Scholarly Works - Journal articles
Journal article
Kidney360
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July 23, 2026
BACKGROUND: Deprescribing, a proactive systematic approach to reducing or stopping medications, may lower adverse outcomes in older adults receiving dialysis. We evaluated the feasibility of an intervention to deprescribe potentially inappropriate medicati ...
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J Am Med Inform Assoc
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May 1, 2026
OBJECTIVE: This study aims to compare the effectiveness of 2 ambient AI scribe technologies in reducing physician burnout, improving workflow satisfaction, and enhancing documentation efficiency through a randomized crossover trial. MATERIALS AND METHODS: ...
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Contemp Clin Trials
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June 2025
The System Interventions to Achieve Early and Equitable Kidney Transplants Study (STEPS) is an ongoing pragmatic clinical trial investigating the effectiveness of an equitable and patient-centered approach to kidney care on equitable access to early kidney ...
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Journal article
Kidney360
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March 1, 2025
KEY POINTS: We found poor ability to distinguish among different causes of death using clinical information in the 30 days before death for patients on hemodialysis. We found that models of different causes of death identified similar associated clinical f ...
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Am J Kidney Dis
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February 2025
RATIONALE & OBJECTIVE: Prescribing psychoactive medications for patients with kidney disease is common, but for patients receiving dialysis some medications may be inappropriate. We evaluated the association of coprescribing gabapentinoids and other psycho ...
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Journal article
Clin J Am Soc Nephrol
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December 1, 2024
KEY POINTS: For patients with ESKD treated with hemodialysis, the causes of death reported by the United States Renal Data System and the National Death Index show substantial disagreement. In particular, the proportion of sudden cardiac death was almost t ...
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Clin J Am Soc Nephrol
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December 1, 2024
KEY POINTS: Breast and prostate cancer screening were more frequent among patients on hemodialysis waitlisted for kidney transplant. Among patients not waitlisted for transplant, we found that screening rates were generally higher among patients with highe ...
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Journal article
Am J Kidney Dis
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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- ...
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Journal article
J Pediatr
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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 ...
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Journal article
Kidney360
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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 ...
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Journal article
J Healthc Qual
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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. ...
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Journal article
Kidney Med
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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 ...
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J Am Geriatr Soc
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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 ...
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Journal article
Ochsner J
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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 ...
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Journal article
Brown J Hosp Med
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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. METHODS: We conducted a survey ...
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Journal article
BMC Nephrol
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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 ...
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Journal article
Am Heart J
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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 ...
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Journal article
Clin J Am Soc Nephrol
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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 ...
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Journal article
J Med Internet Res
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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 ...
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