Take a deeper look into all the publications produced by researchers at The Dartmouth Institute.

Landon BE, Onnela JP, Meneades L, O'Malley AJ, Keating NL

2021 Jan 4;4(1):e2029238doi: 10.1001/jamanetworkopen.2020.29238

Disparities in quality of care according to patient race and socioeconomic status persist in the US. Differential referral patterns to specialist physicians might be associated with observed disparities.

JAMA Netw Open|2021 Jan 4

Vaccarella S, Lortet-Tieulent J, Colombet M, Davies L, Stiller CA, Schüz J, Togawa K, Bray F, Franceschi S, Dal Maso L, Steliarova-Foucher E, IICC-3 contributors.

2021 Jan 19;pii: S2213-8587(20)30401-0. doi: 10.1016/S2213-8587(20)30401-0

There has been a considerable increase in thyroid cancer incidence among adults in several countries in the past three decades, attributed primarily to overdiagnosis. We aimed to assess global patterns and trends in incidence and mortality of thyroid cancer in children and adolescents, in view of the increased incidence among adults.

Lancet Diabetes Endocrinol|2021 Jan 19

Vande Vusse LK, Ryder HF, Best JA

2021 Jan 19;doi: 10.1097/ACM.0000000000003938

The ongoing novel Coronavirus disease 2019 (COVID-19) pandemic has created many threats as well as opportunities for the career development of physicians-in-training. Institutional responses to the demand for patient care reduced the time many residents have to pursue clinical electives, scholarship projects, and other experiences meant to clarify and advance their personal and professional goals. Moreover, many academic medical centers experienced profound fiscal losses that require thoughtful revisions to budgets and curricula. In this article, the authors recommend strategies for residency programs to mitigate these losses and capitalize on growth in virtual education, scholarship opportunities, and relationships arising from the pandemic. Drawing from career development guidelines from the National Career Development Association and existing literature about factors associated with positive career outcomes, the authors suggest leadership roles, curricula, and events that training programs can quickly and inexpensively implement to help residents grow as professionals, achieve personal training goals, produce scholarship, and attain future employment. To help trainees manage their careers, the authors recommend structured mentorship and education in career pathways and the preparation of job application materials. To foster attainment of specific knowledge and cultivate lifelong learning, the authors recommend leveraging existing resources to provide time, funding, academic coaching, and skills training for scholarship projects. To promote development of effective work relationships and community, the authors recommend appointment of a faculty champion for career advancement, scholarship showcases, attendance at virtual journal clubs, and networking through social media outlets. These recommendations for supporting career advancement may apply to early career faculty development as well as undergraduate and postgraduate medical education beyond the pandemic era. Outcomes studies will be needed to evaluate the impact of these recommendations.

Acad Med|2021 Jan 19

Weeks WB, Huynh G, Cao SY, Smith J, Bangur C, Weinstein JN

2021 Jan 21;doi: 10.1007/s11606-020-06469-8

J Gen Intern Med|2021 Jan 21

Zipkin R, Schaefer A, Chamberlin M, Onega T, O'Malley AJ, Moen EL

2021 Jan 16;doi: 10.1002/cam4.3720

Drivers behind the adoption of gene expression profiling in breast cancer oncology have been shown to include exposure to physician colleagues' use of a given genomic test. We examined adoption of the Oncotype DX 21-gene breast cancer recurrence score assay (ODX) in the United States after its incorporation into clinical guidelines. The influence of patient-sharing ties and co-location with prior adopters and the role of these potential exposures across medical specialties on peers' adoption of the test were examined.

Cancer Med|2021 Jan 16

Fortuna KL, Venegas M, Bianco CL, Smith B, Batsis JA, Walker R, Brooks J, Umucu E

2020;18(4):369-382doi: 10.1080/15332985.2020.1751772

The purpose of this study was to explore the relationships between self-reported hopelessness and risk factors for premature mortality in people with serious mental illness (SMI). Data were extracted from the 2014 Health Center Patient Survey ( = 5,592). Having a diagnosis of SMI was significantly associated with self-reported hopelessness. Hypertension or high blood pressure, congestive heart failure, and chronic obstructive pulmonary disorder were significantly associated with self-reported hopelessness. Higher levels of hopelessness were found to be significantly associated with increased alcohol consumption. Hopelessness may be an important dimension of health in people with SMI.

Soc Work Ment Health|2020

Batsis JA, Petersen CL, Clark MM, Cook SB, Kotz D, Gooding TL, Roderka MN, Al-Nimr RI, Pidgeon D, Haedrich A, Wright KC, Aquila C, Mackenzie TA

2021 Jan 12;21(1):44doi: 10.1186/s12877-020-01978-x

Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology.

BMC Geriatr|2021 Jan 12

Shortell SM, Gottlieb DJ, Martinez Camblor P, O'Malley AJ

2021 Jan 11;doi: 10.1111/1475-6773.13621

Building on the original taxonomy of hospital-based health systems from 20 years ago, we develop a new taxonomy to inform emerging public policy and practice developments.

Health Serv Res|2021 Jan 11

Sumner P, Schwartz L, Woloshin S, Bratton L, Chambers C

2021 Jan 8;11(1):e041385doi: 10.1136/bmjopen-2020-041385

To examine how often study funding and author conflicts of interest are stated in science and health press releases and in corresponding news; and whether disclosure in press releases is associated with disclosure in news. Second, to specifically examine disclosure rates in industry-funded studies.

BMJ Open|2021 Jan 8


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