Christopher Kitchen
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View article: Patterns of Telehealth Use Across the Cancer Care Continuum and Assessment of Patient and Geographic Factors Associated With Key Healthcare Outcomes: Retrospective Study
Patterns of Telehealth Use Across the Cancer Care Continuum and Assessment of Patient and Geographic Factors Associated With Key Healthcare Outcomes: Retrospective Study Open
Background Although the use of telehealth has declined since the pandemic, it remains a popular mode of care delivery across the cancer care continuum. Understanding telehealth in the context of cancer care is essential, as its benefits an…
View article: Racial Differences in Suicide and Undetermined Deaths in Maryland
Racial Differences in Suicide and Undetermined Deaths in Maryland Open
Importance Undetermined manner of death may obscure the true prevalence of suicide, particularly among Black decedents, and contribute to inequities in health care and autopsy reviews. Objective To identify and compare health care utilizat…
View article: Assessing the advantages and disadvantages of dimensionality reduction methods in summarizing housing determinants of health in the United States
Assessing the advantages and disadvantages of dimensionality reduction methods in summarizing housing determinants of health in the United States Open
Objectives To evaluate and compare different dimensionality reduction techniques for quantifying housing conditions as a social determinant of health (SDOH) across various geographic levels in the United States. Materials and Methods A tot…
View article: An Electronic Health Record–Based Platform for Social Needs Assessment and Navigation Services: Preliminary Results of an RCT
An Electronic Health Record–Based Platform for Social Needs Assessment and Navigation Services: Preliminary Results of an RCT Open
This trial is registered through the NIH on clnicaltrials.gov (NCT05574699).
View article: Enhancement of a social risk score in the electronic health record to identify social needs among medically underserved patients: using structured data and free-text provider notes
Enhancement of a social risk score in the electronic health record to identify social needs among medically underserved patients: using structured data and free-text provider notes Open
Objective To improve the performance of a social risk score (a predictive risk model) using electronic health record (EHR) structured and unstructured data. Materials and Methods We used EPIC-based EHR data from July 2016 to June 2021 and …
View article: Piloting a Clinical Decision Support Tool to Identify Patients With Social Needs and Provide Navigation Services and Referral to Community-Based Organizations: Protocol for a Randomized Controlled Trial
Piloting a Clinical Decision Support Tool to Identify Patients With Social Needs and Provide Navigation Services and Referral to Community-Based Organizations: Protocol for a Randomized Controlled Trial Open
Background Social needs and social determinants of health (SDOH) significantly outrank medical care when considering the impact on a person’s length and quality of life, resulting in poor health outcomes and worsening life expectancy. Inte…
View article: Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study
Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study Open
Background Patients with unmet social needs and social determinants of health (SDOH) challenges continue to face a disproportionate risk of increased prevalence of disease, health care use, higher health care costs, and worse outcomes. Som…
View article: Piloting a Clinical Decision Support Tool to Identify Patients With Social Needs and Provide Navigation Services and Referral to Community-Based Organizations: Protocol for a Randomized Controlled Trial (Preprint)
Piloting a Clinical Decision Support Tool to Identify Patients With Social Needs and Provide Navigation Services and Referral to Community-Based Organizations: Protocol for a Randomized Controlled Trial (Preprint) Open
BACKGROUND Social needs and social determinants of health (SDOH) significantly outrank medical care when considering the impact on a person’s length and quality of life, resulting in poor health outcomes and worsening life expectancy. Int…
View article: Understanding the Suicide Prevention Needs among People Grieving Partner Loss Through Social Media: Qualitative Analysis (Preprint)
Understanding the Suicide Prevention Needs among People Grieving Partner Loss Through Social Media: Qualitative Analysis (Preprint) Open
BACKGROUND Bereavement is a significant stressor linked to exacerbated mental health issues, including suicidal behaviors, and is especially prevalent among individuals who have lost a partner. Despite this, limited research has been cond…
View article: Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study (Preprint)
Development of a Social Risk Score in the Electronic Health Record to Identify Social Needs Among Underserved Populations: Retrospective Study (Preprint) Open
BACKGROUND Patients with unmet social needs and social determinants of health (SDOH) challenges continue to face a disproportionate risk of increased prevalence of disease, health care use, higher health care costs, and worse outcomes. So…
View article: Application of natural language processing to identify social needs from patient medical notes: development and assessment of a scalable, performant, and rule-based model in an integrated healthcare delivery system
Application of natural language processing to identify social needs from patient medical notes: development and assessment of a scalable, performant, and rule-based model in an integrated healthcare delivery system Open
Objectives To develop and test a scalable, performant, and rule-based model for identifying 3 major domains of social needs (residential instability, food insecurity, and transportation issues) from the unstructured data in electronic heal…
View article: Demographic predictors of emergency service utilization patterns in youth at risk of suicide
Demographic predictors of emergency service utilization patterns in youth at risk of suicide Open
Objective To explore demographic predictors of Emergency Department (ED) utilization among youth with a history of suicidality (i.e., ideation or behaviors). Methods Electronic health records were extracted from 2017 to 2021 for 3094 8–22 …
View article: Demographic Predictors of Emergency Service Utilization Patterns in Youth At Risk of Suicide
Demographic Predictors of Emergency Service Utilization Patterns in Youth At Risk of Suicide Open
Objective: To explore demographic predictors of Emergency Department (ED) utilization among youth with a history of suicidality.Methods: Electronic health records were extracted for 3,094 8-22 year-old patients with a history of suicidalit…
View article: Assessing the Added Value of Vital Signs Extracted from Electronic Health Records in Healthcare Risk Adjustment Models
Assessing the Added Value of Vital Signs Extracted from Electronic Health Records in Healthcare Risk Adjustment Models Open
When a healthcare system lacks relevant diagnostic or risk assessment information for a patient, vital signs may be useful for a simple estimation of disease risk, cost and utilization.
View article: Comparing and validating medication complexity from insurance claims against electronic health records
Comparing and validating medication complexity from insurance claims against electronic health records Open
BACKGROUND: Patient effort to comply with complex medication instructions is known to be related to nonadherence and subsequent medical complications or health care costs. A widely used Medication Regimen Complexity Index (MRCI) has been u…
View article: Comparing the predictive value of screening to the use of electronic health record data for detecting future suicidal thoughts and behavior in an urban pediatric emergency department: A preliminary analysis
Comparing the predictive value of screening to the use of electronic health record data for detecting future suicidal thoughts and behavior in an urban pediatric emergency department: A preliminary analysis Open
Aim Brief screening and predictive modeling have garnered attention for utility at identifying individuals at risk of suicide. Although previous research has investigated these methods, little is known about how these methods compare again…
View article: Development of measurable criteria to identify and prioritize patients for inclusion in comprehensive medication management programs within primary care settings
Development of measurable criteria to identify and prioritize patients for inclusion in comprehensive medication management programs within primary care settings Open
BACKGROUND: Pharmacists optimize medication use and ensure the safe and effective delivery of pharmacotherapy to patients using comprehensive medication management (CMM). Identifying and prioritizing individual patients who will most likel…
View article: Comparing the predictive value of suicide risk screening to the detection of suicide risk using electronic health records in an urban pediatric emergency department
Comparing the predictive value of suicide risk screening to the detection of suicide risk using electronic health records in an urban pediatric emergency department Open
Objective To compare the accuracy, sensitivity and utility of brief screening to predictive modeling for identifying suicide-related outcomes in a pediatric emergency department. Our hypothesis was that predictive modeling would be more ac…
View article: Assessing the association between area deprivation index on COVID-19 prevalence: a contrast between rural and urban U.S. jurisdictions
Assessing the association between area deprivation index on COVID-19 prevalence: a contrast between rural and urban U.S. jurisdictions Open
Background The COVID-19 pandemic has impacted communities differentially, with poorer and minority populations being more adversely affected. Prior rural health research suggests such disparities may be exacerbated during the pandemic and…
View article: Differential Impact of Mitigation Policies and Socioeconomic Status on COVID-19 Prevalence and Social Distancing in the United States
Differential Impact of Mitigation Policies and Socioeconomic Status on COVID-19 Prevalence and Social Distancing in the United States Open
Background The spread of COVID-19 has highlighted the long-standing health inequalities across the U.S. as neighborhoods with fewer resources were associated with higher rates of COVID-19 transmission. Although the stay-at-home order was o…
View article: Differential Impact of Mitigation Policies and Socioeconomic Status on COVID-19 Prevalence and Social Distancing in the United States
Differential Impact of Mitigation Policies and Socioeconomic Status on COVID-19 Prevalence and Social Distancing in the United States Open
Background The spread of COVID-19 has highlighted the long-standing health inequalities across the U.S. as neighborhoods with fewer resources were associated with higher rates of COVID-19 transmission. Although the stay-at-home order was o…
View article: Assessing the Impact of Area Deprivation Index on COVID-19 Prevalence: A Contrast Between Rural and Urban U.S. Jurisdictions
Assessing the Impact of Area Deprivation Index on COVID-19 Prevalence: A Contrast Between Rural and Urban U.S. Jurisdictions Open
Background The COVID-19 pandemic has impacted communities differentially, with poorer and minority populations being more adversely affected. Prior rural health research suggests such disparities may be exacerbated during the pandemic and …
View article: Assessing the Impact of Neighborhood Socioeconomic Characteristics on COVID-19 Prevalence Across Seven States in the United States
Assessing the Impact of Neighborhood Socioeconomic Characteristics on COVID-19 Prevalence Across Seven States in the United States Open
Introduction: The spread of Coronavirus Disease 2019 (COVID-19) across the United States has highlighted the long-standing nationwide health inequalities with socioeconomically challenged communities experiencing a higher burden of the dis…
View article: Construction and Validation of Claims‐Based Medication Regimen Complexity Index
Construction and Validation of Claims‐Based Medication Regimen Complexity Index Open
Research Objective Population health management programs often use administrative claims to measure medication refills (eg, medication possession ratio); however, claims‐based indexes lack measuring medication complexity and adherence toge…
View article: Comparison of Novel Immunoassay With Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) for Therapeutic Drug Monitoring of Clozapine
Comparison of Novel Immunoassay With Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) for Therapeutic Drug Monitoring of Clozapine Open
Background: Clozapine is the most effective antipsychotic for treatment-resistant schizophrenia. Although serum clozapine levels can help guide treatment, they are underutilized owing to requirements for frequent venous blood draws and lac…
View article: Interlocutory Appeal of Class Action Certification Decisions Under Federal Rule of Civil Procedure 23(f): A Proposal for a New Guideline
Interlocutory Appeal of Class Action Certification Decisions Under Federal Rule of Civil Procedure 23(f): A Proposal for a New Guideline Open
The class action is an “invention in equity,” created to allow large groups of plaintiffs to enforce their equitable rights. Over the past decade, it has assumed a prominent and important role in American civil litigation. A uniquely compl…
View article: O9.8. USING APPROPRIATE OUTCOMES WHEN EVALUATING COGNITIVE BEHAVIOR THERAPY FOR PSYCHOSIS (CBTP) FOR PATIENTS WITH SCHIZOPHRENIA IN AN INPATIENT SETTING: TRENDS OBSERVED IN CLINICAL PRACTICE
O9.8. USING APPROPRIATE OUTCOMES WHEN EVALUATING COGNITIVE BEHAVIOR THERAPY FOR PSYCHOSIS (CBTP) FOR PATIENTS WITH SCHIZOPHRENIA IN AN INPATIENT SETTING: TRENDS OBSERVED IN CLINICAL PRACTICE Open
Cognitive behavior therapy for psychosis (CBTp) has been used with patients with schizophrenia for well over fifty years. Previous evaluations of CBTp have emphasized change in global scores of psychosis as the primary (if not the only) ou…