Research Topics
| Timothy S CareySummaryAffiliation: University of North Carolina Country: USA Publications
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Detail Information
Publications
The relation of race to outcomes and the use of health care services for acute low back painTimothy S Carey
Department of Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, North Carolina 27599 7590, USA
Spine (Phila Pa 1976) 28:390-4. 2003....
Measuring outcomes in back careTimothy S Carey
Department of Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina Chapel Hill, Chapel Hill, NC 27559 7590, USA
Spine (Phila Pa 1976) 32:S9-14. 2007..Narrative review...
A long way to go: practice patterns and evidence in chronic low back pain careTimothy S Carey
Cecil G Sheps Center for Health Services Research, University of North Carolina, 725 Airport Road, Chapel Hill, NC 27599 7590, USA
Spine (Phila Pa 1976) 34:718-24. 2009..A cross-sectional, telephone survey of a representative sample of North Carolina households in 2006...
Gabapentin in the treatment of mental illness: the echo chamber of the case seriesTimothy S Carey
The Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, NC 27599 7590, USA
J Psychiatr Pract 14:15-27. 2008..This article describes the results of a literature review, the purpose of which was to examine the characteristics of studies conducted in humans concerning the efficacy of gabapentin in bipolar disorder...
Spine and pain clinics serving North Carolina patients with back and neck pain: what do they do, and are they multidisciplinary?Liana D Castel
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Spine (Phila Pa 1976) 34:615-22. 2009..Cross-sectional survey...
Expectations and outcomes of gastric feeding tubesTimothy S Carey
The Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599 7590, USA
Am J Med 119:527.e11-6. 2006..To compare expected outcomes with actual outcomes from tube feeding in adult patients...
Improving decision-making for feeding options in advanced dementia: a randomized, controlled trialLaura C Hanson
Division of Geriatric Medicine, University of North Carolina, Chapel Hill, NC, USA
J Am Geriatr Soc 59:2009-16. 2011..To test whether a decision aid improves quality of decision-making about feeding options in advanced dementia...
The changing epidemiology of mechanical ventilation: a population-based studyShannon S Carson
Department of Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7020, USA
J Intensive Care Med 21:173-82. 2006..4% to 34.4%, and discharges to nursing homes grew from 7.3% to 10.7%. The incidence of mechanical ventilation is increasing, and the increase is associated with a higher burden of comorbidities and fewer discharges to home...
Disseminating findings from a drug class review: using best practices to inform prescription of antiepileptic drugs for bipolar disorderCathy L Melvin
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, NC 27599 7590, USA
J Psychiatr Pract 14:44-56. 2008..We describe our use of existing evidence to develop accurate and convincing messages and materials to be disseminated nationally to counter industry misinformation and promote evidence-based prescription of AEDs...
The rising prevalence of chronic low back painJanet K Freburger
The Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, 725 Martin Luther King Jr Blvd, Chapel Hill, NC 27599 7590, USA
Arch Intern Med 169:251-8. 2009..The objective of this study was to determine whether the prevalence of chronic LBP and the demographic, health-related, and health care-seeking characteristics of individuals with the condition have changed over the last 14 years...
Surrogates' perceptions about feeding tube placement decisionsCarmen L Lewis
Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, 5039 Old Clinic Building 229, CB 7110, Chapel Hill, NC 27599 7110, USA
Patient Educ Couns 61:246-52. 2006..2) To determine surrogates' perceptions of the information they received to make this decision...
Exercise prescription for chronic back or neck pain: who prescribes it? who gets it? What is prescribed?Janet K Freburger
The Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7590, USA
Arthritis Rheum 61:192-200. 2009....
Physicians' expectations of benefit from tube feedingLaura C Hanson
Division of Geriatric Medicine, University of North Carolina at Chapel Hill, NC 27599 7550, USA
J Palliat Med 11:1130-4. 2008..We interviewed treating physicians to describe their expectation of benefit for patients receiving a new feeding tube, and to determine whether expected benefits vary by patient characteristics...
Evaluating the effectiveness of a rapidly adopted cardiovascular technology with administrative data: the case of drug-eluting stents for acute coronary syndromesJerome J Federspiel
Health Policy and Management, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA
Am Heart J 164:207-14. 2012..We compared results from IV with those from propensity score matching (PSM) and multivariable regression models...
Online medication error graphic reports: a pilot in North Carolina nursing homesSandra B Greene
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7590, USA
J Patient Saf 7:92-8. 2011..We created and pilot tested a new online graphic reporting feature to give homes practical and timely reports on their own reported errors for use in improving medication processes...
Increase in tracheostomy for prolonged mechanical ventilation in North Carolina, 1993-2002Christopher E Cox
Department of Medicine, Duke University Medical Center, University of North Carolina at Chapel Hill, Durham, NC, USA
Crit Care Med 32:2219-26. 2004..Although in-hospital mortality, length of stay, and charges per patient fell over time, the overall resource utilization of prolonged mechanical ventilation patients increased dramatically...
Management of back and neck pain: who seeks care from physical therapists?Janet K Freburger
Center for Health Services Research, University of North Carolina, 725 Airport Rd, CB 7590, Chapel Hill, NC 27599 7590, USA
Phys Ther 85:872-86. 2005..The purpose of this study was to identify factors associated with physical therapist use by people with back or neck pain...
Effectiveness of physical therapy for the management of chronic spine disorders: a propensity score approachJanet K Freburger
Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7590, USA
Phys Ther 86:381-94. 2006..The purpose of this study was to use a large current database, the National Spine Network database, to assess the effectiveness of physical therapy in the management of chronic spine disorders...
Physician-patient racial concordance, continuity of care, and patterns of care for hypertensionThomas R Konrad
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7590, USA
Am J Public Health 95:2186-90. 2005..Physician race had little effect, but continuity is important for successful management of hypertension in older persons...
Physical therapy for chronic low back pain in North Carolina: overuse, underuse, or misuse?Janet K Freburger
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7590, USA
Phys Ther 91:484-95. 2011..There are limited population-based studies of determinants of physical therapy use for chronic low back pain (LBP) and of the types of treatments received by individuals who see a physical therapist...
Association of psychosocial work characteristics with low back pain outcomesThelma J Mielenz
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599 7280, USA
Spine (Phila Pa 1976) 33:1270-5. 2008..This is a secondary analysis of a prospective cohort of 295 patients with acute low back pain presenting to 31 primary care physicians in North Carolina...
Physician referrals to physical therapists for the treatment of spine disordersJanet K Freburger
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Chapel Hill, NC 27599 7590, USA
Spine J 5:530-41. 2005..Problems with access to or inappropriate use of PTs may affect the quality and cost of care received by patients with spine problems...
A prognostic model for one-year mortality in patients requiring prolonged mechanical ventilationShannon S Carson
Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA
Crit Care Med 36:2061-9. 2008..Our objective was to develop and validate a prognostic model for 1-yr mortality in patients ventilated for 21 days or more...
Extracting key messages from systematic reviewsTimothy S Carey
The Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, NC 27599 7590, USA
J Psychiatr Pract 14:28-34. 2008..The structured approach used in the derivation process described here proved to be very helpful in developing key messages and concepts...
Trends in the use of feeding tubes in North Carolina hospitalsCarmen L Lewis
Department of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
J Gen Intern Med 19:1034-8. 2004..The purpose of this study is to determine whether the use of feeding tubes has continued to increase through the 1990s despite these widely publicized concerns...
The use of muscle relaxant medications in acute low back painEric Bernstein
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7590, USA
Spine 29:1346-51. 2004..CONCLUSIONS: Use of muscle relaxants was very common among patients with acute low back pain. Muscle relaxant use was not associated with more rapid functional recovery...
Race, care seeking, and utilization for chronic back and neck pain: population perspectivesTimothy S Carey
Department of Medicine, UNC Chapel Hill, North Carolina Cecil G Sheps Center for Health Services Research, UNC Chapel Hill, North Carolina, USA
J Pain 11:343-50. 2010..Few disparities were found; care quality issues may affect all ethnic groups similarly. Previous findings of disparities in chronic-pain management may be decreasing, or may perhaps be site specific...
Significance of Medicare and Medicaid programs for the practice of medicineDarren A DeWalt
University of North Carolina School of Medicine, Department of Medicine, Chapel Hill 27599, USA
Health Care Financ Rev 27:79-90. 2005..We discuss the implications of the relationship between CMS and clinical medicine and how this relationship has changed over time. We conclude with thoughts about potential future efforts at CMS...
Chronic low back pain among older adults: a population-based perspectiveStefanie R Knauer
The University of North Carolina at Chapel Hill, NC 27599 3210, USA
J Aging Health 22:1213-34. 2010..To determine the prevalence of chronic low back pain (LBP) in older North Carolinians, describe their health and health care utilization, and compare these findings with younger subgroups...
Efficacy and safety of second-generation antidepressants in the treatment of major depressive disorderRichard A Hansen
Division of Pharmaceutical Policy and Evaluative Sciences, University of North Carolina, Chapel Hill, North Carolina 27599, USA
Ann Intern Med 143:415-26. 2005....
Veterans Affairs primary care organizational characteristics associated with better diabetes controlGeorge L Jackson
Health Services Research and Development Center of Excellence for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, 27705, USA
Am J Manag Care 11:225-37. 2005..To examine organizational features of Veterans Affairs (VA) primary care programs hypothesized to be associated with better diabetes control, as indicated by hemoglobin A1C (HbA1C) levels...
Clinical prevention and population health: getting there from hereTimothy S Carey
Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
Am J Prev Med 27:480-1. 2004
Bariatric surgeries in north Carolina, 1990 to 2001: a gender comparisonClaire A Zizza
Cecil G Sheps Center for Health Services Research, CB 7590, Chapel Hill, North Carolina 27599 7590, USA
Obes Res 11:1519-25. 2003..The purpose of this research was to determine the number of bariatric procedures in obese men and women in a well-defined population and to examine gender differences among bariatric patients...
Do osteopathic physicians differ in patient interaction from allopathic physicians? An empirically derived approachTimothy S Carey
University of North Carolina at Chapel Hill, School of Medicine, USA
J Am Osteopath Assoc 103:313-8. 2003..Future studies should replicate this finding as well as determine whether it correlates with patient outcomes and satisfaction...
Discontinuation rates for selective serotonin reuptake inhibitors and other second-generation antidepressants in outpatients with major depressive disorder: a systematic review and meta-analysisGerald Gartlehner
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA
Int Clin Psychopharmacol 20:59-69. 2005....
A simple and valid tool distinguished efficacy from effectiveness studiesGerald Gartlehner
University of North Carolina at Chapel Hill, Cecil G Sheps Center for Health Services Research, NC 27599, USA
J Clin Epidemiol 59:1040-8. 2006..To propose and test a simple instrument based on seven criteria of study design to distinguish effectiveness (pragmatic) from efficacy (explanatory) trials...
Effectiveness of antiepileptic drugs for the treatment of bipolar disorder: findings from a systematic reviewCathy L Melvin
The Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, NC 27599 7590, USA
J Psychiatr Pract 14:9-14. 2008..This article presents a summary of the findings from the drug class review related to prescription of the AEDs in bipolar disorder...
Physician referrals to physical therapy for the treatment of musculoskeletal conditionsJanet K Freburger
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599 7590, USA
Arch Phys Med Rehabil 84:1839-49. 2003..To identify factors associated with orthopedic surgeons' and primary care physicians' referrals to physical therapy (PT) for musculoskeletal conditions...
Interprofessional collaboration and job satisfaction of chiropractic physiciansThomas R Konrad
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, CB 7590, Suite 210, Chapel Hill, NC 27599 7590, USA
J Manipulative Physiol Ther 27:245-52. 2004....
Oral feeding options for people with dementia: a systematic reviewLaura C Hanson
Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
J Am Geriatr Soc 59:463-72. 2011..To review the benefits of oral feeding options in people with dementia...
Increasing time costs and copayments for prescription drugs: an analysis of policy changes in a complex environmentMarisa Elena Domino
Department of Health Policy and Management, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC 27599 7411, USA
Health Serv Res 46:900-19. 2011..To estimate the effect of two separate policy changes in the North Carolina Medicaid program: (1) reduced prescription lengths from 100 to 34 days' supply, and (2) increased copayments for brand name medications...
Developing effective interuniversity partnerships and community-based research to address health disparitiesTimothy S Carey
CB 7590, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Acad Med 80:1039-45. 2005..Open discussion of problems as they arose, realistic expectations, and mutual recognition of the strengths of each institution and its faculty have been critical in achieving successful collaboration to date...
Best practices: comparing medication treatments in mental health: drug class reviews and policy challengesTimothy S Carey
Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA
Psychiatr Serv 58:746-8. 2007..The number of drug class reviews is increasing, and they have the potential to significantly assist providers, patients, and payers...
Types of medication errors in North Carolina nursing homes: a target for quality improvementRichard A Hansen
Division of Pharmaceutical Outcomes and Policy, School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
Am J Geriatr Pharmacother 4:52-61. 2006..Gaining a better understanding of the types of medications commonly involved in medication errors in nursing homes would be an important step toward quality improvement...
Repeat imaging in trauma transfers: a retrospective analysis of computed tomography scans repeated upon arrival to a Level I trauma centerDawn M Emick
Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
J Trauma Acute Care Surg 72:1255-62. 2012....
Breast MRI utilization in older patients with newly diagnosed breast cancerCourtney A Sommer
Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7050, USA
J Surg Res 170:77-83. 2011..The purpose of this study is to examine the prevalence and predictors of MRI use for clinical staging in older women with newly diagnosed breast cancer...
Three-year outcomes of multivessel revascularization in very elderly acute coronary syndrome patientsBrett C Sheridan
Division of Cardiothoracic Surgery, Department of Surgery, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599 7065, USA
Ann Thorac Surg 89:1889-94; discussion 1894-5. 2010..We evaluated long-term outcomes of CABG versus PCI in a cohort of very elderly Medicare beneficiaries presenting with acute coronary syndrome...
Use of feeding tubes in the care of long-term care residentsTimothy S Carey
Cecil G Sheps Center for Health Services Research, The University of North Carolina at Chapel Hill, USA
N C Med J 66:313-5. 2005
Pharmacologic treatment of bronchiolitis in infants and children: a systematic reviewValerie J King
Cecil B. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Airport Road, Campus Box 7590, Chapel Hill, NC 27599-7595, USA
Arch Pediatr Adolesc Med 158:127-37. 2004..A sufficiently large, well-designed pragmatic trial of the commonly used interventions for bronchiolitis is needed to determine the most effective treatment strategies for managing this condition...
A spatial analysis of county-level variation in hospitalization rates for low back problems in North CarolinaJerry D Joines
Internal Medicine Training Program, Moses H Cone Memorial Hospital, 1200 North Elm Street, Greensboro, NC 27401, USA
Soc Sci Med 56:2541-53. 2003..Independent of these variables, a separate spatial process produces geographic clustering of high-rate counties. Spatial effects are important and should be considered in small area analyses...
Prudence, nihilism, and the treatment of low-back painTimothy S Carey
Med Care 43:425-7. 2005
Accuracy of the pain numeric rating scale as a screening test in primary careErin E Krebs
Center on Implementing Evidence Based Practice, Roudebush Veterans Affairs Medical Center, Indianapolis, IN, USA
J Gen Intern Med 22:1453-8. 2007..Universal pain screening with a 0-10 pain intensity numeric rating scale (NRS) has been widely implemented in primary care...
Standard scales for measurement of functional outcome for cervical pain or dysfunction: a systematic reviewRicardo Pietrobon
Division of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, USA
Spine (Phila Pa 1976) 27:515-22. 2002..A systematic review was conducted...
Development and testing of a self-report instrument to measure actions: outpatient physical therapy improvement in movement assessment log (OPTIMAL)Andrew A Guccione
Practice and Research Division, American Physical Therapy Association, 1111 N Fairfax St, Alexandria, VA 22314 1488, USA
Phys Ther 85:515-30. 2005....
A critical guide to case series reportsTimothy S Carey
Spine 28:1631-4. 2003..CONCLUSIONS: We propose these measures to authors and journal editors as one mechanism to improve the quality of the case series study...
Antibiotic therapy for the treatment of preterm labor: a review of the evidenceJohn M Thorp
Department of Obstetrics and Gynecology, University of North Carolina School of Medicine, Chapel Hill 27599-7570, USA
Am J Obstet Gynecol 186:587-92. 2002..CONCLUSION: Treatment of preterm labor with antibiotic therapy can prolong gestation. The benefits of antibiotics are small, and there is considerable uncertainty about the optimal agent, route, dosage, and duration of therapy...
Tocolytic treatment for the management of preterm labor: a review of the evidenceNancy D Berkman
Research Triangle Institute, Research Triangle Park, NC, USA
Am J Obstet Gynecol 188:1648-59. 2003..Continued maintenance tocolytic therapy has little or no value...
