsis
- Type 2 diabetes (T2D) is a significant health issue in the U.S., and this study focuses on how racial and ethnic differences affect the prescription of effective diabetes medications.
- The research analyzed data from 57,320 patients, revealing notable disparities in the prescription rates of GLP-1 medications like tirzepatide, semaglutide, and dulaglutide among different racial and ethnic groups compared to White patients.
- The findings suggest that these disparities could lead to worse health outcomes for underrepresented groups, signaling a need for targeted interventions to ensure equitable access to diabetes care.
Article Synopsis
- Peripartum cardiomyopathy (PPCM) is heart failure occurring during late pregnancy or after delivery, leading to debates about the effects of breastfeeding on recovery.
- A study analyzed 220 women diagnosed with PPCM, focusing on their lactation status and rates of heart recovery, finding no significant differences between those who breastfed and those who did not.
- Most women reported receiving discouragement against breastfeeding due to their heart condition, highlighting a gap in supportive counseling regarding lactation options.