6 results match your criteria: "Institute for Research in Equity and Community Health[Affiliation]"
Neighborhood Environment and Poor Maternal Glycemic Control-Associated Complications of Gestational Diabetes Mellitus.
AJPM Focus
June 2024
Endocrinology and Metabolism, Metabolic Health, ChristianaCare, Wilmington, Delaware.
Introduction: Risk of complications due to gestational diabetes mellitus is increasing in the U.S., particularly among individuals from racial minorities.
View Article and Find Full Text PDFPrimary care outreach and decision counseling for lung cancer screening.
J Med Screen
September 2024
Department of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, USA.
Introduction: Lung cancer screening rates are very low despite a level B recommendation from the United States Preventive Services Task Force since 2013 and clear evidence that lung cancer screening reduces mortality. The Center for Medicare and Medicaid Services requires shared decision-making (SDM) for lung cancer screening reimbursement. The objective of this study was to determine the effect of an SDM intervention on lung cancer screening in primary care.
View Article and Find Full Text PDFA Population Health Proposal for Increasing Breast Cancer Screening to Reduce Racial Disparities in Breast Cancer: Getting the Village Back Together.
Popul Health Manag
February 2024
Helen F. Graham Cancer Center and Research Institute, ChristianaCare, Newark, Delaware, USA.
Association of Area Deprivation With Primary Hypertension Diagnosis Among Youth Medicaid Recipients in Delaware.
JAMA Netw Open
March 2023
Center for Pediatric Clinical Research and Development, Nemours Children's Health, Wilmington, Delaware.
Importance: The association between degree of neighborhood deprivation and primary hypertension diagnosis in youth remains understudied.
Objective: To assess the association between neighborhood measures of deprivation and primary hypertension diagnosis in youth.
Design, Setting, And Participants: This cross-sectional study included 65 452 Delaware Medicaid-insured youths aged 8 to 18 years between January 1, 2014, and December 31, 2019.
Cost-effectiveness of folic acid therapy for primary prevention of stroke in patients with hypertension.
BMC Med
October 2022
Institute for Research in Equity and Community Health, Christiana Care Health System, Newark, DE, USA.
Background: For hypertensive patients without a history of stroke or myocardial infarction (MI), the China Stroke Primary Prevention Trial (CSPPT) demonstrated that treatment with enalapril-folic acid reduced the risk of primary stroke compared with enalapril alone. Whether folic acid therapy is an affordable and beneficial treatment strategy for the primary prevention of stroke in hypertensive patients from the Chinese healthcare sector perspective has not been thoroughly explored.
Methods: We performed a cost-effectiveness analysis alongside the CSPPT, which randomized 20,702 hypertensive patients.
Escalation of Opioid Withdrawal Frequency and Subsequent AMA Rates in Hospitalized Patients From 2017 to 2020.
J Addict Med
November 2022
From the Department of Patient Insights and Advocacy, Indivior, Richmond, VA (TH); Department of Psychiatry, ChristianaCare Health Services, Inc., Wilmington, DE (RAS, BW); Institute for Research in Equity and Community Health (iREACH), and ChristianaCare Health Services, Inc., Wilmington, DE (KS, GMB, CJ).
Objective: To measure trends for the emergence of opioid withdrawal (OW) and leaving against medical advice (AMA) among hospitalized patients.
Method: Retrospective time-series of hospitalized patients with OW, defined by a Clinical Opioid Withdrawal score >8, using electronic health record data at a tertiary health system and of patients with a discharge status of AMA from January 1, 2017 to December 31, 2020.
Results: The average number of monthly hospitalizations with OW showed a year-to-year increment of 15% in 2018, 21% in 2019, and 34% from 2019 to 2020, whereas the total monthly hospitalizations remained stable.