Research Topics
| E A HalmSummaryAffiliation: Mount Sinai School of Medicine Country: USA Publications
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Publications
Physician awareness and self-reported use of local and national guidelines for community-acquired pneumoniaGalen E Switzer
Division of General Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA
J Gen Intern Med 18:816-23. 2003..To assess physician awareness and reported use of medical guidelines for community-acquired pneumonia (CAP), and to identify factors associated with variations in awareness and use of these guidelines...
Clinical practice. Management of community-acquired pneumoniaEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York 10029, USA
N Engl J Med 347:2039-45. 2002
No symptoms, no asthma: the acute episodic disease belief is associated with poor self-management among inner-city adults with persistent asthmaEthan A Halm
Division of General Internal Medicine, Mount Sinai School of Medicine, Box 1087, One Gustave L Levy Place, New York, NY 10029, USA
Chest 129:573-80. 2006..This study sought to characterize beliefs about the chronicity of disease and its correlates in a cohort of inner-city adults with persistent asthma...
Limited impact of a multicenter intervention to improve the quality and efficiency of pneumonia careEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
Chest 126:100-7. 2004..To evaluate the impact of a multifactorial intervention to improve the quality, efficiency, and patient understanding of care for community-acquired pneumonia...
The effect of perioperative anemia on clinical and functional outcomes in patients with hip fractureEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
J Orthop Trauma 18:369-74. 2004..To describe the epidemiology of perioperative anemia in patients with hip fracture and assess the relationship between the hemoglobin measurements and clinical outcomes...
Sydenham Society: assessing the appropriateness of carotid endarterectomyEthan A Halm
Mount Sinai School of Medicine, Department of Medicine, One Gustave L. Levy Place, Box 1087, New York, NY 10029, USA
J Clin Epidemiol 60:203-7. 2007
Has evidence changed practice?: appropriateness of carotid endarterectomy after the clinical trialsE A Halm
Division of General Internal Medicine, Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
Neurology 68:187-94. 2007..To assess how appropriateness of and indications for carotid endarterectomy (CEA) have changed following the publication of several large international randomized controlled trials (RCTs) designed to rationalize use of CEA...
Effects of blood transfusion on clinical and functional outcomes in patients with hip fractureEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, New York 10029, USA
Transfusion 43:1358-65. 2003..The effects of transfusion on morbidity and mortality are controversial. The influence of transfusion on risk-adjusted mortality, readmissions, and functional mobility was examined...
Revisiting the appropriateness of carotid endarterectomyEthan A Halm
MPH, Department of Health Policy and Medicine, Box 1077, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Stroke 34:1464-71. 2003..Since publication of several randomized controlled trials (RCTs), rates of carotid endarterectomy have doubled nationwide. This study assesses the appropriateness and use of carotid endarterectomy since publication of the RCTs...
Frequency and impact of active clinical issues and new impairments on hospital discharge in patients with hip fractureEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
Arch Intern Med 163:108-13. 2003..Hip fracture is associated with significant mortality and disability. Patients who are discharged from the hospital with active clinical problems may have worse outcomes than those patients without active clinical problems...
Quality and access to care among a cohort of inner-city adults with asthma: who gets guideline concordant care?Ethan A Halm
Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, Box 1087, One Gustave L Levy Place, New York, NY 10029, USA
Chest 128:1943-50. 2005..This study measured whether quality and access to care over time was concordant with National Asthma Education and Prevention Program (NAEPP) guidelines. It also identified factors associated with NAEPP guideline-concordant care...
Understanding physician adherence with a pneumonia practice guideline: effects of patient, system, and physician factorsE A Halm
Department of Health Policy, Mount Sinai Medical Center, New York, NY 10029, USA
Arch Intern Med 160:98-104. 2000..Adherence with clinical practice guidelines is highly variable. Reasons for their inconsistent performance have not been well studied...
Physicians' attitudes about prescribing and knowledge of the costs of common medicationsS Reichert
Department of Health Policy, Box 1077, Mount Sinai Medical Center, One Gustave L Levy Place, New York, NY 10029 USA
Arch Intern Med 160:2799-803. 2000..Compliance with medical therapy is often compromised because patients cannot afford to pay for medications. Inadequate physician knowledge of drug costs may unwittingly contribute to this problem...
What factors influence physicians' decisions to switch from intravenous to oral antibiotics for community-acquired pneumonia?E A Halm
Departments of Health Policy and Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Gen Intern Med 16:599-605. 2001..We measured physician attitudes and beliefs about the antibiotic switch decision and assessed physician characteristics associated with practice beliefs...
Instability on hospital discharge and the risk of adverse outcomes in patients with pneumoniaEthan A Halm
Department of Health Policy, Box 1077, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Arch Intern Med 162:1278-84. 2002..Investigating claims that patients are being sent home from the hospital "quicker and sicker" requires a way of objectively measuring appropriateness of hospital discharge...
Is volume related to outcome in health care? A systematic review and methodologic critique of the literatureEthan A Halm
Mount Sinai School of Medicine, Department of Health Policy, Box 1077, One Gustave L Levy Place, New York, NY 10029, USA
Ann Intern Med 137:511-20. 2002..To systematically review the methodologic rigor of the research on volume and outcomes and to summarize the magnitude and significance of the association between them...
Time to clinical stability in patients hospitalized with community-acquired pneumonia: implications for practice guidelinesE A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
JAMA 279:1452-7. 1998..Many groups have developed guidelines to shorten hospital length of stay in pneumonia in order to decrease costs, but the length of time until a patient hospitalized with pneumonia becomes clinically stable has not been established...
Change in physician knowledge and attitudes after implementation of a pneumonia practice guidelineE A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
J Gen Intern Med 14:688-94. 1999..Guidelines can change practice and also alter underlying knowledge and attitudes about disease management. They may be most useful to those with less experience...
Is gatekeeping better than traditional care? A survey of physicians' attitudesE A Halm
Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, USA
JAMA 278:1677-81. 1997..Whether gatekeeping achieves these goals remains largely unproven...
Hospital readmissions after hospital discharge for hip fracture: surgical and nonsurgical causes and effect on outcomesKenneth S Boockvar
Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, 1 Gustave L Levy Place, Box 1070, New York, NY 10029, USA
J Am Geriatr Soc 51:399-403. 2003..To examine the causes of hospital readmission after hip fracture and the relationships between hospital readmission and 6-month physical function and mortality...
Assessing the relationship between language proficiency and asthma morbidity among inner-city asthmaticsJuan P Wisnivesky
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, USA
Med Care 47:243-9. 2009..Patient-provider communication is essential for high-quality asthma care. The objective of this study was to assess the potential relationship of language barriers with outcomes of inner-city asthmatics...
The relationship between perceived stress and morbidity among adult inner-city asthmaticsJuan P Wisnivesky
Division of General Internal Medicine, Critical Care and Sleep Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Asthma 47:100-4. 2010..Further research is needed to identify mechanisms mediating the association between stress and asthma morbidity in adults...
Predicting risk of perioperative death and stroke after carotid endarterectomy in asymptomatic patients: derivation and validation of a clinical risk scoreLinda Calvillo-King
Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390 8889, USA
Stroke 41:2786-94. 2010..We developed and validated a multivariate model of risk of death or stroke within 30 days of CEA for asymptomatic disease and a related clinical prediction rule...
Predictors of adherence to statins for primary preventionDevin M Mann
Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Ave, Box 1087, New York, NY 10029, USA
Cardiovasc Drugs Ther 21:311-6. 2007..This prospective study was designed to identify potentially modifiable patient factors including medication, disease, and diet beliefs related to statin adherence...
Dietary indiscretion and statin useDevin M Mann
Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Avenue, Box 1087, New York, NY 10029, USA
Mayo Clin Proc 82:951-7. 2007..After 6 months of statin use, no significant change in saturated fat intake was noted...
Barriers to adherence to asthma management guidelines among inner-city primary care providersJuan P Wisnivesky
Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
Ann Allergy Asthma Immunol 101:264-70. 2008..Unfortunately, provider adherence to the National Heart, Lung, and Blood Institute (NHLBI) guidelines remains low...
The magnitude of an iatrogenic disorder: a systematic review of the incidence of venous thromboembolism for general medical inpatientsAndrew S Dunn
Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Ave, Box 1087, New York, NY 10029, USA
Thromb Haemost 95:758-62. 2006..Further studies are needed to more precisely define a low risk group for whom anticoagulant prophylaxis is unnecessary...
Association between minor and major surgical complications after carotid endarterectomy: results of the New York Carotid Artery Surgery studyAlexander J Greenstein
Department of Surgery, Mount Sinai School of Medicine, New York, NY 10029, USA
J Vasc Surg 46:1138-44; discussion 1145-6. 2007..This study used data from a large, population-based cohort study to describe the incidence of minor surgical complications after CEA and examine associations between minor and major complications...
Inadequate health literacy is associated with suboptimal health beliefs in older asthmaticsAlex D Federman
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA
J Asthma 47:620-6. 2010..To examine the relationship between suboptimal asthma beliefs and inadequate health literacy among older adults with asthma...
Allergen sensitization evaluation and allergen avoidance education in an inner-city adult cohort with persistent asthmaPaula J Busse
Department of Clinical Immunology, Mount Sinai School of Medicine, New York, NY 10029, USA
J Allergy Clin Immunol 116:146-52. 2005..The National Asthma Education and Prevention Program Expert Panel recommends that all patients with moderate and severe persistent asthma be evaluated for sensitization to environmental allergens...
Impact of positive and negative beliefs about inhaled corticosteroids on adherence in inner-city asthmatic patientsDiego Ponieman
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York, USA
Ann Allergy Asthma Immunol 103:38-42. 2009..Daily inhaled corticosteroid (ICS) use is the cornerstone of asthma management, although it is often suboptimal, especially in inner-city populations...
Physical therapy and mobility 2 and 6 months after hip fractureJoan D Penrod
Program of Research on Serious Physical and Mental Illness and Geriatric Research, Education, and Clinical Center, Bronx Veterans Affairs Medical Center, New York, New York, USA
J Am Geriatr Soc 52:1114-20. 2004..To examine the relationship between early physical therapy (PT), later therapy, and mobility 2 and 6 months after hip fracture...
Predicting medical and surgical complications of carotid endarterectomy: comparing the risk indexesMatthew J Press
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
Arch Intern Med 166:914-20. 2006..CONCLUSION: The Halm score CEA-specific risk model and the generic Revised Cardiac Risk Index predicted a broad range of medical, neurologic, and surgical complications following CEA...
Use of stroke secondary prevention services: are there disparities in care?Joseph S Ross
Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, Bronx, NY 10029, USA
Stroke 40:1811-9. 2009....
Assessing the validity of self-reported medication adherence among inner-city asthmatic adults: the Medication Adherence Report Scale for AsthmaJessica L Cohen
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York USA
Ann Allergy Asthma Immunol 103:325-31. 2009..A validated tool to assess adherence with inhaled corticosteroids (ICS) could help physicians and researchers determine whether poor asthma control is due to poor adherence or severe intrinsic asthma...
Clinical and operative predictors of outcomes of carotid endarterectomyEthan A Halm
Department of Health Policy, Mount Sinai School of Medicine, New York, NY 10029, USA
J Vasc Surg 42:420-8. 2005..This study identifies the clinical, radiographic, surgical, and anesthesia variables that are independent predictors of deaths and stroke following carotid endarterectomy...
Predictors of adherence to diabetes medications: the role of disease and medication beliefsDevin M Mann
Division of General Internal Medicine, Mount Sinai School of Medicine, 1 Gustave Levy Place, Box 1087, New York, NY 10029, USA
J Behav Med 32:278-84. 2009..These suboptimal beliefs are potentially modifiable and are logical targets for educational interventions to improve diabetes self-management...
Determinants of adherence to influenza vaccination among inner-city adults with persistent asthmaRichard Lyn Cook
Department of Medicine, Montefiore Medical Center, Bronx, New York, NY, USA
Prim Care Respir J 16:229-35. 2007..Despite guideline recommendation, influenza vaccination rates among asthmatic patients remain low. The objective of this study was to identify health beliefs associated with vaccination adherence in asthmatic patients...
HIV and HCV health beliefs in an inner-city communityK Krauskopf
Division of General Internal Medicine, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
J Viral Hepat 18:785-91. 2011..Thus, study participants had significantly less accurate health beliefs about HCV than about HIV. Targeting inaccuracies might improve public health interventions to foster healthier behaviours and better hepatitis C outcomes...
Health literacy and cognitive performance in older adultsAlex D Federman
Division of General Internal Medicine Development, Mount Sinai School of Medicine, New York, New York 10029, USA
J Am Geriatr Soc 57:1475-80. 2009..To study the relationship between health literacy and memory and verbal fluency in older adults...
Use of herbal remedies and adherence to inhaled corticosteroids among inner-city asthmatic patientsAngkana Roy
Department of Pediatrics, Mount Sinai School of Medicine, New York, New York, USA
Ann Allergy Asthma Immunol 104:132-8. 2010..However, it is unclear whether use of the herbal remedies is associated with decreased adherence to inhaled corticosteroids (ICSs), a key component of asthma management...
Improving physicians' knowledge of the costs of common medications and willingness to consider costs when prescribingLisa M Korn
Robert Wood Johnson Clinical Scholars Program, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
J Gen Intern Med 18:31-7. 2003..To determine the effectiveness of an educational intervention designed to improve physicians' knowledge of drug costs and foster willingness to consider costs when prescribing...
Effect of inpatient quality of care on functional outcomes in patients with hip fractureAlbert L Siu
Mount Sinai School of Medicine, New York, New York 10029, USA
Med Care 44:862-9. 2006..RESEARCH DESIGN AND PARTICIPANTS: We undertook a prospective cohort study in 4 hospitals of 554 patients treated with surgery for hip fracture...
Changing use of hormone therapy among minority women since the Women's Health InitiativeIra M Helenius
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
Menopause 14:216-22. 2007....
Association of timing of surgery for hip fracture and patient outcomesGretchen M Orosz
Department of Geriatrics, Mount Sinai School of Medicine, New York, NY, USA
JAMA 291:1738-43. 2004..Additional research is needed on whether functional outcomes may be improved. In the meantime, patients with hip fracture who are medically stable should receive early surgery when possible...
Persistent depression affects adherence to secondary prevention behaviors after acute coronary syndromesIan M Kronish
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY, USA
J Gen Intern Med 21:1178-83. 2006..CONCLUSIONS: Persistently depressed patients were less likely to adhere to behaviors that reduce the risk of recurrent ACS. Differences in adherence to these behaviors may explain in part why depression predicts mortality after ACS...
Awareness of pharmaceutical cost-assistance programs among inner-city seniorsAlex D Federman
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York, USA
Am J Geriatr Pharmacother 7:117-29. 2009..Lack of awareness may be a significant barrier to participation by low- and middle-income seniors in pharmaceutical cost-assistance programs...
Predictors of asthma-related health care utilization and quality of life among inner-city patients with asthmaJuan P Wisnivesky
Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Allergy Clin Immunol 116:636-42. 2005..Asthma morbidity and mortality are highest among minority inner-city populations...
Beliefs about generic drugs among elderly adults in hospital-based primary care practicesAlice Iosifescu
Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029, USA
Patient Educ Couns 73:377-83. 2008..This study aimed to characterize seniors' beliefs about generic drugs, and examine potential correlates of these beliefs, including socioeconomic and health status variables, health literacy, and physician communication skills...
Guidelines for community-acquired pneumonia: are they reflected in practice?Scott A Flanders
Department of Medicine, University of California, San Francisco, California, USA
Treat Respir Med 3:67-77. 2004..Increased attention to these factors will be needed if professional society practice guidelines are to fulfill their promise as tools for improving the quality and outcomes of care for patients with pneumonia...
Using structured debate to teach a controversial topic: mammography for women in their 40sIra M Helenius
Division of General Internal Medicine, Mount Sinai Medical School, New York, New York, USA
Teach Learn Med 18:292-6. 2006..Debate is an educational tool that lends itself to teaching about controversial topics and improving communication skills but is underused in medical education...
Perennial allergen-specific immunoglobulin E levels among inner-city elderly asthmaticsPaula Jane Busse
Division of Clinical Immunology, Mount Sinai School of Medicine, 1425 Madison Avenue, New York, NY 10029, U S A
J Asthma 47:781-5. 2010..The aim of this study was to access the prevalence of sensitization to indoor allergens in older compared to younger inner-city adults with persistent asthma...
Racial and ethnic disparities in outcomes and appropriateness of carotid endarterectomy: impact of patient and provider factorsEthan A Halm
Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390 8889, USA
Stroke 40:2493-501. 2009..Less is known about disparities in outcomes and appropriateness of carotid endarterectomy or reasons for such inequalities...
Ethnic disparities in the treatment of stage I non-small cell lung cancerJuan P Wisnivesky
Divison of General Internal Medicine, Department of Health Policy, Mount Sinai School of Medicine, One Gustave L Levy Place, Box 1087, New York, New York 10029, USA
Am J Respir Crit Care Med 171:1158-63. 2005..Important variations exist in the treatment of non-small cell lung cancer. Because resection is the most effective treatment for patients with early disease, disparities in surgical rates can generate considerable differences in outcomes...
Food allergy as a risk factor for asthma morbidity in adultsStephen H Berns
Division of General Internal Medicine, Mount Sinai School of Medicine, New York, NY, USA
J Asthma 44:377-81. 2007..The objective of this study was to evaluate the relationship between food allergy and asthma morbidity in adults...
Follow-up of markedly elevated serum potassium results in the ambulatory setting: implications for patient safetyCarlton R Moore
Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Avenue, New York, NY 10029, USA
Am J Med Qual 21:115-24. 2006..The median time to a repeat potassium level was 6 days (range, 0-445). Patients > or = 65 years old had a lower likelihood of having repeat testing within 1 week (odds ratio = 0.38, P = .03)...
Misconceptions about diabetes and its management among low-income minorities with diabetesDevin M Mann
1Division of General Internal Medicine, Mount Sinai School of Medicine, New York, New York, USA
Diabetes Care 32:591-3. 2009..To determine diabetic patients' knowledge and beliefs about the disease and medications that could hinder optimal disease management...
Association of income and prescription drug coverage with generic medication use among older adults with hypertensionAlex D Federman
Division of General Internal Medicine, Mount Sinai School of Medicine, 1470 Madison Ave, Box 1087, New York, NY 10029, USA
Am J Manag Care 12:611-8. 2006..To determine whether low-income seniors and those without prescription drug coverage are more likely to use generic cardiovascular drugs than more affluent and better insured adults...
Lack of association between indoor allergen sensitization and asthma morbidity in inner-city adultsJuan P Wisnivesky
Division of General Internal Medicine, Critical Care and Sleep Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA
J Allergy Clin Immunol 120:113-20. 2007..Sensitivity and exposure to indoor allergens is associated with increased asthma morbidity in inner-city children. However, it is unknown whether sensitization is associated with worse asthma in adults...
Preventive services use among women seen by gynecologists, general medical physicians, or bothBeth G Lewis
Department of Medicine, Saint Peters University Hospital, Drexel University, New Brunswick, New Jersey, USA
Obstet Gynecol 111:945-52. 2008....
Use of generic cardiovascular medications by elderly Medicare beneficiaries receiving generalist or cardiologist careAlex D Federman
Division of General Internal Medicine, Mount Sinai School of Medicine, New York 10029, USA
Med Care 45:109-15. 2007..Physicians play a key role in determining use of generics and specialty may be a particularly influential factor...
Intraoperative imaging: does it really improve perioperative outcomes of carotid endarterectomy?Caron B Rockman
Division of Vascular Surgery, New York University Medical Center, New York, NY 10016, USA
Semin Vasc Surg 20:236-43. 2007..Selective use of these imaging or assessment techniques when the surgeon has a specific concern regarding the technical outcomes of the operation appears to be a reasonable alternative...
Primary closure of the carotid artery is associated with poorer outcomes during carotid endarterectomyCaron B Rockman
Department of Surgery, New York University School of Medicine, NY 10016, USA
J Vasc Surg 42:870-7. 2005..The optimal method of arterial reconstruction remains a matter of controversy. The objective of this study was to determine the effect of the method of arterial reconstruction during CEA on perioperative outcome...
Using the common sense model to design interventions for the prevention and management of chronic illness threats: from description to processLisa M McAndrew
Center for the Study of Health Beliefs and Behavior, Institute for Health, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA
Br J Health Psychol 13:195-204. 2008....
Patient relocation in the 6 months after hip fracture: risk factors for fragmented careKenneth S Boockvar
Geriatric Research, Education, and Clinical Center, Bronx Veterans Affairs Medical Center, 130 W Kingsbridge Road, Bronx, NY 10468, USA
J Am Geriatr Soc 52:1826-31. 2004..To describe the incidence and patterns of patient relocation after hip fracture, identify factors associated with relocation, and examine effect of relocation on outcomes...
Are quality improvement messages registering?Ethan A Halm
Health Serv Res 40:311-5. 2005
Low levels of awareness of pharmaceutical cost-assistance programs among inner-city seniorsAlex D Federman
JAMA 300:1412-4. 2008
Research Grants
- Long Term Outcomes of Carotid Endarterectomy in the ElderlyEthan Halm; Fiscal Year: 2007..Multivariate regression will be used to identify Pt, process of care, surgeon, and hospital predictors of long term outcomes in NYCAS (N=4000). ..
