2019
Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery
Hoag JR, Resio BJ, Monsalve AF, Chiu AS, Brown LB, Herrin J, Blasberg JD, Kim AW, Boffa DJ. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Network Open 2019, 2: e191912. PMID: 30977848, PMCID: PMC6481444, DOI: 10.1001/jamanetworkopen.2019.1912.Peer-Reviewed Original ResearchConceptsComplex cancer surgeryCancer surgeryCancer HospitalMedicare beneficiariesCancer NetworkRelative safetyStandardized mortality ratioComplex cancer careCross-sectional studyTop-ranked hospitalsMedicaid Services 100Hierarchical logistic regressionPerioperative mortalityAffiliated HospitalCancer careMortality ratioOdds ratioMAIN OUTCOMESurgeryHospitalReview filesDifferential safetyLogistic regressionMortalityMedicare providers
2017
Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Schaffer JT, Hess EP, Hollander JE, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Inselman J, Herrin J, Montori VM, Shah ND. Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Academic Emergency Medicine 2017, 25: 293-300. PMID: 29218817, DOI: 10.1111/acem.13355.Peer-Reviewed Original ResearchConceptsHealth care utilizationLength of stayCare utilizationObservation unit admissionUnit admissionChest painED visitsIntervention armStudy armsIndex emergency department visitLow-risk chest painOverall health care utilizationSecondary analysisBilling dataIndex ED visitAcute coronary syndromeEmergency department visitsCardiac imaging testsCardiac stress testingPlanned secondary analysisHealth care systemInitial EDPragmatic multicenterCardiac testingCoronary syndromeEffectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Rising K, Hollander J, Schaffer J, Kline J, Torres C, Diercks D, Jones R, Owen K, Meisel Z, Demers M, Leblanc A, Shah N, Inselman J, Herrin J, Montori V, Hess E. Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Medical Decision Making 2017, 38: 69-78. PMID: 28525723, DOI: 10.1177/0272989x17706363.Peer-Reviewed Original ResearchConceptsUsual careHealth literacySecondary analysisAcute coronary syndromeDecision aidOne-thirdChest painCoronary syndromePatient characteristicsSDM interventionsIntervention groupVulnerable patientsHigh school educationPatientsControl groupPhysician trustPatient trustSubgroup effectsArm assignmentVulnerable subgroupsSociodemographic groupsMulticenterTrialsSimilar extentPhysicians
2016
Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial
Hess EP, Hollander JE, Schaffer JT, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Shah ND, Inselman J, Herrin J, Castaneda-Guarderas A, Montori VM. Shared decision making in patients with low risk chest pain: prospective randomized pragmatic trial. The BMJ 2016, 355: i6165. PMID: 27919865, PMCID: PMC5152707, DOI: 10.1136/bmj.i6165.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAdultAftercareAmbulatory CareAttitude of Health PersonnelChest PainChoice BehaviorConflict, PsychologicalDecision MakingDecision Support TechniquesEmergency Service, HospitalFemaleHealth Knowledge, Attitudes, PracticeHospital UnitsHospitalizationHumansMaleMiddle AgedMyocardial InfarctionObservationPatient Acceptance of Health CarePatient ParticipationPatient SatisfactionRisk AssessmentTrustConceptsAcute coronary syndromeMajor adverse cardiac eventsAdverse cardiac eventsCardiac testingCoronary syndromeChest painUsual careCardiac eventsPatient knowledgeLow-risk chest painPossible acute coronary syndromeDecision aid armFurther cardiac testingRandomized pragmatic trialRisk chest painUsual care armObservation unitProportion of patientsRate of admissionCare armSecondary outcomesPrimary outcomePrimary complaintTRIAL REGISTRATIONEmergency clinicians
2015
Shared Decision Making for Antidepressants in Primary Care: A Cluster Randomized Trial
LeBlanc A, Herrin J, Williams MD, Inselman JW, Branda ME, Shah ND, Heim EM, Dick SR, Linzer M, Boehm DH, Dall-Winther KM, Matthews MR, Yost KJ, Shepel KK, Montori VM. Shared Decision Making for Antidepressants in Primary Care: A Cluster Randomized Trial. JAMA Internal Medicine 2015, 175: 1761-1770. PMID: 26414670, PMCID: PMC4754973, DOI: 10.1001/jamainternmed.2015.5214.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntidepressive AgentsChoice BehaviorCluster AnalysisComparative Effectiveness ResearchDecision MakingDecision Support TechniquesDepressionFemaleHumansMaleMedication AdherenceMiddle AgedMinnesotaOutcome Assessment, Health CarePatient ParticipationPractice Patterns, Physicians'Primary Health CarePsychiatric Status Rating ScalesWisconsinConceptsPrimary care practicesDecisional comfortMedication adherenceUsual careDepression outcomesPrimary careSevere depressionCare practicesComparative effectivenessUrban primary care practicesEncounter decision aidsTrials of adultsPrimary care cliniciansPatient Health QuestionnaireTreatment of depressionPatient-centered careQuality of careTranslation of evidenceCluster Randomized TrialDecision aidEffects of DMCUse of DMCAvailable antidepressantsCare cliniciansMedication choice
2014
Effectiveness of the head CT choice decision aid in parents of children with minor head trauma: study protocol for a multicenter randomized trial
Hess EP, Wyatt KD, Kharbanda AB, Louie JP, Dayan PS, Tzimenatos L, Wootton-Gorges SL, Homme JL, RN L, LeBlanc A, Westphal JJ, Shepel K, Shah ND, Branda M, Herrin J, Montori VM, Kuppermann N. Effectiveness of the head CT choice decision aid in parents of children with minor head trauma: study protocol for a multicenter randomized trial. Trials 2014, 15: 253. PMID: 24965659, PMCID: PMC4081461, DOI: 10.1186/1745-6215-15-253.Peer-Reviewed Original ResearchConceptsTraumatic brain injuryDiverse emergency departmentsMinor head traumaCranial CT scanHead traumaEmergency departmentCT scanUsual careHealthcare utilizationParents of childrenImportant traumatic brain injuryMethods/designThisProportion of patientsBlunt head traumaHospital billing recordsPatient-centered outcomesClinical prediction ruleAvailable diagnostic optionsHead CT scanDecision aidElectronic medical recordsClinician surveyMulticenter trialMedical recordsRisk factors
2010
The Effect of How Outcomes Are Framed on Decisions about Whether to Take Antihypertensive Medication: A Randomized Trial
Carling CL, Kristoffersen DT, Oxman AD, Flottorp S, Fretheim A, Schünemann HJ, Akl EA, Herrin J, MacKenzie TD, Montori VM. The Effect of How Outcomes Are Framed on Decisions about Whether to Take Antihypertensive Medication: A Randomized Trial. PLOS ONE 2010, 5: e9469. PMID: 20209127, PMCID: PMC2830888, DOI: 10.1371/journal.pone.0009469.Peer-Reviewed Original ResearchConceptsAntihypertensive medicationsVisual analog scaleCardiovascular diseaseVAS scoresRelative importance scoresCVD risk reductionYear old manLow baseline riskDetailed patient informationRandomized trialsAnalog scaleRisk factorsBaseline riskMedicationsAdult volunteersHypertensionLogistic regressionPatient informationSignificant decreaseTrialsSignificant differencesRisk reductionPresentationParticipantsRisk
2009
The Effect of Alternative Graphical Displays Used to Present the Benefits of Antibiotics for Sore Throat on Decisions about Whether to Seek Treatment: A Randomized Trial
Carling CL, Kristoffersen DT, Flottorp S, Fretheim A, Oxman AD, Schünemann HJ, Akl EA, Herrin J, MacKenzie TD, Montori VM. The Effect of Alternative Graphical Displays Used to Present the Benefits of Antibiotics for Sore Throat on Decisions about Whether to Seek Treatment: A Randomized Trial. PLOS Medicine 2009, 6: e1000140. PMID: 19707579, PMCID: PMC2726763, DOI: 10.1371/journal.pmed.1000140.Peer-Reviewed Original ResearchConceptsSore throatVisual analog scaleBenefits of antibioticsVAS scoresRelative importance scoresDay threeDuration of symptomsTreatment effectsConsequence of treatmentProportion of peopleDetailed patient informationAntibiotic prescriptionsSymptom reliefRandomized trialsAnalog scaleAdult volunteersHealth programsSymptomsLogistic regressionAverage durationPatient informationMost participantsTrialsAntibioticsSignificant differencesThe Effect of Alternative Summary Statistics for Communicating Risk Reduction on Decisions about Taking Statins: A Randomized Trial
Carling CL, Kristoffersen DT, Montori VM, Herrin J, Schünemann HJ, Treweek S, Akl EA, Oxman AD. The Effect of Alternative Summary Statistics for Communicating Risk Reduction on Decisions about Taking Statins: A Randomized Trial. PLOS Medicine 2009, 6: e1000134. PMID: 19707575, PMCID: PMC2724738, DOI: 10.1371/journal.pmed.1000134.Peer-Reviewed Original Research
1997
Effect of panel composition on physician ratings of appropriateness of abdominal aortic aneurysm surgery: elucidating differences between multispecialty panel results and specialty society recommendations
Herrin J, Etchason J, Kahan J, Brook R, Ballard D. Effect of panel composition on physician ratings of appropriateness of abdominal aortic aneurysm surgery: elucidating differences between multispecialty panel results and specialty society recommendations. Health Policy 1997, 42: 67-81. PMID: 10173494, DOI: 10.1016/s0168-8510(97)00055-9.Peer-Reviewed Original ResearchConceptsAbdominal aortic aneurysm surgeryAortic aneurysm surgeryVascular surgeonsAneurysm surgeryPhysician panelAbdominal aortic aneurysm managementAortic aneurysm managementSpecialty society recommendationsSpecialty societiesSame surgerySociety recommendationsVascular surgeryNorth American ChapterPhysician ratingsCardiovascular surgeryClinical appropriatenessAneurysm managementExpert panel membersSurgerySurgeon rankingsRAND panelSurgeonsConcurrent guidelinesPhysiciansNecessity ratings