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Efficacy of a clinical decision support tool to promote guideline concordant evaluations in patients with high-risk microscopic hematuria: a cluster randomized quality improvement project.
J Urol
January 2025
Department of Population Health, NYU Grossman School of Medicine, New York, New York.
Purpose: We aimed to determine whether implementation of clinical decision support (CDS) tool integrated into the electronic health record (EHR) of a multi-site academic medical center increased the proportion of patients with American Urological Association (AUA) "high risk" microscopic hematuria (MH) who receive guideline concordant evaluations.
Materials And Methods: We conducted a two-arm cluster randomized quality improvement project in which 202 ambulatory sites from a large health system were randomized to either have their physicians receive at time of test results an automated CDS alert for patients with 'high-risk' MH with associated recommendations for imaging and cystoscopy (intervention) or usual care (control). Primary outcome was met if a patient underwent both imaging and cystoscopy within 180 days from MH result.
A Multisite Randomized Feasibility Trial of a Remotely Delivered Pelvic Yoga Program for Women with Chronic Pelvic Pain Syndrome.
J Integr Complement Med
December 2024
Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Yoga has been recommended as a complementary management strategy for women with chronic pelvic pain (CPP), but many women lack access to specialized yoga instruction for this indication, and few data are available to evaluate changes in CPP with yoga. This feasibility trial evaluated the acceptability and tolerability of a remotely delivered yoga program for CPP in women and examined data quality and interpretability for measures of pelvic pain intensity and impact with yoga instruction. Ambulatory women with CPP were recruited from northern California in 2020-2022 and randomly assigned to a 2-month program involving twice weekly group classes delivered by videoconference supplemented by individual practice of pelvic yoga techniques versus a control program involving equivalent-time instruction and practice of nonspecific skeletal muscle stretching-strengthening exercises.
View Article and Find Full Text PDFRespiratory function and evaluation in individuals with facioscapulohumeral muscular dystrophy in the Muscular Dystrophy Surveillance, Tracking and Research Network.
Neuromuscul Disord
November 2024
Department of Epidemiology, College of Public Health, University of Iowa, S416 CPHB, 145 N Riverside Dr, Iowa City, Iowa 52242, United States. Electronic address:
Article Synopsis
- A study using data from the MD STARnet examined respiratory testing and insufficiency in people with facioscapulohumeral muscular dystrophy (FSHD) diagnosed between 2008-2016.
- Out of 170 individuals with FSHD, only 20% received pulmonary function tests, and 14.1% had polysomnograms; however, over half of those tested showed significant respiratory issues.
- The findings suggest a need for better monitoring and adherence to guidelines recommending that all FSHD patients receive baseline respiratory evaluations to identify complications early.
Patient Factors Associated with Access to Outpatient Pediatric General Surgical Care in a Rural State.
J Pediatr Surg
January 2025
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Division of Pediatric Surgery, Arkansas Children's Hospital, Little Rock, AR, USA.
Background: We sought to understand factors impacting timely access to outpatient pediatric general surgical care in a largely rural state.
Methods: We conducted a multi-site retrospective cohort study, evaluating patients <18 years referred for outpatient pediatric general surgical evaluation from 11/1/2017-7/31/2022. Outcomes included obtaining an appointment, completing an appointment, and undergoing an operation.
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