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Article
Open AccessThe performance status gap in immunotherapy for frail patients with advanced non-small cell lung cancer
In advanced non-small cell lung cancer (NSCLC), immune checkpoint inhibitor (ICI) monotherapy is often preferred over intensive ICI treatment for frail patients and those with poor performance status (PS). Amo...
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Article
Open AccessCosts of implementing a multi-site facilitation intervention to increase access to medication treatment for opioid use disorder
The United States has been grappling with the opioid epidemic, which has resulted in over 75,000 opioid-related deaths between April 2020 and 2021. Evidence-based pharmaceutical interventions (buprenorphine, m...
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Article
Open AccessHealthcare quality measures in implementation research: advantages, risks and lessons learned
Implementation studies evaluate strategies to move evidence-based practices into routine clinical practice. Often, implementation scientists use healthcare quality measures to evaluate the integration of an ev...
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Article
Open AccessFrequency and costs of low-value preoperative tests for patients undergoing low-risk procedures in the veterans health administration
Clinical practice guidelines discourage routine preoperative screening tests for patients undergoing low-risk procedures. This study sought to determine the frequency and costs of potentially low-value preoper...
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Article
Open AccessPerformance of a rule-based semi-automated method to optimize chart abstraction for surveillance imaging among patients treated for non-small cell lung cancer
We aim to develop and test performance of a semi-automated method (computerized query combined with manual review) for chart abstraction in the identification and characterization of surveillance radiology ima...
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Article
Open AccessPredictors of Veterans Health Administration utilization and pain persistence among soldiers treated for postdeployment chronic pain in the Military Health System
Chronic pain presents a significant burden for both federal health care systems designed to serve combat Veterans in the United States (i.e., the Military Health System [MHS] and Veterans Health Administration...
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Article
Open AccessTesting proposed quality measures for treatment of carpal tunnel syndrome: feasibility, magnitude of quality gaps, and reliability
The American Academy of Orthopaedic Surgeons and American Society for Surgery of the Hand recently proposed three quality measures for carpal tunnel syndrome (CTS): Measure 1 - Discouraging routine use of Magn...
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Article
Open AccessAre EMS bypass policies effective implementation strategies for intravenous alteplase for stroke?
Stroke is a leading cause of disability and the fifth leading cause of death in the USA. Intravenous alteplase is a highly effective clot-dissolving stroke treatment that must be given in a hospital setting wi...
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Article
Open AccessDevelopment and validation of a predictive model for American Society of Anesthesiologists Physical Status
The American Society of Anesthesiologists Physical Status (ASA-PS) classification system was developed to categorize the fitness of patients before surgery. Increasingly, the ASA-PS has been applied to other u...
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Article
Open AccessImplementing alcohol use disorder pharmacotherapy in primary care settings: a qualitative analysis of provider-identified barriers and impact on implementation outcomes
Despite the high prevalence of alcohol use disorders (AUDs), in 2016, only 7.8% of individuals meeting diagnostic criteria received any type of AUD treatment. Develo** options for treatment within primary ca...
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Article
Open AccessStrategies to increase implementation of pharmacotherapy for alcohol use disorders: a structured review of care delivery and implementation interventions
Effective medications for treating alcohol use disorders (AUD) are available but underutilized. Multiple barriers to their provision have been identified, and optimal strategies for addressing and overcoming b...
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Article
Open AccessReceipt of pharmacotherapy for alcohol use disorder by justice-involved women in the Veterans Health Administration
Alcohol use disorder (AUD) and unhealthy drinking are prevalent among women involved in the criminal justice system and women military veterans. Pharmacotherapy—including naltrexone, topiramate, acamprosate, a...
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Article
Open AccessAdvancing pharmacological treatments for opioid use disorder (ADaPT-OUD): protocol for testing a novel strategy to improve implementation of medication-assisted treatment for veterans with opioid use disorders in low-performing facilities
In the US, emergency room visits and overdoses related to prescription opioids have soared and the rates of illicit opioid use, including heroin and fentanyl, are increasing. Opioid use disorder (OUD) is assoc...
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Article
Trends and surgical outcomes of laparoscopic versus open pyloromyotomy
Hypertrophic pyloric stenosis (HPS) is one of the most common pediatric illnesses necessitating surgical intervention. Controversy remains over the optimal surgical approach between laparoscopic pyloromyotomy ...
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Article
Open AccessVA residential substance use disorder treatment program providers’ perceptions of facilitators and barriers to performance on pre-admission processes
In the U.S. Department of Veterans Affairs (VA), residential treatment programs are an important part of the continuum of care for patients with a substance use disorder (SUD). However, a limited number of pro...
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Article
Use of Veterans Health Administration Mental Health and Substance Use Disorder Treatment After Exiting Prison: The Health Care for Reentry Veterans Program
The Veterans Health Administration (VA) Health Care for Reentry Veterans (HCRV) program links veterans exiting prison with treatment. Among veterans served by HCRV, national VA clinical data were used to desc...
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Article
Open AccessMultifaceted academic detailing program to increase pharmacotherapy for alcohol use disorder: interrupted time series evaluation of effectiveness
Active consideration of effective medications to treat alcohol use disorder (AUD) is a consensus standard of care, yet knowledge and use of these medications are very low across diverse settings. This study ev...
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Article
Open AccessThe effect of foot landing position on biomechanical risk factors associated with anterior cruciate ligament injury
Identification of biomechanical risk factors associated with anterior cruciate ligament (ACL) injury can facilitate injury prevention. The purpose of this study is to investigate the effects of three foot land...
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Article
Open AccessEnhancing access to alcohol use disorder pharmacotherapy and treatment in primary care settings: ADaPT-PC
Only 7.8 % of individuals meeting diagnostic criteria for alcohol use disorder (AUD) receive treatment in a given year. Most individuals with AUDs are identified in primary care (PC) settings and referred to s...
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Article
Open AccessPredictive validity of two process-of-care quality measures for residential substance use disorder treatment
In order to monitor and ultimately improve the quality of addiction treatment, professional societies, health care systems, and addiction treatment programs must establish clinical practice standards and then ...
