Background: Sepsis is a life-threatening response to infection that results in significant morbidity and mortality in children. International standardized guidelines have been developed by organizations such as the Surviving Sepsis Campaign to improve...
Background
It is well known that health related social needs (HRSN) impact long-term health outcomes including quality and length of life. Our study sought to examine the relationship between HRSN burden and emergency department (ED) and urgent care...
Background: Postmenopausal bleeding (PMB) is the most common initial presentation of endometrial cancer. The American College of Obstetrics and Gynecology recommends evaluation of PMB with transvaginal ultrasound (TVUS) to determine the endometrial...
Background: There are numerous risk factors that affect breast cancer (BC) incidence and mortality, including, but not limited to, age, race, income, insurance status, reproductive patterns, breast density, and germline genetic mutations. Approximately...
Background
Goals of care (GOC) discussions during advanced serious illness and end-of-life (EOL) care are critical. Institutions are increasingly tracking the frequency and timing of GOC documentation, but large-scale content assessments have been...
Background
Long acting injectable (LAI) preexposure prophylaxis (PrEP) has the potential to increase PrEP uptake and adherence. However, the majority of studies investigating opinions about LAI PrEP were theoretical, done prior to its approval. It is...
Background
A previous exploratory analysis of surveillance data at our large academic medical center identified higher CLABSI rates among non-Hispanic Black patients compared to White patients. In the context of a growing understanding of the...
Objective: This study evaluated predictors of surgical staging with lymphadenectomy (LA) and prescription of adjuvant therapy in a cohort of patients with clinical stage I ovarian cancer.
Methods: This retrospective cohort study assessed surgical...
Background: Hypergranulation tissue (HGT) is recognized as a common complication after vaginoplasty, however it is not well represented in the literature. Silver nitrate is a common, first-line treatment for HGT. In this study, we examine silver...
BACKGROUND: The purpose of this study was to systematically review complications arising from intramedullary nailing (IMN) of proximal and humeral shaft fractures. This study hypothesized that there would be a low rate of complications and revision...
Objective:
Compare differences in demographics, comorbidities, and ED visits or hospitalizations in Black versus White AIBD patients evaluated and treated at Duke Dermatology between 2012-2021.
Background:
Previous cross-sectional studies of...
Background: In infants with neurological symptoms, ischemic stroke and bacterial meningitis are possible. To rule out meningitis, clinicians often perform a lumbar puncture. However, there is minimal research describing the cerebrospinal fluid (CSF) of...
Background and objective: Human milk oligosaccharides (HMOs) are carbohydrates abundant in human breast milk. Their composition varies widely among women, and prior research has identified numerous factors contributing to this variation. However, the...
Background: Glenoid bone loss remains one of the most significant risk factors for recurrent instability following surgical management of glenohumeral instability. Controversy exists regarding the optimal procedure for reconstructing glenoid bone loss...
Introduction: We assessed adherence to ACOG guidelines for antihypertensive medication initiation or titration among pregnant chronic hypertensive patients with blood pressure (BP) > 140/90 and patient characteristics associated with...
BACKGROUND: The purpose of this study is to compare the outcomes of reverse total shoulder arthroplasty (RTSA) in elderly patients with proximal humerus fractures (PHFs) who underwent early RTSA versus those who underwent delayed RTSA.
METHODS: A...
Background. Persons with rheumatoid arthritis (RA) have increased risk of cardiometabolic disease. The Supervised Weight loss and Exercise Training for Rheumatoid Arthritis (SWET-RA) trial demonstrated improved RA cardiometabolic risk with a weight...
Background: Cardiac amyloidosis (CA) is associated with high rates of intrinsic conduction disease. Patients with CA and cardiac implantable electronic devices (CIED) have demonstrated an eventual reliance on ventricular pacing, regardless of initial...
Introduction: In the U.S., patients of Black race and Hispanic ethnicity have lower survival from out-of-hospital cardiac arrest (OHCA) when they are not witnessed by 9-1-1 responders than White patients. Whether these racial and ethnic differences...
Background: Current osteoporosis screening guidelines recommend bone mineral density (BMD) testing following fragility fractures. Despite the existence of such guidelines, previous studies have demonstrated that rates of osteoporosis screening remain...
BACKGROUND: Slings with abduction pillows are used by surgeons in the postoperative rehabilitation protocol for arthroscopic rotator cuff repair (ARCR); however, there is a lack of evidence demonstrating superior outcomes. The purpose of this study is...
Background: While cardiometabolic disease (CMD) is the number one cause of death for women in the US, age at CMD onset is 10-20 years after that of men. This stark difference in CMD incidence is attributed to menopausal estrogen withdrawal. Along with...
Background: Hispanic patients exhibit a wide range of skin colors and represent one of the fastest growing populations in the United States. However, most cutaneous squamous cell carcinoma (cSCC) treatment and follow-up guidelines are based on studies...
Background: The parent perspective on the value of family conferences in the intensive care unit is not well characterized. We aimed to characterize parents’ perspectives on the value of and opportunities to improve conferences between parents of...
Background: Metastatic breast cancer (MBC) is incurable, despite recent therapeutic advances resulting in extended trajectories of disease, especially in estrogen receptor positive (ER+) and human epidermal growth factor-2 negative (HER2-) MBC....
Background:
Prior studies have investigated the association between vitiligo and sensorineural hearing loss in adults, with the knowledge that melanocytes are involved in the auditory system. While there are conflicting data regarding this...
Background: Congenital hypothyroidism is the most common congenital endocrine disorder, and is one of the most common and preventable causes of intellectual disability. Preterm infants with low birth weights are more likely to develop congenital...
Background
Differences in the rates of deep brain stimulation (DBS) based on socioeconomic and demographic variables have been investigated for indications such as Parkinson’s disease, essential tremor, and epilepsy. Descriptive studies analyzing the...
Background: The 21st Century Cures Act provides patients with access to their clinical notes, but most patients, particularly those with limited health literacy (HL), have difficulty understanding and utilizing them for health-based decisions and...
Background: In some patients who receive a cardiac resynchronization therapy (CRT) device, the left ventricular ejection fraction (LVEF) does not improve.
Methods: We analyzed patients enrolled in the REVERSE, MADIT-CRT, and BLOCK-HF trials,...
Background: Parents of neonates with seizures report persistent symptoms of depression, anxiety, and post-traumatic stress. We aimed to characterize the parent experience of caring for children impacted by neonatal seizures, including longitudinal...
Background: Outcomes research in cleft palate care is limited by small sample size, longitudinal care, numerous phenotypic variations, and the lack of a well-established learning health system. The objective of this study is to conduct a critical...
Background: Psoriasis is an autoimmune skin disease associated with inflammatory pulmonary diseases. However, it is unclear whether psoriasis patients are at increased risk for chronic obstructive pulmonary disease (COPD). In addition, the relationship...