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Low-Value Opioid Prescribing Trends for Acute Low-Back Pain in Rural Virginia Between 2019-2021 [Acute and emergency care]

Annals of Family Medicine

Objective A) Evaluate LVOP in Virginia during 2019-2021, and B) determine variation in LVOP for rural patients and those with low income in Virginia from 2019-2021. It is unclear how the COVID-19 pandemic impacted LVOP, particularly among vulnerable communities. Study Design and Analysis Retrospective cohort study.

Insurance 130
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Reliability and Validity of a Comprehensiveness of Care Measure in Primary Care, A Case Study of the PRIME Registry [Research methodology and instrument development]

Annals of Family Medicine

Study Design and Analysis: A retrospective cohort of providers and its patient panel for two performance years, 2019 and 2022. Population Studied: We identified all providers that had at least 300 patients available in both 2019 and 2022 performance years. Hemoglobin A1C > 9.0 as a case study).

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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Setting or Dataset: 2019-2020 Virginia Department of Medical Assistance Services database (demographic, enrollment, and claims data). Intervention/Instrument: None Outcome Measures: The outcome was any primary care use in the first twelve months of enrollment.

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The role of access to care and health insurance on HPV vaccination among adults aged 18-45years [Screening, prevention, and health promotion]

Annals of Family Medicine

Results Overall, there was an increase in the prevalence of HPV vaccination from 2018 to 2019. In 2019, the Western region showed higher odds of vaccination compared to the Northeast (West: aOR = 1.12, 95% CI= (0.9,1.39).

Insurance 130
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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. Results From November 2019 to June 2024, 636 clinicians attended ECHO Concussion sessions. The qualitative descriptive approach was used to inductively code FGD transcripts. 11 (9%) participated in FGDs.

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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. The study is divided into three periods: pre-COVID (Oct 2019 to Mar 2020), COVID (Apr 2020 to May 2023), and post-COVID (Jun 2023 to Dec 2023). Mixed models were used for analysis.

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Congratulations to our 2019 Graduating Residents!

Louisville Lectures

Graduation 2019 This week, we want to celebrate our graduating residents who’ve helped us with Little Lectures. Thank you for all you’ve done. We’ll miss you! June is always a bittersweet time in the world of medical education.