article thumbnail

Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

Objective: To validate the use of OASI among patients with knee OA to predict TKA in Veterans Health Affairs-Corporate Data Warehouse (VHA-CDW) administrative dataset. Dataset: VHA-CDW data from 2007-2020. The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. years (SD 8.8), 78.2%

Diagnosis 130
article thumbnail

Development and external validation of the FluScoreVax risk score for influenza that incorporates vaccine status (EAST-PC) [Acute respiratory infections]

Annals of Family Medicine

Objective: To develop and externally validate a simple risk score for influenza diagnosis based only on vaccination history and patient-reported symptoms. Outcome measures: In each study patient-reported symptoms were recorded and PCR used to diagnose influenza.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Fracture Fridays: Keeping up with the Joneses

PEMBlog

The foot X-Ray taken of the foot of the patient with the foot problem The Diagnosis She has a fracture at the base of the 5th metatarsal (Jones fracture). I did come across a randomized trial comparing surgery vs no surgery in which the authors compared 18 patients with casting alone, to 19 who received a bone screw.

article thumbnail

Agitation Podcast Series Episode 1: Differentiating organic versus psychiatric causes of agitation and altered mental status

PEMBlog

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Furthermore, the connection between physical and functional symptoms is inextricably linked in many patients. J Inherit Metab Dis 2007; 30:631.

article thumbnail

Bisphosphonates for Osteoporosis: Podcast with James Deardorff and Sei Lee

GeriPal

I tell this story because these issues don’t typically register as more than a nuisance for clinicians, who frequently don’t understand why their older patient with osteoporosis is not taking a bisphosphonate. But our patients are walking with their feet, and adherence to bisphosphonates for osteoporosis is poor and decreases with time.

Clinic 68
article thumbnail

Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

You have a patient with dementia severe enough that she cannot recognize relatives. A huge part of this decision rests on (1) her previously stated wishes, values, and goals (prior to the onset of dementia); and (2) the outcomes of surgery for patients with dementia. Summary Transcript Summary. She falls and breaks her hip.

article thumbnail

GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Alex: Okay.

IT 126