Journal ArticleAm J Kidney Dis · July 2024
RATIONALE & OBJECTIVE: The life expectancy of patients treated with maintenance hemodialysis (MHD) is heterogeneous. Knowledge of life-expectancy may focus care decisions on near-term versus long-term goals. The current tools are limited and focus on near- ...
Full textLink to itemCite
Journal ArticleJ Pediatr · February 2023
OBJECTIVES: To characterize delivery of goal-concordant end-of-life (EOL) care among children with complex chronic conditions and to determine factors associated with goal-concordance. STUDY DESIGN: This was a retrospective review of goals of care discussi ...
Full textLink to itemCite
Journal ArticleKidney360 · September 29, 2022
BACKGROUND: Frailty is present in ≥50% of older adults receiving dialysis. Our objective was to a develop an administrative data-based frailty index and assess the frailty index's predictive validity for mortality and future hospitalizations. METHODS: We u ...
Full textLink to itemCite
Journal ArticleJ Healthc Qual · September 2022
The intersection of population health (PH), quality improvement (QI), and health disparities is increasingly a focus in graduate medical education. However, it remains unclear how trainees may best improve disparities within clinical training environments. ...
Full textLink to itemCite
Journal ArticleKidney Med · September 2022
RATIONALE & OBJECTIVE: Choosing from multiple kidney failure treatment modalities can create decisional conflict, but little is known about this experience before decision implementation. We explored decisional conflict about treatment for kidney failure a ...
Full textLink to itemCite
Journal ArticleJournal of Brown Hospital Medicine · August 19, 2022
Introduction: Academic hospital medicine groups are attempting to sustain and develop growth in their non-clinical, academic missions. We sought to evaluate the academic interests and motivators of hospital medicine faculty. ...
Full textCite
Journal ArticleJ Am Geriatr Soc · June 2022
BACKGROUND: Transition-related patient safety errors are high among patients discharged from hospitals to skilled nursing facilities (SNFs), and interventions are needed to improve communication between hospitals and SNF providers. Our objective was to des ...
Full textLink to itemCite
Journal ArticleOchsner J · 2022
Background: Adult learning (andragogy) posits that adult learners have an improved educational experience when engaged in self-directed learning. The decision to allocate patients to the teaching service vs a nonresident service varies according to institu ...
Full textLink to itemCite
Journal ArticleBMC Nephrol · June 19, 2021
BACKGROUND AND OBJECTIVES: After dialysis initiation, older adults may experience orthostatic or post-dialysis hypotension. Some orthostasis-causing antihypertensives (i.e., central alpha agonists and alpha blockers), are considered potentially inappropria ...
Full textLink to itemCite
Journal ArticleAm Heart J · January 2021
UNLABELLED: Statins failed to reduce cardiovascular (CV) events in trials of patients on dialysis. However, trial populations used criteria that often excluded those with atherosclerotic heart disease (ASHD), in whom statins have the greatest benefit, and ...
Full textLink to itemCite
Journal ArticleClin J Am Soc Nephrol · November 6, 2020
BACKGROUND AND OBJECTIVES: With multiple medications indicated for mineral metabolism, dialysis providers can apply various strategies to achieve target phosphate and parathyroid hormone (PTH) levels. We describe common prescribing patterns and practice va ...
Full textLink to itemCite
Journal ArticleJ Med Internet Res · April 9, 2019
BACKGROUND: Patients with diabetes and poorly controlled hypertension are at increased risk for adverse renal and cardiovascular outcomes. Identifying these patients early and addressing modifiable risk factors is central to delaying renal complications su ...
Full textOpen AccessLink to itemCite