Dr. Heather Neuman et al. recently used a novel statistical technique to examine patterns of breast cancer follow-up care provided by different types of oncologists. They found that breast cancer survivors had a median of 3 follow-up visits per year. Among patients with high visit regularity, two-thirds received follow-up from a single oncologist type; conversely, among patients with low visit regularity, only 8% received follow-up from a single oncologist type.
Delivery of breast cancer follow-up care by different types of oncology providers
"I have to live like I'm old." Young adults' perspectives on managing hypertension
In a recent study, Heather Johnson et al. conducted focus groups with young adults with a diagnosis of hypertension to better understand their attitudes and reactions to being diagnosed with and managing hypertension. They found that having a hypertension diagnosis negatively altered the patients' "young" self-identity. Additionally, several barriers to hypertension follow-up visits and use of social media or texting for self-management were identified.
Practice variations in voice treatment selection following vocal fold mucosal resection
In a recent study, Jaime Moore et al. sought to characterize initial voice treatment selection following vocal fold mucosal resection in patients with Medicare coverage. They found that voice treatment—thyroplasty, vocal fold injection, or speech therapy—was used in 14% of cases, and services were disproportionately utilized based on patient age, sex, and socioeconomic status. Most patients who did undergo treatment initially participated in speech therapy.
Engaging patients in team-based practice redesign
In a recent article in the Journal of General Internal Medicine, Sarah Davis, et al. describe the design and implementation of a comprehensive UW Health program that was implemented to engage patients in primary care quality improvement. The article discusses evaluation results from the program, as well as challenges and future plans. A toolkit with materials that were created to engage patients and team members in the program is available here.
Achieving weight loss and hypertension control among obese adults
Dr. Aaron Ho et al. recently performed an electronic health record analysis to evaluate the rates and predictors of achieving weight loss among obese adults who achieved hypertension control. They found that most patients did not achieve clinically significant weight loss. Young adults, middle-aged adults, and patients who were prescribed antihypertensive medication were the most likely to achieve weight loss.