Ashwini Sehgal

Summary

Affiliation: Case Western Reserve University
Country: USA

Publications

  1. ncbi request reprint Barriers to adequate delivery of hemodialysis
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109 1998, USA
    Am J Kidney Dis 31:593-601. 1998
  2. ncbi request reprint Improving hemodialysis patient outcomes: a step-by-step approach
    Ashwini R Sehgal
    Division of Nephrology and the Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    Semin Dial 15:35-7. 2002
  3. ncbi request reprint A dipstick protein and specific gravity algorithm accurately predicts pathological proteinuria
    Marigel Constantiner
    Center for Kidney Disease Research, Rammelkamp Center for Education and Research, Cleveland, OH, USA
    Am J Kidney Dis 45:833-41. 2005
  4. ncbi request reprint Use of standardized ratios to examine variability in hemodialysis vascular access across facilities. Medical Review Board of The Renal Network, Inc
    A R Sehgal
    MetroHealth Medical Center, Department of Medicine, Case Western Reserve University, Cleveland, OH 44109 1998, USA
    Am J Kidney Dis 35:275-81. 2000
  5. ncbi request reprint Outcomes of renal replacement therapy among blacks and women
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA
    Am J Kidney Dis 35:S148-52. 2000
  6. ncbi request reprint Patient-nephrologist discussions about kidney transplantation as a treatment option
    E J Gordon
    Department of Medicine, University of Chicago Medical Center, IL 60637 1470, USA
    Adv Ren Replace Ther 7:177-83. 2000
  7. ncbi request reprint Morbidity and cost implications of inadequate hemodialysis
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Cleveland OH 44109 1998, USA
    Am J Kidney Dis 37:1223-31. 2001
  8. ncbi request reprint Improving the quality of hemodialysis treatment: a community-based randomized controlled trial to overcome patient-specific barriers
    Ashwini R Sehgal
    Division of Nephrology, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109, USA
    JAMA 287:1961-7. 2002
  9. ncbi request reprint Impact of quality improvement efforts on race and sex disparities in hemodialysis
    Ashwini R Sehgal
    Division of Nephrology, 2500 MetroHealth Dr, MetroHealth Medical Center, Cleveland, OH 44109, USA
    JAMA 289:996-1000. 2003
  10. ncbi request reprint Subjective Global Assessment in chronic kidney disease: a review
    Alison L Steiber
    Department of Nutrition, Case Western Reserve University, Cleveland, OH 44106, USA
    J Ren Nutr 14:191-200. 2004

Collaborators

Detail Information

Publications40

  1. ncbi request reprint Barriers to adequate delivery of hemodialysis
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109 1998, USA
    Am J Kidney Dis 31:593-601. 1998
    ..Further work is needed to develop interventions to overcome these barriers and to determine the effect of such interventions on dialysis adequacy and patient survival...
  2. ncbi request reprint Improving hemodialysis patient outcomes: a step-by-step approach
    Ashwini R Sehgal
    Division of Nephrology and the Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    Semin Dial 15:35-7. 2002
    ..By using this approach, physicians can move from helping an individual patient to improving the outcomes of many patients...
  3. ncbi request reprint A dipstick protein and specific gravity algorithm accurately predicts pathological proteinuria
    Marigel Constantiner
    Center for Kidney Disease Research, Rammelkamp Center for Education and Research, Cleveland, OH, USA
    Am J Kidney Dis 45:833-41. 2005
    ..Because urine concentration affects proteinuria interpretation, we hypothesized that dipstick protein (DSP) and specific gravity (SG) are sufficient for screening...
  4. ncbi request reprint Use of standardized ratios to examine variability in hemodialysis vascular access across facilities. Medical Review Board of The Renal Network, Inc
    A R Sehgal
    MetroHealth Medical Center, Department of Medicine, Case Western Reserve University, Cleveland, OH 44109 1998, USA
    Am J Kidney Dis 35:275-81. 2000
    ..Analogous to the standardized mortality ratio, the SCR, SFR, and SGR should be effective quality improvement tools...
  5. ncbi request reprint Outcomes of renal replacement therapy among blacks and women
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109, USA
    Am J Kidney Dis 35:S148-52. 2000
    ..This approach can lead to improved outcomes not just among blacks and women but among all renal patients. Examining racial and gender differences can also lead to an increased understanding of renal disease...
  6. ncbi request reprint Patient-nephrologist discussions about kidney transplantation as a treatment option
    E J Gordon
    Department of Medicine, University of Chicago Medical Center, IL 60637 1470, USA
    Adv Ren Replace Ther 7:177-83. 2000
    ..In conclusion, patient age and socioeconomic status appear to influence discussions of transplantation as a treatment option. Further work is needed to determine how the content and manner of such discussions affect treatment decisions...
  7. ncbi request reprint Morbidity and cost implications of inadequate hemodialysis
    A R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Cleveland OH 44109 1998, USA
    Am J Kidney Dis 37:1223-31. 2001
    ..Improving dialysis adequacy may both improve patient morbidity and lessen health care costs...
  8. ncbi request reprint Improving the quality of hemodialysis treatment: a community-based randomized controlled trial to overcome patient-specific barriers
    Ashwini R Sehgal
    Division of Nephrology, MetroHealth Medical Center, 2500 MetroHealth Dr, Cleveland, OH 44109, USA
    JAMA 287:1961-7. 2002
    ..Inadequate dialysis is also associated with increased hospitalizations and high inpatient costs. Our previous work identified 3 barriers to adequate hemodialysis: dialysis underprescription, catheter use, and shortened treatment time...
  9. ncbi request reprint Impact of quality improvement efforts on race and sex disparities in hemodialysis
    Ashwini R Sehgal
    Division of Nephrology, 2500 MetroHealth Dr, MetroHealth Medical Center, Cleveland, OH 44109, USA
    JAMA 289:996-1000. 2003
    ..However, little is known about whether reductions actually occur. National quality improvement activities targeting hemodialysis patients provide an opportunity to examine this issue...
  10. ncbi request reprint Subjective Global Assessment in chronic kidney disease: a review
    Alison L Steiber
    Department of Nutrition, Case Western Reserve University, Cleveland, OH 44106, USA
    J Ren Nutr 14:191-200. 2004
    ..Further work in establishing validity and reliability of each version of SGA in different patient populations should be done to enable clinicians and researchers to properly use this nutritional assessment tool...
  11. pmc The prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis
    Saud Butt
    Division of Nephrology, MetroHealth Medical Center, Cleveland, Ohio 44109, USA
    J Ren Nutr 17:264-8. 2007
    ..Fast food consumption has increased dramatically in the general population over the last 25 years. However, little is known about the prevalence and nutritional implications of fast food consumption among patients receiving hemodialysis...
  12. ncbi request reprint The net transfer of transplant organs across race, sex, age, and income
    Ashwini R Sehgal
    Center for Reducing Health Disparities, Department of Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA
    Am J Med 117:670-5. 2004
    ..To determine how sociodemographic characteristics influence both access to transplantation and organ donation...
  13. ncbi request reprint Medical students' knowledge of the U.S. health care system and their preferences for curricular change: a national survey
    Jaya R Agrawal
    Department of Medicine, Brigham and Women s Hospital, Boston, MA 02215, USA
    Acad Med 80:484-8. 2005
    ..To measure medical students' knowledge of central issues in the U.S. health care system and to understand their perception of the importance and quality of health policy curricula at their medical schools...
  14. ncbi request reprint Changes in Medicare reimbursement and patient-nephrologist visits, quality of care, and health-related quality of life
    Evelyn K Mentari
    Division of Nephrology, Center for Reducing Health Disparities, MetroHealth Medical Center, Cleveland, OH 44109, USA
    Am J Kidney Dis 46:621-7. 2005
    ..We sought to determine the impact of this policy change on patient-nephrologist visits, quality of care, and health-related quality of life...
  15. ncbi request reprint Informing resource-poor populations and the delivery of entitled health and social services in rural India: a cluster randomized controlled trial
    Priyanka Pandey
    South Asia Human Development, The World Bank, Washington, DC, USA
    JAMA 298:1867-75. 2007
    ..A lack of awareness about entitled health and social services may contribute to poor delivery of such services in developing countries, especially among individuals of low socioeconomic status...
  16. ncbi request reprint The morbidity and cost implications of hemodialysis clinical performance measures
    Andrew S O'Connor
    Department of Medicine, Case Western Reserve University, Cleveland, OH, USA
    Hemodial Int 9:349-61. 2005
    ..These results highlight the importance of targeting nutrition and vascular access in quality improvement efforts. The marked variation in hospital utilization across networks deserves further examination...
  17. ncbi request reprint Determinants of metabolic acidosis among hemodialysis patients
    Khaldoun Soudan
    Division of Nephrology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109, USA
    Hemodial Int 10:209-14. 2006
    ..003). Key determinants of metabolic acidosis among hemodialysis patients are protein breakdown, dialysis dose, and specific phosphorus binders. Further work is needed to develop interventions to address these determinants...
  18. ncbi request reprint Improving albumin levels among hemodialysis patients: a community-based randomized controlled trial
    Janeen B Leon
    Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109, USA
    Am J Kidney Dis 48:28-36. 2006
    ..Moreover, the relative importance of nutritional barriers versus inflammation in contributing to hypoalbuminemia is unclear. We sought to determine whether targeting specific nutritional barriers will improve albumin levels...
  19. ncbi request reprint Multicenter study of the validity and reliability of subjective global assessment in the hemodialysis population
    Alison Steiber
    Department of Nutrition, Case Western Reserve University, Cleveland, Ohio 44106 4954, USA
    J Ren Nutr 17:336-42. 2007
    ....
  20. ncbi request reprint Job satisfaction among renal dietitians
    Catherine Sullivan
    Division of Nephrology, Center for Reducing Health Disparities, Center for Health Care Research and Policy, Cleveland, Ohio, USA
    J Ren Nutr 16:337-40. 2006
    ..Little is known about job satisfaction among renal dietitians. We sought to determine overall job satisfaction and specific domains of job satisfaction among renal dietitians...
  21. ncbi request reprint How can the poor outcomes for diabetic dialysis patients be improved?
    Ashwini R Sehgal
    Division of Nephrology, Medical Center, Case Western Reserve University, Cleveland, Ohio 44109, USA
    Semin Dial 17:188-90. 2004
  22. pmc Public health approach to addressing hyperphosphatemia among dialysis patients
    Ashwini R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109, USA
    J Ren Nutr 18:256-61. 2008
    ....
  23. ncbi request reprint Variation in access to kidney transplantation across dialysis facilities: using process of care measures for quality improvement
    G Caleb Alexander
    Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Am J Kidney Dis 40:824-31. 2002
    ..Examining specific steps in the transplantation process may guide quality improvement efforts that ultimately improve the equity and efficiency of transplantation...
  24. ncbi request reprint Economic and health consequences of selling a kidney in India
    Madhav Goyal
    Department of Internal Medicine, Geisinger Health System, 200 Scenery Dr, State College, PA 16801, USA
    JAMA 288:1589-93. 2002
    ..However, whether individuals who sell their kidneys actually benefit from the sale is controversial...
  25. ncbi request reprint An outbreak of web sites selling ciprofloxacin following an outbreak of anthrax by mail
    Alexander C Tsai
    Department of Epidemiology and Biostatistics, School of Medicine ACT, Case Western Reserve University, Cleveland, Ohio 44106, USA
    Am J Med 113:424-7. 2002
  26. ncbi request reprint The relative predictive ability of four different measures of hemodialysis dose
    Andrew S O'Connor
    Division of Nephrology and Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, OH 44109, USA
    Am J Kidney Dis 40:1289-94. 2002
    ..However, the relative predictive ability of four common measures of dialysis dose (urea reduction ratio, single-pool Kt/V, double-pool Kt/V, and urea index) is unclear...
  27. ncbi request reprint The provision and outcomes of diabetic care of hemodialysis patients
    Ronald P Flauto
    Division of Nephrology and Center for Health Care Research and Policy, MetroHealth Medical Center, Cleveland, OH 44109, USA
    Am J Kidney Dis 41:125-31. 2003
    ..Approximately 40% of hemodialysis patients have diabetes, yet little is known about their diabetic care. We sought to examine the provision and outcomes of diabetic care of hemodialysis patients...
  28. ncbi request reprint Diet monotony as a correlate of poor nutritional intake among hemodialysis patients
    Jennifer L Zimmerer
    Division of Nephrology, MetroHealth Medical Center, Cleveland, OH 44109, USA
    J Ren Nutr 13:72-7. 2003
    ..Poor appetite, present in 10% to 30% of hemodialysis patients, further narrows the range of foods consumed. We sought to determine the relationship between diet monotony and nutritional intake in patients on chronic hemodialysis...
  29. ncbi request reprint Why are hemodialysis treatments shortened and skipped? Development of a taxonomy and relationship to patient subgroups
    Elisa J Gordon
    Stritch School of Medicine, Loyola University Medical Center, Chicago, IL, USA
    Nephrol Nurs J 30:209-17; discussion 218. 2003
    ..Transportation problems were more common among African Americans. Interventions to optimize hemodialysis treatment should identify and target patient-specific reasons for shortening and skipping and not assume noncompliance...
  30. ncbi request reprint Overlap between whites and blacks in response to antihypertensive drugs
    Ashwini R Sehgal
    Division of Nephrology, MetroHealth Medical Center, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH
    Hypertension 43:566-72. 2004
    ..Clinical decisions to use a specific drug should be based on other considerations such as efficacy in individual patients, compelling indications, and cost...
  31. ncbi request reprint Periodontal disease and other nontraditional risk factors for CKD
    Monica A Fisher
    Case Western Reserve University, Cleveland, OH 44106 4905, USA
    Am J Kidney Dis 51:45-52. 2008
    ..Given the systemic inflammatory response to periodontal disease, we hypothesized that periodontal disease could be associated with chronic kidney disease...
  32. ncbi request reprint Serum albumin concentration and clinical assessments of nutritional status in hospitalized older people: different sides of different coins?
    Kenneth E Covinsky
    Division of Geriatrics, University of California, San Francisco, California, USA
    J Am Geriatr Soc 50:631-7. 2002
    ..Although both measures are strongly associated with prognosis, it is not clear whether they measure similar or different clinical constructs. Our goal was to assess the degree of clinical concordance between these measures...
  33. pmc Phosphorus-containing food additives and the accuracy of nutrient databases: implications for renal patients
    Catherine M Sullivan
    Division of Nephrology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio 44109, USA
    J Ren Nutr 17:350-4. 2007
    ..Phosphorus-containing additives are increasingly being added to food products. We sought to determine the potential impact of these additives. We focused on chicken products as an example...
  34. ncbi request reprint What is the best treatment for end-stage renal disease?
    Ashwini R Sehgal
    Am J Med 112:735-6. 2002
  35. ncbi request reprint Genome-wide scans for diabetic nephropathy and albuminuria in multiethnic populations: the family investigation of nephropathy and diabetes (FIND)
    Sudha K Iyengar
    FIND Genetic Analysis and Data Coordinating Center, Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio 44106 7281, USA
    Diabetes 56:1577-85. 2007
    ..Large family collections consisting of multiple members with diabetes and advanced nephropathy are likely to accelerate the identification of genes causing diabetic nephropathy, a life-threatening complication of diabetes...
  36. ncbi request reprint Job satisfaction and patient care practices of hemodialysis nurses and technicians
    Seena Perumal
    Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA
    Nephrol Nurs J 30:523-8. 2003
    ..We urge local and national associations of nurses and technicians to collaborate with dialysis facilities, chains, and regulatory agencies to address specific aspects of job satisfaction...
  37. ncbi request reprint Universal health care and reform of the health care system: views of medical students in the United States
    Jeffrey Huebner
    Department of Family Medicine, University of Washington, Seattle, Washington 98103, USA
    Acad Med 81:721-7. 2006
    ..Recent studies have documented physicians' support for various remedies, including universal health care. The authors undertook this study to assess medical students' views on these topics...
  38. pmc Can focusing on self-care reduce disparities in kidney transplantation outcomes?
    Elisa J Gordon
    Am J Kidney Dis 45:935-40. 2005
  39. ncbi request reprint The impact of Super Bowl parties on nutritional parameters among hemodialysis patients
    Heather Ohlrich
    Ohio Renal Care Group Farnsworth, Cleveland, OH 44109, USA
    J Ren Nutr 16:63-6. 2006
    ..It is possible that patients are less adherent with dietary restrictions during such meals. We sought to determine the impact of Super Bowl parties on nutritional parameters among hemodialysis patients...
  40. ncbi request reprint Health care lobbying in the United States
    Steven H Landers
    Department of Family Medicine, University Hospitals and Case Western Reserve University, Cleveland, Ohio, USA
    Am J Med 116:474-7. 2004
    ..To assess the relative political influence of different organizations, we examined the efforts of health care organizations to influence policy decisions by lobbying lawmakers...