1
40
5
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.3122/jabfm.2019.05.190085" target="_blank" rel="noreferrer noopener">http://doi.org/10.3122/jabfm.2019.05.190085</a>
Pages
732-738
Issue
5
Volume
32
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Sources of Error in Office Blood Pressure Measurement
Publisher
An entity responsible for making the resource available
Journal of the American Board of Family Medicine: JABFM
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-10
Subject
The topic of the resource
bias; Blood Pressure; end-digit preference; global burden; hypertension; Hypertension; mercury; Patient Positioning; Prehypertension; prevalence
October 2019 Update
Creator
An entity primarily responsible for making the resource
Morcos Roy N; Carter Kimbroe J; Castro Frank; Koirala Sumira; Sharma Deepti; Syed Haroon
Description
An account of the resource
PURPOSES: To evaluate 2 commonly overlooked sources of error in measuring blood pressure (BP) in the office, improper patient positioning and frequency of terminal digit bias (TDB) using manual and automated (BP) devices. METHODS: BPs recorded by 3 nurses using manual and automated devices were analyzed for TDB. In the next part of the study, 294 patients were recruited and tested with each patient's BP measured twice in the table position and compared with BP measured in the chair position. To eliminate concern for position sequence, a randomized controlled trial was initially conducted. RESULTS: Significant TDB for the digit zero was identified in BPs measured by all nurses using a manual device. No such bias was identified for any nurse when measuring BP with an automated device. For the positional study, the randomized controlled study showed no significant sequencing effect therefore the sequence of table then chair BP measurements was adopted. Significant BP lowering was observed in 128 patients (42.7%) in the chair compared with the table position. Misclassification of prehypertension and hypertension would have occurred in 15.3% and 16% of patients, respectively, when BP was recorded in the table instead of the chair position. CONCLUSIONS: Significant TDB was identified for all nurses when using a manual but not an automated device. Patient positioning on the examination table resulted in elevations of systolic and diastolic BPs.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.3122/jabfm.2019.05.190085" target="_blank" rel="noreferrer noopener">10.3122/jabfm.2019.05.190085</a>
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Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Bias
Blood Pressure
Carter Kimbroe J
Castro Frank
Department of Family & Community Medicine
end-digit preference
global burden
Hypertension
Journal of the American Board of Family Medicine: JABFM
Koirala Sumira
mercury
Morcos Roy N
NEOMED College of Medicine
October 2019 Update
PATIENT positioning
Prehypertension
Prevalence
Sharma Deepti
Syed Haroon
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
725
Volume
61
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Gynecomastia: When is treatment indicated?
Publisher
An entity responsible for making the resource available
The Journal of Family Practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-12
Subject
The topic of the resource
BREAST disease diagnosis; CONNECTIVE tissues; GYNECOMASTIA; MAMMOGRAMS
Creator
An entity primarily responsible for making the resource
Morcos Roy N; Kizy Thomas
Description
An account of the resource
The article presents a case study of a 57-year-old man with gynecomastia which has been clinically evaluated through an algorithmic approach. It notes that a focused history to determine side effects of medication must be conducted if an examination suggests true gynecomastia. It mentions that diagnostic breast radiography is needed for irregular mass outside the connective tissue.
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2012
BREAST disease diagnosis
CONNECTIVE tissues
Department of Family & Community Medicine
GYNECOMASTIA
Kizy Thomas
MAMMOGRAMS
Morcos Roy N
NEOMED College of Medicine
The Journal of family practice
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
199;201;206;207–199;201;206;207
Issue
4
Volume
67
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Getting the hypertension Dx right: Patient positioning matters.
Publisher
An entity responsible for making the resource available
The Journal of Family Practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-04
Subject
The topic of the resource
AMERICAN Heart Association; BLOOD pressure; HYPERTENSION; LOGISTIC regression analysis; PATIENT positioning; SPHYGMOMANOMETERS
Creator
An entity primarily responsible for making the resource
Morcos Roy N; Carter Kimbroe J; Castro Frank; Yu Nathan; Jordan Cary; Macabobby Thomas D; Rodriguez Angelina
Description
An account of the resource
Taking blood pressure with the patient seated on the edge of an exam table led to misclassification of prehypertension or hypertension in 13.2% of patients.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
AMERICAN Heart Association
Blood Pressure
Carter Kimbroe J
Castro Frank
Department of Family & Community Medicine
Hypertension
Jordan Cary
LOGISTIC regression analysis
Macabobby Thomas D
Morcos Roy N
NEOMED College of Medicine
PATIENT positioning
Rodriguez Angelina
SPHYGMOMANOMETERS
The Journal of family practice
Yu Nathan
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2214/AJR.18.19749" target="_blank" rel="noreferrer noopener">http://doi.org/10.2214/AJR.18.19749</a>
Pages
W82–W83
Issue
1
Volume
211
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
On the Importance of Accurate Inputs and Assumptions for Screening Mammography Modeling.
Publisher
An entity responsible for making the resource available
AJR. American journal of roentgenology
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-07
Creator
An entity primarily responsible for making the resource
Carter Kimbroe J; Castro Frank; Morcos Roy N
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2214/AJR.18.19749" target="_blank" rel="noreferrer noopener">10.2214/AJR.18.19749</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
AJR. American journal of roentgenology
Carter Kimbroe J
Castro Frank
Department of Family & Community Medicine
Morcos Roy N
NEOMED College of Medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.2214/AJR.17.18484" target="_blank" rel="noreferrer noopener">http://doi.org/10.2214/AJR.17.18484</a>
Pages
564–571
Issue
3
Volume
210
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Insights Into Breast Cancer Screening: A Computer Simulation of Two Contemporary Screening Strategies.
Publisher
An entity responsible for making the resource available
AJR. American journal of roentgenology
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-03
Subject
The topic of the resource
Female; Humans; *Computer Simulation; *Practice Guidelines as Topic; American Cancer Society; Biopsy/economics/statistics & numerical data; breast cancer; Breast Neoplasms/*diagnostic imaging; Cost-Benefit Analysis; cost-effectiveness acceptability curves; Early Detection of Cancer/economics/methods; False Positive Reactions; mammography screening; Mammography/economics/*statistics & numerical data; Mass Screening/*methods; Medical Overuse/economics; mixed interval screening; Monte Carlo method; Monte Carlo Method; Unnecessary Procedures/economics
Creator
An entity primarily responsible for making the resource
Carter Kimbroe J; Castro Frank; Morcos Roy N
Description
An account of the resource
OBJECTIVE: The debate over the value of screening mammography is rekindled with each new published study or guideline. Central to the discussion are the uncertainties about screening benefits and harms and the criteria used to assess them. Today, the magnitude of benefits for a population is less certain, and the evolving concept of harm has come to encompass false-positives (FPs), unnecessary biopsies, overdiagnosis, and overtreatment. This study uses a Monte Carlo computer simulation to study the balance of benefits and harms of mammographic breast cancer screening for average-risk women. MATERIALS AND METHODS: This investigation compares the American Cancer Society's 2015 mixed annual-biennial guideline with the U.S. Preventive Services Task Force's 2016 fixed biennial guideline. Screening strategies are compared using cost-effectiveness acceptability curves, an economic analysis describing uncertainty in evaluating costs and health outcomes. Strategy preference is examined under changing assumptions of willingness to pay for a quality-adjusted life-year. Additionally, comparative effectiveness analysis is performed using FP screens and unnecessary biopsies per life-year gained. Alternative scenarios are compared assuming a reduced mortality benefit of screening. RESULTS: In general, results using both cost-effectiveness and clinical measures indicate that American Cancer Society's 2015 mixed annual-biennial guideline is preferred. Assuming decreases in the mortality benefit of mammography, no screening may be reasonable. CONCLUSION: The use of a mixed annual-biennial strategy for population screening takes advantage of the nonuniformity of occurrence of mammography benefits and harms over the duration of screening. This approach represents a step toward improving guidelines by exploiting age dependencies at which benefits and harms accrue.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2214/AJR.17.18484" target="_blank" rel="noreferrer noopener">10.2214/AJR.17.18484</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Computer Simulation
*Practice Guidelines as Topic
2018
AJR. American journal of roentgenology
American Cancer Society
Biopsy/economics/statistics & numerical data
breast cancer
Breast Neoplasms/*diagnostic imaging
Carter Kimbroe J
Castro Frank
Cost-Benefit Analysis
cost-effectiveness acceptability curves
Department of Family & Community Medicine
Early Detection of Cancer/economics/methods
False Positive Reactions
Female
Humans
mammography screening
Mammography/economics/*statistics & numerical data
Mass Screening/*methods
Medical Overuse/economics
mixed interval screening
Monte Carlo Method
Morcos Roy N
NEOMED College of Medicine
Unnecessary Procedures/economics