Publications by authors named "R H Adler"

Background: Cholecystectomy is considered the definitive treatment option for cholecystitis, and patients living with Alzheimer's Disease and Related Dementias (PLWDs) are at risk for increased mortality, complications, and delirium. However, the effect of different treatment options for cholecystitis among PLWDs has not been elucidated; therefore, this study compares outcomes following cholecystectomy, cholecystostomy tube, and medical management of cholecystitis among this high-risk group.

Method: We conducted a retrospective analysis of Medicare claims data from 1/1/2016-12/31/2020.

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Unlabelled: The US Preventive Services Task Force has not recommended osteoporosis screening in men. Department of Veterans Affairs clinicians reviewed the literature on male osteoporosis screening and treatment. They concluded that targeted screening identifies men at risk and osteoporosis drugs reduce fracture risk similarly in men and women.

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Article Synopsis
  • Family-based RCTs often struggle with recruiting and keeping participants, particularly in cancer research, which usually relies on samples from specific hospitals.
  • This study focused on recruiting dyads (patients with prostate cancer and their partners) to evaluate a dyadic eHealth intervention aimed at improving their quality of life, conducted in North Carolina during the COVID-19 pandemic.
  • Out of 3,078 patients referred, 280 dyads were randomized, achieving a high enrollment rate (85.11%) and a retention rate of 78.93% over 12 months, with factors like race and age influencing dropout rates.
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  • Patients with Alzheimer's Disease and related dementias (ADRD) experience worse outcomes after colorectal surgery compared to those without ADRD, as shown in a study analyzing Medicare data from 2017 to 2018.
  • The study found that 8.3% of the colorectal surgery cohort had ADRD, and these patients were generally older, frailer, and had more comorbidities, leading to higher instances of complications and mortality.
  • Additionally, ADRD patients required more hospital resources, including longer stays and more frequent discharges to higher-level care facilities.
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