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View article: The Impact of Progressive Effect Nutritional Care on Treatment Adherence, Quality of Life, and Nutritional Status in Uremia Patients Undergoing Dialysis
The Impact of Progressive Effect Nutritional Care on Treatment Adherence, Quality of Life, and Nutritional Status in Uremia Patients Undergoing Dialysis Open
Objective: To investigate the impact of progressive effect nutritional care on uremia patients undergoing dialysis. Methods: A total of 101 uremia patients undergoing dialysis admitted from January 2024 to March 2025 were selected as the s…
View article: Investigating the built environment surrounding naturally occurring retirement communities (NORCs) in Toronto
Investigating the built environment surrounding naturally occurring retirement communities (NORCs) in Toronto Open
View article: Pre-pregnancy cardiac status impacts risk of postpartum mood and anxiety disorders
Pre-pregnancy cardiac status impacts risk of postpartum mood and anxiety disorders Open
Cardiac disease alone was not independently associated with positive PPMAD screening, while poorly optimized cardiac status, social history, and adverse pregnancy outcomes were. Our findings stress the importance of optimizing early cardia…
View article: Long-Term Trends in New and Pre-Existing Eating Disorder Acute Presentations Among Adolescents and Young Adults During and After the COVID-19 Pandemic: A Population-Based Cohort Study
Long-Term Trends in New and Pre-Existing Eating Disorder Acute Presentations Among Adolescents and Young Adults During and After the COVID-19 Pandemic: A Population-Based Cohort Study Open
The surge in eating disorder-related acute care visits was limited to the pandemic, with rates mostly returning to baseline, although adolescent rates remain elevated. This highlights the need for continual monitoring of long-term trends t…
View article: Clinical Outcomes and Health Care Utilization in Patients with Advanced Chronic Kidney Disease not on Dialysis After the Onset of the COVID-19 Pandemic in Ontario, Canada
Clinical Outcomes and Health Care Utilization in Patients with Advanced Chronic Kidney Disease not on Dialysis After the Onset of the COVID-19 Pandemic in Ontario, Canada Open
Background: The COVID-19 pandemic caused considerable disruption to health care services. Limited data exist on its impacts on clinical outcomes and health care utilization in patients with advanced chronic kidney disease (CKD). Objective:…
View article: Pediatric Acute Respiratory Virus Hospitalizations: A Population-Based Cohort Study, 2017–2024
Pediatric Acute Respiratory Virus Hospitalizations: A Population-Based Cohort Study, 2017–2024 Open
Background Coronavirus disease 2019 (COVID-19) mitigation measures resulted in widespread disruptions to respiratory viruses. The objective of this study was to compare observed and expected pediatric viral acute respiratory infection (ARI…
View article: Clinical Outcomes and Healthcare Utilization in Patients Receiving Maintenance Dialysis After the Onset of the COVID-19 Pandemic in Ontario, Canada
Clinical Outcomes and Healthcare Utilization in Patients Receiving Maintenance Dialysis After the Onset of the COVID-19 Pandemic in Ontario, Canada Open
Background: The impact of the COVID-19 pandemic on clinical outcomes and healthcare utilization in patients receiving maintenance dialysis is unclear. Objective: To compare the rates of clinical outcomes and healthcare utilization in patie…
View article: Maternal and neonatal outcomes with different screening strategies for gestational diabetes mellitus: a retrospective cohort study
Maternal and neonatal outcomes with different screening strategies for gestational diabetes mellitus: a retrospective cohort study Open
An expanded approach to GDM diagnosis using home blood glucose monitoring following isolated fasting hyperglycemia on 3-hour GTT was associated with increased A2GDM incidence but no improvements in primary maternal or neonatal outcomes. In…
View article: INVESTIGATING THE BUILT ENVIRONMENT SURROUNDING NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORCS) IN TORONTO
INVESTIGATING THE BUILT ENVIRONMENT SURROUNDING NATURALLY OCCURRING RETIREMENT COMMUNITIES (NORCS) IN TORONTO Open
A positive built environment can improve the health of older adults and support aging in place by increasing access to amenities, physical activity, and social interaction. We investigated the walkability and amenity density surrounding Na…
View article: Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort study
Language ability and virtual mental healthcare utilisation among immigrant and refugee youth: a population-based cohort study Open
Background and objectives The widespread adoption of virtual care during the pandemic may not have been uniform across populations, including among paediatric immigrants and refugees. We sought to examine the association between virtual me…
View article: New and Pre-existing Eating Disorders Among Adolescents and Young Adults During the COVID-19 Pandemic: A Population-Based Cohort Study
New and Pre-existing Eating Disorders Among Adolescents and Young Adults During the COVID-19 Pandemic: A Population-Based Cohort Study Open
ObjectivesOur understanding of the contribution of new presentations versus pre-existing eating disorders during the COVID-19 pandemic is limited. This study aims to evaluate rates of emergency department (ED) visits and hospitalizations f…
View article: Pediatric Respiratory Syncytial Virus Hospitalizations, 2017-2023
Pediatric Respiratory Syncytial Virus Hospitalizations, 2017-2023 Open
Importance Respiratory syncytial virus (RSV) transmission was disrupted worldwide following the COVID-19 pandemic, and further study is required to better understand these changes. Objective To compare observed and expected RSV hospital an…
View article: Teen Pregnancy and Risk of Premature Mortality
Teen Pregnancy and Risk of Premature Mortality Open
Importance Unintentional injury, suicide, and homicide are leading causes of death among young females. Teen pregnancy may be a marker of adverse life experiences. Objective To evaluate the risk of premature mortality from 12 years of age …
View article: Adverse perinatal events and maternal interpregnancy weight change: A population‐based observational study
Adverse perinatal events and maternal interpregnancy weight change: A population‐based observational study Open
Objective Mothers whose newborn experiences adversity may neglect their own health to care for their affected infant or following a perinatal death. Weight gain after pregnancy is one measure of maternal self‐care. We measured interpregnan…
View article: Severe Respiratory Disease Among Children With and Without Medical Complexity During the COVID-19 Pandemic
Severe Respiratory Disease Among Children With and Without Medical Complexity During the COVID-19 Pandemic Open
Importance Severe respiratory disease declined during the COVID-19 pandemic, partially due to decreased circulation of respiratory pathogens. However, the outcomes of children with higher risk have not been described using population-based…
View article: New and continuing physician-based outpatient mental health care among children and adolescents during the COVID-19 pandemic in Ontario, Canada: a population-based study
New and continuing physician-based outpatient mental health care among children and adolescents during the COVID-19 pandemic in Ontario, Canada: a population-based study Open
Objective To assess physician-based mental health care utilization during the COVID-19 pandemic among children and adolescents new to care and those already engaged with mental health services, and to evaluate differences by sociodemograph…
View article: Acute presentations of eating disorders among adolescents and adults before and during the COVID-19 pandemic in Ontario, Canada
Acute presentations of eating disorders among adolescents and adults before and during the COVID-19 pandemic in Ontario, Canada Open
Emergency department visits for eating disorders increased among adolescents, young adults and older adults during the pandemic, but hospital admissions increased only for adolescents and decreased for all adult groups. Differential rates …
View article: Self-harm among youth during the first 28 months of the COVID-19 pandemic in Ontario, Canada: a population-based study
Self-harm among youth during the first 28 months of the COVID-19 pandemic in Ontario, Canada: a population-based study Open
Rates of acute care visits for self-harm among children and adolescents were higher than expected during the first 2 and a half years of the COVID-19 pandemic, particularly among females. These findings support the need for accessible and …
View article: Incidence of chronic disease following smoking cessation treatment: A matched cohort study using linked administrative healthcare data in Ontario, Canada
Incidence of chronic disease following smoking cessation treatment: A matched cohort study using linked administrative healthcare data in Ontario, Canada Open
Scarce evidence is available on the impact of real-world smoking cessation treatment on subsequent health outcomes, such as incidence of chronic disease. This study compared two cohorts of people that smoke—those that enrolled in a smoking…
View article: Association between physician characteristics and practice-level uptake of paediatric virtual mental healthcare: a population-based study
Association between physician characteristics and practice-level uptake of paediatric virtual mental healthcare: a population-based study Open
Objective To examine physician factors associated with practice-level uptake of virtual mental healthcare for children and adolescents. Design, setting and participants A population-based data linkage study of a cohort of all physicians (n…
View article: Incidence of Heart Failure Related to Co-Occurrence of Gestational Hypertensive Disorders and Gestational Diabetes
Incidence of Heart Failure Related to Co-Occurrence of Gestational Hypertensive Disorders and Gestational Diabetes Open
The co-occurrence of GDM and GHTD was associated with a significantly high risk of incident HF.
View article: Table of Contents
Table of Contents Open
View article: Effectiveness of Structured Care Coordination for Children With Medical Complexity
Effectiveness of Structured Care Coordination for Children With Medical Complexity Open
Importance Children with medical complexity (CMC) have chronic conditions and high health needs and may experience fragmented care. Objective To compare the effectiveness of a structured complex care program, Complex Care for Kids Ontario …
View article: Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study
Sociodemographic Differences in Physician-Based Mental Health and Virtual Care Utilization and Uptake of Virtual Care Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada: A Population-Based Study Open
Objective We sought to evaluate the relationship between social determinants of health and physician-based mental healthcare utilization and virtual care use among children and adolescents in Ontario, Canada, during the COVID-19 pandemic. …
View article: New and Persistent Sedative Prescriptions Among Older Adults Following a Critical Illness
New and Persistent Sedative Prescriptions Among Older Adults Following a Critical Illness Open
One in 15 sedative-naive, older adult ICU survivors filled a new sedative within ≤ 7 days of discharge; more than one-half of these survivors filled persistent prescriptions. New prescriptions at discharge varied widely across hospitals an…
View article: Association of Concomitant Gestational Hypertensive Disorders and Gestational Diabetes With Cardiovascular Disease
Association of Concomitant Gestational Hypertensive Disorders and Gestational Diabetes With Cardiovascular Disease Open
Importance Accruing evidence suggests that gestational hypertensive disorders (GHTD) and gestational diabetes (GD) are each associated with an increased risk of cardiovascular disease (CVD). However, the extent to which the co-occurrence o…
View article: The effects of acute care hospitalization on health and cost trajectories for nursing home residents: A matched cohort study
The effects of acute care hospitalization on health and cost trajectories for nursing home residents: A matched cohort study Open
Thirty five percent to sixty seven percent of admissions to acute care hospitals from nursing homes are potentially preventable. Limited data exist regarding clinical and cost trajectories post an acute care hospitalization. To describe cl…
View article: Statistical methods for assessing the impact of the Covid-19 pandemic on health services use: Paediatric primary care and mental health access.
Statistical methods for assessing the impact of the Covid-19 pandemic on health services use: Paediatric primary care and mental health access. Open
ObjectivesThere were large disruptions to health care services after the onset of the COVID pandemic. We compared outpatient primary care and mental health care physician visits before and during the COVID-19 pandemic in Ontario, Canada.
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View article: Changes in Hospital-Based Care Seeking for Acute Mental Health Concerns Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada, Through September 2021
Changes in Hospital-Based Care Seeking for Acute Mental Health Concerns Among Children and Adolescents During the COVID-19 Pandemic in Ontario, Canada, Through September 2021 Open
This cross-sectional study assesses hospitalization and emergency department visit rates among children and adolescents seeking mental health care in pediatric and nonpediatric hospitals in Ontario, Canada, before and during the COVID-19 p…
View article: Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System
Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System Open
Introduction There has been little investigation of whether the clinical effectiveness of smoking cessation treatments translates into differences in healthcare costs, using real-world cost data, to determine whether anticipated benefits o…