Recent Publications

Publication Highlights

Development and impact of a novel academic primary care compensation model

Doctor on PhoneA recent article by Dr. Elizabeth Trowbridge et al. discusses the development and implementation of an compensation plan that was associated with higher provider satisfaction and faculty retention. The compensation plan aligns with population management goals and is based on the actual work performed, including care provided outside of visits (e.g., telephone calls and team-based outreach).

Characterizing the psychological distress response before and after a cancer diagnosis

Worried ManIn a longitudinal study, Dr. Jessica Schumacher et al. examined the changes in depression, anxiety, and well-being for patients diagnosed with cancer compared to patients without cancer. The authors found that cancer survivors who were less than 5 years from diagnosis were more likely to have clinically significant increases in depression, and cancer survivors 5 years or more from their diagnosis were more likely to experience worsening anxiety. 

Rheumatoid arthritis and the prevalence of diabetic retinopathy

Eye ExamIn a recent study of over 250,000 Medicare patients with diabetes, Dr. Christie Bartels et al. found that patients with rheumatoid arthritis (RA) were 28% less likely to have diabetic retinopathy and 4% more likely to receive an eye exam than patients without RA. The authors suggest that RA physiology or treatments may protect against diabetic retinopathy and propose that future studies be conducted on this topic.

Development of a list of high-risk operations for patients 65 years and older

Elderly Patient talking to doctorsDr. Gretchen Schwarze et al. recently developed a list of 227 high-risk operations that had at least 1% operative mortality for older adults. The list, published in JAMA Surgery, can serve as a tool in patient-doctor discussions of surgery risk, as well as in future studies and targeted clinical interventions. It was developed using a modified Delphi procedure and analysis of the Pennsylvania Health Care Cost Containment Council and Nationwide Inpatient Sample datasets.

Diagnosis and treatment of incident hypertension among patients with diabetes

Nurse measuring blood pressureIn a recent study that evaluated hypertension diagnosis and treatment among patients with diabetes mellitus and incident hypertension, HIP investigators found that among the patients who met the clinical criteria for hypertension (130/80 mmHg), only 41% received a diagnosis and 37% received medication. Patients who had peripheral vascular disease or fewer visits were likely to have slower diagnosis rates and medication initiation.

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