scholarly journals A Retrospective Analysis of Clinical Trial Accrual of Patients Presented in a Multidisciplinary Tumor Board at a Tertiary Health Care Center and Associated Barriers

2020 ◽  
Vol 43 (5) ◽  
pp. 196-203
Author(s):  
Erin M. Mobley ◽  
Umang Swami ◽  
Sarah Mott ◽  
Agnes Ounda ◽  
Mohammed Milhem ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Retrospective Analysis ◽  
Care Center ◽  
Tumor Board ◽  
Health Care Center ◽  
Clinical Trial Accrual ◽  
Multidisciplinary Tumor Board

scholarly journals Measuring the Impact of Academic Cancer Network Development on Clinical Integration, Quality of Care, and Patient Satisfaction

2018 ◽  
Vol 14 (12) ◽  
pp. e823-e833 ◽  
Author(s):  
Anne C. Chiang ◽  
Jessica Lake ◽  
Naralys Sinanis ◽  
Debra Brandt ◽  
Jane Kanowitz ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Clinical Care ◽  
Care Center ◽  
Tumor Board ◽  
Clinical Trial Accrual ◽  
Oncology Practice ◽  
The Impact

Purpose: Many US academic centers have acquired community practices to expand their clinical care and research footprint. The objective of this assessment was to determine whether the acquisition and integration of community oncology practices by Yale/Smilow Cancer Hospital improved outcomes in quality of care, disease team integration, clinical trial accrual, and patient satisfaction at network practice sites. Methods: We evaluated quality of care by testing the hypothesis that core Quality Oncology Practice Initiative measures at network sites that were acquired in 2012 were significantly different after their 2016 integration into the network. Clinical and research integration were measured using the number of tumor board case presentations and total accruals in clinical trials. We used Press-Ganey scores to measure patient satisfaction pre- and postintegration. Results: Mean Quality Oncology Practice Initiative scores at Smilow Care Centers were significantly higher in 2016 than in 2012 for core measures related to improvement in tumor staging ( z = 1.33; P < .05), signed consent and documentation plans for antineoplastic treatment ( z = 2.69; P < .01; and z = 2.36; P < .05, respectively), and appropriately quantifying and addressing pain during office visits ( z = 2.95; P < .05; and z = 3.1; P < .01, respectively). A total of 493 cases were presented by care center physicians at the tumor board in 2017 compared with 45 presented in 2013. Compared with 2012, Smilow Care Center clinical trial accrual increased from 25 to 170 patients in 2017. Last, patient satisfaction has remained at greater than the 90th percentile pre- and postintegration. Conclusion: The process of integration facilitates the ability to standardize cancer practice and provides a platform for quality improvement.

HAART induced adverse drug reactions: A retrospective analysis at a tertiary referral health care center in India

2011 ◽  
Vol 23 (3) ◽  
pp. 163-169 ◽  
Author(s):  
S.R. Anwikar ◽  
M.S. Bandekar ◽  
Bajpai Smrati ◽  
A.P. Pazare ◽  
P.A. Tatke ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Analysis ◽  
Adverse Drug Reactions ◽  
Care Center ◽  
Drug Reactions ◽  
Tertiary Referral ◽  
Health Care Center

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

A study of CT versus MRI for the detection of intra-articular lesions of knee joint at tertiary health care center

2019 ◽  
Vol 11 (1) ◽  
pp. 01-04
Author(s):  
Mangal Mahajan ◽  
◽  
Yadav Munde ◽  
Priscilla Joshi ◽  
John Dsousa ◽  
...  
Keyword(s):  
Health Care ◽  
Knee Joint ◽  
Care Center ◽  
Health Care Center

A study of general anesthesia versus cervical block for the surgery of thyroid at tertiary health care center

2019 ◽  
Vol 9 (2) ◽  
pp. 142-144
Author(s):  
T G Poornaganesh ◽  
◽  
P Vasuprakash ◽  
Nalini Muddana ◽  
U Seshaphani ◽  
...  
Keyword(s):  
Health Care ◽  
General Anesthesia ◽  
Care Center ◽  
Health Care Center
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