Publications

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

Bratches RWR, Scudder PN, Barr PJ

2021;16(7):e0254896doi: 10.1371/journal.pone.0254896

When caregivers cannot attend the clinic visit for the person they provide care for, patients are the predominant source of clinic visit information; however, poor patient recall inhibits the quality of information shared, resulting in poor caregiver preparedness and contributing to caregiver morbidity. Technological solutions exist to sharing clinic visit information, but their effectiveness is unclear.

PLoS One|2021

Morden NE, Chyn D, Wood A, Meara E

2021 Jul 22;385(4):342-351doi: 10.1056/NEJMsa2034159

Historically, the receipt of prescription opioids has differed among racial groups in the United States. Research has not sufficiently explored the contribution of individual health systems to these differences by examining within-system prescription opioid receipt according to race.

N Engl J Med|2021 Jul 22

Curtis K, Alford-Teaster J, Lowry M, Mackwood M, Snide J, Tosteson T, Tosteson A

2021 Jul 20;doi: 10.1089/tmj.2020.0556

The COVID-19 pandemic resulted in an exponential increase in telehealth. In response to the pandemic, Dartmouth-Hitchcock Health (D-HH) and its Norris Cotton Cancer Center (NCCC) closed non-essential in-person services on March 17, 2020 and began reopening on April 27, 2020. We examined outpatient telehealth utilization at D-HH and NCCC in the peri-pandemic period and compared utilization to the Academic Medical Center (AMC) overall and to other service lines. Weekly outpatient volumes, percentage telehealth, percentage video versus audio-only, and percentage of new patients were examined for D-HH, for the AMC, and for selected AMC-based service lines from January 1 to October 31, 2020. Compared with the AMC overall and with five other primarily non-surgical specialties, oncology was lower in the (1) proportion of outpatient visits performed via telehealth (example week 7/12/20: oncology = 11%; AMC = 21%; mean of 5 other specialties = 38%) and (2) percentage of telehealth involving video versus audio-only (7/12/20: oncology = 19%; AMC = 58%; mean of 5 others = 60%). Oncology more closely resembled the surgical specialty of orthopedics (7/12/20: 2% telehealth; 10% of telehealth involved video). Oncology also demonstrated (1) a high proportion of outpatient visits involving procedures (oncology = 22%; orthopedics = 12%) and (2) no difference between telehealth and in-person visits in terms of the percentage involving new patients. During the peri-pandemic period, our oncology service demonstrated a lower than average incorporation of telehealth overall into their outpatient practice and a lower proportion of telehealth performed by video. Further understanding these results and the drivers behind them will be integral for redesigning outpatient oncology care with optimal integration of telehealth.

Telemed J E Health|2021 Jul 20

King AC, Morden NE

2021 Jan;3(1):22-27doi: 10.12968/jprp.2021.3.1.22

Recent and increasing discussion of prescription price transparency highlights the importance of defining, measuring and communicating prescription drug value. To help advance these goals, the authors propose a taxonomy of population-level prescription drug use patterns. The taxonomy assigns prescription use to one of five categories according to likely population-level health impact. The categories include effective, potentially discretionary, potentially harmful, wasteful, and lifestyle. The authors hope the proposed taxonomy will inform discussion of prescription drug value by providing estimates of population impact, especially the balance of anticipated benefit and harm.

J Prescr Pract|2021 Jan

Lai CS, Farrar J, Stanzah F, Crammond B, Wong SL, Lee JC

2021 Jul 17;doi: 10.1007/s00268-021-06105-4

Disparities in gender representation at medical meetings have been documented despite women representing half of medical school graduating classes. Lack of role models is touted as one of a myriad of factors that perpetuate gender imbalance, particularly in the field of surgery. We evaluated the trend in gender distribution of participants at the Royal Australasian College of Surgeons (RACS) Annual Scientific Congress (ASC) and whether there was a correlation between the gender distribution of the organising committee and speakers and chairpersons invited to attend.

World J Surg|2021 Jul 17

Spivack SB, DeWalt D, Oberlander J, Trogdon J, Shah N, Meara E, Weinberger M, Reiter K, Agravat D, Colla C, Lewis V

2021 Jul 13;doi: 10.1007/s11606-021-07005-y

A great deal of research has focused on how hospitals influence readmission rates. While hospitals play a vital role in reducing readmissions, a significant portion of the work also falls to primary care practices. Despite this critical role of primary care, little empirical evidence has shown what primary care characteristics or activities are associated with reductions in hospital admissions.

J Gen Intern Med|2021 Jul 13

Gowarty MA, Longacre MR, Vilardaga R, Kung NJ, Gaughan-Maher AE, Brunette MF

2021 Jul 7;8(7):e26873doi: 10.2196/26873

Young adults with serious mental illness (SMI) have higher smoking rates and lower cessation rates than young adults without SMI. Scalable interventions such as smartphone apps with evidence-based content (eg, the National Cancer Institute's [NCI's] QuitGuide and quitSTART) could increase access to potentially appealing and effective treatment for this group but have yet to be tested in this population.

JMIR Ment Health|2021 Jul 7

Schroeck H, Taenzer AH, Schifferdecker KE

2021 Jul 9;pii: S0007-0912(21)00379-2. doi: 10.1016/j.bja.2021.06.018

Br J Anaesth|2021 Jul 9

Naci H, Guan X, Woloshin S, Xu Z, Wagner AK

2021 Jul 12;doi: 10.1001/jamainternmed.2021.3505

JAMA Intern Med|2021 Jul 12

Batsis JA, Haudenschild C, Roth RM, Gooding TL, Roderka MN, Masterson T, Brand J, Lohman MC, Mackenzie TA

2021 Apr;22(4):865-872.e5doi: 10.1016/j.jamda.2020.09.008

The prevalence of obesity with sarcopenia is increasing in adults aged ≥65 years. This geriatric syndrome places individuals at risk for synergistic complications that leads to long-term functional decline. We ascertained the relationship between sarcopenic obesity and incident long-term impaired global cognitive function in a representative US population.

J Am Med Dir Assoc|2021 Apr

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