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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

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Mixed models were used for analysis.

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Sickle Cell Crises: A Deep Dive into Patterns of Readmissions at an Academic Medical Center [Health care services, delivery, and financing]

Annals of Family Medicine

We noted that a small number of patients are readmitted multiple times. This indicates poor quality of life (QOL) for SCD patients and a high financial burden on the healthcare system. Objective: Describe the trends in sickle cell admissions between Jan 2020 and Dec 2023 at an academic medical center (AMC) in Augusta, Georgia.

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Effects of the COVID-19 pandemic on primary care for diabetes in Canada: Results from a mixed-methods study [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To understand if the pandemic resulted in changes in care for patients with diabetes. 2) Qualitative interviews were conducted to understand patient experiences with navigating diabetes care during the pandemic and analyzed using qualitative description. Results: We identified 84,617 patients for the cohort study.

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Disaster preparedness, What we have learned from COVID 19 pandemic [COVID-19]

Annals of Family Medicine

Context: Despite a joint recommendation in 2003 by the AAMC and CDC that bioterrorism and mass-casualty training be included in the medical school curriculum, few medical schools have incorporated formal disaster training. Only 15% (n=5) received emergency response training outside of residency, with 3% (n=1) during medical school.

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Exploring Iron Deficiency in Alberta: Following up on Clinical Observations [Population health and epidemiology]

Annals of Family Medicine

Objective: Our study investigates ID prevalence in Alberta from 2010 to 2022 and its association with patient and provider characteristics. Study Design: Retrospective analysis of electronic medical data obtained from the Canadian Primary Care Research Network, Southern Alberta Primary Care Research Network (SAPCReN-CPCSSN).

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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

Study aesign and analysis: Multilevel linear probability models used to test the association between primary care utilization and geographic accessibility of primary care providers (PCP) after controlling for demographic characteristics, medical conditions, rurality, and neighborhood-level racial and economic segregation.

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What Does “NNT” Mean and Why Should You Care?

Family Medicine Initiative

It’s the number of patients you need to treat to prevent one bad outcome. Now, some context: The NNT was first introduced in the NEJM in 1988 as a useful measure to communicate and prioritize medical treatments. However, a 2020 analysis of 875 clinical trials showed that only 9% reported an NNT. What is the NNT?

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