scholarly journals Prevalence and characterization of chronic rhinosinusitis in patients with non‒cystic fibrosis bronchiectasis at a tertiary care center in the United States

2019 ◽  
Vol 9 (12) ◽  
pp. 1424-1429 ◽  
Author(s):  
Shaan N. Somani ◽  
Jason H. Kwah ◽  
Chen Yeh ◽  
David B. Conley ◽  
Leslie C. Grammer ◽  
...  
Keyword(s):  
United States ◽  
Cystic Fibrosis ◽  
Chronic Rhinosinusitis ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Tertiary Care Center

Dupilumab drug survival, treatment failures, and insurance approval at a tertiary care center in the United States

2020 ◽  
Vol 82 (4) ◽  
pp. 1023-1024 ◽  
Author(s):  
Hasan Khosravi ◽  
Sophia Zhang ◽  
Alyce M. Anderson ◽  
Laura K. Ferris ◽  
Sonal Choudhary ◽  
...  
Keyword(s):  
United States ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Tertiary Care Center ◽  
Drug Survival ◽  
Insurance Approval

Demographics and disease processes of patients seeking second medical hematology/oncology opinions at a tertiary care center in the United States

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 16018-16018
Author(s):  
K. K. Curtis ◽  
D. W. Northfelt
Keyword(s):  
United States ◽  
Clinical Benefit ◽  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
The United States ◽  
Lymphocytic Leukemia ◽  
Tertiary Care Center ◽  
Data Set ◽  
Related Information

16018 Background: Second opinions (SO) are common in medical practice. Aside from case series, little evidence exists to demonstrate a clinical benefit associated with SO. Lack of relevant data limits knowledge of numbers of patients, diseases, and motivations of SO seekers. Within the field of medical hematology/oncology (H/O), no specific demographic data are available to characterize patients seeking SO in the United States. Methods: To typify such patients at Mayo Clinic in Arizona (MCA), we recorded demographic and disease-related information for patients seeking these evaluations over a six month period from 1/1 through 6/30/05. Results: A total of 683 patients contacted MCA for medical H/O SO over the 6 month study period. A complete set of demographic and disease-related information was obtained from 655 patients; the remainder were excluded from the data set. Demographically, the majority of patients were female (53%), married (66%), and lived nearby (i.e., from Arizona-58%, or bordering state-22%). Average age was 62.3 years. Among oncologic diagnoses, the majority of patients (60% of 374 reported oncologic diagnoses) stated a diagnosis of breast, lung, colorectal, pancreatic or prostate cancer. Approximately 1/3 of patients had metastatic disease at the time they sought evaluation at MCA. There were 278 patients seeking evaluation for hematologic abnormalities, with the majority (160 patients, 58%) seeking evaluation for non-malignant conditions. Of those with malignancies, lymphoma (including Hodgkin and non-Hodgkin) was the most common (45%), followed by multiple myeloma (21%) and chronic lymphocytic leukemia (15%). Conclusions: This study provides insight into demographics and disease processes of patients seeking medical H/O SO at a tertiary care center in the United States. Although no definite conclusions can be drawn about motivations for seeking H/O SO, future research should examine patient motivation to better understand factors leading to this behavior. Given a lack of evidence for clinical benefit associated with SO seeking, and its potential costliness, better knowledge of demographic and motivational factors may allow for a more constructive approach to be taken toward the needs of SO seekers. No significant financial relationships to disclose.

scholarly journals Contemporary Use of Partial Nephrectomy at a Tertiary Care Center in the United States

2009 ◽  
Vol 181 (3) ◽  
pp. 993-997 ◽  
Author(s):  
R. Houston Thompson ◽  
Matt Kaag ◽  
Andrew Vickers ◽  
Shilajit Kundu ◽  
Melanie Bernstein ◽  
...  
Keyword(s):  
United States ◽  
Partial Nephrectomy ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Tertiary Care Center

Advanced biliary tract cancer: Experience with ABC-02 regimen in a tertiary care center in the United States.

2016 ◽  
Vol 34 (15_suppl) ◽  
pp. e15624-e15624
Author(s):  
Rishi Agarwal ◽  
Nabeela Iffat Siddiqi ◽  
Shuchi Gulati ◽  
Arun Sendilnathan ◽  
Changchun Xie ◽  
...  
Keyword(s):  
United States ◽  
Biliary Tract ◽  
Biliary Tract Cancer ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Tertiary Care Center ◽  
Tract Cancer ◽  
Cancer Experience

scholarly journals Impact of Rapid PCR Influenza Testing on the Rate of Inpatient Admissions During Influenza Season at a Tertiary-Care Center

2020 ◽  
Vol 41 (S1) ◽  
pp. s263-s264
Author(s):  
Jordan Polistico ◽  
Avnish Sandhu ◽  
Teena Chopra ◽  
Erin Goldman ◽  
Jennifer LeRose ◽  
...  
Keyword(s):  
Influenza Season ◽  
Care Center ◽  
Tertiary Care ◽  
The United States ◽  
Turnaround Time ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Pediatric Hospital ◽  
Rapid Pcr ◽  
The Impact

Background: Influenza causes a high burden of disease in the United States, with an estimate of 960,000 hospitalizations in the 2017–2018 flu season. Traditional flu diagnostic polymerase chain reaction (PCR) tests have a longer (24 hours or more) turnaround time that may lead to an increase in unnecessary inpatient admissions during peak influenza season. A new point-of-care rapid PCR assays, Xpert Flu, is an FDA-approved PCR test that has a significant decrease in turnaround time (2 hours). The present study sought to understand the impact of implementing a new Xpert Flu test on the rate of inpatient admissions. Methods: A retrospective study was conducted to compare rates of inpatient admissions in patients tested with traditional flu PCR during the 2017–2018 flu season and the rapid flu PCR during the 2018–2019 flu season in a tertiary-care center in greater Detroit area. The center has 1 pediatric hospital (hospital A) and 3 adult hospitals (hospital B, C, D). Patients with influenza-like illness who presented to all 4 hospitals during 2 consecutive influenza seasons were analyzed. Results: In total, 20,923 patients were tested with either the rapid flu PCR or the traditional flu PCR. Among these, 14,124 patients (67.2%) were discharged from the emergency department and 6,844 (32.7%) were admitted. There was a significant decrease in inpatient admissions in the traditional flu PCR group compared to the rapid flu PCR group across all hospitals (49.56% vs 26.6% respectively; P < .001). As expected, a significant proportion of influenza testing was performed in the pediatric hospital, 10,513 (50.2%). A greater reduction (30% decrease in the rapid flu PCR group compared to the traditional flu PCR group) was observed in inpatient admissions in the pediatric hospital (Table 1) Conclusions: Rapid molecular influenza testing can significantly decrease inpatient admissions in a busy tertiary-care hospital, which can indirectly lead to improved patient quality with easy bed availability and less time spent in a private room with droplet precautions. Last but not the least, this testing method can certainly lead to lower healthcare costs.Funding: NoneDisclosures: None

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