Digital divide: Differences between digital access, preference, and use among parents of pediatric research participants.

Objective: Healthcare delivery and research are moving increasingly towards digital engagement, which could inequitably exclude some populations due to differential technology access and uptake. We sought to evaluate study-related digital access, preferences, and use among parents of patients with Medicaid insurance enrolled in research in a pediatric emergency department (ED).

Methods: We conducted a secondary analysis within a randomized trial at an academic pediatric ED.

Cervical dystonia incidence and diagnostic delay in a multiethnic population.

Background: Current cervical dystonia (CD) incidence estimates are based on small numbers in relatively ethnically homogenous populations. The frequency and consequences of delayed CD diagnosis is poorly characterized.

Objectives: To determine CD incidence and characterize CD diagnostic delay within a large, multiethnic integrated health maintenance organization.

Trends Associated With Large-scale Expansion of Peritoneal Dialysis Within an Integrated Care Delivery Model.

Importance: Despite favorable national trends in the incidence of end-stage renal disease (ESRD) from 2008 to 2011, ESRD incidence has been increasing recently, and less than 10% of patients with ESRD start renal replacement therapy with peritoneal dialysis (PD) in the United States. Given known and potential advantages of PD over hemodialysis, the Kaiser Permanente Northern California integrated health care delivery system implemented a program to expand use of PD.

Objectives: To describe the system-level approach to expansion of PD use and temporal trends in initiation and persistence of PD and its associated mortality.

The Association of Polycystic Ovary Syndrome and Gestational Hypertensive Disorders in a Diverse Community-Based Cohort.

Purpose: To examine the association of polycystic ovary syndrome (PCOS) and pregnancy-induced hypertension (PIH) within a large population of pregnant women in an integrated healthcare system.

Methods: This retrospective study utilized a source cohort of 1023 women with PCOS and 1023 women without PCOS who had a delivered pregnancy within Kaiser Permanente Northern California. Preexisting hypertension was defined by hypertension diagnosis, treatment, or elevated blood pressure prior to 20 weeks of gestation.

Bleeding complications of central venous catheterization in septic patients with abnormal hemostasis.

Objectives: Central venous catheterization (CVC) is thought to be relatively contraindicated in patients with thrombocytopenia or coagulopathy. We measured the 24-hour incidence of bleeding in septic emergency department (ED) patients undergoing CVC.

Methods: This multicenter, retrospective cohort study included septic ED patients undergoing CVC with one of the following: platelets less than 100,000/μL, international normalized ratio at least 1.

Exploring barriers to pain management in newborn intensive care units: a pilot survey of NICU nurses.

Purpose: To explore barriers that NICU nurses face when attempting to optimally manage newborn pain.

Subjects: Ninety California NICU nurses with current membership in the National Association of Neonatal Nurses (NANN) voluntarily participated.

Design: A descriptive survey study.