R H Fletcher

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. ncbi request reprint Rationale for combining different screening strategies
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
    Gastrointest Endosc Clin N Am 12:53-63. 2002
  2. ncbi request reprint Systematic review: the relationship between clinical experience and quality of health care
    Niteesh K Choudhry
    Harvard Medical School and Harvard Pilgrim Health Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Ann Intern Med 142:260-73. 2005
  3. ncbi request reprint Comparison of a brush-sampling fecal immunochemical test for hemoglobin with a sensitive guaiac-based fecal occult blood test in detection of colorectal neoplasia
    Robert H Fletcher
    Cancer 109:1925-6; author reply 1926. 2007
  4. pmc A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study
    Karen E Lasser
    Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
    BMC Fam Pract 10:37. 2009
  5. pmc Barriers to colorectal cancer screening in community health centers: a qualitative study
    Karen E Lasser
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
    BMC Fam Pract 9:15. 2008
  6. ncbi request reprint Vitamins for chronic disease prevention in adults: clinical applications
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
    JAMA 287:3127-9. 2002
  7. pmc Screening patients with a family history of colorectal cancer
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Harvard Vanguard Medical Associates, Boston, MA, USA
    J Gen Intern Med 22:508-13. 2007
  8. ncbi request reprint Adverts in medical journals: caveat lector
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Lancet 361:10-1. 2003
  9. pmc The quality of colonoscopy services--responsibilities of referring clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer Roundtable
    Robert H Fletcher
    Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    J Gen Intern Med 25:1230-4. 2010
  10. ncbi request reprint Screening for colorectal cancer: the business case
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Am J Manag Care 8:531-8. 2002

Research Grants

  1. Screening and Family History Colorectal Cancer
    Robert Fletcher; Fiscal Year: 2004

Detail Information

Publications46

  1. ncbi request reprint Rationale for combining different screening strategies
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
    Gastrointest Endosc Clin N Am 12:53-63. 2002
    ....
  2. ncbi request reprint Systematic review: the relationship between clinical experience and quality of health care
    Niteesh K Choudhry
    Harvard Medical School and Harvard Pilgrim Health Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
    Ann Intern Med 142:260-73. 2005
    ..However, evidence suggests that there is an inverse relationship between the number of years that a physician has been in practice and the quality of care that the physician provides...
  3. ncbi request reprint Comparison of a brush-sampling fecal immunochemical test for hemoglobin with a sensitive guaiac-based fecal occult blood test in detection of colorectal neoplasia
    Robert H Fletcher
    Cancer 109:1925-6; author reply 1926. 2007
  4. pmc A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study
    Karen E Lasser
    Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
    BMC Fam Pract 10:37. 2009
    ..Patient navigation has been shown to increase breast and cervical cancer screening rates, but few studies have looked at the potential of patient navigation to increase colorectal cancer screening rates...
  5. pmc Barriers to colorectal cancer screening in community health centers: a qualitative study
    Karen E Lasser
    Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
    BMC Fam Pract 9:15. 2008
    ..The purpose of this study was to describe barriers to/facilitators of colorectal cancer screening among diverse patients served by community health centers...
  6. ncbi request reprint Vitamins for chronic disease prevention in adults: clinical applications
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
    JAMA 287:3127-9. 2002
    ....
  7. pmc Screening patients with a family history of colorectal cancer
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Harvard Vanguard Medical Associates, Boston, MA, USA
    J Gen Intern Med 22:508-13. 2007
    ..To compare screening practices and beliefs in patients with and without a clinically important family history...
  8. ncbi request reprint Adverts in medical journals: caveat lector
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Lancet 361:10-1. 2003
  9. pmc The quality of colonoscopy services--responsibilities of referring clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer Roundtable
    Robert H Fletcher
    Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
    J Gen Intern Med 25:1230-4. 2010
    ..Information on quality indicators will be increasingly available with quality improvement efforts within the colonoscopy community and growth in the use of electronic medical records...
  10. ncbi request reprint Screening for colorectal cancer: the business case
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Am J Manag Care 8:531-8. 2002
    ..We believe that colorectal cancer screening programs are integral to any organization purporting to provide high-quality care. Organizations without such programs should give them high priority for implementation...
  11. ncbi request reprint Evaluation of interventions
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
    J Clin Epidemiol 55:1183-90. 2002
    ..When trials disagree, resolution may be found not by from more trials but also from critical appraisal of individual trials, weighing the totality of the evidence, and Bayesian reasoning...
  12. doi request reprint Personalized screening for colorectal cancer
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
    Med Care 46:S5-9. 2008
  13. pmc The diagnosis of colorectal cancer in patients with symptoms: finding a needle in a haystack
    Robert H Fletcher
    Harvard Medical School, Boston, Massachusetts, USA
    BMC Med 7:18. 2009
    ....
  14. ncbi request reprint Successful colorectal cancer screening starts with primary care
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
    Rev Gastroenterol Disord 2:S27-34. 2002
    ..Newer tests, such as virtual colonoscopy and stool-based DNA tests, will help if they offer greater sensitivity, specificity, or patient acceptability than current screening options...
  15. ncbi request reprint The longitudinal primary care clerkship at Harvard Medical School
    A S Peters
    Department of Ambulatory Care and Prevention, Harvard Medical School, 126 Brookline Avenue, Boston, MA 02215, USA
    Acad Med 76:484-8. 2001
    ..Other medical schools are beginning to develop longitudinal clerkships to ensure that students have essential educational experiences that are difficult to achieve in block, hospital-based clerkships...
  16. pmc Patient and physician reminders to promote colorectal cancer screening: a randomized controlled trial
    Thomas D Sequist
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Arch Intern Med 169:364-71. 2009
    ..Screening reduces colorectal cancer mortality, but effective screening tests remain underused. Systematic reminders to patients and physicians could increase screening rates..
  17. pmc Measuring access to effective care among elderly medicare enrollees in managed and Fee-for-Service care: a retrospective cohort study
    M B Barton
    Department of Ambulatory Care and Prevention Harvard Medical School and Harvard Pilgrim Health Care Boston MA, USA
    BMC Health Serv Res 1:11. 2001
    ..Our aim was to compare access to effective care among elderly Medicare patients in a Staff Model and Group Model HMO and in Fee-for-Service (FFS) care...
  18. doi request reprint Adjuvant chemotherapy for stage III colon cancer: do physicians agree about the importance of patient age and comorbidity?
    Nancy L Keating
    Division of General Internal Medicine and the Department of Surgery and Center for Surgery and Public Health, Brigham and Women s Hospital, USA
    J Clin Oncol 26:2532-7. 2008
    ..We surveyed cancer physicians to understand how patients' age and comorbidity influence adjuvant chemotherapy recommendations and whether physician or practice characteristics also affect these recommendations...
  19. ncbi request reprint Teaching care management in a longitudinal primary care clerkship
    Antoinette S Peters
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Office of Educational Development, Harvard Medical School, Boston, Massachusetts 02115, USA
    Teach Learn Med 17:322-7. 2005
    ....
  20. ncbi request reprint Preparing faculty to teach managing care competencies: lessons learned from a national faculty development program
    Maryjoan D Ladden
    Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA 02215, USA
    Fam Med 36:S115-20. 2004
    ..Backlash against managed care has created a skeptical educational environment. Many faculty feel unprepared to teach the competencies in clinical settings...
  21. ncbi request reprint Vitamins for chronic disease prevention in adults: scientific review
    Kathleen M Fairfield
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Channing Laboratory, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    JAMA 287:3116-26. 2002
    ..Although vitamin deficiency is encountered infrequently in developed countries, inadequate intake of several vitamins is associated with chronic disease...
  22. pmc How do precepting physicians select patients for teaching medical students in the ambulatory primary care setting?
    Steven R Simon
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
    J Gen Intern Med 18:730-5. 2003
    ..To study how clinical preceptors select patients for medical student teaching in ambulatory care and to explore key factors they consider in the selection process...
  23. pmc Variations in surgeon treatment recommendations for lobectomy in early-stage non-small-cell lung cancer by patient age and comorbidity
    Selwyn O Rogers
    Department of Surgery and Center for Surgery and Public Health, Brigham and Women s Hospital, Boston, MA, USA
    Ann Surg Oncol 17:1581-8. 2010
    ..We surveyed surgeons to understand how their recommendations for lobectomy were influenced by age, the presence and severity of smoking-related lung disease, or by characteristics of the surgeons and their practices...
  24. ncbi request reprint Familial risk and colorectal cancer screening health beliefs and attitudes in an insured population
    Richard C Palmer
    Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA
    Prev Med 45:336-41. 2007
    ..To examine the relationship between health beliefs and attitudes toward colorectal cancer screening, strength of family history risk, and being appropriately screened for colorectal cancer...
  25. ncbi request reprint Implementation of a cancer prevention program for working class, multiethnic populations
    Rebecca Lobb
    Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Prev Med 38:766-76. 2004
    ..Healthy Directions-Health Centers was designed to address social contextual factors relevant to cancer prevention interventions for working class, multi-ethnic populations...
  26. pmc The effect of medical student teaching on patient satisfaction in a managed care setting
    S R Simon
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    J Gen Intern Med 15:457-61. 2000
    ..Concerns about patient satisfaction should not prevent managed care organizations from participating in primary care education...
  27. ncbi request reprint Practice guidelines and the practice of medicine: is it the end of clinical judgment and expertise?
    R H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA 02215, USA
    Schweiz Med Wochenschr 128:1883-8. 1998
    ..Although guidelines may point out the best research evidence to guide the care of average patients, they are not a substitute for clinical judgment, which should be applied to each individual patient...
  28. ncbi request reprint Interpretation of diagnostic tests
    R H Fletcher
    Harvard Medical School, Department of Ambulatory Care and Prevention, Boston, MA 02215, USA robert
    Indian J Pediatr 67:49-53. 2000
    ..Describing test performance in terms of likelihood ratios facilitates this process. Readers should be able to critique published studies of diagnostic tests which are still far from perfect...
  29. ncbi request reprint Faculty training in general internal medicine: a survey of graduates from a research-intensive fellowship program
    S R Simon
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Acad Med 74:1253-5. 1999
    ..To determine the fellowship experiences and career activities of the graduates of a research-intensive general internal medicine fellowship program...
  30. ncbi request reprint Evaluation of a faculty development program in managing care
    Antoinette S Peters
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
    Acad Med 77:1121-7. 2002
    ..To evaluate a faculty development program that teaches quality improvement and cost-effectiveness...
  31. doi request reprint Failure of automated telephone outreach with speech recognition to improve colorectal cancer screening: a randomized controlled trial
    Steven R Simon
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
    Arch Intern Med 170:264-70. 2010
    ..Automated telephone outreach with speech recognition (ATO-SR) is used extensively by health plans. Whether ATO-SR can increase rates of colorectal cancer (CRC) screening is unknown...
  32. ncbi request reprint Understanding cancer treatment and outcomes: the Cancer Care Outcomes Research and Surveillance Consortium
    John Z Ayanian
    Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
    J Clin Oncol 22:2992-6. 2004
  33. ncbi request reprint "Spin" in scientific writing: scientific mischief and legal jeopardy
    Robert H Fletcher
    Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
    Med Law 26:511-25. 2007
    ..We therefore suggest some actions that editors can take to foster a more trustworthy evidence base both for the care of patients and for legal decisions...
  34. ncbi request reprint Is patient cost-sharing the best way to protect the medical commons?
    Robert H Fletcher
    Ann Intern Med 149:435; author reply 435-6. 2008
  35. ncbi request reprint Promoting early detection tests for colorectal carcinoma and adenomatous polyps: a framework for action: the strategic plan of the National Colorectal Cancer Roundtable
    Bernard Levin
    Division of Cancer Prevention, The University of Texas M D Anderson Cancer Center, Houston, Texas 77030, USA
    Cancer 95:1618-28. 2002
    ....
  36. ncbi request reprint Pearls and pitfalls in patient care: need to revive traditional clinical values
    Ami Schattner
    Hebrew University and Hadassah Medical School, Kaplan Medical Center, Jerusalem, Israel
    Am J Med Sci 327:79-85. 2004
    ....
  37. ncbi request reprint Barriers to endoscopic colorectal cancer screening: are women different from men?
    Francis A Farraye
    Section of Gastroenterology, Boston Medical Center, Massachusetts 02118, USA
    Am J Gastroenterol 99:341-9. 2004
    ..The goals of this study were to compare women and men's understanding of screening flexible sigmoidoscopy (FS) and to identify predictors of endoscopic colorectal cancer (CRC) screening...
  38. ncbi request reprint Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients
    Kimberly A Kaphingst
    National Human Genome Research Institute, Social and Behavioral Research Branch, 2 Center Drive, MSC 0249, Building 2, Room 4E30, Bethesda, MD 20892, USA
    Am J Health Promot 21:262-6. 2007
    ..DESIGN. Analysis of intervention condition participant data from a randomized controlled trial...
  39. ncbi request reprint Guidelines for colonoscopy surveillance after cancer resection: a consensus update by the American Cancer Society and the US Multi-Society Task Force on Colorectal Cancer
    Douglas K Rex
    Indiana University School of Medicine, Indianapolis, Indiana, USA
    Gastroenterology 130:1865-71. 2006
    ....
  40. ncbi request reprint Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society
    Sidney J Winawer
    Memorial Sloan Kettering Cancer Center, New York, New York, USA
    Gastroenterology 130:1872-85. 2006
    ..It has been shown that the first screening colonoscopy and polypectomy produces the greatest effects on reducing the incidence of colorectal cancer in patients with adenomatous polyps...
  41. ncbi request reprint Screening sigmoidoscopy-- how often and how good?
    Robert H Fletcher
    JAMA 290:106-8. 2003
  42. ncbi request reprint Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society
    Sidney J Winawer
    Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
    CA Cancer J Clin 56:143-59; quiz 184-5. 2006
    ..It has been shown that the first screening colonoscopy and polypectomy produces the greatest effects on reducing the incidence of colorectal cancer in patients with adenomatous polyps...
  43. doi request reprint Colorectal cancer screening on stronger footing
    Robert H Fletcher
    N Engl J Med 359:1285-7. 2008
  44. ncbi request reprint Guidelines for colonoscopy surveillance after cancer resection: a consensus update by the American Cancer Society and US Multi-Society Task Force on Colorectal Cancer
    Douglas K Rex
    Indiana University School of Medicine, Indianapolis, IN, USA
    CA Cancer J Clin 56:160-7; quiz 185-6. 2006
    ....
  45. pmc Improving colorectal cancer screening in primary care practice: innovative strategies and future directions
    Carrie N Klabunde
    Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, EPN 4005, 6130 Executive Boulevard, Bethesda, MD 20892 7344, USA
    J Gen Intern Med 22:1195-205. 2007
    ..Active engagement and support of practices are essential for the enormous potential of CRC screening to be realized...
  46. ncbi request reprint Extracolonic findings with computed tomographic colonography: asset or liability?
    Robert H Fletcher
    Arch Intern Med 168:685-6. 2008

Research Grants1

  1. Screening and Family History Colorectal Cancer
    Robert Fletcher; Fiscal Year: 2004
    ..This developmental research will raise hypotheses about the causes of failure to recognize FH and begin timely screening and suggest potential solutions to be tested in subsequent research. ..