Scholars@Duke
Michael Patrick Pignone

Michael Patrick Pignone

Rebecca & John Kirkland Distinguished Professor of Medicine
Medicine, General Internal Medicine

Selected Publications

Mammography screening and risk factor prevalence by sexual identity: A comparison of two national surveys.

Journal Article Cancer · May 15, 2025 BACKGROUND: Emerging research suggests that lesbian, gay, bisexual, and queer (LGBQ) women face barriers to breast cancer screening. The authors sought to quantify sexual identity disparities in mammography screening, health care access, and lifestyle-rela ... Full text Link to item Cite

Feasibility Study of Using Electronic Patient-Reported Outcomes to Screen Patients with Advanced Solid Cancers for Palliative Care Needs.

Journal Article J Palliat Med · May 2025 Background: Palliative care delivery in oncology is challenging and referral practices vary widely. Standardized, needs-based screening and triage systems are essential to more effectively address patients' palliative care needs. Objective: Assess the feas ... Full text Link to item Cite

Cervical cancer screening and risk factor prevalence by sexual identity: A comparison across three national surveys in the United States.

Journal Article Prev Med · May 2025 OBJECTIVES: Women identifying as lesbian, gay, bisexual, or queer (LGBQ) have lower cervical cancer screening use and differences in care access. Less known about how differences vary by data sources and within LGBQ subgroups. We evaluated LGBQ disparities ... Full text Link to item Cite

Trends in Prevalence and Correlates of Alcohol Use Disorder Diagnoses Among US Adult Cancer Survivors: Serial Cross-Sectional Analysis.

Journal Article J Natl Compr Canc Netw · May 2025 BACKGROUND: Alcohol use disorder (AUD) is associated with cancer recurrence, new malignancies, and mortality among survivors of certain cancers. This study evaluated trends (2012-2021) in prevalence and correlates of AUD diagnoses among adult cancer surviv ... Full text Link to item Cite

Achieving Equitable Lung Cancer Screening Implementation in a Texas Safety Net Health System.

Journal Article Am J Prev Med · February 2025 INTRODUCTION: A lung cancer screening program using low dose CT (LDCT) in a Federally Qualified Health Center (FQHC) in Central Texas was developed and assessed for equitable implementation. METHODS: From 11/2020-8/2023, patients aged 55-77 years who curre ... Full text Link to item Cite

Preventive Care Needs of the North Carolina Medicaid Expansion Population.

Journal Article AJPM Focus · February 2025 INTRODUCTION: Effective December 2023, North Carolina expanded Medicaid eligibility to cover individuals up to 138% of the Federal Poverty Level. The authors sought to understand the preventive care needs of the newly Medicaid-eligible population. METHODS: ... Full text Link to item Cite

Supporting Care Transformation Through a Comprehensive Graduate Medical Education Curricular Program in a Department of Internal Medicine.

Journal Article J Gen Intern Med · January 2025 BACKGROUND: The imperative to train physicians in skills required to lead care transformation is increasingly recognized, yet few Graduate Medical Education (GME) programs exist to meet this need. AIM: Describe the development, outcomes, and lessons learne ... Full text Link to item Cite

Perspectives of international experts and the Danish citizens on the 'relevant knowledge' that citizens need for making informed choices about participation in cancer screening: Qualitative study.

Journal Article Patient Educ Couns · January 2025 OBJECTIVES: This study aimed to investigate the perspectives of international experts and Danish citizens on relevant knowledge about population-based breast, colorectal and cervical cancer screening. METHODS: This was a qualitative interview study with fo ... Full text Link to item Cite

IMPLEMENTING HOME-BASED CANCER PREVENTION AND SCREENING: AN OPPORTUNITY FOR EQUITY.

Journal Article Trans Am Clin Climatol Assoc · 2025 Cancer remains a leading cause of mortality in the United States, with significant inequities across racial and ethnic groups. Evidence-based cancer screening and prevention offers one pathway to reducing cancer mortality but can be challenging to implemen ... Link to item Cite

Cancer in 2024.

Journal Article Cancer Discov · December 2, 2024 Excerpts from the 14th edition of the annual American Association for Cancer Research Cancer Progress Report (https://cancerprogressreport.aacr.org/progress/) and the third edition of the American Association for Cancer Research Cancer Disparities Progress ... Full text Link to item Cite

A Resident-Led Quality Improvement Initiative to Increase End-of-Life Planning in Primary Care.

Journal Article J Grad Med Educ · October 2024 Background Despite many benefits of end-of-life (EOL) planning, only 1 in 3 adults has EOL documentation, with low rates in resident primary care clinics as well. Objective To increase clinic completion of life-sustaining treatment (LST) notes and advance ... Full text Link to item Cite

Patient-Reported Outcomes of Breast Reconstruction: Does the Quality of Decisions Matter?

Journal Article Ann Surg Oncol · March 2023 BACKGROUND: Little is known about how the quality of decisions influences patient-reported outcomes (PROs). We hypothesized that higher decision quality for breast reconstruction would be independently associated with better PROs. METHODS: We conducted a p ... Full text Link to item Cite

Trends in Oral Anticoagulant Use Among 436 864 Patients With Atrial Fibrillation in Community Practice, 2011 to 2020.

Journal Article J Am Heart Assoc · November 15, 2022 Background Among patients with nonvalvular atrial fibrillation (AF) and an elevated stroke risk, guidelines recommend direct oral anticoagulants (DOACs) over warfarin for stroke prevention. Changes in DOAC use over the past decade have not been well descri ... Full text Link to item Cite

Return of individual research results: What do participants prefer and expect?

Journal Article PLoS One · 2021 Newer data platforms offer increased opportunity to share multidimensional health data with research participants, but the preferences of participants for which data to receive and how is evolving. Our objective is to describe the preferences and expectati ... Full text Link to item Cite

Colonoscopy Quality and Adherence to Postpolypectomy Surveillance Guidelines in an Underinsured Clinic System.

Journal Article Gastroenterol Res Pract · 2020 BACKGROUND: Delivery of high-quality colonoscopy and adherence to evidence-based surveillance guidelines is essential to a high-quality screening program, especially in safety net systems with limited resources. We sought to assess colonoscopy quality and ... Full text Link to item Cite

Quality of Patient Decisions About Breast Reconstruction After Mastectomy.

Journal Article JAMA Surg · August 1, 2017 IMPORTANCE: Breast reconstruction has the potential to improve a person's body image and quality of life but has important risks. Variations in who undergoes breast reconstruction have led to questions about the quality of patient decisions. OBJECTIVE: To ... Full text Link to item Cite

Usability of a Novel Mobile Health iPad App by Vulnerable Populations.

Journal Article JMIR Mhealth Uhealth · April 11, 2017 BACKGROUND: Recent advances in mobile technologies have created new opportunities to reach broadly into populations that are vulnerable to health disparities. However, mobile health (mHealth) strategies could paradoxically increase health disparities, if l ... Full text Link to item Cite

Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement.

Journal Article JAMA · January 24, 2017 IMPORTANCE: Based on data from the 1990s, estimated prevalence of obstructive sleep apnea (OSA) in the United States is 10% for mild OSA and 3.8% to 6.5% for moderate to severe OSA; current prevalence may be higher, given the increasing prevalence of obesi ... Full text Link to item Cite

Implementation and Quality Improvement of a Screening and Counseling Program for Unhealthy Alcohol Use in an Academic General Internal Medicine Practice.

Journal Article J Healthc Qual · 2017 Unhealthy alcohol use is the third leading cause of preventable death in the United States. The U.S. Preventive Services Task Force (USPSTF) recommends screening for unhealthy alcohol use but little is known about how best to do so. We used quality improve ... Full text Link to item Cite

How Informed Is the Decision About Breast Reconstruction After Mastectomy?: A Prospective, Cross-sectional Study.

Journal Article Ann Surg · December 2016 OBJECTIVE: To assess how informed patients are about breast reconstruction, and how involved they are in decision making. SUMMARY BACKGROUND DATA: Breast reconstruction is an important treatment option for patients undergoing mastectomy. Wide variations in ... Full text Link to item Cite

Regional variation in colorectal cancer testing and geographic availability of care in a publicly insured population.

Journal Article Health Place · September 2014 Despite its demonstrated effectiveness, colorectal cancer (CRC) testing is suboptimal, particularly in vulnerable populations such as those who are publicly insured. Prior studies provide an incomplete picture of the importance of the intersection of multi ... Full text Link to item Cite

Lack of shared decision making in cancer screening discussions: results from a national survey.

Journal Article Am J Prev Med · September 2014 BACKGROUND: Clinicians are encouraged to support patients in achieving shared decision making (SDM) for cancer screening. PURPOSE: To describe decision making processes and outcomes for cancer screening discussions. METHODS: A 2011 national Internet survey ... Full text Link to item Cite

A single-item self-report medication adherence question predicts hospitalisation and death in patients with heart failure.

Journal Article J Clin Nurs · September 2014 AIMS AND OBJECTIVES: To determine whether a single-item self-report medication adherence question predicts hospitalisation and death in patients with heart failure. BACKGROUND: Poor medication adherence is associated with increased morbidity and mortality. ... Full text Link to item Cite

Development and evaluation of a new survey instrument to measure the quality of colorectal cancer screening decisions.

Journal Article BMC Med Inform Decis Mak · August 20, 2014 BACKGROUND: Guidelines for colorectal cancer screening recommend that patients be informed about options and be able to select preferred method of screening; however, there are no existing measures available to assess whether this happens. METHODS: Colorec ... Full text Link to item Cite

Costs and benefits of an organized fecal immunochemical test-based colorectal cancer screening program in the United States.

Journal Article Cancer · August 1, 2014 BACKGROUND: Despite clear recommendations and evidence linking colorectal cancer screening to lower incidence and mortality, > 40% of adults are not up to date with screening. Existing domestic and international models of organized cancer screening program ... Full text Link to item Cite

Toward Minimum Standards for Certifying Patient Decision Aids: A Modified Delphi Consensus Process.

Journal Article Med Decis Making · August 2014 OBJECTIVE: The IPDAS Collaboration has developed a checklist and an instrument (IPDASi v3.0) to assess the quality of patient decision aids (PDAs) in terms of their development process and shared decision-making design components. Certification of PDAs is ... Full text Link to item Cite

Comparing the effect of a decision aid plus patient navigation with usual care on colorectal cancer screening completion in vulnerable populations: study protocol for a randomized controlled trial.

Journal Article Trials · July 8, 2014 BACKGROUND: Screening can reduce colorectal cancer (CRC) incidence and mortality. However, screening is underutilized in vulnerable patient populations, particularly among Latinos. Patient-directed decision aids can increase CRC screening knowledge, self-e ... Full text Link to item Cite

A comparison of live counseling with a web-based lifestyle and medication intervention to reduce coronary heart disease risk: a randomized clinical trial.

Journal Article JAMA Intern Med · July 2014 IMPORTANCE: Most primary care clinicians lack the skills and resources to offer effective lifestyle and medication (L&M) counseling to reduce coronary heart disease (CHD) risk. Thus, effective and feasible CHD prevention programs are needed for typical pra ... Full text Link to item Cite

Comparing 3 values clarification methods for colorectal cancer screening decision-making: a randomized trial in the US and Australia.

Journal Article J Gen Intern Med · March 2014 PURPOSE: To compare the effects of three methods of values clarification (VCM): balance sheet; rating and ranking; and a discrete choice experiment (DCE) on decision-making about colorectal cancer (CRC) screening among adults in the US and Australia. METHO ... Full text Link to item Cite

Using the coronary artery calcium score to guide statin therapy: a cost-effectiveness analysis.

Journal Article Circ Cardiovasc Qual Outcomes · March 2014 BACKGROUND: The coronary artery calcium (CAC) score predicts future coronary heart disease (CHD) events and could be used to guide primary prevention interventions, but CAC measurement has costs and exposes patients to low-dose radiation. METHODS AND RESUL ... Full text Link to item Cite

The effect of a decision aid intervention on decision making about coronary heart disease risk reduction: secondary analyses of a randomized trial.

Journal Article BMC Med Inform Decis Mak · February 28, 2014 BACKGROUND: Decision aids offer promise as a practical solution to improve patient decision making about coronary heart disease (CHD) prevention medications and help patients choose medications to which they are likely to adhere. However, little data is av ... Full text Link to item Cite

Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization.

Journal Article BMC Cardiovasc Disord · January 31, 2014 BACKGROUND: Weight monitoring is an important element of HF self-care, yet the most clinically meaningful way to evaluate weight monitoring adherence is uncertain. We conducted this study to evaluate the association of (1) self-reported recall and (2) dail ... Full text Link to item Cite

Update on health literacy and diabetes.

Journal Article Diabetes Educ · 2014 PURPOSE: Inadequate literacy is common among patients with diabetes and may lead to adverse outcomes. The authors reviewed the relationship between literacy and health outcomes in patients with diabetes and potential interventions to improve outcomes. METH ... Full text Link to item Cite

Cultural and linguistic adaptation of a multimedia colorectal cancer screening decision aid for Spanish-speaking Latinos.

Journal Article J Health Commun · 2014 As the United States becomes more linguistically and culturally diverse, there is a need for effective health communication interventions that target diverse, vulnerable populations, including Latinos. To address such disparities, health communication inte ... Full text Link to item Cite

Estimating the cost of no-shows and evaluating the effects of mitigation strategies.

Journal Article Med Decis Making · November 2013 OBJECTIVE: To measure the cost of nonattendance ("no-shows") and benefit of overbooking and interventions to reduce no-shows for an outpatient endoscopy suite. METHODS: We used a discrete-event simulation model to determine improved overbooking scheduling ... Full text Link to item Cite

Effect of including cancer mortality on the cost-effectiveness of aspirin for primary prevention in men.

Journal Article J Gen Intern Med · November 2013 BACKGROUND: Recent data suggest that aspirin may be effective for reducing cancer mortality. OBJECTIVE: To examine whether including a cancer mortality-reducing effect influences which men would benefit from aspirin for primary prevention. DESIGN: We modif ... Full text Link to item Cite

Designing and implementing a comparative effectiveness study of two strategies for delivering high quality CHD prevention: methods and participant characteristics for the Heart to Health study.

Journal Article Contemp Clin Trials · November 2013 BACKGROUND: Although lifestyle and medications are effective for coronary heart disease (CHD) risk reduction, few studies have examined the comparative effectiveness of various strategies for delivering high quality CHD risk reduction. In this paper, we re ... Full text Link to item Cite

A comparison of US and Australian men's values and preferences for PSA screening.

Journal Article BMC Health Serv Res · October 5, 2013 BACKGROUND: Patient preferences derived from an assessment of values can help inform the design of screening programs, but how best to do so, and whether such preferences differ cross-nationally, has not been well-examined. The objective of this study was ... Full text Link to item Cite

Interpretation of the coronary artery calcium score in combination with conventional cardiovascular risk factors: the Multi-Ethnic Study of Atherosclerosis (MESA).

Journal Article Circulation · September 3, 2013 BACKGROUND: The coronary artery calcium (CAC) score predicts coronary heart disease (CHD) events, but methods for interpreting the score in combination with conventional CHD risk factors have not been established. METHODS AND RESULTS: We analyzed CAC score ... Full text Link to item Cite

Physician decision making for colorectal cancer screening in the elderly.

Journal Article J Gen Intern Med · September 2013 BACKGROUND: Although individualized decision making is recommended to appropriately screen for colorectal cancer (CRC) in older adults, it is unclear whether physicians solicit input from older patients before making a recommendation for or against CRC scr ... Full text Link to item Cite

Colon cancer screening models: lessons and challenges.

Journal Article Clin Gastroenterol Hepatol · September 2013 Full text Link to item Cite

Low literacy is associated with increased risk of hospitalization and death among individuals with heart failure.

Journal Article J Gen Intern Med · September 2013 BACKGROUND: Low literacy increases the risk for many adverse health outcomes, but the relationship between literacy and adverse outcomes in heart failure (HF) has not been well studied. METHODS: We studied a cohort of ambulatory patients with symptomatic H ... Full text Link to item Cite

Reach, usage, and effectiveness of a Medicaid patient navigator intervention to increase colorectal cancer screening, Cape Fear, North Carolina, 2011.

Journal Article Prev Chronic Dis · May 23, 2013 INTRODUCTION: Screening for colorectal cancer can reduce incidence and death, but screening is underused, especially among vulnerable groups such as Medicaid patients. Effective interventions are needed to increase screening frequency. Our study consisted ... Full text Link to item Cite

Comparing 3 techniques for eliciting patient values for decision making about prostate-specific antigen screening: a randomized controlled trial.

Journal Article JAMA Intern Med · March 11, 2013 IMPORTANCE: To make good decisions about prostate-specific antigen (PSA) screening, men must consider how they value the different potential outcomes. OBJECTIVE: To determine the effects of different methods of helping men consider such values. DESIGN AND ... Full text Link to item Cite

Self-care confidence mediates the relationship between perceived social support and self-care maintenance in adults with heart failure.

Journal Article J Card Fail · March 2013 BACKGROUND: Social support may be associated with heart failure (HF) self-care; however, the mechanisms are not well understood. We examined the association between perceived support and self-care behaviors and whether self-care confidence mediates these r ... Full text Link to item Cite

Promoting fruit and vegetable consumption among members of black churches, Michigan and North Carolina, 2008-2010.

Journal Article Prev Chronic Dis · 2013 INTRODUCTION: Evidence-based health promotion programs that are disseminated in community settings can improve population health. However, little is known about how effective such programs are when they are implemented in communities. We examined community ... Full text Link to item Cite

Clarifying values: an updated review.

Journal Article BMC Med Inform Decis Mak · 2013 BACKGROUND: Consensus guidelines have recommended that decision aids include a process for helping patients clarify their values. We sought to examine the theoretical and empirical evidence related to the use of values clarification methods in patient deci ... Full text Link to item Cite

European guidelines for quality assurance in colorectal cancer screening and diagnosis: overview and introduction to the full supplement publication.

Journal Article Endoscopy · 2013 Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. ... Full text Link to item Cite

Aid-assisted decision making and colorectal cancer screening: a randomized controlled trial.

Journal Article Am J Prev Med · December 2012 BACKGROUND: Shared decision making (SDM) is a widely recommended yet unproven strategy for increasing colorectal cancer (CRC) screening uptake. Previous trials of decision aids to increase SDM and CRC screening uptake have yielded mixed results. PURPOSE: T ... Full text Link to item Cite

Challenges to implementing patient-centered research.

Journal Article Ann Intern Med · September 18, 2012 Full text Link to item Cite

Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?

Journal Article J Card Fail · July 2012 BACKGROUND: Heart failure (HF) self-care interventions can improve outcomes, but less than optimal adherence may limit their effectiveness. We evaluated if adherence to weight monitoring and diuretic self-adjustment was associated with HF-related emergency ... Full text Link to item Cite

Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey.

Journal Article BMC Med Inform Decis Mak · June 12, 2012 BACKGROUND: Compared with non-Latinos, Latinos in the US have low rates of colorectal cancer (CRC) screening and low rates of knowledge regarding CRC screening tests and guidelines. Spanish speaking Latinos have particularly low CRC screening rates and scr ... Full text Link to item Cite

Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure.

Journal Article Circulation · June 12, 2012 BACKGROUND: Self-care training can reduce hospitalization for heart failure (HF), and more intensive intervention may benefit more vulnerable patients, including those with low literacy. METHODS AND RESULTS: A 1-year, multisite, randomized, controlled comp ... Full text Link to item Cite

Cancer screening patterns by weight group and gender for urban African American church members.

Journal Article J Community Health · April 2012 Obese white women have lower rates of cancer screening compared to non-obese women. This study will determine if a relationship exists between weight and adherence to cancer screening guidelines among African Americans. We used multivariate logistic regres ... Full text Link to item Cite

Promoting decision aid use in primary care using a staff member for delivery.

Journal Article Patient Educ Couns · February 2012 OBJECTIVE: To determine the feasibility and effectiveness of in-clinic decision aid distribution using a care assistant. METHODS: We identified potentially eligible patients scheduled for upcoming appointments in our General Internal Medicine Clinic (n=122 ... Full text Link to item Cite

The COMPASs Study: Community Preferences for Prostate cAncer Screening. Protocol for a quantitative preference study.

Journal Article BMJ Open · 2012 Background Prostate cancer screening using prostate-specific antigen (PSA) testing remains controversial. Trade-offs between the potential benefits and downsides of screening must be weighed by men deciding whether to participate in prostate cancer screeni ... Full text Link to item Cite

Colorectal cancer screening and physical activity promotion among obese women: an online evaluation of targeted messages.

Journal Article J Health Commun · 2012 Obese women are at higher risk for several cancers, but are less likely than normal weight women to engage in cancer prevention behaviors such as screening and physical activity. Targeted health messages may help increase healthy behaviors among vulnerable ... Full text Link to item Cite

Conjoint analysis versus rating and ranking for values elicitation and clarification in colorectal cancer screening.

Journal Article J Gen Intern Med · January 2012 PURPOSE: To compare two techniques for eliciting and clarifying patient values for decision making about colorectal cancer (CRC) screening: choice-based conjoint analysis and a rating and ranking task. METHODS: Using our decision lab registry and universit ... Full text Link to item Cite

Two controlled trials to determine the effectiveness of a mailed intervention to increase colon cancer screening.

Journal Article N C Med J · 2012 OBJECTIVE: Colorectal cancer (CRC) screening is underutilized. Effective and efficient interventions are needed to increase its utilization in primary care. METHODS: We used UNC Internal Medicine electronic medical records to perform 2 effectiveness trials ... Link to item Cite

New American Cancer Society process for creating trustworthy cancer screening guidelines.

Journal Article JAMA · December 14, 2011 Guidelines for cancer screening written by different organizations often differ, even when they are based on the same evidence. Those dissimilarities can create confusion among health care professionals, the general public, and policy makers. The Institute ... Full text Link to item Cite

A randomized trial of an intervention to improve use and adherence to effective coronary heart disease prevention strategies.

Journal Article BMC Health Serv Res · December 5, 2011 BACKGROUND: Efficacious strategies for the primary prevention of coronary heart disease (CHD) are underused, and, when used, have low adherence. Existing efforts to improve use and adherence to these efficacious strategies have been so intensive that they ... Full text Link to item Cite

Preferences for CT colonography and colonoscopy as diagnostic tests for colorectal cancer: a discrete choice experiment.

Journal Article Value Health · December 2011 OBJECTIVE: Computed tomography colonography (CTC) is an alternative diagnostic test to colonoscopy for colorectal cancer and polyps. The aim of this study was to determine test characteristics important to patients and to examine trade-offs in attributes t ... Full text Link to item Cite

The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms.

Journal Article J Card Fail · October 2011 BACKGROUND: The optimal strategy for promoting self-care for heart failure (HF) is unclear. METHODS AND RESULTS: We conducted a randomized trial to determine whether a "teach to goal" (TTG) educational and behavioral support program provided incremental be ... Full text Link to item Cite

Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure.

Journal Article J Gen Intern Med · September 2011 BACKGROUND: We sought to examine the relationship between literacy and heart failure-related quality of life (HFQOL), and to explore whether literacy-related differences in knowledge, self-efficacy and/or self-care behavior explained the relationship. METH ... Full text Link to item Cite

Effectiveness of a patient and practice-level colorectal cancer screening intervention in health plan members: the CHOICE trial.

Journal Article Cancer · August 1, 2011 BACKGROUND: Colorectal cancer (CRC) screening reduces CRC incidence and mortality but is underused. Effective interventions to increase screening that can be implemented broadly are needed. METHODS: A controlled trial was conducted to evaluate a patient-le ... Full text Link to item Cite

Effectiveness of a web-based colorectal cancer screening patient decision aid: a randomized controlled trial in a mixed-literacy population.

Journal Article Am J Prev Med · June 2011 BACKGROUND: Colorectal cancer (CRC) screening reduces mortality yet remains underutilized. Low health literacy may contribute to this underutilization by interfering with patients' ability to understand and receive preventive health services. PURPOSE: To d ... Full text Link to item Cite

Costs and cost-effectiveness of full implementation of a biennial faecal occult blood test screening program for bowel cancer in Australia.

Journal Article Med J Aust · February 21, 2011 OBJECTIVE: To examine the costs and cost-effectiveness of full implementation of biennial bowel cancer screening for Australian residents aged 50-74 years. DESIGN AND SETTING: Identification of existing economic models from 1993 to 2010 through searches of ... Full text Link to item Cite

Cost-utility of aspirin and proton pump inhibitors for primary prevention.

Journal Article Arch Intern Med · February 14, 2011 BACKGROUND: Aspirin reduces myocardial infarction but increases gastrointestinal tract (GI) bleeding. Proton pump inhibitors (PPIs) may reduce upper GI bleeding. We estimate the cost-utility of aspirin treatment with or without a PPI for coronary heart dis ... Full text Link to item Cite

A comparative case study of bowel cancer screening in the UK and Australia: evidence lost in translation?

Journal Article J Med Screen · 2011 OBJECTIVES: (i) To document the current state of the English, Scottish, Welsh, Northern Irish and Australian bowel cancer screening programmes, according to seven key characteristics, and (ii) to explore the policy trade-offs resulting from inadequate fund ... Full text Link to item Cite

"Teach to goal": theory and design principles of an intervention to improve heart failure self-management skills of patients with low health literacy.

Journal Article J Health Commun · 2011 Self-management is vital for achieving optimal health outcomes for patients with heart failure (HF). We sought to develop an intervention to improve self-management skills and behaviors for patients with HF, especially those with low health literacy. Indiv ... Full text Link to item Cite

The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial.

Journal Article Med Decis Making · 2011 BACKGROUND: Eliciting patients' preferences within a framework of shared decision making (SDM) has been advocated as a strategy for increasing colorectal cancer (CRC) screening adherence. Our objective was to assess the effectiveness of a novel decision ai ... Full text Link to item Cite

Aspirin for primary prevention of cardiovascular disease in diabetes mellitus.

Journal Article Nat Rev Endocrinol · November 2010 Aspirin is effective for the prevention of cardiovascular events in patients with a history of vascular disease, as so-called secondary prevention. In general populations with no history of previous myocardial infarction or stroke, aspirin also seems usefu ... Full text Link to item Cite

Willingness-to-pay to avoid the time spent and discomfort associated with screening colonoscopy.

Journal Article Health Econ · October 2010 BACKGROUND: The screening colonoscopy process requires a considerable amount of time and some discomfort for patients. OBJECTIVE: We sought to use willingness-to-pay (WTP) to value the time required and the discomfort associated with screening colonoscopy. ... Full text Link to item Cite

A targeted decision aid for the elderly to decide whether to undergo colorectal cancer screening: development and results of an uncontrolled trial.

Journal Article BMC Med Inform Decis Mak · September 17, 2010 BACKGROUND: Competing causes of mortality in the elderly decrease the potential net benefit from colorectal cancer screening and increase the likelihood of potential harms. Individualized decision making has been recommended, so that the elderly can decide ... Full text Link to item Cite

Plans to stop cancer screening tests among adults who recently considered screening.

Journal Article J Gen Intern Med · August 2010 OBJECTIVE: We sought to estimate what proportion of adults plan to stop cancer screening tests among adults who recently considered screening and to explore factors associated with these screening plans. DESIGN: Telephone Survey PARTICIPANTS: A total of 1, ... Full text Link to item Cite

Assessing the quality of initial consultations regarding adjuvant colon cancer therapy.

Journal Article Clin Colorectal Cancer · April 2010 BACKGROUND: Adjuvant chemotherapy prevents colon cancer recurrence in a subset of treated patients; however, decisions about whether to receive chemotherapy are complex. Adequate information exchange (IE) and informed decision making (IDM) between patient ... Full text Link to item Cite

Effectiveness of a patient- and practice-level colorectal cancer screening intervention in health plan members: design and baseline findings of the CHOICE trial.

Journal Article Cancer · April 1, 2010 BACKGROUND: : Evidence-based interventions have been found effective in increasing colorectal cancer (CRC) screening. Translating these successful interventions into real world settings, such as health plans, can be challenging. METHODS: : CHOICE (Communic ... Full text Link to item Cite

Race moderates the relationship between obesity and colorectal cancer screening in women.

Journal Article Cancer Causes Control · March 2010 OBJECTIVE: To determine if the relationship between obesity and usage of colorectal cancer (CRC) screening in women varies when stratifying by race. METHODS: Using nationally representative data from the 2005 National Health Interview Survey, we examined t ... Full text Link to item Cite

Decision-making processes for breast, colorectal, and prostate cancer screening: the DECISIONS survey.

Journal Article Med Decis Making · 2010 BACKGROUND: Patients should understand the risks and benefits of cancer screening in order to make informed screening decisions. OBJECTIVES: To evaluate the extent of informed decision making in patient-provider discussions for colorectal (CRC), breast (Br ... Full text Link to item Cite

Effect of adding a values clarification exercise to a decision aid on heart disease prevention: a randomized trial.

Journal Article Med Decis Making · 2010 BACKGROUND: Experts have called for the inclusion of values clarification (VC) exercises in decision aids (DAs) as a means of improving their effectiveness, but little research has examined the effects of such exercises. OBJECTIVE: To determine whether add ... Full text Link to item Cite

Patient time requirements for anticoagulation therapy with warfarin.

Journal Article Med Decis Making · 2010 BACKGROUND: Most patients receiving warfarin are managed in outpatient office settings or anticoagulation clinics that require frequent visits for monitoring. OBJECTIVE: To measure the amount and value of time required of patients for chronic anticoagulati ... Full text Link to item Cite

Leveling the field: addressing health disparities through diabetes disease management.

Journal Article Am J Manag Care · January 2010 OBJECTIVES: To examine the relationships among patient characteristics, labor inputs, and improvement in glycosylated hemoglobin (A1C) level in a successful primary care-based diabetes disease management program (DDMP). STUDY DESIGN: We performed subanalys ... Link to item Cite

Reply.

Journal Article J Am Coll Surg · December 2009 Full text Link to item Cite

Addressing literacy and numeracy to improve diabetes care: two randomized controlled trials.

Journal Article Diabetes Care · December 2009 OBJECTIVE: Diabetic patients with lower literacy or numeracy skills are at greater risk for poor diabetes outcomes. This study evaluated the impact of providing literacy- and numeracy-sensitive diabetes care within an enhanced diabetes care program on A1C ... Full text Link to item Cite

Individuals' responses to global CHD risk: a focus group study.

Journal Article Patient Educ Couns · August 2009 OBJECTIVE: To explore how individuals respond to global coronary heart disease (CHD) risk and use it in combination with treatment information to make decisions to initiate and maintain risk reducing strategies. METHODS: We conducted four focus groups of i ... Full text Link to item Cite

Physicians' decisions about continuing or stopping colon cancer screening in the elderly: a qualitative study.

Journal Article J Gen Intern Med · July 2009 BACKGROUND: Experts suggest an individualized approach to colon cancer screening to take into account variation in older adults' life expectancies and potential to benefit from screening. However, little is known about how physicians make decisions about c ... Full text Link to item Cite

Comparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial.

Journal Article BMC Health Serv Res · June 11, 2009 BACKGROUND: Heart failure (HF) is common, costly and associated with significant morbidity and poor quality of life, particularly for patients with low socioeconomic status. Self-management training has been shown to reduce HF related morbidity and hospita ... Full text Link to item Cite

Using quality improvement techniques to increase colon cancer screening.

Journal Article Am J Med · May 2009 Screening has been shown to be effective and cost-effective in reducing the incidence of, and mortality from, colorectal cancer. Despite its demonstrated efficacy, colon cancer screening remains underused, with fewer than 60% of age-eligible adults reporti ... Full text Link to item Cite

Yield of claims data and surveys for determining colon cancer screening among health plan members.

Journal Article Cancer Epidemiol Biomarkers Prev · March 2009 Screening can reduce incidence and mortality from colorectal cancer but has been underutilized. Efforts to increase screening depend on accurate data about screening status. We sought to evaluate the independent and combined yield of claims and direct surv ... Full text Link to item Cite

Randomized trial of presenting absolute v. relative risk reduction in the elicitation of patient values for heart disease prevention with conjoint analysis.

Journal Article Med Decis Making · 2009 BACKGROUND: The authors performed a randomized controlled trial to test the effect of 2 different formats of risk reduction information when using conjoint analysis to elicit values about heart disease prevention. METHODS: Participants ages 30 to 75 were e ... Full text Link to item Cite

Promoting informed decision-making in a primary care practice by implementing decision aids.

Journal Article N C Med J · 2009 Empowering patients to be effective advocates for their health requires that they have adequate information and understanding about their health conditions. Many patients have limited health literacy which is a marker for vulnerability and a risk factor fo ... Link to item Cite

Perspective: the role of numeracy in health care.

Journal Article J Health Commun · September 2008 Numeracy, the "ability to understand and use numbers in daily life" is an important but understudied component of literacy. Numeracy-related tasks are common in health care and include understanding nutrition information, interpreting blood sugar readings ... Full text Link to item Cite

The uptake and effect of a mailed multi-modal colon cancer screening intervention: a pilot controlled trial.

Journal Article Implement Sci · June 2, 2008 BACKGROUND: We sought to determine whether a multi-modal intervention, which included mailing a patient reminder with a colon cancer decision aid to patients and system changes allowing direct access to scheduling screening tests through standing orders, w ... Full text Link to item Cite

Association of numeracy and diabetes control.

Journal Article Ann Intern Med · May 20, 2008 BACKGROUND: The influence of a patient's quantitative skills (numeracy) on the management of diabetes is only partially understood. OBJECTIVE: To examine the association between diabetes-related numeracy and glycemic control and other diabetes measurements ... Full text Link to item Cite

Development and validation of the Diabetes Numeracy Test (DNT).

Journal Article BMC Health Serv Res · May 1, 2008 BACKGROUND: Low literacy and numeracy skills are common. Adequate numeracy skills are crucial in the management of diabetes. Diabetes patients use numeracy skills to interpret glucose meters, administer medications, follow dietary guidelines and other task ... Full text Link to item Cite

Health insurance-related disparities in colorectal cancer screening in Virginia.

Journal Article Cancer Epidemiol Biomarkers Prev · April 2008 BACKGROUND: Colorectal cancer (CRC) screening rates remain low in the United States. The effect of health insurance on CRC screening is not clear. We assessed the association between having health insurance and being screened for CRC and the factors that m ... Full text Link to item Cite

Evaluation of claims, medical records, and self-report for measuring fecal occult blood testing among medicare enrollees in fee for service.

Journal Article Cancer Epidemiol Biomarkers Prev · April 2008 BACKGROUND: There is no agreement on the best data source for measuring colorectal cancer (CRC) screening. Medicare claims have been used to measure CRC testing but the validity of using claims to measure fecal occult blood tests (FOBT) has not been establ ... Full text Link to item Cite

Should a colon cancer screening decision aid include the option of no testing? A comparative trial of two decision aids.

Journal Article BMC Med Inform Decis Mak · March 5, 2008 BACKGROUND: An important question in the development of decision aids about colon cancer (CRC) screening is whether to include an explicit discussion of the option of not being screened. We examined the effect of including or not including an explicit disc ... Full text Link to item Cite

The effect of offering different numbers of colorectal cancer screening test options in a decision aid: a pilot randomized trial.

Journal Article BMC Med Inform Decis Mak · January 24, 2008 BACKGROUND: Decision aids can improve decision making processes, but the amount and type of information that they should attempt to communicate is controversial. We sought to compare, in a pilot randomized trial, two colorectal cancer (CRC) screening decis ... Full text Link to item Cite

Resident physicians' life expectancy estimates and colon cancer screening recommendations in elderly patients.

Journal Article Med Decis Making · 2008 BACKGROUND: Colon cancer screening recommendations for patients aged 75 years and older should account for variation in older adults' health states, life expectancies, and potential to benefit from screening. PURPOSE: To assess if resident physicians incor ... Full text Link to item Cite

Value of patient time invested in the colonoscopy screening process: time requirements for colonoscopy study.

Journal Article Med Decis Making · 2008 PURPOSE: Previous cost-effectiveness analyses of colorectal cancer screening have not considered the value of patient time despite consensus recommendations to do so. The authors sought to estimate the amount and value of patient time required for screenin ... Full text Link to item Cite

A systematic review of the use of quality of life measures in colorectal cancer research with attention to outcomes in elderly patients.

Journal Article Clin Colorectal Cancer · November 2007 PURPOSE: Quality of life (QOL) measures are critical to the evaluation of new cancer treatments, particularly for elderly patients. Our intent was to assess patterns of use of QOL endpoints in colorectal cancer (CRC) treatment research and to summarize cur ... Full text Link to item Cite

Patient time requirements for screening colonoscopy.

Journal Article Am J Gastroenterol · November 2007 OBJECTIVE: To measure the amount of time patients spend in the screening colonoscopy process. METHODS: We recruited patients from a university endoscopy center scheduled to undergo screening colonoscopy. Participants completed a time diary for the screenin ... Full text Link to item Cite

Data sources for measuring colorectal endoscopy use among Medicare enrollees.

Journal Article Cancer Epidemiol Biomarkers Prev · October 2007 BACKGROUND: Estimates of colorectal cancer test use vary widely by data source. Medicare claims offer one source for monitoring test use, but their utility has not been validated. We compared ascertainment of sigmoidoscopy and colonoscopy between three dat ... Full text Link to item Cite

Aspirin use among adults aged 40 and older in the United States: results of a national survey.

Journal Article Am J Prev Med · May 2007 BACKGROUND: Aspirin is effective for the primary and secondary prevention of cardiovascular events, but its use has been suboptimal. METHODS: Investigators performed a nationally representative Internet-based survey of U.S. consumers aged 40 and older usin ... Full text Link to item Cite

The effect of health literacy on knowledge and receipt of colorectal cancer screening: a survey study.

Journal Article BMC Fam Pract · March 30, 2007 BACKGROUND: An estimated one-half of Americans have limited health literacy skills. Low literacy has been associated with less receipt of preventive services, but its impact on colorectal cancer (CRC) screening is unclear. We sought to determine whether lo ... Full text Link to item Cite

Aspirin for the primary prevention of cardiovascular disease in women: a cost-utility analysis.

Journal Article Arch Intern Med · February 12, 2007 BACKGROUND: The cost-effectiveness of aspirin for primary prevention of cardiovascular events in women is unclear. We sought to perform a cost-utility analysis to address this issue. METHODS: We developed a Markov model, based on published literature, to c ... Full text Link to item Cite

Use of patient flow analysis to improve patient visit efficiency by decreasing wait time in a primary care-based disease management programs for anticoagulation and chronic pain: a quality improvement study.

Conference BMC Health Serv Res · January 15, 2007 BACKGROUND: Patients with chronic conditions require frequent care visits. Problems can arise during several parts of the patient visit that decrease efficiency, making it difficult to effectively care for high volumes of patients. The purpose of the study ... Full text Link to item Cite

Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association.

Journal Article Circulation · January 2, 2007 The American Heart Association (AHA) and the American Diabetes Association (ADA) have each published guidelines for cardiovascular disease prevention: The ADA has issued separate recommendations for each of the cardiovascular risk factors in patients with ... Full text Link to item Cite

Are patient decision aids the best way to improve clinical decision making? Report of the IPDAS Symposium.

Conference Med Decis Making · 2007 This article reports on the International Patient Decision Aid Standards Symposium held in 2006 at the annual meeting of the Society for Medical Decision Making in Cambridge, Massachusetts. The symposium featured a debate regarding the proposition that "de ... Full text Link to item Cite

Literacy and its relationship with self-efficacy, trust, and participation in medical decision making.

Journal Article Am J Health Behav · 2007 OBJECTIVE: To examine the relationship between literacy and trust, self-efficacy, and participation in medical decision making in adults with diabetes. METHODS: A cross-sectional survey and chart review was performed. Patients' literacy was categorized as ... Full text Link to item Cite

Parents with low literacy report higher quality of parent-provider relationships in a residency clinic.

Journal Article Ambul Pediatr · 2007 OBJECTIVE: Quality of care in pediatrics is suboptimal for many children from families of low socioeconomic status. Literacy is one aspect of socioeconomic status. We hypothesized that low parental literacy would be associated with low-quality well-child c ... Full text Link to item Cite

Low parental literacy is associated with worse asthma care measures in children.

Journal Article Ambul Pediatr · 2007 OBJECTIVE: To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma. METHODS: We performed a retrospective cohort study at a university pediatric clinic. We enrol ... Full text Link to item Cite

Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association.

Journal Article Diabetes Care · January 2007 The American Heart Association (AHA) and the American Diabetes Association (ADA) have each published guidelines for cardiovascular disease prevention: the ADA has issued separate recommendations for each of the cardiovascular risk factors in patients with ... Full text Link to item Cite

Measures used in studies of informed decision making about cancer screening: a systematic review.

Conference Ann Behav Med · December 2006 Interventions to promote informed decision making (IDM) for cancer screening are increasingly common. The resulting body of literature provides an opportunity for a systematic review of measures in use. We searched standard databases for intervention trial ... Full text Link to item Cite

The impact of a decision aid about heart disease prevention on patients' discussions with their doctor and their plans for prevention: a pilot randomized trial.

Journal Article BMC Health Serv Res · September 27, 2006 BACKGROUND: Low utilization of effective coronary heart disease (CHD) prevention strategies may be due to many factors, but chief among them is the lack of patient involvement in prevention decisions. We undertook this study to test the effectiveness of an ... Full text Link to item Cite

Older adults' attitudes about continuing cancer screening later in life: a pilot study interviewing residents of two continuing care communities.

Journal Article BMC Geriatr · August 3, 2006 BACKGROUND: Individualized decision making has been recommended for cancer screening decisions in older adults. Because older adults' preferences are central to individualized decisions, we assessed older adults' perspectives about continuing cancer screen ... Full text Link to item Cite

Labor characteristics and program costs of a successful diabetes disease management program.

Conference Am J Manag Care · May 2006 BACKGROUND: Organizations have invested in disease management programs to improve quality and to reduce costs, but little is known about the labor characteristics and the program costs necessary to implement a program. OBJECTIVE: To examine the labor chara ... Link to item Cite

Predictors of opioid misuse in patients with chronic pain: a prospective cohort study.

Conference BMC Health Serv Res · April 4, 2006 BACKGROUND: Opioid misuse can complicate chronic pain management, and the non-medical use of opioids is a growing public health problem. The incidence and risk factors for opioid misuse in patients with chronic pain, however, have not been well characteriz ... Full text Link to item Cite

A heart failure self-management program for patients of all literacy levels: a randomized, controlled trial [ISRCTN11535170].

Journal Article BMC Health Serv Res · March 13, 2006 BACKGROUND: Self-management programs for patients with heart failure can reduce hospitalizations and mortality. However, no programs have analyzed their usefulness for patients with low literacy. We compared the efficacy of a heart failure self-management ... Full text Link to item Cite

Aspirin, statins, or both drugs for the primary prevention of coronary heart disease events in men: a cost-utility analysis.

Journal Article Ann Intern Med · March 7, 2006 BACKGROUND: Aspirin and statins are both effective for primary prevention of coronary heart disease (CHD), but their combined use has not been well studied. OBJECTIVE: To perform a cost-utility analysis of the effects of aspirin therapy, statin therapy, co ... Full text Link to item Cite

Increasing colorectal cancer testing: translating physician interventions into population-based practice.

Journal Article Health Care Financ Rev · 2006 Colorectal cancer (CRC) screening in the Medicare population remains low despite Medicare coverage. We describe a population-based effort to increase CRC testing of Medicare enrollees in two States through promotion and distribution of office-based tools t ... Link to item Cite

Review article: Population screening for colorectal cancer.

Journal Article Aliment Pharmacol Ther · December 2005 Colorectal cancer is a common cancer and common cause of death. The mortality rate from colorectal cancer can be reduced by identification and removal of cancer precursors, adenomas, or by detection of cancer at an earlier stage. Pilot screening programmes ... Full text Link to item Cite

Primary prevention: hypertension.

Journal Article Clin Evid · December 2005 Link to item Cite

Primary prevention: dyslipidaemia.

Journal Article Clin Evid · December 2005 Link to item Cite

Development and initial testing of a computer-based patient decision aid to promote colorectal cancer screening for primary care practice.

Journal Article BMC Med Inform Decis Mak · November 28, 2005 BACKGROUND: Although colorectal cancer screening is recommended by major policy-making organizations, rates of screening remain low. Our aim was to develop a patient-directed, computer-based decision aid about colorectal cancer screening and investigate wh ... Full text Link to item Cite

The role of literacy in health and health care.

Journal Article Am Fam Physician · August 1, 2005 Link to item Cite

Is population screening for colorectal cancer cost-effective?

Journal Article Nat Clin Pract Gastroenterol Hepatol · July 2005 Full text Link to item Cite

Challenges in systematic reviews of economic analyses.

Journal Article Ann Intern Med · June 21, 2005 Economic analyses can provide valuable information for health care decision makers. Systematic reviews of economic analyses can integrate information from multiple studies and provide important insights by systematically examining how differences between m ... Full text Link to item Cite

An editorial update: should she take aspirin?

Journal Article Ann Intern Med · June 7, 2005 Full text Link to item Cite

A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes.

Journal Article Am J Med · March 2005 PURPOSE: To assess the efficacy of a pharmacist-led, primary care-based, disease management program to improve cardiovascular risk factors and glycated hemoglobin (A(1C)) levels in vulnerable patients with poorly controlled diabetes. METHODS: A randomized ... Full text Link to item Cite

Interventions to improve health outcomes for patients with low literacy. A systematic review.

Journal Article J Gen Intern Med · February 2005 OBJECTIVE: To perform a systematic review of interventions designed to improve health outcomes for persons with low literacy skills. DATA SOURCES: We searched MEDLINE, Cumulative Index to Nursing and Allied Health (CINAHL), Educational Resources Informatio ... Full text Link to item Cite

A primary care, multi-disciplinary disease management program for opioid-treated patients with chronic non-cancer pain and a high burden of psychiatric comorbidity.

Journal Article BMC Health Serv Res · January 13, 2005 BACKGROUND: Chronic non-cancer pain is a common problem that is often accompanied by psychiatric comorbidity and disability. The effectiveness of a multi-disciplinary pain management program was tested in a 3 month before and after trial. METHODS: Provider ... Full text Link to item Cite

The Spoken Knowledge in Low Literacy in Diabetes scale: a diabetes knowledge scale for vulnerable patients.

Journal Article Diabetes Educ · 2005 PURPOSE: The purpose of this study was to develop and validate a new knowledge scale for patients with type 2 diabetes and poor literacy: the Spoken Knowledge in Low Literacy patients with Diabetes (SKILLD). METHODS: The authors evaluated the 10-item SKILL ... Full text Link to item Cite

Quick assessment of literacy in primary care: the newest vital sign.

Journal Article Ann Fam Med · 2005 PURPOSE: Current health literacy screening instruments for health care settings are either too long for routine use or available only in English. Our objective was to develop a quick and accurate screening test for limited literacy available in English and ... Full text Link to item Cite

Colorectal cancer screening among African American church members: a qualitative and quantitative study of patient-provider communication.

Journal Article BMC Public Health · December 15, 2004 BACKGROUND: A healthcare provider's recommendation to undergo screening has been shown to be one of the strongest predictors of completing a colorectal cancer (CRC) screening test. We sought to determine the relationship between the general quality of self ... Full text Link to item Cite

Literacy and health outcomes: a systematic review of the literature.

Journal Article J Gen Intern Med · December 2004 OBJECTIVE: To review the relationship between literacy and health outcomes. DATA SOURCES: We searched MEDLINE, Cumulative Index to Nursing and Allied Health (CINAHL), Educational Resources Information Center (ERIC), Public Affairs Information Service (PAIS ... Full text Link to item Cite

Influence of patient literacy on the effectiveness of a primary care-based diabetes disease management program.

Journal Article JAMA · October 13, 2004 CONTEXT: Low literacy is an important barrier for patients with diabetes, but interventions to address low literacy have not been well examined. OBJECTIVE: To examine the role of literacy on the effectiveness of a comprehensive disease management program f ... Full text Link to item Cite

Development and pilot testing of a disease management program for low literacy patients with heart failure.

Journal Article Patient Educ Couns · October 2004 UNLABELLED: Development and pilot testing of a disease management program for low literacy patients with heart failure. BACKGROUND: Randomized trials have shown that disease management programs can reduce hospitalizations and improve symptoms for patients ... Full text Link to item Cite

Information needs of men regarding prostate cancer screening and the effect of a brief decision aid.

Conference Patient Educ Couns · September 2004 BACKGROUND: Little is known about what information affects men's decisions about prostate cancer screening. METHODS: We developed a four-part decision aid about prostate cancer screening and tested it in men, ages 45-85, to determine how the information in ... Full text Link to item Cite

Screening for colorectal cancer: good, but not perfect.

Journal Article Gastroenterology · September 2004 Full text Link to item Cite

Faecal occult-blood screening in Burgundy.

Journal Article Lancet · August 28, 2004 Full text Link to item Cite

What does my patient's coronary artery calcium score mean? Combining information from the coronary artery calcium score with information from conventional risk factors to estimate coronary heart disease risk.

Journal Article BMC Med · August 24, 2004 BACKGROUND: The coronary artery calcium (CAC) score is an independent predictor of coronary heart disease. We sought to combine information from the CAC score with information from conventional cardiac risk factors to produce post-test risk estimates, and ... Full text Link to item Cite

Prostate and colon cancer screening messages in popular magazines.

Journal Article J Gen Intern Med · August 2004 OBJECTIVES: To 1) compare the number of articles published about prostate, colon, and breast cancer in popular magazines during the past 2 decades, and 2) evaluate the content of in-depth prostate and colon cancer screening articles identified from 1996 to ... Full text Link to item Cite

Using the coronary artery calcium score to predict coronary heart disease events: a systematic review and meta-analysis.

Journal Article Arch Intern Med · June 28, 2004 BACKGROUND: Primary prevention of coronary heart disease is most appropriate for patients at relatively high risk. Measurement of coronary artery calcium has been proposed as a way to improve risk assessment, but it is unknown whether it adds predictive in ... Full text Link to item Cite

Drug treatment of hyperlipidemia in women.

Journal Article JAMA · May 12, 2004 CONTEXT: Several clinical trials have evaluated the effects of lipid-lowering medications on coronary heart disease (CHD). Many of the trials have not included enough women to allow sex-specific analyses or have not reported results in women separately. OB ... Full text Link to item Cite

Exercise tolerance testing to screen for coronary heart disease: a systematic review for the technical support for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · April 6, 2004 BACKGROUND: Coronary heart disease is the leading cause of morbidity and mortality in the United States. Exercise tolerance testing has been proposed as a means of better identifying asymptomatic patients at high risk for coronary heart disease events. PUR ... Full text Link to item Cite

The relationship between literacy and glycemic control in a diabetes disease-management program.

Journal Article Diabetes Educ · 2004 PURPOSE: This study examined the role of literacy in patients with poorly controlled diabetes who were participating in a diabetes management program that included low-literacy-oriented interventions. METHODS: A before-after analysis was performed of a pha ... Full text Link to item Cite

Heart to Heart: a computerized decision aid for assessment of coronary heart disease risk and the impact of risk-reduction interventions for primary prevention.

Journal Article Prev Cardiol · 2004 Heart to Heart is a computer-based decision aid for patients and providers that provides personalized, evidence-based information about coronary heart disease (CHD) risk and potential risk-reducing interventions. To develop Heart to Heart, the authors used ... Full text Link to item Cite

Literacy and health outcomes.

Journal Article Evid Rep Technol Assess (Summ) · January 2004 Link to item Cite

Screening accuracy for late-life depression in primary care: a systematic review.

Journal Article J Fam Pract · December 2003 OBJECTIVE: To determine the accuracy of depression screening instruments for older adults in primary care. STUDY DESIGN: Systematic review. DATA SOURCES: MEDLINE, PsycINFO (search dates 1966 to January 2002), and the Cochrane database on depression, anxiet ... Link to item Cite

Framingham-based tools to calculate the global risk of coronary heart disease: a systematic review of tools for clinicians.

Journal Article J Gen Intern Med · December 2003 PURPOSE: To examine the features of available Framingham-based risk calculation tools and review their accuracy and feasibility in clinical practice. DATA SOURCES: medline, 1966-April 2003, and the google search engine on the Internet. TOOL AND STUDY SELEC ... Full text Link to item Cite

Cardiovascular disorders. Primary prevention.

Journal Article Clin Evid · December 2003 Link to item Cite

Secondary prevention of ischaemic cardiac events.

Journal Article Clin Evid · December 2003 Link to item Cite

A randomized comparison of patients' understanding of number needed to treat and other common risk reduction formats.

Conference J Gen Intern Med · November 2003 BACKGROUND: Commentators have suggested that patients may understand quantitative information about treatment benefits better when they are presented as numbers needed to treat (NNT) rather than as absolute or relative risk reductions. OBJECTIVE: To determ ... Full text Link to item Cite

A randomized trial of three videos that differ in the framing of information about mammography in women 40 to 49 years old.

Journal Article J Gen Intern Med · November 2003 OBJECTIVE: To assess the effect of providing structured information about the benefits and harms of mammography in differing frames on women's perceptions of screening. DESIGN: Randomized control trial. SETTING: General internal medicine academic practice. ... Full text Link to item Cite

Screening for high blood pressure: a review of the evidence for the U.S. Preventive Services Task Force.

Journal Article Am J Prev Med · August 2003 CONTEXT: In 1996, the U.S. Preventive Services Task Force (USPSTF) recommended screening adults for hypertension. Since that time, the published literature on hypertension has expanded rapidly, necessitating a new examination of the evidence supporting scr ... Full text Link to item Cite

Physicians' ability to predict the risk of coronary heart disease.

Journal Article BMC Health Serv Res · July 11, 2003 BACKGROUND: Coronary heart disease (CHD) is the leading cause of death in the United States. Previous research examining physicians ability to estimate cardiovascular risk has shown that physicians' generally overestimate the absolute risk of CHD events. T ... Full text Link to item Cite

Pharmacist-led, primary care-based disease management improves hemoglobin A1c in high-risk patients with diabetes.

Journal Article Am J Med Qual · 2003 We developed and evaluated a comprehensive pharmacist-led, primary care-based diabetes disease management program for patients with Type 2 diabetes and poor glucose control at our academic general internal medicine practice. The primary goal of this progra ... Full text Link to item Cite

Counseling to promote a healthy diet in adults: a summary of the evidence for the U.S. Preventive Services Task Force.

Journal Article Am J Prev Med · January 2003 OBJECTIVE: The purpose of this study was to examine the effectiveness of counseling to promote a healthy diet among patients in primary care settings. DESIGN AND DATA SOURCES: We conducted a MEDLINE search from 1966 to December 2001. STUDY SELECTION: We in ... Full text Link to item Cite

Screening for Asymptomatic Coronary Artery Disease

Journal Article · 2003 BackgroundWe reviewed the evidence on the value of screening asymptomatic patients with resting electrocardiogram (ECG), exercise electrocardiogram treadmill test (ETT), or electron beam computerized tomography (EBCT).MethodsWe searched M ... Cite

Health literacy and diabetic control.

Journal Article JAMA · December 4, 2002 Link to item Cite

Secondary prevention of ischaemic cardiac events.

Journal Article Clin Evid · December 2002 Link to item Cite

Cardiovascular disorders. Primary prevention.

Journal Article Clin Evid · December 2002 Link to item Cite

Screening for colorectal cancer in adults at average risk: a summary of the evidence for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · July 16, 2002 PURPOSE: To assess the effectiveness of different colorectal cancer screening tests for adults at average risk. DATA SOURCES: Recent systematic reviews; Guide to Clinical Preventive Services, 2nd edition; and focused searches of MEDLINE from 1966 through S ... Full text Link to item Cite

Cost-effectiveness analyses of colorectal cancer screening: a systematic review for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · July 16, 2002 PURPOSE: To perform a systematic review of the cost-effectiveness of colorectal cancer screening for the U.S. Preventive Services Task Force. DATA SOURCES: MEDLINE and the British National Health Service Economic Evaluation Database, January 1993 through S ... Full text Link to item Cite

Recent developments in colorectal cancer screening and prevention.

Journal Article Am Fam Physician · July 15, 2002 Colorectal cancer is a significant contributor to morbidity and mortality in the United States. Studies published in the early 1990s, showing that screening for colorectal cancer can reduce colorectal cancer-related mortality, led many organizations to rec ... Link to item Cite

Cardiovascular disorders. Primary prevention.

Journal Article Clin Evid · June 2002 Link to item Cite

Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · May 21, 2002 PURPOSE: To clarify whether screening adults for depression in primary care settings improves recognition, treatment, and clinical outcomes. DATA SOURCES: The MEDLINE database was searched from 1994 through August 2001. Other relevant articles were located ... Full text Link to item Cite

Is this patient clinically depressed?

Journal Article JAMA · March 6, 2002 CONTEXT: Depressive disorders are highly prevalent in the general population, but recognition and accurate diagnosis are made difficult by the lack of a simple confirmatory test. OBJECTIVE: To review the accuracy and precision of depression questionnaires ... Full text Link to item Cite

Aspirin for the primary prevention of cardiovascular events: a summary of the evidence for the U.S. Preventive Services Task Force.

Journal Article Ann Intern Med · January 15, 2002 BACKGROUND: The use of aspirin to prevent cardiovascular disease events in patients without a history of cardiovascular disease is controversial. PURPOSE: To examine the benefits and harms of aspirin chemoprevention. DATA SOURCES: MEDLINE (1966 to May 2001 ... Full text Link to item Cite

Screening for Colorectal Cancer in Adults

Journal Article · 2002 ContextColorectal cancer is an important cause of cancer-related morbidity and mortality in the United States. Screening has the potential to reduce the morbidity and mortality from colorectal cancer through early detection and removal of early-st ... Cite

Counseling to Promote a Healthy Diet

Journal Article · 2002 ContextDiseases associated with overeating, undereating, and dietary or nutritional imbalance rank among the leading causes of illness and death in the United States. The relationships between specific dietary elements and specific health outcomes ... Cite

Numeracy and the medical student's ability to interpret data.

Journal Article Eff Clin Pract · 2002 CONTEXT: Although the ability to work with numbers is important to the practice of medicine, little is known about physician numeracy (basic skill with numbers). OBJECTIVE: To test medical students' numeracy and how it relates to the ability to interpret r ... Link to item Cite

Identifying depression in primary care: a literature synthesis of case-finding instruments.

Journal Article Gen Hosp Psychiatry · 2002 We evaluated the usefulness of case-finding instruments for identifying patients with major depression or dysthymia in primary care settings using English language literature from Medline, a specialized trials registry and bibliographies of selected papers ... Full text Link to item Cite

Cancer screening in primary care. Are we communicating?

Journal Article J Gen Intern Med · December 2001 Full text Link to item Cite

Appropriate use of statin drugs.

Journal Article Arch Intern Med · November 26, 2001 Full text Link to item Cite

Screening and treating adults for lipid disorders.

Journal Article Am J Prev Med · April 2001 CONTEXT: Screening and treatment of lipid disorders in people at high risk for future coronary heart disease (CHD) events has gained wide acceptance, especially for patients with known CHD, but the proper role in people with low to medium risk is controver ... Full text Link to item Cite

The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services.

Journal Article Am J Prev Med · April 2001 As medical technology continues to expand and the cost of using all effective clinical services exceeds available resources, decisions about health care delivery may increasingly rely on assessing the cost-effectiveness of medical services. Cost-effectiven ... Full text Link to item Cite

Meta-analysis of dietary restriction during fecal occult blood testing.

Journal Article Eff Clin Pract · 2001 CONTEXT: Dietary restriction is often recommended during fecal occult blood testing (FOBT) as a means of increasing test accuracy, but concern surrounds whether such restriction also reduces the chance that patients will complete the test. PURPOSE: We cond ... Link to item Cite

Screening for Lipid Disorders

Journal Article · 2001 ContextLipid disorders are an important risk factor for coronary heart disease (CHD). Screening and treatment of lipid disorders in persons at high risk for future CHD events have gained wide acceptance, especially for patients with known CHD, but ... Cite

Videotape-based decision aid for colon cancer screening. A randomized, controlled trial.

Journal Article Ann Intern Med · November 21, 2000 BACKGROUND: Rates of colon cancer screening in the United States are low, in part because of poor communication between patients and providers about the availability of effective screening options. OBJECTIVE: To test whether a decision aid consisting of an ... Full text Link to item Cite

Use of lipid lowering drugs for primary prevention of coronary heart disease: meta-analysis of randomised trials.

Journal Article BMJ · October 21, 2000 OBJECTIVE: To summarise the effect of primary prevention with lipid lowering drugs on coronary heart disease events, coronary heart disease mortality, and all cause mortality. DESIGN: Meta-analysis. IDENTIFICATION: Systematic search of the Medline database ... Full text Link to item Cite

Lipid screening in women.

Journal Article J Am Med Womens Assoc (1972) · 2000 Evidence of the benefits of lowering cholesterol in various populations continues to grow, but questions persist about screening and treatment of lipid disorders in women. In this paper, we review the distinct features of the epidemiology of lipids and cor ... Link to item Cite

Patient preferences for colon cancer screening.

Journal Article J Gen Intern Med · July 1999 OBJECTIVE: To measure patient preferences for four different screening strategies: annual fecal occult blood testing (FOBT) alone; flexible sigmoidoscopy (FSIG) every 5 years alone; both annual FOBT and FSIG every 5 years; or no screening. DESIGN: Survey. ... Full text Link to item Cite

The Internet and the Journal.

Journal Article N Engl J Med · October 19, 1995 Link to item Cite