Publications

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

Moulton H, Moulton B, Lahey T, Elwyn G

2020 May 1;22(5):E365-371doi: 10.1001/amajethics.2020.365

Shared decision making honors patient autonomy and improves patient comprehension and therefore should be a part of every clinical decision a patient makes. Use of shared decision making in research informed consent conversations is more complicated due to diverse and potentially divergent investigator and patient interests, along with the presence of clinical equipoise. This article clarifies these different interests and discusses ways in which shared decision making can be applied in research. Provided there is transparency about competing interests, patient-centered and values-focused communication approaches embodied in shared decision making can support the ethical recruitment of patients for clinical research.

AMA J Ethics|2020 May 1

Lahey T, Elwyn G

2020 May 1;22(5):E358-364doi: 10.1001/amajethics.2020.358

Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions. Shared decision making can be challenging, however, when patients have impaired decision-making capacity. Here, after presenting an illustrative case example, this paper proposes a capacity-adjusted "sliding scale" approach to shared decision making.

AMA J Ethics|2020 May 1

Wanken ZJ, Rode JB, Bessen SY, Anderson PB, Barnes JA, Eid MA, Goodney PP

2020 May 19;pii: S0890-5096(20)30378-2. doi: 10.1016/j.avsg.2020.05.008

Multiple specialties offer vascular interventional care creating potential competition for referrals and procedures. At the same time, patient/consumer ratings have become more impactful for physicians who perform vascular procedures. We hypothesized that there are differences in online ratings based on specialty.

Ann Vasc Surg|2020 May 19

Gilstrap LG, Blair RA, Huskamp HA, Zelevinsky K, Normand SL

2020 May 1;3(5):e205411doi: 10.1001/jamanetworkopen.2020.5411

Little is known about how new and expensive drugs diffuse into practice affects health care costs.

JAMA Netw Open|2020 May 1

Robertson DJ, Selby K

2020 Jul;30(3):511-526doi: 10.1016/j.giec.2020.02.011

The fecal immunochemical test (FIT) is a tool used for colorectal cancer screening and its use is growing rapidly. FIT, applied as a qualitative or quantitative test, has far better sensitivity for hemoglobin than older, guaiac fecal occult blood tests. This translates into several advantages of FIT, including ability to screen using only 1 stool sample per cycle. This article reviews current understanding of FIT performance as a 1-time test and when applied programmatically. It outlines how to apply the test at the patient level and track performance at the program level. Future prospects for FIT application are highlighted.

Gastrointest Endosc Clin N Am|2020 Jul

Phillips JD, Fay KA, Ramkumar N, Hasson RM, Fannin AV, Millington TM, Finley DJ

2020 May 15;254:110-117doi: 10.1016/j.jss.2020.04.005

Smoking cessation programs for patients with cancer suggest 6-mo quit rates between 22% and 40%, and 1-y rates of 33%. We sought to investigate the long-term outcomes of an intensive, preoperative smoking cessation program in patients undergoing lung resection.

J Surg Res|2020 May 15

Meyer KR, Fraser PB, Emeny RT

2020 Jun;50(6):322-327doi: 10.1097/NNA.0000000000000892

To determine a just and consistent practice for creating nursing assignments.

J Nurs Adm|2020 Jun

Jewell MJ, Leyenaar J, Shieh MS, Pekow PS, Stefan M, Lindenauer PK

2020 May 18;pii: bmjqs-2019-010792. doi: 10.1136/bmjqs-2019-010792

Antibiotic resistance represents a worldwide public health threat. Characterising prescribing patterns for conditions for which antibiotics have no role can inform antimicrobial stewardship efforts. Asthma is among the most common non-infectious diseases in children and results in 100‚ÄČ000 hospitalisations annually in the USA. We sought to identify the rate of antibiotic prescribing in children hospitalised for asthma exacerbations, and to characterise patient and hospital factors associated with receipt of antibiotics.

BMJ Qual Saf|2020 May 18

Shachar C, Engel J, Elwyn G

2020 May 18;doi: 10.1001/jama.2020.7943

JAMA|2020 May 18

Buscemi S, Buscemi C, Batsis JA

2020 May 12;doi: 10.1002/oby.22883

We read with particular interest your comments in Obesity regarding the Coronavirus-19 (COVID-19) epidemic (1) and a related manuscript by Simonnet et al. (2). Resolution of the specific relationship between obesity and COVID-19, two existing public health epidemics, is critically needed to potentially prevent health systems worldwide from being overburdened. Few studies describing COVID-19 with rates of obesity exist, and most are based on heterogeneous populations (Table 1) (2-7). In cohort studies with COVID-19 disease, obesity rates are generally reported as no higher than population-based estimates; in contrast, subgroups of critically ill patients (e.g, intensive care unit (ICU)) report higher prevalence rates of obesity.

Obesity (Silver Spring)|2020 May 12

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