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https://www.readbyqxmd.com/read/27878646/using-search-engine-query-data-to-explore-the-epidemiology-of-common-gastrointestinal-symptoms
#1
Benjamin G Hassid, Lukejohn W Day, Mohannad A Awad, Justin L Sewell, E Charles Osterberg, Benjamin N Breyer
BACKGROUND: Internet searches are an increasingly used tool in medical research. To date, no studies have examined Google search data in relation to common gastrointestinal symptoms. AIMS: The aim of this study was to compare trends in Internet search volume with clinical datasets for common gastrointestinal symptoms. METHODS: Using Google Trends, we recorded relative changes in volume of searches related to dysphagia, vomiting, and diarrhea in the USA between January 2008 and January 2011...
November 23, 2016: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/27372833/successful-implementation-of-lynch-syndrome-screening-in-a-safety-net-institution
#2
Trilokesh D Kidambi, Robin Lee, Jonathan P Terdiman, Lukejohn Day
Lynch syndrome (LS) is the most common cause of hereditary colorectal cancer (CRC), and national guidelines recommend screening patients with CRC for LS. However, there is a paucity of data related to Lynch syndrome in the underserved population, in which unique issues of access, cultural beliefs regarding cancer, language barriers, immigration status, and financial restraints exist. We performed a descriptive, retrospective review of a selective LS screening protocol at an urban safety net hospital between 2009 and 2014 with the aim of describing the detected prevalence of LS as well as reporting the high quality and suboptimal screening rates...
July 2016: Journal of Community Genetics
https://www.readbyqxmd.com/read/26810008/diversity-in-gastroenterology-in-the-united-states-where-are-we-now-where-should-we-go
#3
Lukejohn W Day, Susana Gonzalez, Antonio Mendoza Ladd, Juan Carlos Bucobo, Octavia Pickett-Blakely, Amy Tilara, Jennifer Christie
No abstract text is available yet for this article.
April 2016: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/26423366/prevalence-and-predictors-of-patient-no-shows-to-outpatient-endoscopic-procedures-scheduled-with-anesthesia
#4
Jennifer T Chang, Justin L Sewell, Lukejohn W Day
BACKGROUND: Demand for endoscopic procedures scheduled with anesthesia is increasing and no-show to appointments carries significant patient health and financial impact, yet little is known about predictors of no-show. METHODS: We performed a 16-month retrospective observational cohort study of patients scheduled for outpatient endoscopy with anesthesia at a county hospital serving the safety-net healthcare system of San Francisco. Multivariate logistic regression analysis was performed to evaluate associations between attendance and predictors of no-show...
2015: BMC Gastroenterology
https://www.readbyqxmd.com/read/26134610/adverse-events-in-older-patients-undergoing-ercp-a-systematic-review-and-meta-analysis
#5
Lukejohn W Day, Lisa Lin, Ma Somsouk
BACKGROUND AND STUDY AIMS: Biliary and pancreatic diseases are common in the elderly; however, few studies have addressed the occurrence of adverse events in elderly patients undergoing endoscopic retrograde cholangiopancreatography (ERCP). Our objective was to determine the incidence rates of specific adverse events in this group and calculate incidence rate ratios (IRRs) for selected comparison groups. PATIENTS AND METHODS: Bibliographical searches were conducted in Medline, EMBASE, and Cochrane library databases...
March 2014: Endoscopy International Open
https://www.readbyqxmd.com/read/26101525/studying-and-incorporating-efficiency-into-gastrointestinal-endoscopy-centers
#6
REVIEW
Lukejohn W Day, David Belson
Efficiency is defined as the use of resources in such a way as to maximize the production of goods and services. Improving efficiency has been the focus of management in many industries; however, it has not been until recently that incorporating efficiency models into healthcare has occurred. In particular, the study and development of improvement projects aimed at enhancing efficiency in GI have been growing rapidly in recent years. This focus on improving efficiency in GI has been spurred by the dramatic rise in the demand for endoscopic procedures as well as the rising number of insured patients requiring GI care coupled at the same time with limited resources in terms of staffing and space in endoscopy centers...
2015: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/25845635/practice-variation-in-peg-tube-placement-trends-and-predictors-among-providers-in-the-united-states
#7
Lukejohn W Day, Michelle Nazareth, Justin L Sewell, J Lucas Williams, David A Lieberman
BACKGROUND: Enteral access placement is performed among a variety of providers and specialties, yet there is a dearth of literature on trends and factors related to enteral access placement in the United States. OBJECTIVE: To examine trends in the incidence of enteral access procedures performed by gastroenterologists in the United States. DESIGN: Retrospective review of upper endoscopic procedures that involved PEG tube placement between 2000 and 2010...
July 2015: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/25741872/preconsultation-exchange-in-the-united-states-use-awareness-and-attitudes
#8
Justin L Sewell, Katherine S Telischak, Lukejohn W Day, Neil Kirschner, Arlene Weissman
OBJECTIVES: Demand for specialty care exceeds supply in many healthcare systems in the United States. Preconsultation exchange has the potential to increase access to specialty care, and increase its timeliness and efficiency, by triaging need and urgency and streamlining the previsit workup. We sought to characterize attitudes toward, use of, and concerns regarding preconsultation exchange among US internists. STUDY DESIGN: Prospective cross-sectional survey. METHODS: We administered a Web-based survey to a large national panel of US internists maintained by the American College of Physicians...
2014: American Journal of Managed Care
https://www.readbyqxmd.com/read/25721001/colorectal-cancer-screening-and-surveillance-in-the-elderly-updates-and-controversies
#9
REVIEW
Lukejohn W Day, Fernando Velayos
Colorectal cancer is common worldwide, and the elderly are disproportionately affected. Increasing age is a risk factor for the development of precancerous adenomas and colorectal cancer, thus raising the issue of screening and surveillance in older patients. Elderly patients are a diverse and heteroge-neous group, and special considerations such as comorbid medical conditions, functional status and cognitive ability play a role in deciding on the utility of screening and sur-veillance. Colorectal cancer screening can be beneficial to patients, but at certain ages and under some circumstances the harm of screening outweighs the benefits...
March 2015: Gut and Liver
https://www.readbyqxmd.com/read/25365684/increasing-access-to-specialty-care-patient-discharges-from-a-gastroenterology-clinic
#10
Delphine S Tuot, Justin L Sewell, Lukejohn Day, Kiren Leeds, Alice Hm Chen
OBJECTIVES: Access to specialty care among safety net patients in the United States is inadequate. Discharging appropriate patients to routine primary care follow-up may improve specialty care access. We sought to identify, by consensus, patients who could safely be discharged from a gastroenterology (GI) clinic, and to evaluate the impact of the discharges on GI clinic work flow. STUDY DESIGN: Pre- and post intervention. METHODS: We developed and implemented a modified Delphi process...
October 2014: American Journal of Managed Care
https://www.readbyqxmd.com/read/24938590/colorectal-cancer-of-the-elderly
#11
Lukejohn W Day, Fernando Velayos
Colorectal cancer (CRC) disproportionately affects the elderly. Older age is a strong risk factor for both the development of precancerous adenomas and CRC, thus raising the issue of screening and surveillance in older patients. However, screening and surveillance decisions in the elderly can be complex and challenging. Elderly patients are a diverse and heterogeneous group and special considerations such as co-morbid medical conditions, functional status, and cognitive ability play a role in one's decisions regarding the utility of screening and surveillance...
September 2014: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/24796958/optimizing-efficiency-and-operations-at-a-california-safety-net-endoscopy-center-a-modeling-and-simulation-approach
#12
Lukejohn W Day, David Belson, Maged Dessouky, Caitlin Hawkins, Michael Hogan
BACKGROUND: Improvements in endoscopy center efficiency are needed, but scant data are available. OBJECTIVE: To identify opportunities to improve patient throughput while balancing resource use and patient wait times in a safety-net endoscopy center. SETTING: Safety-net endoscopy center. PATIENTS: Outpatients undergoing endoscopy. INTERVENTION: A time and motion study was performed and a discrete event simulation model constructed to evaluate multiple scenarios aimed at improving endoscopy center efficiency...
November 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24681602/challenges-and-possible-solutions-to-colorectal-cancer-screening-for-the-underserved
#13
REVIEW
Samir Gupta, Daniel A Sussman, Chyke A Doubeni, Daniel S Anderson, Lukejohn Day, Amar R Deshpande, B Joseph Elmunzer, Adeyinka O Laiyemo, Jeanette Mendez, Ma Somsouk, James Allison, Taft Bhuket, Zhuo Geng, Beverly B Green, Steven H Itzkowitz, Maria Elena Martinez
Colorectal cancer (CRC) is a leading cause of cancer mortality worldwide. CRC incidence and mortality can be reduced through screening. However, in the United States, screening participation remains suboptimal, particularly among underserved populations such as the uninsured, recent immigrants, and racial/ethnic minority groups. Increasing screening rates among underserved populations will reduce the US burden of CRC. In this commentary focusing on underserved populations, we highlight the public health impact of CRC screening, list key challenges to screening the underserved, and review promising approaches to boost screening rates...
April 2014: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/24627086/non-physician-performance-of-lower-and-upper-endoscopy-a-systematic-review-and-meta-analysis
#14
REVIEW
Lukejohn W Day, Derrick Siao, John M Inadomi, Ma Somsouk
BACKGROUND AND STUDY AIMS: Demand for endoscopic procedures worldwide has increased while the number of physicians trained to perform endoscopy has remained relatively constant. The objective of this study was to characterize non-physician performance of lower and upper endoscopic procedures. PATIENTS AND METHODS: Bibliographical searches were conducted in Medline, EMBASE, and Cochrane Library databases. Studies were included where patients underwent flexible sigmoidoscopy, colonoscopy, or upper endoscopy done by a non-physician (nurse, nurse practitioner, physician assistant) and outcome measures were reported (detection of polyps, adenomas, cancer, and/or adverse events)...
May 2014: Endoscopy
https://www.readbyqxmd.com/read/24518119/assessment-of-delivery-methods-used-in-the-informed-consent-process-at-a-safety-net-hospital
#15
COMPARATIVE STUDY
Derrick Siao, Justin L Sewell, Lukejohn W Day
BACKGROUND: Informed consent is legally and ethically required before a patient undergoes an endoscopic procedure, yet current literature suggests that patient comprehension of key components of informed consent is poor. OBJECTIVE: To evaluate specific aspects of and patient satisfaction with the informed consent process in patients who attended an endoscopy education class versus gastroenterology clinic. DESIGN: Prospective survey that examined all components of the informed consent process...
July 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24485393/guidelines-for-safety-in-the-gastrointestinal-endoscopy-unit
#16
Audrey H Calderwood, Frank J Chapman, Jonathan Cohen, Lawrence B Cohen, James Collins, Lukejohn W Day, Dayna S Early
No abstract text is available yet for this article.
March 2014: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/24267607/colorectal-cancer-and-the-elderly
#17
REVIEW
Lukejohn W Day, Fernando Velayos
Colorectal cancer and precancerous adenomas disproportionately affect the elderly, necessitating the need for screening and surveillance in this group. However, screening and surveillance decisions in the elderly can be challenging. Special considerations such as comorbid medical conditions, functional status, and cognitive ability play a role in one's decisions regarding the utility of screening and surveillance as well as the success and safety of various screening modalities. This article explores the evidence for screening and surveillance in the elderly, and addresses key challenges unique to this population...
February 2014: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/24218070/fit-testing-an-overview
#18
REVIEW
Lukejohn W Day, Taft Bhuket, James Allison
Colorectal cancer (CRC) is a common, but preventable, disease and is the second most common cause of cancer-related deaths in the U.S. CRC screening has proven effective at reducing both the incidence and mortality of this disease, using any of a number of screening tests available. The test options range from the least invasive and least expensive to more invasive and costly options. Fecal occult blood testing is the oldest, least expensive, and least invasive of these options and has evolved from the poorly sensitive standard guaiac test to the newer and diagnostically superior fecal immunochemical test (FIT) for hemoglobin...
November 2013: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/23791206/a-brief-low-cost-intervention-improves-the-quality-of-ambulatory-gastroenterology-consultation-notes
#19
Justin L Sewell, Lukejohn W Day, Delphine S Tuot, Ricardo Alvarez, Albert Yu, Alice Hm Chen
BACKGROUND: Effective communication between primary care providers and specialty providers is important to facilitate high-quality specialty care. Few studies have assessed the quality of communication from specialist to primary care providers or implemented interventions to improve quality. We developed a brief, low-cost intervention designed to improve the quality of ambulatory gastroenterology consultation notes written by fellows and nurse practitioners in our urban health care system...
August 2013: American Journal of Medicine
https://www.readbyqxmd.com/read/23767938/diversity-of-endoscopy-center-operations-and-practice-variation-across-california-s-safety-net-hospital-system-a-statewide-survey
#20
Lukejohn W Day, Taft Bhuket, John M Inadomi, Hal F Yee
BACKGROUND: Little is known about endoscopic services provided or operational practice variation within California public hospital endoscopy centers. METHODS: A survey was distributed to all 18 California public hospitals with endoscopy centers to assess operational practices. RESULTS: Eight of 18 hospitals responded to the survey. Six of the eight responding hospitals used a closed access system for patient referrals. Mean wait time for an endoscopic procedure was 42...
2013: BMC Research Notes
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