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Devdutta Gangadhar Sangvai

Devdutta Gangadhar Sangvai

Professor Emeritus in Family Medicine and Community Health
Family Medicine and Community Health
devdutta.sangvai@duke.edu
Duke Box 3886, Durham, NC 27710
Family Medicine Center Pickens, 2100 Erwin Road, Durham, NC 27710

Selected Publications

Validity of Military Service as Reported on U.S. Death Certificates.

Journal Article Epidemiology · July 1, 2026 BACKGROUND: Although death certificates are widely used to study mortality in the general population, their use to study mortality among individuals with military service has been limited in part by a lack of information on the validity of military service ... Full text Link to item Cite

Multimodal quality improvement project on reducing hospital perioperative thromboembolic events (Patient Safety Indicator-12).

Journal Article BMJ Open Qual · April 3, 2025 BACKGROUND: Venous thromboembolism (VTE), which includes both pulmonary embolism and deep vein thrombosis, is a common yet significant postoperative complication. Patient Safety Indicator (PSI)-12 was introduced by Centers for Medicare & Medicaid Services ... Full text Link to item Cite

North Carolina Medicaid: A Tale of Two Years

Journal Article North Carolina Medical Journal · January 1, 2025 North Carolina’s Medicaid expansion improved access to care and strengthened rural health, but new federal cuts, work requirements, and state underfunding now threaten these gains, putting coverage, hospitals, and innovative health programs at serious risk ... Full text Cite

Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program.

Journal Article N C Med J · March 2024 INTRODUCTION: Efforts to improve population health by being responsive to patients' social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as t ... Full text Link to item Cite

Adaptation to Telehealth of Personalized Group Visits for Late Stage Diabetic Kidney Disease.

Journal Article Kidney360 · December 1, 2023 KEY POINTS: Improving late stage diabetic kidney disease care requires adapting evidence-based, self-management programs for telehealth delivery. We adapted and pilot-tested a telehealth approach and found it to be feasible. Preliminary data suggested it i ... Full text Link to item Cite

Development and Integration of Machine Learning Algorithm to Identify Peripheral Arterial Disease: Multistakeholder Qualitative Study.

Journal Article JMIR Form Res · September 21, 2023 BACKGROUND: Machine learning (ML)-driven clinical decision support (CDS) continues to draw wide interest and investment as a means of improving care quality and value, despite mixed real-world implementation outcomes. OBJECTIVE: This study aimed to explore ... Full text Link to item Cite

Value-Based Care for Chest Physicians.

Journal Article Chest · May 2023 Value-based care aims to improve the health outcomes of patients, eliminate waste and unwarranted clinical variation, and reduce the total cost of care. Professional medical societies have put forward guidelines to raise awareness on unproven practice patt ... Full text Link to item Cite

Bending the Cardiovascular Event Curve by Evaluating the Potential Impact of Achieving Low-Density Lipoprotein Cholesterol Goal Across a Large Health System Among Secondary Prevention Patients.

Journal Article Am J Cardiol · January 1, 2023 Guidelines recommend aggressive low-density lipoprotein cholesterol (LDL-C) lowering in patients with atherosclerotic cardiovascular disease (ASCVD). However, the recommended threshold of LDL-C ≤70 mg/dL is often not achieved. We used data from the Duke Un ... Full text Link to item Cite

A Financial Case for a Medical-Legal Partnership: Reducing Lengths of Stay for Inpatient Care.

Journal Article J Law Med Ethics · 2023 While Medical-Legal Partnerships (MLPs) have improved the health and well-being of the people they serve, most healthcare institutions will only invest in an MLP if they are convinced that doing so will improve its balance sheet. This article offers a deta ... Full text Link to item Cite

Ischemic Heart Disease

Chapter · January 1, 2022 Ischemic heart disease (IHD) refers to the condition of inadequate blood supply to the myocardium. It is also commonly referred to as heart disease, coronary heart disease (CHD), or coronary artery disease (CAD). From 2013 to 2016, the total number of peop ... Full text Cite

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes.

Journal Article J Eat Disord · January 6, 2021 BACKGROUND: Eating disorders (EDs) among individuals with type 1 diabetes (T1D) increase the risk of early and severe diabetes-related medical complications and premature death. Conventional eating disorder (ED) treatments have been largely ineffective for ... Full text Link to item Cite

Preface.

Book · December 2019 Full text Link to item Cite

Preface

Journal Article Primary Care Clinics in Office Practice · December 1, 2019 Full text Cite

Eating Disorders in the Primary Care Setting.

Journal Article Prim Care · June 2016 Eating disorders are a complex set of illnesses most commonly affecting white adolescent girls and young women. The most common eating disorders seen in the primary care setting are anorexia nervosa, bulimia nervosa, and binge eating disorder. Treatment in ... Full text Link to item Cite

Pivoting to Value-Based Care in North Carolina.

Journal Article N C Med J · 2016 Health care in the United States, and by extension in North Carolina, is in a perpetual state of flux. From the Nixon-era predictions of runaway costs to the insurance-anchored efforts of Hillarycare to wide-sweeping reforms of Obamacare, established provi ... Full text Link to item Cite

Teaching population health: a competency map approach to education.

Journal Article Acad Med · May 2013 A 2012 Institute of Medicine report is the latest in the growing number of calls to incorporate a population health approach in health professionals' training. Over the last decade, Duke University, particularly its Department of Community and Family Medic ... Full text Open Access Link to item Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · January 1, 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Despite 'welcome to Medicare' benefit, one in eight enrollees delay first use of part B services for at least two years.

Journal Article Health Aff (Millwood) · June 2012 Featured Publication Much research has focused on the possible overuse of health care services within Medicare, but there is also substantial evidence of underuse. In recent years, Congress has added a "welcome to Medicare" physician visit and a number of preventive services w ... Full text Link to item Cite

Primary and subspecialty care: building a collaborative relationship.

Journal Article Am Fam Physician · February 1, 2012 Featured Publication Link to item Cite

Training the next generation of physician-executives: an innovative residency pathway in management and leadership.

Journal Article Acad Med · May 2011 Featured Publication The rapidly changing field of medicine demands that future physician-leaders excel not only in clinical medicine but also in the management of complex health care enterprises. However, many physicians have become leaders "by accident," and the active culti ... Full text Link to item Cite

An Infection Control Program for a 2009 influenza A H1N1 outbreak in a university-based summer camp.

Journal Article J Am Coll Health · 2011 Featured Publication OBJECTIVES: Describe two 2009-H1N1 influenza outbreaks in university-based summer camps and the implementation of an infection control program. PARTICIPANTS: 7,906 campers across 73 residential camps from May 21-August 2, 2009. METHODS: Influenza-like-illn ... Full text Link to item Cite

Clinical presentation and response to treatment of novel influenza A H1N1 in a university-based summer camp population.

Journal Article J Clin Virol · March 2010 Featured Publication BACKGROUND: Little is known about the clinical presentation and course of novel H1N1 influenza in summer camps. OBJECTIVES: To describe the clinical course and evaluate the effect of influenza treatment in a summer camp population. STUDY DESIGN: Two large ... Full text Link to item Cite

Defining high-performance teams and physician leadership.

Journal Article Physician Exec · 2008 Beset with complex reimbursement and regulatory structures, rapidly advancing technology and a population that is growing increasingly older, sicker, and more obese, the U.S. medical environment needs coordinated interdisciplinary teamwork now more than ev ... Link to item Cite

Neighborhood clinics: an academic medical center-community health center partnership.

Journal Article J Health Care Poor Underserved · August 2007 Featured Publication This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data sug ... Full text Link to item Cite

Mercury water and cauterizing stones: Nicolas André and tic douloureux.

Journal Article J Neurosurg · May 1999 Featured Publication In his 1756 text, Observations pratiques sur les maladies de l'urèthre et sur plusiers faits convulsifs, Nicolas André coined the term "tic douloureux." He believed that this pain originated from compression of facial sensory peripheral nerves. Using scien ... Full text Link to item Cite