D B Matchar

Summary

Affiliation: Duke University Medical Center
Country: USA

Publications

  1. ncbi Hypertension Improvement Project (HIP): study protocol and implementation challenges
    Rowena J Dolor
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    Trials 10:13. 2009
  2. ncbi A new instrument for measuring anticoagulation-related quality of life: development and preliminary validation
    Greg Samsa
    Department of Biometry and Bioinformatics, Duke University Medical Center, Wachovia Plaza, Suite 220, 2200 West Main Street, Durham, NC 27705, USA
    Health Qual Life Outcomes 2:22. 2004
  3. ncbi Facilitated process improvement: an approach to the seamless linkage between evidence and practice in CKD
    David B Matchar
    Duke Center for Clinical Health Policy Research, Durham, NC, USA
    Am J Kidney Dis 47:528-38. 2006
  4. ncbi The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement
    D B Matchar
    Center for Clinical Health Policy Research, Duke University, USA
    Jt Comm J Qual Improv 25:522-8. 1999
  5. ncbi Cost-effectiveness of antiplatelet agents in secondary stroke prevention: the limits of certainty
    David B Matchar
    Center for Clinical Health Policy Research, Duke University, Durham, NC 27705, USA
    Value Health 8:572-80. 2005
  6. ncbi Dissemination of Evidence-based Practice Center reports
    David B Matchar
    Duke University, Durham, North Carolina 27705, USA
    Ann Intern Med 142:1120-5. 2005
  7. ncbi Systematic review: comparative effectiveness of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treating essential hypertension
    David B Matchar
    Duke Center for Clinical Health Policy Research, Duke Clinical Research Institute, Duke University, and Durham U S Department of Veterans Affairs Medical Center, Durham, North Carolina 27705, USA
    Ann Intern Med 148:16-29. 2008
  8. ncbi US National Survey of Physician Practices for the Secondary and Tertiary Prevention of Ischemic Stroke. Carotid endarterectomy
    L B Goldstein
    Center for Health Policy Research and Education, Duke University, Durham, NC, USA
    Stroke 27:801-6. 1996
  9. ncbi US National Survey of Physician Practices for the Secondary and Tertiary Prevention of Ischemic Stroke. Medical therapy in patients with carotid artery stenosis
    L B Goldstein
    Center for Health Policy Research and Education, Duke University, Durham, NC USA
    Stroke 27:1473-8. 1996
  10. ncbi Epidemiology of recurrent cerebral infarction: a medicare claims-based comparison of first and recurrent strokes on 2-year survival and cost
    G P Samsa
    Center for Clinical Health Policy Research, and the Departments of Community and Family Medicine and Medicine, Duke University School of Medicine Durham, NC, USA
    Stroke 30:338-49. 1999

Detail Information

Publications84

  1. ncbi Hypertension Improvement Project (HIP): study protocol and implementation challenges
    Rowena J Dolor
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    Trials 10:13. 2009
    ..The chronic care model suggests that blood pressure control can be achieved by improving how patients and physicians address patient self-care...
  2. ncbi A new instrument for measuring anticoagulation-related quality of life: development and preliminary validation
    Greg Samsa
    Department of Biometry and Bioinformatics, Duke University Medical Center, Wachovia Plaza, Suite 220, 2200 West Main Street, Durham, NC 27705, USA
    Health Qual Life Outcomes 2:22. 2004
    ..We describe the development and preliminary validation of such an instrument - the Duke Anticoagulation Satisfaction Scale (DASS)...
  3. ncbi Facilitated process improvement: an approach to the seamless linkage between evidence and practice in CKD
    David B Matchar
    Duke Center for Clinical Health Policy Research, Durham, NC, USA
    Am J Kidney Dis 47:528-38. 2006
    ..Prespecified tools fail to accommodate local circumstances, TQM requires an unrealistic level of local commitment, and neither has a proven track record for success...
  4. ncbi The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement
    D B Matchar
    Center for Clinical Health Policy Research, Duke University, USA
    Jt Comm J Qual Improv 25:522-8. 1999
    ..That is, while information synthesis should be global, implementation must be local...
  5. ncbi Cost-effectiveness of antiplatelet agents in secondary stroke prevention: the limits of certainty
    David B Matchar
    Center for Clinical Health Policy Research, Duke University, Durham, NC 27705, USA
    Value Health 8:572-80. 2005
    ..Which of the available antiplatelet therapies should be preferred for secondary prevention of recurrent ischemic stroke has been contentious...
  6. ncbi Dissemination of Evidence-based Practice Center reports
    David B Matchar
    Duke University, Durham, North Carolina 27705, USA
    Ann Intern Med 142:1120-5. 2005
    ....
  7. ncbi Systematic review: comparative effectiveness of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers for treating essential hypertension
    David B Matchar
    Duke Center for Clinical Health Policy Research, Duke Clinical Research Institute, Duke University, and Durham U S Department of Veterans Affairs Medical Center, Durham, North Carolina 27705, USA
    Ann Intern Med 148:16-29. 2008
    ..The relative effectiveness of angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) for lowering blood pressure is unknown...
  8. ncbi US National Survey of Physician Practices for the Secondary and Tertiary Prevention of Ischemic Stroke. Carotid endarterectomy
    L B Goldstein
    Center for Health Policy Research and Education, Duke University, Durham, NC, USA
    Stroke 27:801-6. 1996
    ..Yet, there are few data concerning the patterns of use of CE by physicians for their patients at risk for stroke. These data are critical for the rational allocation of resources and targeting of educational efforts...
  9. ncbi US National Survey of Physician Practices for the Secondary and Tertiary Prevention of Ischemic Stroke. Medical therapy in patients with carotid artery stenosis
    L B Goldstein
    Center for Health Policy Research and Education, Duke University, Durham, NC USA
    Stroke 27:1473-8. 1996
    ..The identification of variations in practice may help to both direct specific educational efforts and guide further research...
  10. ncbi Epidemiology of recurrent cerebral infarction: a medicare claims-based comparison of first and recurrent strokes on 2-year survival and cost
    G P Samsa
    Center for Clinical Health Policy Research, and the Departments of Community and Family Medicine and Medicine, Duke University School of Medicine Durham, NC, USA
    Stroke 30:338-49. 1999
    ..The extent of this difference has, however, not yet been estimated with precision...
  11. ncbi Improving the quality of anticoagulation of patients with atrial fibrillation in managed care organizations: results of the managing anticoagulation services trial
    David B Matchar
    Center for Clinical Health Policy Research, Duke University, Durham, NC 27705, USA
    Am J Med 113:42-51. 2002
    ....
  12. ncbi A clinical decision and economic analysis model of cancer pain management
    Amy P Abernethy
    Center for Clinical Health Policy Research, Department of Medicine, Duke University Medical Center, 2200 W Main St, Suite 230, Durham, NC 27705, USA
    Am J Manag Care 9:651-64. 2003
    ..CONCLUSION: Guideline-based cancer pain management leads to improved pain control with modest increases in resource use...
  13. ncbi Accuracy of the Papanicolaou test in screening for and follow-up of cervical cytologic abnormalities: a systematic review
    K Nanda
    Duke University Medical Center and Durham Veterans Affairs Medical Center, North Carolina 27705, USA
    Ann Intern Med 132:810-9. 2000
    ..To evaluate the accuracy of conventional and new methods of Papanicolaou (Pap) testing when used to detect cervical cancer and its precursors...
  14. ncbi Mathematical model for the natural history of human papillomavirus infection and cervical carcinogenesis
    E R Myers
    Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC 27710, USA
    Am J Epidemiol 151:1158-71. 2000
    ....
  15. ncbi Quality of anticoagulation management among patients with atrial fibrillation: results of a review of medical records from 2 communities
    G P Samsa
    Center for Clinical Health Policy Research, Department of Medicine, Duke University Medical Center, Durham, NC 27705, USA
    Arch Intern Med 160:967-73. 2000
    ..Although many studies have addressed the proportion of eligible patients with atrial fibrillation (AF) receiving warfarin sodium, few have addressed the quality of their anticoagulation management...
  16. ncbi Depression and other determinants of values placed on current health state by stroke patients: evidence from the VA Acute Stroke (VASt) study
    H B Bosworth
    Health Services Research and Development, Durham Veterans Affairs Medical Center, NC 27705, USA
    Stroke 31:2603-9. 2000
    ..This prospective study examined the determinants of the utility (value) placed on health status among a sample of patients with acute ischemic and intracerebral hemorrhagic stroke...
  17. ncbi The impact of patient self-testing of prothrombin time for managing anticoagulation: rationale and design of VA Cooperative Study #481--the Home INR Study (THINRS)
    David B Matchar
    Health Services Research Field Program, Duke University Medical Center, Center for Clinical Health Policy Research, VA Medical Center, 2200 W Main St, Suite 220, Durham, NC, 27705, USA
    J Thromb Thrombolysis 19:163-72. 2005
    ..To assess the effect of PST frequency on TTR and other outcomes, at selected sites patients randomized to perform PST are assigned one of three test frequencies (weekly, twice weekly, or once every four weeks)...
  18. ncbi Clinical and radiographic findings that lead to intervention in diabetic patients with foot ulcers. A nationwide survey of primary care physicians
    D Edelman
    Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, NC 27705, USA
    Diabetes Care 19:755-7. 1996
    ..To determine which elements of clinical history, physical examination, and diagnostic tests are important to primary care physicians in their management of foot ulcers in diabetic patients...
  19. ncbi Primary care physician-reported secondary and tertiary stroke prevention practices. A comparison between the United States and the United Kingdom
    L B Goldstein
    Center for Health Policy Research and Education, Duke University, Durham, NC
    Stroke 28:746-51. 1997
    ..Little comparative data are available concerning how generalist physicians in the two countries approach the management of patients at high risk of stroke...
  20. ncbi VA Stroke Study: neurologist care is associated with increased testing but improved outcomes
    L B Goldstein
    Durham VA Medical Center, Durham, NC, USA
    Neurology 61:792-6. 2003
    ..VA Stroke Study (VASt) data were analyzed to determine whether neurologist management affected the process and outcome of care of patients with ischemic stroke...
  21. ncbi New transient ischemic attack and stroke: outpatient management by primary care physicians
    L B Goldstein
    Department of Medicine Neurology, Box 3651, Duke University Medical Center, Durham, NC 27710
    Arch Intern Med 160:2941-6. 2000
    ..The purpose of the present study was to identify a group of patients seen by primary care physicians in an office setting for a first-ever TIA or stroke and characterize their evaluation and management...
  22. ncbi Meta-analysis of survival and relief of angina pectoris after transmyocardial revascularization
    Lawrence Liao
    Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27710, USA
    Am J Cardiol 95:1243-5. 2005
    ..At 1 year, transmyocardial laser revascularization produced a significant improvement in angina class (p <0.0001) but no improvement in survival (p = 0.75)...
  23. ncbi FDG-PET for management of cervical and ovarian cancer
    Laura J Havrilesky
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Duke University Medical Center, Box 3079, Durham, NC 27710, USA
    Gynecol Oncol 97:183-91. 2005
    ..To assess the diagnostic performance of Positron Emission Tomography using fluorodeoxyglucose (FDG-PET) in comparison to conventional imaging modalities in the assessment of patients with cervical and ovarian cancer...
  24. ncbi Advanced chronic kidney disease practice patterns among nephrologists and non-nephrologists: a database analysis
    Meenal B Patwardhan
    Duke Center for Clinical Health Policy Research, 2200 W Main Street, Suite 220, Durham, NC 27705, USA
    Clin J Am Soc Nephrol 2:277-83. 2007
    ..Management of advanced CKD is suboptimal for all patients but is particularly poor for patients who are treated solely by non-nephrologists...
  25. ncbi Health policy and outcomes research 2004
    David B Matchar
    Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC 27705, USA
    Stroke 36:225-7. 2005
  26. ncbi How strong is the relationship between functional status and quality of life among persons with stroke?
    Gregory P Samsa
    Center for Clinical Health Policy Research, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC 27705, USA
    J Rehabil Res Dev 41:279-82. 2004
    ..Quality of life with major stroke may not necessarily be as low as that reported before such a stroke occurs. Quality of life after stroke is heterogeneous and depends on more than just level of physical function...
  27. ncbi Charlson Index comorbidity adjustment for ischemic stroke outcome studies
    Larry B Goldstein
    Durham VA Medical Center, Durham, NC, USA
    Stroke 35:1941-5. 2004
    ..The purpose of the present study was to determine whether outcomes of ischemic stroke patients varied on the basis of the Charlson Index...
  28. ncbi Opportunities for improving management of advanced chronic kidney disease
    Meenal B Patwardhan
    Duke Center for Clinical Health Policy Research, Duke University Medical Center, and Veterans Administration Health Services Research, Durham, NC 27705, USA
    Am J Med Qual 23:184-92. 2008
    ....
  29. ncbi An evaluation of patient self-testing competency of prothrombin time for managing anticoagulation: pre-randomization results of VA Cooperative Study #481--The Home INR Study (THINRS)
    Rowena J Dolor
    Center for Health Services Research in Primary Care, VA Medical Center, Durham, NC, USA
    J Thromb Thrombolysis 30:263-75. 2010
    ..Successful home monitoring of PT with a PST device required adequate levels of cognition and manual dexterity. Training a caregiver modestly increased the proportion of patients who can perform PST...
  30. ncbi A cost-minimization analysis comparing azithromycin-based and levofloxacin-based protocols for the treatment of patients hospitalized with community-acquired pneumonia: results from the CAP-IN trial
    Gregory P Samsa
    Center for Clinical Health Policy Research, Department of Biostatistics and Bioinformatics, Duke University, Durham, NC 27705, USA
    Chest 128:3246-54. 2005
    ..A randomized trial was performed comparing azithromycin and levofloxacin for treating moderately to severely ill patients hospitalized with community-acquired pneumonia. This is a cost-minimization analysis comparing those regimens...
  31. ncbi Strategies for incorporating resource allocation and economic considerations: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)
    David B Matchar
    Center for Clinical Health Policy, First Union Tower, 2200 W Main Street, Durham, NC 27705, USA
    Chest 133:132S-140S. 2008
    ....
  32. ncbi Review of evidence for genetic testing for CYP450 polymorphisms in management of patients with nonpsychotic depression with selective serotonin reuptake inhibitors
    Mugdha Thakur
    Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27710, USA
    Genet Med 9:826-35. 2007
    ..The purpose of this study was 2-fold: to systematically review the literature for evidence supporting CYP450 genotyping to guide SSRI treatment for major depression, and, where evidence is inadequate, to suggest future research...
  33. ncbi Recommendations for a clinical decision support for the management of individuals with chronic kidney disease
    Meenal B Patwardhan
    Duke Center for Clinical Health Policy Research, 2200 W Main Street, Suite 220 Durham NC 27705, USA
    Clin J Am Soc Nephrol 4:273-83. 2009
    ..The Institute of Medicine has endorsed the use of clinical decision support (CDS) for implementing guidelines. The authors' objective was to identify the requirements of an optimal CDS system for CKD management...
  34. ncbi Relationship between nephrologist care and progression of chronic kidney disease
    Lori A Orlando
    Center for Clinical Health Policy at Duke University, 2200 W Main Street, Tower Suite 220, Durham, NC 27705, USA
    N C Med J 68:9-16. 2007
    ..However, limitations in the capacity of currently practicing nephrologists may prevent widespread early referral...
  35. ncbi Geographic variation and trends in carotid imaging among medicare beneficiaries, 2001 to 2006
    Lesley H Curtis
    Duke Clinical Research Institute, Department of Medicine, Duke University School of Medicine, Durham, NC, USA
    Circ Cardiovasc Qual Outcomes 3:599-606. 2010
    ..We examined temporal trends and geographic variation in the use of carotid ultrasound, carotid magnetic resonance angiography (MRA), and carotid x-ray angiography...
  36. ncbi Clopidogrel use and long-term clinical outcomes after drug-eluting stent implantation
    Eric L Eisenstein
    Department of Medicine, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27710, USA
    JAMA 297:159-68. 2007
    ..Recent studies of drug-eluting intracoronary stents suggest that current antiplatelet regimens may not be sufficient to prevent late stent thrombosis...
  37. ncbi Effect of home testing of international normalized ratio on clinical events
    David B Matchar
    Health Services Research Field Program, Veterans Affairs Medical Center, Durham, NC, USA
    N Engl J Med 363:1608-20. 2010
    ..As compared with venous plasma testing, point-of-care INR measuring devices allow greater testing frequency and patient involvement and may improve clinical outcomes...
  38. ncbi Improving the process of developing technical reports for health care decision makers: using the theory of constraints in the evidence-based practice centers
    Meenal B Patwardhan
    Department of Medicine, Duke University Medical Center, Durham, NC 27705, USA
    Int J Technol Assess Health Care 22:26-32. 2006
    ..To apply the Theory of Constraints (TOC) to the Evidence-based Practice Center (EPC) process...
  39. ncbi Hypertension improvement project: randomized trial of quality improvement for physicians and lifestyle modification for patients
    Laura P Svetkey
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    Hypertension 54:1226-33. 2009
    ..Differences between treatment groups did not persist at 18 months. Combined physician and patient interventions lowers blood pressure; future research should focus on enhancing effectiveness and sustainability of these interventions...
  40. ncbi Commentary: a new era in epilepsy care. Guidelines address first steps in diagnosis and treatment
    David B Matchar
    Duke Center for Clinical Health Policy Research, Durham, North Carolina 27705, USA
    Postgrad Med 118:18-21. 2005
  41. ncbi Long-term clinical outcomes following coronary stenting
    Kevin J Anstrom
    Department of Biostatistics, Duke Clinical Research Institute, Durham, NC 27715, USA
    Arch Intern Med 168:1647-55. 2008
    ..The objective of this study was to compare the long-term clinical outcomes of patients receiving DES vs BMS in a clinical practice setting...
  42. ncbi Veterans Administration Acute Stroke (VASt) Study: lack of race/ethnic-based differences in utilization of stroke-related procedures or services
    Larry B Goldstein
    Durham Veterans Affairs Medical Center, Durham, NC, USA
    Stroke 34:999-1004. 2003
    ....
  43. ncbi Health policy in stroke: translating what we know into what we do
    David B Matchar
    Center for Clinical Health Policy Research and Department of Medicine, Duke University Medical Center, Durham, North Carolina 27705, USA
    Stroke 34:370-1. 2003
  44. ncbi Effects of race and poverty on the process and outcome of inpatient rehabilitation services among stroke patients
    Ronnie D Horner
    Epidemiologic Research and Information Center, Durham, NC, USA
    Stroke 34:1027-31. 2003
    ..This report examines, within an equal-access healthcare system, racial differences in time to initiation of stroke rehabilitation services and in the trajectory of physical function recovery...
  45. ncbi Which approach to anticoagulation management is best? Illustration of an interactive mathematical model to support informed decision making
    Gregory P Samsa
    Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC, USA
    J Thromb Thrombolysis 14:103-11. 2002
    ..The Anticoagulation Management Event/Cost Model (ACME) is an interactive mathematical model intended to help clarify these trade-offs...
  46. ncbi Disease management in healthcare organizations: results of in-depth interviews with disease management decision makers
    David J Whellan
    Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA
    Am J Manag Care 8:633-41. 2002
    ..Despite the widening use of disease management (DM) programs throughout the country, little is understood about the "state of DM" in healthcare systems and managed care organizations...
  47. ncbi Cost-effectiveness of ancrod treatment of acute ischaemic stroke: results from the Stroke Treatment with Ancrod Trial (STAT)
    Gregory P Samsa
    Center for Clinical Health Policy Research, Suite 230, Duke University, 2200 West Main Street, Durham, NC 27705, USA
    J Eval Clin Pract 8:61-70. 2002
    ....
  48. ncbi Use of data from nonrandomized trial designs in evidence reports: an application to treatment of pulmonary disease following spinal cord injury
    Gregory P Samsa
    Center for Clinical Health Policy Research, Duke University, Medical Center, Durham, NC 27705, USA
    J Rehabil Res Dev 39:41-52. 2002
    ....
  49. ncbi Do anticoagulation management services improve care? Implications of the Managing Anticoagulation Services Trial
    David B Matchar
    Center for Clinical Health Policy Research, Duke University, Durham, NC, USA
    Card Electrophysiol Rev 7:379-81. 2003
    ..A higher rate of utilization and a more aggressive stance toward subtherapeutic INR values could potentially enhance the effectiveness of an ACS...
  50. ncbi An economic analysis of external hip protector use in ambulatory nursing facility residents
    CATHLEEN S COLON-EMERIC
    Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC 27710, USA
    Age Ageing 32:47-52. 2003
    ..to evaluate the economic impact of external hip protector use in nursing facilities...
  51. ncbi Alzheimer disease: operating characteristics of PET--a meta-analysis
    Meenal B Patwardhan
    Duke Center for Clinical Health Policy Research, 2200 W Main St, Suite 220, Durham, NC 27705, USA
    Radiology 231:73-80. 2004
    ..To assess the operating characteristics of positron emission tomography (PET) by using fluorine 18 fluorodeoxyglucose (FDG) in the diagnosis of Alzheimer disease...
  52. ncbi Have randomized controlled trials of neuroprotective drugs been underpowered? An illustration of three statistical principles
    G P Samsa
    Center for Clinical Health Policy Research, Department of Medicine, Duke University Medical Center, Durham, NC 27705, USA
    Stroke 32:669-74. 2001
    ..The results of phase III trials of neuroprotective drugs for acute ischemic stroke have been disappointing. We examine the question of whether these trials may have been underpowered...
  53. ncbi Multicenter review of preoperative risk factors for endarterectomy for asymptomatic carotid artery stenosis
    L B Goldstein
    Center for Clinical Health Policy Research, Division of Neurology, Duke University, Department of Veterans Affairs Medical Center, Durham, NC, USA
    Stroke 29:750-3. 1998
    ..The purpose of this study was to analyze the impact of potential preoperative risk factors on the frequency of postoperative complications in patients undergoing the operation for asymptomatic disease in academic medical centers...
  54. ncbi Economic analysis of influenza vaccination and antiviral treatment for healthy working adults
    Patrick Y Lee
    Duke University and the Durham Veterans Affairs Medical Center, Durham, North Carolina 27708, USA
    Ann Intern Med 137:225-31. 2002
    ..Although the benefits of antiviral therapy for persons with influenza infection appear to justify its cost, head-to-head trials of the various antiviral therapies are needed to determine the optimal treatment strategy...
  55. ncbi To what extent should quality of care decisions be based on health outcomes data? Application to carotid endarterectomy
    Gregory Samsa
    Department of Biostatistics, Center for Clinical Health Policy, Division of General Internal Medicine, Duke University Medical Center, Durham, NC, USA
    Stroke 33:2944-9. 2002
    ..The inability, in practice, to estimate complication rates at a high degree of precision is a fundamental difficulty for clinical policy making regarding procedures with complication rates such as carotid endarterectomy...
  56. ncbi Management of uterine leiomyomata: what do we really know?
    Evan R Myers
    Evidence-based Practice Center, Duke University Medical Center, Durham, North Carolina 27710, USA
    Obstet Gynecol 100:8-17. 2002
    ..Given the prevalence of this condition and its substantial impact on women's lives, obtaining these data should be a high research priority...
  57. ncbi Changing physician knowledge, attitudes, and beliefs about migraine: evaluation of a new educational intervention
    Meenal B Patwardhan
    Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC 27705, USA
    Headache 46:732-41. 2006
    ..The program could be strengthened to improve emphasis in some areas where posttest scores showed no improvement...
  58. ncbi Headache management program improves outcome for chronic headache
    Linda H Harpole
    Department of Medicine, Center for Clinical Health Policy Research, Duke University Medical Center, First Union Tower, Suite 220, 2200 West Main Street, Durham, NC 27705, USA
    Headache 43:715-24. 2003
    ..We currently are conducting a randomized controlled trial to better evaluate the clinical and financial impact of a headache management program for patients with chronic headache...
  59. ncbi Pharmacoeconomics of atrial fibrillation and stroke prevention
    Cheryl D Bushnell
    Department of Medicine (Neurology, Duke Center for Cerebrovascular Disease, Duke University Medical Center, Durham, North Carolina, USA
    Am J Manag Care 10:S66-71. 2004
    ..Of the several strategies available for managing anticoagulation, the key element to controlling costs is avoiding out-of-range values...
  60. ncbi Improving the reliability of stroke subgroup classification using the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) criteria
    L B Goldstein
    Durham Veterans Affairs Medical Center, Department of Medicine, Duke University, Durham, NC 27710, USA
    Stroke 32:1091-8. 2001
    ..However, the investigators cautioned that disagreements in subtype assignment remain despite the use of these explicit criteria and that trials should include measures to ensure the most uniform diagnosis possible...
  61. ncbi Using outcomes data to identify best medical practice: the role of policy models
    D B Matchar
    Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC 27705, USA
    Hepatology 29:36S-39S. 1999
    ..The SPPM is a simulation model designed to predict the best among various treatment alternatives for preventing strokes. Similar models can be applied to treatment outcomes for liver disease...
  62. ncbi Setting the target for a better cervical screening test: characteristics of a cost-effective test for cervical neoplasia screening
    E R Myers
    Department of Obstetrics and Gynecology, Center for Clinical Health Policy Research Evidence Based Practice Center, Durham, North Carolina, USA
    Obstet Gynecol 96:645-52. 2000
    ..To determine the potential effects on costs and outcomes of changes in sensitivity and specificity with new screening methods for cervical cancer...
  63. ncbi Relationship between test frequency and outcomes of anticoagulation: a literature review and commentary with implications for the design of randomized trials of patient self-management
    G P Samsa
    Center for Clinical Health Policy Research, Department of Medicine, Department of Community and Family Medicine, Duke University Medical Center, Durham, NC 27705, USA
    J Thromb Thrombolysis 9:283-92. 2000
    ....
  64. ncbi Burden of illness and satisfaction with care among patients with headache seen in a primary care setting
    Linda H Harpole
    Duke University Medical Center, Department of Medicine, Durham, NC 27705, USA
    Headache 45:1048-55. 2005
    ..Future efforts should be directed at developing and evaluating methods for effectively improving headache management...
  65. ncbi Geographic variation in carotid revascularization among Medicare beneficiaries, 2003-2006
    Manesh R Patel
    Center for Clinical and Genetic Economics, Duke Clinical Research Institute, Durham, NC 27715, USA
    Arch Intern Med 170:1218-25. 2010
    ..We examined geographic variation in and predictors of carotid endarterectomy and carotid stenting...
  66. ncbi Accuracy and reliability of apical S3 gallop detection
    E C Westman
    Center for Health Services Research in Primary Care, Duke University, Durham, North Carolina 27705, USA
    J Gen Intern Med 10:455-7. 1995
    ..Sensitivity was lower for detecting soft S3 gallops, and specificity was lower when a diastolic murmur was also present. Physician performance in detecting apical S3 gallops is variable, but can be excellent...
  67. ncbi Cost of multiple sclerosis by level of disability: a review of literature
    M B Patwardhan
    Duke Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC 27705, USA
    Mult Scler 11:232-9. 2005
    ....
  68. ncbi Racial differences in survival post cerebral infarction among the elderly
    J Bian
    Department of Health Policy and Administration, University of North Carolina at Chapel Hill, Durham, 27705, USA
    Neurology 60:285-90. 2003
    ..Future analyses, using more clinically detailed data, should focus especially on whether survival differences by race persist in the young-old (age 65 to 74) population...
  69. ncbi The headache management trial: a randomized study of coordinated care
    David B Matchar
    Center for Clinical Health Policy Research, Duke University Medical Center, Durham, NC 27705, USA
    Headache 48:1294-310. 2008
    ..Headache is a common, disabling disorder that is frequently not well managed in general clinical practice...
  70. ncbi When to stress over triptans: a Markov analysis of cardiovascular risk in migraine treatment
    Lori A Orlando
    Duke University Medical Center, Durham VA, NC, USA
    Headache 44:652-60. 2004
    ..The exact level of cardiac risk at which testing should be considered is probably at or above 87%...
  71. ncbi Outcomes of second revascularization procedures after stent implantation
    Richard P Konstance
    Department of Medicine, Duke University Medical Center, Durham, NC, USA
    J Med Syst 32:177-86. 2008
    ..Further studies are needed to determine the optimum application for CABG vs. DES as a second or third revascularization procedure...
  72. ncbi Utility of the advanced chronic kidney disease patient management tools: case studies
    Meenal B Patwardhan
    Department of Medicine, Duke Center for Clinical Health Policy Research, Duke University Medical Center, Durham NC 27705, USA
    Am J Med Qual 23:105-14. 2008
    ..Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance...
  73. ncbi Noninvasive imaging for coronary artery disease: a technology assessment for the Medicare Coverage Advisory Commission
    Manesh R Patel
    Division of Cardiology, Duke University Medical Center, Duke Clinical Research Institute, Duke University, Durham, NC 27710, USA
    Am Heart J 153:161-74. 2007
    ..Informed clinical and policy decision making will require further study of these technologies in well-characterized clinical contexts, in typical practice settings, and with attention to impact on management and health outcomes...
  74. ncbi Usefulness of positron emission tomography in evaluating dementia
    Olivier T Rutschmann
    JAMA 287:985-6; author reply 986-7. 2002
  75. ncbi Linking dementia research to policy: an example using fluorodeoxyglucose positron emission tomography for the diagnosis of Alzheimer's dementia and mild cognitive impairment
    Shalini L Kulasingam
    Am J Alzheimers Dis Other Demen 21:73-8. 2006
  76. ncbi When should functional neuroimaging techniques be used in the diagnosis and management of Alzheimer's dementia? A decision analysis
    Shalini L Kulasingam
    Department of Obstetrics and Gynecology, Duke University Medical Center, Durham NC, USA
    Value Health 6:542-50. 2003
    ....
  77. ncbi Evidence-based practice center network and health technology assessment in the United States: bridging the cultural gap
    Antonio Sarria-Santamera
    Spanish Agency for Health Technology Assessment, Madrid, Spain
    Int J Technol Assess Health Care 22:33-8. 2006
    ..The purpose of this study was to identify the Evidence-Based Practice Center (EPC) network participants' perceptions of the characteristics of the EPC process and the relationship of the process to the success of EPC reports...
  78. ncbi Making evidence-based practice improvement more than a comforting sentiment
    David B Matchar
    Am J Med 115:407-9. 2003
  79. ncbi Medicare HMO penetration and mortality outcomes of ischemic stroke
    John Bian
    Division of Preventive Medicine, University of Alabama at Birmingham, Deep South Center on Effectiveness at Birmingham VA Medical Center, 35295 4410, USA
    Am J Manag Care 12:58-64. 2006
    ..To examine associations between Medicare health maintenance organization (HMO) penetration and stroke mortality outcomes among older persons...
  80. ncbi Is genetic testing for cytochrome P450 polymorphisms ready for implementation?
    David B Matchar
    Am Fam Physician 76:348, 351. 2007
  81. ncbi How can modeling best contribute to the assessment of secondary stroke prevention strategies?
    David B Matchar
    Am J Med 118:198-9; author reply 199. 2005
  82. ncbi Health policy and outcome research in stroke
    Anthony G Rudd
    Clinical Effectiveness and Evaluation Unit, Royal College of Physicians, London, UK
    Stroke 35:397-400. 2004
  83. ncbi Editorial comment--what can models teach us about stroke treatment? Sorting out the missing bits
    David B Matchar
    Stroke 35:1497-8. 2004
  84. ncbi Management of recalled pacemakers and implantable cardioverter-defibrillators: a decision analysis model
    Mitesh S Amin
    Department of Internal Medicine, Virginia Commonwealth University Medical Center, Richmond, USA
    JAMA 296:412-20. 2006
    ..This analysis provides a framework for managing recalled devices in the context of device, patient, and institutional characteristics...