Publications

Take a deeper look into all the publications produced by researchers at The Dartmouth Institute.

Dev A, Nagovich J, Maganti S, Vitale E, Blunt H, Allen SE

2024 Jun 3;10(1):11doi: 10.1186/s40748-024-00181-9

The risk of recurrent adverse birth outcomes has been reported worldwide, but there are limited estimates of these risks by social subgroups such as race and ethnicity in the United States. We assessed racial and ethnic disparities in the risk of recurrent adverse birth outcomes, including preterm birth, low birthweight, fetal growth restriction, small for gestational age, stillbirth, and neonatal mortality in the U.S.

Matern Health Neonatol Perinatol | 2024 Jun 3

Meghani SH, Mooney-Doyle K, Barnato A, Colborn K, Gillette R, Harrison KL, Hinds PS, Kirilova D, Knafl K, Schulman-Green D, Pollak KI, Ritchie CS, Kutner JS, Karcher S

2024 May 31;pii: S0885-3924(24)00797-8. doi: 10.1016/j.jpainsymman.2024.05.027

Data sharing is increasingly an expectation in health research as part of a general move toward more open sciences. In the United States, in particular, the implementation of the 2023 National Institutes of Health Data Management and Sharing Policy has made it clear that qualitative studies are not exempt from this data sharing requirement. Recognizing this trend, the Palliative Care Research Cooperative Group (PCRC) realized the value of creating a de-identified qualitative data repository to complement its existing de-identified quantitative data repository. The PCRC Data Informatics and Statistics Core leadership partnered with the Qualitative Data Repository (QDR) to establish the first serious illness and palliative care qualitative data repository in the U.S. We describe the processes used to develop this repository, called the PCRC-QDR, as well as our outreach and education among the palliative care researcher community, which led to the first ten projects to share the data in the new repository. Specifically, we discuss how we co-designed the PCRC-QDR and created tailored guidelines for depositing and sharing qualitative data depending on the original research context, establishing uniform expectations for key components of relevant documentation, and the use of suitable access controls for sensitive data. We also describe how PCRC was able to leverage its existing community to recruit and guide early depositors and outline lessons learned in evaluating the experience. This work advances the establishment of best practices in qualitative data sharing.

J Pain Symptom Manage | 2024 May 31

Otto-Moudry R, Kinney LM, Butcher RL, Blasdel G, Brown LK, Elwyn G, Myers JB, Turco JH, Nigriny JF, Moses RA

2024 May;12(5):e5840doi: 10.1097/GOX.0000000000005840

Metoidioplasty and phalloplasty gender-affirming surgery (MaPGAS) is increasingly performed and requires patients to make complex decisions that may lead to decisional uncertainty. This study aimed to evaluate decisional conflict in individuals considering MaPGAS.

Plast Reconstr Surg Glob Open | 2024 May

Krafcik BM, Gladders B, Jarmel I, Moore K, Cai M, Fowler X, Suckow BD, Stone DH, Columbo JA, Davies L, Goodney PP

2024 May 28;pii: S0890-5096(24)00244-9. doi: 10.1016/j.avsg.2024.03.025

The COVID-19 pandemic necessitated postponement of vascular surgery procedures nationally. Whether procedure volumes have since recovered remains undefined. Therefore, our objective was to quantify changes in procedure volumes and determine whether surgical volume has returned to its pre-pandemic baseline.

Ann Vasc Surg | 2024 May 28

Rand LZG, McGraw S, Wang J, Woloshin S, Wang SV, Darrow J, Kesselheim AS

2024 May 30;doi: 10.1111/jgs.19015

J Am Geriatr Soc | 2024 May 30

Rodriguez HP, Berube AD, Hung DY, Shortell SM, Fisher ES

2024 May-Jun;22(3):233-236doi: 10.1370/afm.3100

This study characterized adult primary care medical assistant (MA) staffing. National Survey of Healthcare Organizations and Systems (n = 1,252) data were analyzed to examine primary care practice characteristics associated with MA per primary care clinician (PCC) staffing ratios. In 2021, few practices (11.4%) had ratios of 2 or more MAs per PCCs. Compared with system-owned practices, independent (odds ratio [OR] = 1.76, <0.05) and medical group-owned (OR = 2.09, <0.05) practices were more likely to have ratios of 2 or more MAs per PCCs, as were practices with organizational cultures oriented to innovation ( <0.05). Most primary care practices do not have adequate MA staffing.

Ann Fam Med | 2024 May-Jun

Lakdawalla D, Tunis S, Neumann P, Whicher D, Zeitler E, Liden B

2024 May 23;pii: S1098-3015(24)02368-4. doi: 10.1016/j.jval.2024.05.008

The Centers for Medicare & Medicaid Services' (CMS) coverage with evidence development (CED) policy allows the agency to provide coverage for an item or service through a National Coverage Determination (NCD) conditional upon an agreement to collect evidence designed to address specific questions or uncertainties. The goals of this policy are to expedite beneficiary access to new items and services and to generate additional evidence on the impact of these items or services for Medicare beneficiaries. However, these goals have not been fully realized because of several issues with the way the policy has been implemented, including (1) a lack of clear criteria for when CED will be applied, (2) examples of CED data collection activities placing unnecessary burdens on clinicians and the potential for undue inducement on beneficiaries, and (3) a lack of clarity around the process and timeline for reconsidering and ending CED requirements. Additionally, there are cases where the application of CED has failed to improve access to services for certain Medicare beneficiaries because no data collection activity was implemented in response to the CED requirement or because the NCD only allows the technology to be provided and studied in certain centers of excellence. We describe a roadmap for addressing these issues which includes, for example, developing a framework to guide the application of coverage constraints in NCDs with CED requirements. Once these issues are addressed, CMS could consider expanding the use of CED to technologies that are not subject to NCDs.

Value Health | 2024 May 23

O'Malley BY, Etoundi-Ngono E, Hua J, Nano JP, Pipas CF

2024 May 3;21(5)doi: 10.3390/ijerph21050590

Graduate student wellbeing is a public health issue in the United States. The COVID-19 outbreak exacerbated the mental health burden on graduate students worldwide. Culture of Wellness (PH 104) is a 2-week wellbeing elective course that teaches evidence-based wellbeing strategies for graduate students at a university in the United States. Our study aimed to evaluate the impact of this pilot wellbeing elective on Master of Public Health students' mental health and wellness during the COVID-19 pandemic.

Int J Environ Res Public Health | 2024 May 3

Dhand A, Reeves MJ, Mu Y, Rosner BA, Rothfeld-Wehrwein ZR, Nieves A, Dhongade VA, Jarman M, Bergmark RW, Semco RS, Ader J, Marshall BDL, Goedel WC, Fonarow GC, Smith EE, Saver JL, Schwamm LH, Sheth KN

2024 Jun;55(6):1507-1516doi: 10.1161/STROKEAHA.123.045521

Delays in hospital presentation limit access to acute stroke treatments. While prior research has focused on patient-level factors, broader ecological and social determinants have not been well studied. We aimed to create a geospatial map of prehospital delay and examine the role of community-level social vulnerability.

Stroke | 2024 Jun

McLaren JL, Zito JM, Fegert JM, Barnett ER

2024;15:1418600doi: 10.3389/fpsyt.2024.1418600

Front Psychiatry | 2024

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