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AHRQ Research Studies Date
Topics
- Adverse Drug Events (ADE) (1)
- Adverse Events (1)
- Cancer (1)
- Caregiving (1)
- Clinician-Patient Communication (1)
- Communication (1)
- (-) Elderly (5)
- (-) Electronic Health Records (EHRs) (5)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedJiang Y, Mason M, Cho Y
Tolerance to oral anticancer agent treatment in older adults with cancer: a secondary analysis of data from electronic health records and a pilot study of patient-reported outcomes.
The purpose of this study was to explore the tolerance of capecitabine oral chemotherapy among older adults with cancer and investigate factors associated with related side effects and treatment changes. The researchers combined data from electronic health records and a pilot study of patient-reported outcomes, and found that older adults were more likely to experience fatigue and experienced more severe fatigue and hand-foot syndrome (HFS) than younger adults. The severity of fatigue and HFS were associated with the number of outpatient medications and the duration of treatment respectively. Female sex, breast cancer diagnosis, capecitabine monotherapy, and severe HFS were found to be associated with subsequent dose reductions. The study concluded that older adults were less likely to tolerate capecitabine treatment and had different co-occurring side effects compared to younger adults.
AHRQ-funded; HS027846.
Citation: Jiang Y, Mason M, Cho Y .
Tolerance to oral anticancer agent treatment in older adults with cancer: a secondary analysis of data from electronic health records and a pilot study of patient-reported outcomes.
BMC Cancer 2022 Sep 3;22(1):950. doi: 10.1186/s12885-022-10026-3..
Keywords: Elderly, Cancer, Medication, Adverse Drug Events (ADE), Adverse Events, Electronic Health Records (EHRs), Health Information Technology (HIT)
Yadgir SR, Engstrom C, Jacobsohn GC
Machine learning-assisted screening for cognitive impairment in the emergency department.
Researchers developed and evaluated an automated screening tool to identify a subset of patients at high risk for cognitive impairment (CI). Using the Blessed Orientation Memory Concentration (BOMC) test, administered in the emergency department, they found that an algorithm based on electronic health record data can define a subset of patients at higher risk for CI. They recommended that incorporating such an algorithm into a screening workflow could allow screening efforts and resources to be focused where they have the most impact.
AHRQ-funded; HS024558.
Citation: Yadgir SR, Engstrom C, Jacobsohn GC .
Machine learning-assisted screening for cognitive impairment in the emergency department.
J Am Geriatr Soc 2022 Mar;70(3):831-37. doi: 10.1111/jgs.17491..
Keywords: Neurological Disorders, Screening, Emergency Department, Electronic Health Records (EHRs), Health Information Technology (HIT), Elderly
Bosold AL, Lin SY, Taylor JO
Older adults' personal health information management: the role and perspective of various healthcare providers.
This study explored the role of the provider in supporting older adult (OA) personal health information management (PHIM), the barriers faced, and related implications in Health Information Technology (HIT) design. The researchers interviewed 27 providers who serve OAs in Seattle, Washington, and determined that barriers to OA PHIM included: 1) challenges in communication between providers, OAs and caregivers, 2) constraints on time and resources, and 3) limitations on tools such as secure messaging. The researchers concluded that design of HIT should consider those barriers and facilitate communication across a range of provider types, offer credible health resources designed specifically for OAs, support understanding of the home environments of OAs, and integrate caregivers and patient-generated data.
AHRQ-funded; HS022106.
Citation: Bosold AL, Lin SY, Taylor JO .
Older adults' personal health information management: the role and perspective of various healthcare providers.
AMIA Annu Symp Proc 2022 Feb 21;2021:255-64..
Keywords: Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT)
Crotty BH, Walker J, Dierks M
Information sharing preferences of older patients and their families.
This study identified how patients older than 75 years (hereinafter, elders) and family caregivers of such patients approach sharing of health information, with the hope of applying the results to collaborative patient portals. It found that information sharing and control are complex issues even under the most well-meaning circumstances. While elders may delegate control and share information with family, they want to retain granular control of their information.
AHRQ-funded; HS021495.
Citation: Crotty BH, Walker J, Dierks M .
Information sharing preferences of older patients and their families.
JAMA Intern Med 2015 Sep;175(9):1492-7. doi: 10.1001/jamainternmed.2015.2903..
Keywords: Caregiving, Clinician-Patient Communication, Communication, Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT)
Turner A, Osterhage K, Joe J
Use of patient portals: personal health information management in older adults.
This paper described initial results from the SOARING (Studying Older Adults & Researching Information Needs and Goals) study at the University of Washington, a participatory design investigation of personal health information management (PHIM) in older adults. Its findings indicate that patient portals designed to target the specific needs for older adults can support PHIM.
AHRQ-funded; HS022106.
Citation: Turner A, Osterhage K, Joe J .
Use of patient portals: personal health information management in older adults.
Stud Health Technol Inform 2015;216:978..
Keywords: Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT), Web-Based