Publications by authors named "Nicole E Richmond"
: Chronic obstructive pulmonary disease (COPD) is usually comorbid with other chronic diseases. We aimed to assess the multimorbidity medication patterns and explore if the patterns are similar for phase 1 (P1) and 5-year follow-up phase 2 (P2) in the COPDGene cohort. Materials and Methods: A total of 5564 out of 10,198 smokers from the COPDGene cohort who completed 2 visits, P1 and P2 visits, with complete medication use history were included in the study.
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- The study reveals that African-Americans (AA) are less frequently diagnosed with COPD using the fixed-ratio spirometry criterion (FEV/FVC < 0.7), with 70% of AA participants classified as non-COPD compared to 49% of non-Hispanic whites (NHW).
- Younger AA smokers exhibited higher current smoking rates, fewer smoking years, but similar 12-year mortality rates when compared to NHW smokers.
- The analysis showed that AA with undiagnosed COPD (GOLD 0) experienced greater respiratory symptoms and worse health scores, suggesting that fixed-ratio criteria may underdiagnose COPD in this population.
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- Tobacco and alcohol use contribute significantly to global mortality rates, with heritability playing a key role in these behaviors.
- This study utilized genetic data from a diverse population of 3.4 million individuals, including 21% non-European ancestry, to identify genetic variants linked to tobacco and alcohol use.
- Findings showed that while increased genetic diversity improved the identification of genomic loci, polygenic risk scores were less effective across different ancestries, underscoring the need for larger and more diverse genetic datasets for better predictive outcomes.
The Medical Home (MH) is shown to improve health outcomes for Youth with Special Health Care Needs (YSHCN). Some MH services involve Transition from pediatric to adult providers to ensure YSHCN have continuous care. Studies indicate racial/ethnic disparities for Transition, whereas the MH is shown to reduce health disparities.
View Article and Find Full Text PDFCare coordination in a medical home in post-Katrina New Orleans: lessons learned.
Matern Child Health J
August 2011
This is a prospective study to evaluate ability of a nurse care coordinator to: (1) improve ability of a pediatric clinic to meet medical home (MH) objectives and (2) improve receipt of services for families of children with special health care needs (CSHCN). A nurse was hired to provide care coordination for CSHCN in an urban, largely Medicaid pediatric academic practice. CSHCN were identified using a CSHCN Screener.
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