scholarly journals Randomized study of remote telehealth genetic services versus usual care in oncology practices without genetic counselors

2021 ◽  
Author(s):  
Cara N. Cacioppo ◽  
Brian L. Egleston ◽  
Dominique Fetzer ◽  
Colleen Burke Sands ◽  
Syeda A. Raza ◽  
...  
Keyword(s):  
Usual Care ◽  
Randomized Study ◽  
Genetic Services ◽  
Genetic Counselors

Uptake of genetic testing and outcomes in a randomized study of remote genetic services as compared to usual care in community practices without genetic providers.

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. 6506-6506
Author(s):  
Angela R. Bradbury ◽  
Linda J. Patrick-Miller ◽  
Brian L. Egleston ◽  
Colleen Burke Sands ◽  
Syeda Abbas ◽  
...  
Keyword(s):  
Genetic Testing ◽  
Usual Care ◽  
Randomized Study ◽  
Genetic Services

A randomized study of genetic education versus usual care in tumor profiling for advanced cancer in the ECOG‐ACRIN Cancer Research Group (EAQ152)

Cancer ◽  
2021 ◽  
Author(s):  
Angela R. Bradbury ◽  
Ju‐Whei Lee ◽  
Jill Bennett Gaieski ◽  
Shuli Li ◽  
Ilana F. Gareen ◽  
...  
Keyword(s):  
Cancer Research ◽  
Usual Care ◽  
Advanced Cancer ◽  
Research Group ◽  
Randomized Study ◽  
Genetic Education ◽  
Tumor Profiling

scholarly journals Feasibility Studies of an Insulin-Only Bionic Pancreas in a Home-Use Setting

2019 ◽  
Vol 13 (6) ◽  
pp. 1001-1007 ◽  
Author(s):  
Laya Ekhlaspour ◽  
Laura M. Nally ◽  
Firas H. El-Khatib ◽  
Trang T. Ly ◽  
Paula Clinton ◽  
...  
Keyword(s):  
Usual Care ◽  
User Satisfaction ◽  
Insulin Dose ◽  
Randomized Study ◽  
Blood Glucose Control ◽  
Feasibility Studies ◽  
Open Label ◽  
Set Point ◽  
Increased Risk ◽  
Significant Difference

Background: We tested the safety and performance of the “insulin-only” configuration of the bionic pancreas (BP) closed-loop blood-glucose control system in a home-use setting to assess glycemic outcomes using different static and dynamic glucose set-points. Method: This is an open-label non-randomized study with three consecutive intervention periods. Participants had consecutive weeks of usual care followed by the insulin-only BP with (1) an individualized static set-point of 115 or 130 mg/dL and (2) a dynamic set-point that automatically varied within 110 to 130 mg/dL, depending on hypoglycemic risk. Human factors (HF) testing was conducted using validated surveys. The last five days of each study arm were used for data analysis. Results: Thirteen participants were enrolled with a mean age of 28 years, mean A1c of 7.2%, and mean daily insulin dose of 0.6 U/kg (0.4-1.0 U/kg). The usual care arm had an average glucose of 145 ± 20 mg/dL, which increased in the static set-point arm (159 ± 8 mg/dL, P = .004) but not in the dynamic set-point arm (154 ± 10 mg/dL, P = ns). There was no significant difference in time spent in range (70-180 mg/dL) among the three study arms. There was less time <70 mg/dL with both the static (1.8% ± 1.4%, P = .009) and dynamic set-point (2.7±1.5, P = .051) arms compared to the usual-care arm (5.5% ± 4.2%). HF testing demonstrated preliminary user satisfaction and no increased risk of diabetes burden or distress. Conclusions: The insulin-only configuration of the BP using either static or dynamic set-points and initialized only with body weight performed similarly to other published insulin-only systems.

scholarly journals Promoting Healthy Family Behaviors in the Primary Care Setting

PRiMER ◽  
2017 ◽  
Vol 1 ◽  
Author(s):  
Katrina Weirauch ◽  
Julie Phillips
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Usual Care ◽  
Pediatric Obesity ◽  
Screening Tool ◽  
Effective Means ◽  
Randomized Study ◽  
Intervention Group ◽  
Control Group ◽  
Significant Difference

Introduction: Pediatric obesity is an increasingly prevalent problem. Several studies have examined prevention and treatment strategies. The majority of effective studies involved school or community interventions. With health care becoming more collaborative, we hypothesized that a behavioral health specialist may be effective in executing multifaceted interventions with families of at-risk patients. Methods: This is a prospective randomized study, evaluating impact of intervention with a behavioral specialist on lifestyle risk factors for pediatric obesity in children. At-risk behaviors were identified with a screening tool from the Healthy Kids, Healthy Michigan Clinical Decision Tools, based on the 2007 American Academy of Pediatrics guidelines on pediatric obesity. An intervention group received ongoing care from the behavioral specialist over three months, including motivational interviewing and cognitive behavioral therapy. Participants were compared with a control group receiving usual care. Results: There was no significant difference between the intervention and control group regarding change in number of risk factors. However, both groups had a reduced number of risk factors at follow-up. The control group had a significant change in number of risk factors after the intervention. Conclusion: There was no statistically significant difference between the two groups. However, it is notable that both groups saw significant decreases in total number of risk factors. The only addition to usual care provided to the control group was use of the screening tool. Our results indicate that the use of a screening tool and brief physician intervention may be an effective means for improving healthy behaviors within families.

A multicenter, open-label, randomized study comparing the efficacy of atorvastatin versus usual care in reducing refractory hypercholesterolemia in high-risk patients to target levels

2000 ◽  
Vol 61 (4) ◽  
pp. 175-190 ◽  
Author(s):  
Gilbert Habib ◽  
François Paillard ◽  
Guillaume Charpentier ◽  
Jean-François Angellier ◽  
Thierry Roux ◽  
...  
Keyword(s):  
High Risk ◽  
Usual Care ◽  
Randomized Study ◽  
Open Label ◽  
High Risk Patients ◽  
Risk Patients

Acupuncture in patients with dysmenorrhea: a randomized study on clinical effectiveness and cost-effectiveness in usual care

2008 ◽  
Vol 198 (2) ◽  
pp. 166.e1-166.e8 ◽  
Author(s):  
Claudia M. Witt ◽  
Thomas Reinhold ◽  
Benno Brinkhaus ◽  
Stephanie Roll ◽  
Susanne Jena ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Usual Care ◽  
Randomized Study ◽  
Clinical Effectiveness

Effect of Reversal of Neuromuscular Blockade with Sugammadex versus Usual Care on Bleeding Risk in a Randomized Study of Surgical Patients

2014 ◽  
Vol 121 (5) ◽  
pp. 969-977 ◽  
Author(s):  
Niels Rahe-Meyer ◽  
Hein Fennema ◽  
Sam Schulman ◽  
Walter Klimscha ◽  
Michael Przemeck ◽  
...  
Keyword(s):  
Relative Risk ◽  
Usual Care ◽  
Prothrombin Time ◽  
Neuromuscular Blockade ◽  
Partial Thromboplastin Time ◽  
Randomized Study ◽  
Activated Partial Thromboplastin Time ◽  
Bleeding Events ◽  
Double Blind ◽  
Increased Risk

Abstract Background: Previous studies show a prolongation of activated partial thromboplastin time and prothrombin time in healthy volunteers after treatment with sugammadex. The authors investigated the effect of sugammadex on postsurgical bleeding and coagulation variables. Methods: This randomized, double-blind trial enrolled patients receiving thromboprophylaxis and undergoing hip or knee joint replacement or hip fracture surgery. Patients received sugammadex 4 mg/kg or usual care (neostigmine or spontaneous recovery) for reversal of rocuronium- or vecuronium-induced neuromuscular blockade. The Cochran–Mantel–Haenszel method, stratified by thromboprophylaxis and renal status, was used to estimate relative risk and 95% confidence interval (CI) of bleeding events with sugammadex versus usual care. Safety was further evaluated by prespecified endpoints and adverse event reporting. Results: Of 1,198 patients randomized, 1,184 were treated (sugammadex n = 596, usual care n = 588). Bleeding events within 24 h (classified by an independent, blinded Adjudication Committee) were reported in 17 (2.9%) sugammadex and 24 (4.1%) usual care patients (relative risk [95% CI], 0.70 [0.38 to 1.29]). Compared with usual care, increases of 5.5% in activated partial thromboplastin time (P &lt; 0.001) and 3.0% in prothrombin time (P &lt; 0.001) from baseline with sugammadex occurred 10 min after administration and resolved within 60 min. There were no significant differences between sugammadex and usual care for other blood loss measures (transfusion, 24-h drain volume, drop in hemoglobin, and anemia), or risk of venous thromboembolism, and no cases of anaphylaxis. Conclusion: Sugammadex produced limited, transient (&lt;1 h) increases in activated partial thromboplastin time and prothrombin time but was not associated with increased risk of bleeding versus usual care.

Effect of Reversal of Neuromuscular Blockade With Sugammadex Versus Usual Care on Bleeding Risk in a Randomized Study of Surgical Patients

2015 ◽  
Vol 59 (6) ◽  
pp. 278-279
Author(s):  
Niels Rahe-Meyer ◽  
Hein Fennema ◽  
Sam Schulman ◽  
Walter Klimscha ◽  
Michael Przemeck ◽  
...  
Keyword(s):  
Usual Care ◽  
Neuromuscular Blockade ◽  
Randomized Study ◽  
Bleeding Risk ◽  
Surgical Patients

Physician Offered Prayer and Patient Satisfaction

2005 ◽  
Vol 35 (2) ◽  
pp. 161-170 ◽  
Author(s):  
Joshua R. Mann ◽  
Scott McKay ◽  
Damon Daniels ◽  
C. Scott Lamar ◽  
Patricia W. Witherspoon ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Usual Care ◽  
Controlled Trial ◽  
Randomized Study ◽  
Pilot Trial ◽  
Future Research ◽  
Patient Encounter ◽  
Number Of Patients ◽  
Physician Patient ◽  
The Impact

Objective: While there is ongoing debate about the role of physician-offered prayer during the physician-patient encounter, many physicians feel inclined to include prayer in their practices. This randomized-controlled trial evaluated patients' acceptance of physician-offered prayer in a family practice setting, and the impact of physician-offered prayer on patient satisfaction with the physician-patient encounter. Method: Subjects were 137 patients in an urban, largely African American, Southeastern family medicine practice who were randomized to receive usual care plus an offer of physician-led prayer or usual care alone. Satisfaction surveys were administered following the clinical encounter. The outcomes of interest were the rate of acceptance of physician-offered prayer and the impact of the prayer offer on patient satisfaction. Personal characteristics and satisfaction scores for patients accepting prayer were compared to those for patients declining prayer. Results: Over 90% of patients accepted the offer of prayer. The offer of prayer had no significant impact on patient satisfaction scores. The number of patients declining prayer was too low to permit comparison of prayer decliners with acceptors. Conclusions: This small pilot trial demonstrated that patient responses to spiritual interventions by physicians can be evaluated using randomized study designs. A large majority of patients accepted an offer of physician-led prayer, but no significant short-term impact on patient satisfaction was detected. Future research with larger sample sizes and more diverse patient populations should evaluate the effects of physician-offered prayer on the physician-patient relationship. Difficulties in conducting such research are discussed.

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