Dr. William Ehlenbach et al. examined the cognitive and physical impairment among severe sepsis survivors discharged to a skilled nursing facility. Using the Chronic Conditions Warehouse 5% random national Medicare sample, they found discharge to a SNF was associated with shorter survival. Cognitive impairment and activities of daily living dependence were each strongly associated wtih… Read more »
Yao Liu, MD recently spoke on the Wisconsin Doctors program about how the UW Teleophthalmology program is working with the Mile Bluff Medical Center to screen patients close to their homes for diabetic eye disease, which is the leading cause of blindness in working age adults in Wisconsin and nationally. Through teleophthalmology, patients can be… Read more »
Despite the existence of effective, minimally invasive therapies for accidental bowel leakage, fewer than 30% of women with the condition seek care for it. To begin to understand the barriers to seeking care for ABL, Dr. Heidi Brown et al. developed a survey instrument and tested its vailidity by having adult women with ABL complete the survey… Read more »
Dr. Maureen Smith et al. compared colorectal cancer (CRC) screening rates for patients with and without insurance coverage for CT colonography. Using longitudinal electronic health record data, the investigators found that among patients who became due for CRC screening, there was a 48% greater likelihood of them getting screened by any method if they had insurance… Read more »
Dr. Brian Patterson et al. compared the incidence of falls in an emergency department cohort using ICD-9 codes and an expanded definition that included chief complaint. Of the falls evaluated in the retrospective electronic health record review, 80% met the ICD-9 definition of a fall-related visit and 61% met the chief-complaint definition. Nearly 20% were missed… Read more »
Dr. Heidi Brown is testing a new program, “Mind Over Matter,” to reduce or prevent incontinence in women in Wisconsin. Fecal and urinary incontinence are common issues affecting women, but they are rarely discussed. The Mind Over Matter program will recruit 120 women in south and central Wisconsin who will be randomly assigned to receive… Read more »
Dr. Heidi Brown has launched a study to test the effectiveness of an educational program, “Mind Over Matter,” that explores the causes, prevention, and treatment of fecal and urinary incontinence in women. As many as 60% of women above the age of 55 have one of the two types of incontinence, and Dr. Brown’s study… Read more »
Dr. Heidi Brown et al. conducted focus groups and cognitive interviews with 39 women aged 46-85 to identify and describe the barriers to seeking care for accidental bowel leakage, a condition for which less than 30% of women who have it seek care. The investigators found 12 barriers to seeking care for accidental bowel leakage, such… Read more »
Dr. Heather Neuman et al. aimed to describe the types of providers participating in early follow-up care of older breast cancer survivors. Using the SEER-Medicare database, investigators found 80% of follow-up care was with a medical oncologist, 46% with a surgeon, and 39% with a radiation oncologist after radiation treatment. Patients with larger tumor size,… Read more »
Dr. Heidi Brown was recently awarded $100,000 over two years from the Wisconsin Partnership Program to test the effectiveness of a community-based continence promotion program called “Mind Over Matter; Healthy Bowels, Healthy Bladder.” Bladder and bowel incontinence affects over 60% of older women and increases their risk of injuries, depression, and hospitalization, but most women… Read more »
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