466 results match your criteria: "Patient Centered Outcomes Research[Affiliation]"

Converting PROMIS-29 v2.0 profile data to SF-36 physical and mental component summary scores in patients with cardiovascular disorders.

Health Qual Life Outcomes

August 2024

Department of Psychosomatic Medicine, Center for Patient-Centered Outcomes Research, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Background: Health-related quality of life (HRQL) has become an important outcome parameter in cardiology. The MOS 36-ltem Short-Form Health Survey (SF-36) and the PROMIS-29 are two widely used generic measures providing composite HRQL scores. The domains of the SF-36, a well-established instrument utilized for several decades, can be aggregated to physical (PCS) and mental (MCS) component summary scores.

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Filled Opioid Prescriptions Following Pediatric Dental Procedures Among Medicaid-Insured Children in Ohio.

J Dent Child (Chic)

May 2024

Chief, Chair, and a Professor, Department of Dentistry, Nationwide Children's Hospital and Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, Ohio, USA.

To investigate opioid prescription fills following pediatric/adolescent dental procedures in central/southeastern Ohio. This population-based, retrospective cohort study utilized health insurance claims from a pediatric public accountable care organization (???Medicaid???) in central/southeastern Ohio. Patients aged 18 years and younger who had a dental procedure between January 2012 and February 2019 were identified, and claims were searched for opioid prescription fills within 14 days post-procedure.

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Background: Understanding the relationship between neighborhood environment and cardiovascular outcomes is important to achieve health equity and implement effective quality strategies. We conducted a population-based cohort study to determine the association of neighborhood socioeconomic deprivation and 30-day mortality and readmission rate for patients admitted with common cardiovascular conditions.

Methods And Results: We examined claims data from fee-for-service Medicare beneficiaries aged ≥65 years between 2017 and 2019 admitted for heart failure, valvular heart disease, ischemic heart disease, or cardiac arrhythmias.

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Purpose: We applied a previously established common T-score metric for patient-reported and performance-based physical function (PF), offering the unique opportunity to directly compare measurement type-specific patterns of associations with potential laboratory-based, psychosocial, sociodemographic, and health-related determinants in hemodialysis patients.

Methods: We analyzed baseline data from the CONVINCE trial (N = 1,360), a multinational randomized controlled trial comparing high-flux hemodialysis with high-dose hemodiafiltration. To explore the associations of potential determinants with performance-based versus patient-reported PF, we conducted multiple linear regression (backward elimination with cross-validation and Lasso regression).

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Article Synopsis
  • * Researchers also assessed health-related quality of life (HRQoL) across various domains, finding that while both groups experienced a decline, the HDF group showed more favorable changes, particularly in cognitive function.
  • * Overall, the trial indicated HDF not only benefits survival rates but also helps slow the decline in quality of life aspects for patients, particularly in physical and cognitive functioning.
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Purpose: Many cancer patients wish for complementary and integrative medicine (CIM) consultations led by their oncology physician. Within the KOKON-KTO study, oncology physicians in the intervention group were trained in a blended learning to provide CIM consultations to their cancer patients in addition to distributing a leaflet about CIM websites. Control oncology physicians only distributed the leaflet.

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Objectives: We developed and validated the Health Literacy Index for the Community (HLIC) to assess the health literacy of the Korean population within the framework of the Korean National Health and Nutrition and Examination Survey.

Methods: The HLIC was developed through (1) defining the conceptual framework and generating the item pool and (2) finalizing the items and identifying the cut-off value. Interviews were conducted to examine items' face validity, and a cross-sectional survey was performed to analyze the item-response theory and Rasch models to investigate the instrument's psychometric properties.

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Introduction: Consensus definitions of meaningful within-patient change (MWPC) on the Clinical Dementia Rating-Sum of Boxes (CDR-SB) are needed. Existing estimates use clinician-rated anchors in clinically diagnosed Alzheimer's disease (AD) populations. Incorporating the care partner perspective offers important insights, and evaluating biomarker-confirmed cohorts aligns estimates with ongoing trials.

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Article Synopsis
  • This study looked at patients who had a special heart procedure called PCI from 2018 to 2021 to see how often serious problems happened after the procedure.
  • It found that 3.5% of patients had problems, and if they did, their chances of dying in the hospital were much higher (about 19.7%) compared to those without problems (1.3%).
  • The research also showed that the risk of dying from these problems increased over time, and different hospitals had different success rates in preventing this from happening.
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Comparison of Patient Health Questionnaire-9, Edinburgh Postnatal Depression Scale and Hospital Anxiety and Depression - Depression subscale scores by administration mode: An individual participant data differential item functioning meta-analysis.

J Affect Disord

September 2024

Lady Davis Institute for Medical Research, Jewish General Hospital, Montréal, Québec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada; Department of Medicine, McGill University, Montréal, Québec, Canada; Department of Psychiatry, McGill University, Montréal, Québec, Canada; Department of Psychology, McGill University, Montréal, Québec, Canada; Biomedical Ethics Unit, McGill University, Montréal, Québec, Canada.

Article Synopsis
  • * Statistically significant differential item functioning (DIF) was found for most questionnaire items, but this had minimal impact on total scores.
  • * Researchers and clinicians can choose the administration method based on what works best for patients, considering preferences, feasibility, or cost, as score differences were negligible.
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Article Synopsis
  • - The ACTIV-4c trial examined the effectiveness of apixaban, given for 30 days after hospital discharge from COVID-19, but was halted early due to low rates of death or thromboembolism.
  • - Researchers aimed to find high-risk patients for whom post-discharge blood clot prevention might be beneficial by analyzing various factors like age, ethnicity, and D-dimer levels.
  • - Results showed that the overall occurrence of death and thromboembolism was low, especially in patients under 60, and the study concluded that there was no clear high-risk group that would benefit from additional blood clot prevention measures.
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When health-related research funding agencies choose to fund research, they balance a number of competing issues: costs, stakeholder views and potential benefits. The REWARD Alliance, and the related Lancet-REWARD Campaign, question whether those decisions are yielding all the value they could. A group of health-related research funding agencies, organisations that represent health-related research funding agencies and those that inform and set health-related-research funding policy from around the world have come together since 2016 to share, learn, collaborate and influence emerging practice.

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Given the high and growing prevalence of obesity among adults in the United States, obesity treatment and prevention are important topics in biomedical and public health research. Although researchers recognize the significance of this problem, much remains unknown about safe and effective prevention and treatment of obesity in adults. In response to the worsening obesity epidemic and the many unknowns regarding the disease, a group of key scientific and program staff members of the National Institutes of Health (NIH) and other federal and non-government agencies gathered virtually in September 2021 to discuss the current state of obesity research, research gaps, and opportunities for future research in adult obesity prevention and treatment.

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Article Synopsis
  • - Sensor-based digital health technology (DHT) uses sensors to improve understanding of patient health by providing data on functioning both in and out of clinical trials, enhancing the patient experience for medical product development.
  • - The paper outlines recommendations for defining sensor-based functional outcomes (SBFOs), the necessary evidence to support their use in decision-making, and future directions for this emerging field.
  • - Successful SBFO development relies on a combination of expertise in patient engagement, measurement science, and analytics, while addressing challenges such as identifying meaningful health concepts and establishing thresholds for change, making SBFOs valuable alongside traditional clinical outcome assessments.
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Women with intellectual and developmental disabilities (I/DD) are less likely to receive cervical cancer screening (CCS) relative to women without disabilities. Primary care providers (PCPs) play key roles in recommending CCS. The purpose of this study was to identify factors PCPs consider when recommending and performing CCS for women with I/DD.

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Purpose: This study examined the effectiveness and feasibility of the Active Living After Cancer (ALAC) program for metastatic breast cancer (MBC) survivors.

Methods: ALAC is a 12-session community-based program to help cancer survivors improve their physical functioning and quality of life through increased physical activity. ALAC participants with MBC (stage IV) were compared to survivors with early-stage breast cancer (stages I and II).

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Framework of the strengths and challenges of clinically integrated trials: An expert panel report.

Am Heart J

September 2024

Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, NC; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC. Electronic address:

The limitations of the explanatory clinical trial framework include the high expense of implementing explanatory trials, restrictive entry criteria for participants, and redundant logistical processes. These limitations can result in slow evidence generation that is not responsive to population health needs, yielding evidence that is not generalizable. Clinically integrated trials, which integrate clinical research into routine care, represent a potential solution to this challenge and an opportunity to support learning health systems.

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Background And Aims: Incident heart failure (HF) among individuals with chronic kidney disease (CKD) incurs hospitalizations that burden patients and health care systems. There are few preventative therapies, and the Pooled Cohort equations to Prevent Heart Failure (PCP-HF) perform poorly in the setting of CKD. New drug targets and better risk stratification are urgently needed.

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Article Synopsis
  • - The study aimed to determine if low-dose oral misoprostol is more effective than intravenous oxytocin in continuing uterine stimulation after cervical ripening and membrane rupture in women induced for hypertensive pregnancy issues.
  • - In a trial involving 520 women, results showed that the caesarean section rates were not significantly different between the two groups, and the time from randomization to birth was longer for those receiving misoprostol.
  • - Although there were no major safety concerns like hyperstimulation, fewer babies required special care in the misoprostol group, and there were no neonatal deaths reported compared to three in the oxytocin group.
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Article Synopsis
  • This study focuses on the risk of late ventricular tachycardia (VT) and ventricular fibrillation (VF) in patients who have undergone primary percutaneous coronary intervention (PCI) for STEMI, noting that while mortality risk is low, incidents of VT and VF may occur post-procedure.
  • Researchers analyzed data from 174,126 patients treated with primary PCI between 2015 and 2018, discovering that 8.9% experienced VT or VF, with 2.4% specifically having late VT or VF occurring after the procedure.
  • The study identified demographic data showing a median age of 63 for patients with late VT or VF, and the findings highlight
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Purpose: Lung cancer survivors have more psychosocial problems, including depression and anxiety disorder, than other cancer survivors. Lung cancer-specific symptoms, such as cough, dyspnea, or pain in chest, might increase FCR among survivors. We aimed to evaluate the association between lung cancer-specific symptoms and FCR among recurrence-free non-small cell lung cancer (NSCLC) survivors.

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Neurodegenerative disease pathways are perturbed in patients with cancer who self-report cognitive changes and anxiety: A pathway impact analysis.

Cancer

August 2024

Department of Physiological Nursing, Bakar Computational Health Sciences Institute, Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California, USA.

Article Synopsis
  • The study investigates the link between cancer-related cognitive impairment (CRCI) and anxiety in cancer patients, aiming to uncover the biological mechanisms behind their co-occurrence.
  • Researchers analyzed data from 451 patients undergoing chemotherapy, categorizing them based on levels of CRCI and anxiety, and identified five disrupted neurodegenerative disease pathways.
  • Key processes such as apoptosis and oxidative stress were common across these pathways, suggesting potential targets for future therapeutic interventions.
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Author Correction: Preoperative DLco and FEV are correlated with postoperative pulmonary complications in patients after esophagectomy.

Sci Rep

April 2024

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, School of Medicine, Samsung Medical Center, Sungkyunkwan University, 81 Irwon‑ro, Gangnam‑gu, Seoul, 06351, Republic of Korea.

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EORTC QLQ-C30 general population normative data for the United States.

Eur J Cancer

May 2024

Center for Patient-Centered Outcomes Research, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Department of Psychosomatic Medicine, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany; Health Economics Unit, Centre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia; School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia.

Objective: The European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 is a frequently used cancer-specific health-related quality of life (HRQoL) questionnaire. To aid interpretation of data obtained via EORTC QLQ-C30, general population norm data have been published for many countries. However, despite its frequent use in the United States, no normative data by sex and age exist to date.

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The classification of personality disorder (PD) is undergoing a paradigm shift in which categorically defined specific PDs are being replaced by dimensionally defined maladaptive trait domains. To bridge the classificatory approaches, this study attempts to use items from the categorical PD model in DSM-IV to measure the maladaptive trait domains described in DSM-5 Section III/ICD-11. A general population sample comprising 1228 participants completed the Screening Questionnaire of the Structured Clinical Interview for DSM-IV Axis II (SCID-II-SQ), the Personality Inventory for DSM-5 (PID-5), and the anankastia scale of the Personality Inventory for ICD-11 (PiCD).

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