2011
Effects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests
Price RA, Frank RG, Cleary PD, Goldie SJ. Effects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests. Medical Care 2011, 49: 132-138. PMID: 21150798, PMCID: PMC3206730, DOI: 10.1097/mlr.0b013e3181f81c63.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdvertisingAlphapapillomavirusDNA, ViralFemaleGuideline AdherenceHealth Services MisuseHealth Services ResearchHumansInsurance Claim ReportingLogistic ModelsMarketing of Health ServicesMass ScreeningMiddle AgedPapillomavirus InfectionsPractice Guidelines as TopicPractice Patterns, Physicians'United StatesUterine Cervical NeoplasmsVaginal SmearsConceptsCervical cancer screening testsHuman papillomavirus DNA testHPV DNA testCancer screening testsClinical guidelinesDTC advertisingDNA testScreening testPrimary screeningAppropriate useTest useAmerican CollegeQuasi-experimental studyPrivate insuranceComparable increaseInappropriate useConsumer advertisingOverall useNew health care technologiesConsecutive monthsSignificant increaseHealth care technologiesProfessional guidelinesGreater increaseCare technologies
2009
Effect of Depression Treatment on Chronic Pain Outcomes
Teh CF, Zaslavsky AM, Reynolds CF, Cleary PD. Effect of Depression Treatment on Chronic Pain Outcomes. Psychosomatic Medicine 2009, 72: 61-67. PMID: 19875633, PMCID: PMC3171143, DOI: 10.1097/psy.0b013e3181c2a7a8.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityCost of IllnessDepressive Disorder, MajorEmploymentFemaleHealth StatusHealth SurveysHumansLogistic ModelsMaleMental HealthMiddle AgedOutcome Assessment, Health CarePainPain ManagementPropensity ScorePsychiatric Status Rating ScalesQuality of Health CareSickness Impact ProfileSurveys and QuestionnairesConceptsDepression treatmentChronic painMedical Outcomes Study Short Form-12Health statusPropensity score-weighted analysisMental healthAdequate depression treatmentShort Form-12Chronic pain conditionsChronic pain outcomesMental component summaryMajor depressive disorderEffect of painPhysical health statusChronic pain sufferersMental health statusWorse health outcomesMental health problemsBetter mental healthNumber of workdaysPain controlPain severityComponent summaryPain conditionsPain outcomes
2007
Use of features in electronic health records and health care quality: How are they related?
Poon E, Simon S, Jenter C, Kaushal R, Volk L, Cleary P, Tumolo A, Bates D. Use of features in electronic health records and health care quality: How are they related? AMIA Annual Symposium Proceedings 2007, 1079. PMID: 18694177.Peer-Reviewed Original ResearchA National Survey of Physician–Industry Relationships
Campbell EG, Gruen RL, Mountford J, Miller LG, Cleary PD, Blumenthal D. A National Survey of Physician–Industry Relationships. New England Journal Of Medicine 2007, 356: 1742-1750. PMID: 17460228, DOI: 10.1056/nejmsa064508.Peer-Reviewed Original Research
2002
Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States
Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, Shapiro MF, Cleary PD. Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States. Journal Of General Internal Medicine 2002, 17: 12-22. PMID: 11903771, PMCID: PMC1495004, DOI: 10.1046/j.1525-1497.2002.10401.x.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultClinical CompetenceCross-Sectional StudiesEducation, Medical, ContinuingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Quality Assurance, Health CareReferral and ConsultationSurveys and QuestionnairesUnited StatesConceptsHIV caseloadReferral patternsReferral practicesSpecialty trainingGeneralist physiciansServices Utilization StudyID ExpertEffect of specialtyCross-sectional surveyHigher knowledge scoresHIV/AIDSInfectious disease trainingHIV careHIV CostHIV diseaseID physiciansEligible physiciansHIV expertsMultivariable modelPhysician reportsMedian caseloadDiseases TrainingClinical experienceUtilization studiesKnowledge score
2001
Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool
Horowitz L, Wang P, Koocher G, Burr B, Smith M, Klavon S, Cleary P. Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool. Pediatrics 2001, 107: 1133-1137. PMID: 11331698, DOI: 10.1542/peds.107.5.1133.Peer-Reviewed Original ResearchConceptsNegative predictive valueBrief screening toolScreening toolC-statisticHealth cliniciansPredictive valuePediatric mental health patientsSuicide riskCriterion standard assessmentPediatric emergency departmentCurrent suicidal behaviorMental health patientsEmergency department staffMental health cliniciansQuality improvement initiativesPositive predictive valueCross-sectional surveyMental health concernsClinical characteristicsPediatric EDEmergency departmentPsychiatric reasonsAdolescent patientsHealth patientsTriage nursesValidating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores
Normand S, Landrum M, Guadagnoli E, Ayanian J, Ryan T, Cleary P, McNeil B. Validating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores. Journal Of Clinical Epidemiology 2001, 54: 387-398. PMID: 11297888, DOI: 10.1016/s0895-4356(00)00321-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAlgorithmsCoronary AngiographyFemaleGuideline AdherenceHumansLogistic ModelsMaleMatched-Pair AnalysisMedicareMyocardial InfarctionPatient SelectionPractice Guidelines as TopicQuality Indicators, Health CareRetrospective StudiesSurvival AnalysisTime FactorsTreatment OutcomeUnited StatesPhysician Incentives and Disclosure of Payment Methods to Patients
Kao A, Zaslavsky A, Green D, Koplan J, Cleary P. Physician Incentives and Disclosure of Payment Methods to Patients. Journal Of General Internal Medicine 2001, 16: 181-188. PMID: 11318914, PMCID: PMC1495191, DOI: 10.1111/j.1525-1497.2001.04139.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAttitude to HealthChi-Square DistributionCost ControlCross-Sectional StudiesFemaleHumansLogistic ModelsMaleManaged Care ProgramsMiddle AgedMultivariate AnalysisPatient SatisfactionPhysician Incentive PlansPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesTruth DisclosureUnited StatesConceptsQuality of careCross-sectional surveyMost patientsAdult patientsNational health insurerWhite patientsService patientsPatient evaluationPatient awarenessUse of servicesPatient educationPatient understandingPatientsService physiciansTelephone interviewsPhysiciansService insuranceCareIndemnity plansSalaried physiciansPhysician incentivesPhysician payment methodsHealth insurersDifferent financial incentivesFinancial incentives
2000
Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality
Zaslavsky A, Hochheimer J, Schneider E, Cleary P, Seidman J, McGlynn E, Thompson J, Sennett C, Epstein A. Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality. Medical Care 2000, 38: 981-992. PMID: 11021671, DOI: 10.1097/00005650-200010000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolDiagnosis-Related GroupsFemaleHealth Benefit Plans, EmployeeHealth Maintenance OrganizationsHumansInfantInfant, NewbornLogistic ModelsMaleMiddle AgedMultivariate AnalysisPregnancyPreventive Health ServicesQuality Assurance, Health CareQuality Indicators, Health CareSocioeconomic FactorsUnited StatesConceptsHEDIS measuresSociodemographic characteristicsHealth Plan Employer DataPatients' sociodemographic characteristicsHealth plan membersImmunization of adolescentsHealth plan qualityInformation Set (HEDIS) measuresMeasures of screeningRetinal examPreventive servicesHEDIS dataEmployer DataCase mixPlan membersLogistic regressionMost plansPercent collegeResidential area characteristicsPercentage pointsPercent AsianPlan qualityPublic assistanceSet measuresArea characteristics
1999
Use of hormone replacement therapy by postmenopausal women in the United States.
Keating N, Cleary P, Rossi A, Zaslavsky A, Ayanian J. Use of hormone replacement therapy by postmenopausal women in the United States. Annals Of Internal Medicine 1999, 130: 545-53. PMID: 10189323, DOI: 10.7326/0003-4819-130-7-199904060-00002.Peer-Reviewed Original ResearchConceptsHormone replacement therapyUse of HRTPostmenopausal womenReplacement therapyNational population-based cohortCardiac risk factorsPostmenopausal women 50Population-based cohortCurrent useRandom-digit telephone surveyYears of ageHRT useClinical factorsDiabetes mellitusWomen 50Multivariable analysisRisk factorsCardiovascular diseaseSociodemographic factorsTherapySociodemographic variationWomenTelephone surveyCohortProbability samplePerceived Risks of Heart Disease and Cancer Among Cigarette Smokers
Ayanian J, Cleary P. Perceived Risks of Heart Disease and Cancer Among Cigarette Smokers. JAMA 1999, 281: 1019-1021. PMID: 10086437, DOI: 10.1001/jama.281.11.1019.Peer-Reviewed Original ResearchConceptsMyocardial infarctionCurrent smokersHeart diseaseHeavy smokersSmoking-related health risksRisk of MIModifiable risk factorsPublic health professionalsPersonal riskLight smokersClinical factorsCigarette smokersCigarette smokingSmoking cessationMost smokersRisk factorsCardiovascular diseaseFamily historyPreventable deathsSmokers' perceptionsSmokersSelf-administered surveyHealth professionalsMultivariate analysisCancer
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical model
1995
Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis
Chertow G, Christiansen C, Cleary P, Munro C, Lazarus J. Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis. JAMA Internal Medicine 1995, 155: 1505-1511. PMID: 7605152, DOI: 10.1001/archinte.1995.00430140075007.Peer-Reviewed Original ResearchConceptsAcute renal failureHospital mortalityRenal failureIll patientsMechanical ventilationAcute Renal Failure Requiring DialysisIntensive care unit technologyMultivariate logistic regression analysisCritically Ill PatientsHospital mortality rateHigh-risk patientsOrgan system failureIntensive care unitLogistic regression analysisOminous conditionUnderlying malignancyHospital dischargeConsecutive patientsCare unitComorbid conditionsLaboratory variablesEarly mortalityPrognostic stratificationMedical recordsProspective validationSatisfaction with ambulatory care of persons with AIDS
Stone V, Weissman J, Cleary P. Satisfaction with ambulatory care of persons with AIDS. Journal Of General Internal Medicine 1995, 10: 239-245. PMID: 7616331, DOI: 10.1007/bf02599878.Peer-Reviewed Original ResearchConceptsSelf-perceived health statusHealth maintenance organizationAmbulatory careLower self-perceived health statusHealth statusStaff-model health maintenance organizationPublic hospital HIV clinicMedical record reviewPatient-rated qualityPrimary outcome measureSeverity of illnessInjection drug usersMultiple logistic regressionPrimary care relationshipsSite of careAcademic group practiceAmbulatory care qualityHIV clinicPatient characteristicsBlack patientsRecord reviewAIDS patientsActive patientsPatient surveyPhysician care
1993
The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristics
1992
The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues.
Fahs M, Fulop G, Strain J, Sacks H, Muller C, Cleary P, Schmeidler J, Turner B. The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues. American Journal Of Public Health 1992, 82: 576-8. PMID: 1546777, PMCID: PMC1694095, DOI: 10.2105/ajph.82.4.576.Peer-Reviewed Original ResearchAcquired Immunodeficiency SyndromeAdultFemaleHealth Care CostsHealth Services AccessibilityHealth Services ResearchHospital UnitsHospitals, TeachingHumansLength of StayLogistic ModelsMaleNew York CityNursing Staff, HospitalOutcome Assessment, Health CarePatient AdmissionPatient DischargePersonnel TurnoverSeverity of Illness Index
1991
Behavior changes after notification of HIV infection.
Cleary P, Van Devanter N, Rogers T, Singer E, Shipton-Levy R, Steilen M, Stuart A, Avorn J, Pindyck J. Behavior changes after notification of HIV infection. American Journal Of Public Health 1991, 81: 1586-90. PMID: 1746654, PMCID: PMC1405297, DOI: 10.2105/ajph.81.12.1586.Peer-Reviewed Original ResearchConceptsHIV infectionBlood donorsHIV-positive blood donorsNew York Blood CenterSexual behaviorShort-term behaviour changeUnsafe sexual behaviorHigh-risk behaviorsUnsafe sexual activityBehavior changeMedical historyScreening programDrug useMedical examinationBlood centersInfectionSexual activityWeeksParticipantsQuestionnaireHIVDonorsNursesVisitsPsychological characteristics