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Machine learning models for atrial fibrillation detection in primary care using electronic health records: systematic review [Cardiovascular disease]

Annals of Family Medicine

Context: Atrial fibrillation (AFib) significantly impacts patient morbidity and mortality, despite existing screening practices. Machine learning (ML) models offer potential for improved detection of AFib from electronic health records (EHR). Models combining ML with other clinical tools showed improved discrimination.

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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Context: In 2012, the United States cervical cancer screening (CCS) guidelines changed to add co-testing (Papanicolaou [Pap] and human papillomavirus [HPV] test) to Pap-only. Setting or dataset: Electronic health record data from 25 primary care clinics in 3 FQHCs in Washington and Idaho PBRN from 2012-2017. were White, 16.0%

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Prioritizing Actionable Implementation Strategies to Support Breast Cancer Follow-up in Primary Care [Cancer research (not screening)]

Annals of Family Medicine

BACKGROUND: Despite the emphasis of primary care’s (PC) role in breast cancer follow-up improvements have had limited clinical impact. OBJECTIVE: To prioritize implementation strategies to support PC adoption of evidence to guide breast cancer follow-up care.

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Optimizing Medical Legal Partnerships for sustainable public funding through the tele-legal model [Mixed methods research]

Annals of Family Medicine

Participating clinic sites offered convenience sample frame, patients with legal needs were identified through universal and secondary screening approach. Descriptive analysis utilized primary legal record and secondary electronic health record sources. Intervention/Instrument: Legal-needs screening tool.

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Economic analysis utilized "difference in difference" methodology comparing individuals who received legal services to control groups: a) in the same clinic; b) in 12 other primary care clinics within the same health system. Setting or Dataset: Medicaid Claims, Epic electronic health record.

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AAA screening rates in Internal Medicine and Family Medicine at UNMC [Clinical research (other)]

Annals of Family Medicine

The USPSTF recommends 1-time screening for AAA with ultrasonography in men aged 65 to 75 years who have ever smoked. (B Study Design and Analysis: Retrospective chart search of the electronic medical records of a specific sub-group of patients at UNMC. Conclusion: There is a need for more screening for AAA in primary care.

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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

Study Design and Analysis Five electronic research databases were searched to identify randomized controlled trials (RCT) and non-randomized studies of interventions. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included. Intervention N/A.