2024
Secondary Prevention in Patients With Stroke Versus Myocardial Infarction: Analysis of 2 National Cohorts
Rivier C, Acosta J, Leasure A, Forman R, Sharma R, de Havenon A, Spatz E, Inzucchi S, Kernan W, Falcone G, Sheth K. Secondary Prevention in Patients With Stroke Versus Myocardial Infarction: Analysis of 2 National Cohorts. Journal Of The American Heart Association 2024, 13: e033322. PMID: 38639369, PMCID: PMC11179946, DOI: 10.1161/jaha.123.033322.Peer-Reviewed Original ResearchMeSH KeywordsAgedAntihypertensive AgentsBlood PressureCross-Sectional StudiesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedMyocardial InfarctionPlatelet Aggregation InhibitorsPractice Guidelines as TopicRisk AssessmentRisk FactorsSecondary PreventionStrokeUnited KingdomUnited StatesConceptsMyocardial infarctionPrevention scoreSecondary preventionImplementation of preventive therapyNational cohortUK BiobankAntiplatelet therapy useGuideline-directed therapyPrevention profilesBlood pressure controlAdherence to guideline-directed therapyLow-density lipoprotein controlNeighborhood deprivation levelHistory of strokeVascular risk profileStatin useAntiplatelet useTherapy usePreventive therapyComparison to participantsPrevention criteriaCross-sectional analysisBlood pressurePatientsPressure control
2023
Baseline Cardiovascular Risk Factor Control in Patients With Type 2 Diabetes and Coronary Disease Versus Stroke: Secondary Analysis of Cardiovascular Outcome Trials
Balasubramanian P, Kernan W, Sheth K, Ofstad A, Rosenstock J, Wanner C, Zinman B, Mattheus M, Marx N, Inzucchi S. Baseline Cardiovascular Risk Factor Control in Patients With Type 2 Diabetes and Coronary Disease Versus Stroke: Secondary Analysis of Cardiovascular Outcome Trials. Stroke 2023, 54: 2013-2021. PMID: 37449424, PMCID: PMC10358436, DOI: 10.1161/strokeaha.122.042053.Peer-Reviewed Original ResearchConceptsCardiovascular risk factor controlRisk factor controlCoronary artery diseaseEMPA-REG OUTCOMECardiovascular outcome trialsType 2 diabetesRisk factorsOutcome trialsBlood pressureOdds ratioAntiplatelet/anticoagulant medicationsAntiplatelet/anticoagulant therapyDiabetes cardiovascular outcome trialsSuboptimal risk factor controlCardiovascular risk factorsRecurrent ischemic eventsDiastolic blood pressureSystolic blood pressureRespective odds ratiosFactor controlCross-sectional analysisLogistic regression modelsMacrovascular complicationsStatin useAnticoagulant medicationSeparate But Not Equal? A Cross-Sectional Study of Segregation by Payor Mix in Academic Primary Care Clinics
Hassan S, Viscoli C, O’Connor P, Dugdale L, Sofair A, Fitz M, Richards B, Feiereisel K, Lee S, Ost S, Swails J, Fishman M, Kernan W. Separate But Not Equal? A Cross-Sectional Study of Segregation by Payor Mix in Academic Primary Care Clinics. Journal Of General Internal Medicine 2023, 38: 2318-2325. PMID: 36800147, PMCID: PMC10406732, DOI: 10.1007/s11606-023-08066-x.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesCross-Sectional StudiesHumansInsurance, HealthMedicaidPrimary Health CareUnited StatesConceptsProportion of patientsUS academic health centersPrimary care clinicsAcademic health centersCare clinicsLongitudinal carePrimary care internal medicine clinicsAcademic primary care clinicPre-specified secondary analysisInternal medicine clinicCross-sectional studyMore patientsMedicaid insuranceMedicine clinicHealth centersSeparate clinicsPatientsClinicResultsThirty-nineSecondary analysisClinic directorsPayor mixResident physiciansMedicaidNIH funding
2022
Technical Dissonance in Home Blood Pressure Monitoring After Stroke: Having the Machine, but Not Using Correctly.
Forman R, Viscoli C, Meurer K, Sheth K, Sansing L, de Havenon A, Sharma R, Mariscal M, Kernan W. Technical Dissonance in Home Blood Pressure Monitoring After Stroke: Having the Machine, but Not Using Correctly. American Journal Of Hypertension 2022, 36: 195-200. PMID: 36520024, PMCID: PMC10016067, DOI: 10.1093/ajh/hpac129.Peer-Reviewed Original ResearchMeSH KeywordsBlood PressureBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesEthnicityHumansHypertensionConceptsHome blood pressure monitoringBlood pressure monitoringBlood pressurePressure monitoringNon-Hispanic white patientsProportion of patientsCross-sectional studyNon-Hispanic white participantsStroke recurrenceRate of useMost patientsPrimary outcomeWhite patientsRate of possessionPatientsUnderrepresented patientsArm cuffHypertensionStrokeCorrect useWhite participantsSignificant disparitiesEthnic groupsParticipantsQuality of technique
2011
Almost Internists: Analysis of Students Who Considered Internal Medicine but Chose Other Fields
Durning SJ, Elnicki DM, Cruess DF, Reddy S, Kernan WN, Harrell HE, Schwartz MD, Fagan MJ, Battistone M, Hauer KE. Almost Internists: Analysis of Students Who Considered Internal Medicine but Chose Other Fields. Academic Medicine 2011, 86: 194-200. PMID: 21169784, DOI: 10.1097/acm.0b013e3182045ee5.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalysis of VarianceCareer ChoiceClinical ClerkshipCross-Sectional StudiesDelivery of Health CareEducation, Medical, UndergraduateFactor Analysis, StatisticalFemaleHumansInternal MedicineLogistic ModelsMaleSpecializationStudents, MedicalSurveys and QuestionnairesUnited StatesWorkforceConceptsEducational experienceCareer choiceCareer decisionsFourth-year medical studentsMedical student career choiceAnalysis of studentsNumber of studentsStudents' career choicesInternal medicineIM clerkshipStudent characteristicsMedical studentsU.S. institutionsStudentsIntellectual challengePatient's internistCareerAuthors' modelImportant underpinningExperienceChoosersPolicy makersSpecialtiesPercentage of varianceClerkship
2008
Factors Associated With Medical Students' Career Choices Regarding Internal Medicine
Hauer KE, Durning SJ, Kernan WN, Fagan MJ, Mintz M, O’Sullivan P, Battistone M, DeFer T, Elnicki M, Harrell H, Reddy S, Boscardin CK, Schwartz MD. Factors Associated With Medical Students' Career Choices Regarding Internal Medicine. JAMA 2008, 300: 1154-1164. PMID: 18780844, DOI: 10.1001/jama.300.10.1154.Peer-Reviewed Original ResearchConceptsStudents' career choicesCareer choiceEducational experienceCareer decision makingIM clerkshipMedical studentsFourth-year medical studentsMedical student career choiceGeneral internal medicineUS medical schoolsMedical student interestSubspecialty internal medicineInternal medicineStudent interestPrivate schoolsUS physician workforceMedical schoolsFavorable impressionStudentsCareerPhysician workforcePractice environmentClerkshipFavorable feelingsSchools