Joshua P. Metlay
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View article: MACRO SOLUTIONS TO A MICRO PROBLEM: DRUG-RESISTANT PNEUMOCOCCAL PNEUMONIA.
MACRO SOLUTIONS TO A MICRO PROBLEM: DRUG-RESISTANT PNEUMOCOCCAL PNEUMONIA. Open
Even before the COVID-19 pandemic, acute respiratory infections represented one of the most common reasons for patients to seek urgent medical care. S. pneumoniae is one of the most frequent bacterial causes of acute respiratory inf…
View article: Examining the Effectiveness of Case Management Programs on Preventing Hospital Stays in Older Adults with Multiple Chronic Health Problems – A PCORnet® Study
Examining the Effectiveness of Case Management Programs on Preventing Hospital Stays in Older Adults with Multiple Chronic Health Problems – A PCORnet® Study Open
How can people use the results?ACOs can use these results when considering ways to help patients with chronic health problems manage their care.To learn more about this project, visit www.pcori.org/Smith023.
View article: Prevalence of Angina Among Primary Care Patients With Coronary Artery Disease
Prevalence of Angina Among Primary Care Patients With Coronary Artery Disease Open
Among stable outpatients with CAD receiving primary care through an integrated primary care network, 21.2% of surveyed patients reported experiencing angina at least once monthly. Several objective demographic and clinical characteristics …
View article: Implementation of the <i>Connect for Health</i> pediatric weight management program: study protocol and baseline characteristics
Implementation of the <i>Connect for Health</i> pediatric weight management program: study protocol and baseline characteristics Open
We are implementing Connect for Health , a primary care-based intervention to improve family-centered outcomes for children, ages 2–12 years, in organizations that care for low-income children. We will use the ‘Reach-Effectiveness-Adoption…
View article: Use of angiotensin converting enzyme inhibitors and angiotensin receptor blockers associated with lower risk of COVID-19 in household contacts
Use of angiotensin converting enzyme inhibitors and angiotensin receptor blockers associated with lower risk of COVID-19 in household contacts Open
Background Use of angiotensin converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) has been hypothesized to affect COVID-19 risk. Objective To examine the association between use of ACEI/ARB and household transmissio…
View article: Household Transmission of SARS-CoV-2
Household Transmission of SARS-CoV-2 Open
This cohort study assesses the risk of household transmission of SARS-CoV-2 and the associated risk factors among exposed household members.
View article: Wireless versus routine physiologic monitoring after cesarean delivery to reduce maternal morbidity and mortality in a resource-limited setting: protocol of type 2 hybrid effectiveness-implementation study
Wireless versus routine physiologic monitoring after cesarean delivery to reduce maternal morbidity and mortality in a resource-limited setting: protocol of type 2 hybrid effectiveness-implementation study Open
View article: Clinical Decision Making During the COVID-19 Pandemic
Clinical Decision Making During the COVID-19 Pandemic Open
The authors apply principles for translating imprecision in diagnostic and therapeutic information into clinical decisions to address 3 ongoing areas of uncertainty related to diagnosis, treatment, and prevention of COVID-19. They briefly …
View article: Implementation of the Connect for Health Pediatric Weight Management Program: Study Protocol and Baseline Characteristics
Implementation of the Connect for Health Pediatric Weight Management Program: Study Protocol and Baseline Characteristics Open
Background: Promising approaches for reduction of childhood obesity include interventions such as Connect for Health, a scalable, primary care-based intervention to improve family-centered outcomes for children ages 2-12 years. Substantial…
View article: Community-acquired Pneumonia Guideline Recommendations—Impact of a Consensus-based Process versus Systematic Reviews
Community-acquired Pneumonia Guideline Recommendations—Impact of a Consensus-based Process versus Systematic Reviews Open
Background The American Thoracic Society (ATS)/Infectious Diseases Society of America (IDSA) Community-acquired Pneumonia (CAP) guidelines were developed using systematic reviews to inform every recommendation, as suggested by the Institut…
View article: The Association Between Symptoms and COVID-19 Test Results Among Healthcare Workers
The Association Between Symptoms and COVID-19 Test Results Among Healthcare Workers Open
Sacks, Chana A. MD, MPH; Dougan, Michael MD, PhD; McCoy, Thomas H. Jr. MD; Zheng, Amy BA; Buonomo, Giancarlo BA; North, Crystal M. MD, MPH; Metlay, Joshua P. MD, PhD; Walensky, Rochelle P. MD, MPH Author Information
View article: The Effectiveness of Post-Discharge Navigation Added to an Inpatient Addiction Consultation for Patients with Substance use Disorder; a Randomized Controlled Trial
The Effectiveness of Post-Discharge Navigation Added to an Inpatient Addiction Consultation for Patients with Substance use Disorder; a Randomized Controlled Trial Open
Background It is unknown whether post-discharge navigation enhances the impact of hospital-initiated addiction care. This study tested the incremental benefit of telephonic linkage to a post-discharge navigator for patients who received an…
View article: Patient and Visit Characteristics Associated With Use of Direct Scheduling in Primary Care Practices
Patient and Visit Characteristics Associated With Use of Direct Scheduling in Primary Care Practices Open
These findings suggest that direct scheduling was associated with greater primary care continuity. Early adopters were more likely to be young, White, and commercially insured, and to the extent these differences persist as direct scheduli…
View article: Association of patterns of multimorbidity with length of stay
Association of patterns of multimorbidity with length of stay Open
The aim of this study was to identify the combinations of chronic comorbidities associated with length of stay (LOS) among multimorbid medical inpatients. Multinational retrospective cohort of 126,828 medical inpatients with multimorbidity…
View article: Engaging stakeholders in the adaptation of the Connect for Health pediatric weight management program for national implementation
Engaging stakeholders in the adaptation of the Connect for Health pediatric weight management program for national implementation Open
View article: Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation
Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation Open
Background: Connect for Health is an evidence-based weight management program with clinical- and family-facing components for delivery in pediatric primary care for families of children ages 2 to 12 years. We used the Consolidated Framewor…
View article: Treatment of Community-Acquired Pneumonia During the Coronavirus Disease 2019 (COVID-19) Pandemic
Treatment of Community-Acquired Pneumonia During the Coronavirus Disease 2019 (COVID-19) Pandemic Open
Although pneumonia caused by severe acute respiratory syndrome coronavirus 2 is a prominent feature of COVID-19, clinicians must consider whether treatment for additional potential causes of community-acquired pneumonia (CAP) is appropriat…
View article: Table of Contents
Table of Contents Open
View article: Baseline Factors Associated with Mortality in Patients Who Engaged in Buprenorphine Treatment for Opioid Use Disorder: a Cohort Study
Baseline Factors Associated with Mortality in Patients Who Engaged in Buprenorphine Treatment for Opioid Use Disorder: a Cohort Study Open
We identified several novel and potentially modifiable predictors of mortality among patients engaging in buprenorphine treatment who remain at an increased risk of death compared with the general population. Understanding these risk facto…
View article: Patterns of multimorbidity in medical inpatients: a multinational retrospective cohort study
Patterns of multimorbidity in medical inpatients: a multinational retrospective cohort study Open
View article: Reply to Huttner <i>et al.</i>: 2019 Community-acquired Pneumonia Treatment Guidelines: There Is a Need for a Change toward More Parsimonious Antibiotic Use
Reply to Huttner <i>et al.</i>: 2019 Community-acquired Pneumonia Treatment Guidelines: There Is a Need for a Change toward More Parsimonious Antibiotic Use Open
View article: Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation
Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation Open
Background: Connect for Health is an evidence-based weight management program with clinical- and family-facing components for delivery in pediatric primary care for families of children ages 2 to 12 years. We used the Consolidated Framewor…
View article: Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation
Engaging Stakeholders in the Adaptation of the Connect for Health Pediatric Weight Management Program for National Implementation Open
Background: Connect for Health is an evidence-based weight management program with clinical- and family-facing components for delivery in pediatric primary care for families of children ages 2 to 12 years. We used the Consolidated Framewor…
View article: Hospital Factors Associated With Interhospital Transfer Destination for Stroke in the Northeast United States
Hospital Factors Associated With Interhospital Transfer Destination for Stroke in the Northeast United States Open
Background We aimed to determine if there is an association between hospital quality and the likelihood of a given hospital being a preferred transfer destination for stroke patients. Methods and Results Data from Medicare claims identifie…
View article: Using Implementation Science to Optimize the Uptake of Evidence-Based Medicine into Dermatology Practice
Using Implementation Science to Optimize the Uptake of Evidence-Based Medicine into Dermatology Practice Open
View article: Reply to Chahine, to Schuetz, and to Fabre <i>et al.</i>
Reply to Chahine, to Schuetz, and to Fabre <i>et al.</i> Open
View article: An Examination of Medical Malpractice Claims Involving Physician Trainees
An Examination of Medical Malpractice Claims Involving Physician Trainees Open
Purpose To identify patient-, provider-, and claim-related factors of medical malpractice claims in which physician trainees were directly involved in the harm events. Method The authors performed a case–control study using medical malprac…
View article: Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America
Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America Open
Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia.Methods: A multidisciplinary panel conducted pragmatic systematic reviews of…
View article: Patterns of multimorbidity associated with 30-day readmission: a multinational study
Patterns of multimorbidity associated with 30-day readmission: a multinational study Open
View article: The importance of health insurance claims data in creating learning health systems: evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet)
The importance of health insurance claims data in creating learning health systems: evaluating care for high-need high-cost patients using the National Patient-Centered Clinical Research Network (PCORNet) Open
Objective Case management programs for high-need high-cost patients are spreading rapidly among health systems. PCORNet has substantial potential to support learning health systems in rapidly evaluating these programs, but access to comple…