Research Topics
| R L KaneSummaryAffiliation: University of Minnesota Country: USA Publications
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Publications
The association between geriatric syndromes and survivalRobert L Kane
School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 60:896-904. 2012....
Predicting nursing home admission in the U.S: a meta-analysisJoseph E Gaugler
Center on Aging, Center for Gerontological Nursing, School of Nursing, University of Minnesota, Minneapolis, MN, 55455 USA
BMC Geriatr 7:13. 2007..The present study aimed to generate pooled empirical associations for sociodemographic, functional, cognitive, service use, and informal support indicators that predict nursing home admission among older adults in the U.S...
Changing the face of long-term careRobert L Kane
University of Minnesota School of Public Health, Minneapolis 55455, USA
J Aging Soc Policy 17:1-18. 2005..Good care must be seen as making a difference; that difference can be in function or in quality of life; it may be as subtle as slowing decline, but it must be made apparent to be appreciated...
Reporting in randomized clinical trials improved after adoption of the CONSORT statementRobert L Kane
University of Minnesota Clinical Outcomes Research Center, Minneapolis, MN 55455, USA
J Clin Epidemiol 60:241-9. 2007....
Robine and Michel's "Looking forward to a general theory on population aging": commentaryRobert L Kane
School of Public Health, University of Minnesota, MMC 197, 420 Delaware St. SE, Minneapolis, MN 55455, USA
J Gerontol A Biol Sci Med Sci 59:M608; author reply M616-20. 2004
A quality-based payment strategy for nursing home care in MinnesotaRobert L Kane
University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 47:108-15. 2007..Although the nursing home industry has announced general support for the new approach, it has lobbied the legislature to delay its implementation, claiming concerns about operational details...
Helping people make better long-term-care decisionsRobert L Kane
School of Public Health, University of Minnesota, D 351 Mayo Memorial Building, Box 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 47:244-7. 2007..The purpose of this article is to describe an innovative online system to support long-term-care decision making...
The effect of alcoholism treatment on medical care useRobert L Kane
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, 55455, USA
Med Care 42:395-402. 2004....
Disparities in total knee replacements: a reviewRobert L Kane
The Minnesota Evidence-Based Practice Center, University of Minnesota Clinical Outcomes Research Center, Minneapolis, USA
Arthritis Rheum 57:562-7. 2007
The effect of Evercare on hospital useRobert L Kane
University of Minnesota School of Public Health, Division of Health Services Research and Policy, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 51:1427-34. 2003..To examine the use of hospital and related medical care services of a novel managed care program using nurse practitioners (NPs) and directed specifically at long-stay nursing home residents...
The contribution of geriatric health services research to successful agingRobert L Kane
Division of Health and Services Research and Policy, University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Ann Intern Med 139:460-2. 2003..It can provide useful insights into what kinds of new approaches have proven successful and how to implement and sustain these changes. However, many of these lessons from health services research have been ignored in practice to date...
Does disparity in the way disabled older adults are treated imply ageism?Robert L Kane
University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 47:271-9. 2007..Increased competition for finite resources may motivate a closer examination of commonalities across disabilities in an effort to achieve greater equity...
A structured review of the effect of economic incentives on consumers' preventive behaviorRobert L Kane
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
Am J Prev Med 27:327-52. 2004..Small incentives can produce finite changes, but it is not clear what size of incentive is needed to yield a major sustained effect...
Using resident reports of quality of life to distinguish among nursing homesRobert L Kane
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis 55455, USA
Gerontologist 44:624-32. 2004..We used measures created to assess the quality of life (QOL) of nursing home residents to distinguish among nursing facilities...
Patterns of utilization for the Minnesota senior health options programRobert L Kane
University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 52:2039-44. 2004....
Proxy sources for information on nursing home residents' quality of lifeRobert L Kane
University of Minnesota School of Public Health, 420 Delaware St SE, D351 Mayo MMC 197, Minneapolis, MN 55455, USA
J Gerontol B Psychol Sci Soc Sci 60:S318-S325. 2005....
Rating the importance of nursing home residents' quality of lifeRobert L Kane
School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 53:2076-82. 2005..To assess how various stakeholders involved with nursing home care rate the importance of various quality-of-life (QoL) items for hypothetical residents with varying types of impairment...
The effects of a variant of the program for all-inclusive care of the elderly on hospital utilization and outcomesRobert L Kane
School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 54:276-83. 2006..To compare the effects of the Wisconsin Partnership Program (WPP) on hospital, emergency department (ED), and nursing home utilization with those of traditional care...
The quality of care under a managed-care program for dual eligiblesRobert L Kane
University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 45:496-504. 2005....
Estimating the patient care costs of teaching in a teaching hospitalRobert L Kane
University of Minnesota Clinical Outcomes Research Center, Minneapolis, MN 55455, USA
Am J Med 118:767-72. 2005....
Nursing home staff's perceived ability to influence quality of lifeRobert L Kane
University of Minnesota School of Public Health, Minneapolis, Minn, USA
J Nurs Care Qual 21:248-55. 2006..Perceptions of ability to influence QoL were correlated with attitudes about nursing homes. These perceptions may be helpful in retaining such staff...
Visual Analog Scale pain reporting was standardizedRobert L Kane
Clinical Outcomes Research Center, University of Minnesota, D351 Mayo MMC 197, Minneapolis, 55455, USA
J Clin Epidemiol 58:618-23. 2005..We created a method for normalizing VAS pain reporting to control for the variation between different populations due to the differences in subjective perception or objective evaluation of pain...
Variations on a theme called PACERobert L Kane
University of Minnesota School of Public Health, D351 Mayo MMC 197, Minneapolis, MN 55455, USA
J Gerontol A Biol Sci Med Sci 61:689-93. 2006..This study contrasts the effects on hospital utilization of PACE and a more liberal variant, the Wisconsin Partnership Program (WPP)...
Who recommends long-term care mattersRobert L Kane
School of Public Health, University of Minnesota, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 46:474-82. 2006..Making good consumer decisions requires having good information. This study compared long-term-care recommendations among various types of health professionals...
The challenge of explaining why quality improvement has not done betterRobert L Kane
University of Minnesota, School of Public Health, Minneapolis, MN, USA. E-mail
Int J Qual Health Care 19:8-10. 2007
Isolating the effect of alcoholism treatment on medical care useRobert L Kane
School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Stud Alcohol 65:758-65. 2004..This study seeks to refine the analysis of the effects of alcoholism treatment on subsequent use of medical care by examining components of the latter...
Outcomes of managed care of dually eligible older personsRobert L Kane
University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
Gerontologist 43:165-74. 2003..To assess changes in various functional and satisfaction measures between older persons enrolled in Minnesota Senior Health Options (MSHO), a managed care program for older persons eligible for both Medicare and Medicaid...
The association of registered nurse staffing levels and patient outcomes: systematic review and meta-analysisRobert L Kane
University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
Med Care 45:1195-204. 2007..To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals...
Improving health care for assisted living residentsRobert L Kane
University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Gerontologist 47:100-9. 2007..The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it...
Finding the right level of posthospital care: "We didn't realize there was any other option for him"Robert L Kane
University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
JAMA 305:284-93. 2011..It suggests the need for evaluating each patient's care goals, family circumstances and resources, and clinical status to determine if more aggressive medical care might improve an individual's clinical trajectory...
The impact of surgery, radiation, and systemic treatment on outcomes in patients with ductal carcinoma in situRobert L Kane
Division of Health Policy and Management, University of Minnesota School of Public Health, D351 Mayo MMC 729, 420 Delaware St SE, Minneapolis, MN 55455, USA
J Natl Cancer Inst Monogr 2010:130-3. 2010..Ductal carcinoma in situ (DCIS) is associated with low rates of mortality. Outcomes are generally assessed in terms of recurrence...
Reimagining nursing homes: the art of the possibleRobert L Kane
Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
J Aging Soc Policy 22:321-33. 2010..We need innovative solutions that can offer reasonable service while recognizing the value of acceptable risk taking. Modest personal care should not come at the price of surrendering one's autonomy...
The Minnesota Senior Health Options program: an early effort at integrating care for the dually eligibleR L Kane
University of Minnesota School of Public Health, 420 Delaware Street SE, Minneapolis, MN 55455, USA
J Gerontol A Biol Sci Med Sci 56:M559-66. 2001..This study reports the initial results of the first such program...
The functional outcomes of total knee arthroplastyRobert L Kane
Minnesota Evidence based Practice Center, Minneapolis, USA
J Bone Joint Surg Am 87:1719-24. 2005..In this review, we examined the available literature on total knee arthroplasty to assess the evidence regarding factors associated with better functional outcomes...
Efforts to standardize the reporting of painRobert L Kane
Division of Health Services Research and Policy, University of Minnesota School of Public Health, University of Minnesota Clinical Outcomes Research Center, 420 Delaware Street SE Mayo Mail Code 197, Minneapolis, MN 55455, USA
J Clin Epidemiol 55:105-10. 2002..None of the adjustments proved to be a substantial improvement over the unstandardized approach. The best adjuster was the approach that used the average of the greater pain scores...
What can improve chronic disease care?Robert L Kane
School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA
J Am Geriatr Soc 57:2338-45. 2009..The case for cost-effectiveness is even less strong. New strategies may be indicated, including more-proactive monitoring of clinical courses and assessing patients' readiness to participate actively in their own care...
Consumer responses to the Wisconsin Partnership Program for Elderly Persons: a variation on the PACE ModelRobert L Kane
University of Minnesota School of Public Health, Division of Health Services Research and Policy, Minneapolis 55455, USA
J Gerontol A Biol Sci Med Sci 57:M250-8. 2002..Case management is provided by a team of nurse, social worker, and nurse practitioner. The latter is charged with communicating with the client's primary physician...
Nursing home residents covered by Medicare risk contracts: early findings from the EverCare evaluation projectRobert L Kane
University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 50:719-27. 2002..To compare levels of unmet need, satisfaction with medical care, and the use of advance directives...
The future history of geriatrics: geriatrics at the crossroadsRobert L Kane
University of Minnesota School of Public Health, Minneapolis 55455, USA
J Gerontol A Biol Sci Med Sci 57:M803-5. 2002
We've looked at care from both sides now: the effects of alternative evaluation strategies on study conclusionsRobert L Kane
School of Public Health, University ofMinnesota, Minneapolis, Minnesota 55455, USA
J Aging Soc Policy 21:246-55. 2009..A variety of factors can influence the apparent effects of programmatic interventions. Evaluations must take relevant confounding variables into account...
Geriatrics as a paradigm for good chronic careRobert L Kane
University of Minnesota School of Public Health, D351 Mayo (MMC 197, 420 Delaware Street SE, Minneapolis MN 55455, USA
Age Ageing 31:331-2. 2002
Clinical challenges in the care of frail older personsRobert L Kane
Minnesota Chair in Long term Care and Aging, Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis 55455, USA
Aging Clin Exp Res 14:300-6. 2002..The barriers to implementation include both a general reluctance to change and negative financial incentives to implement what has been shown to be effective...
Effect of an innovative medicare managed care program on the quality of care for nursing home residentsRobert L Kane
University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
Gerontologist 44:95-103. 2004..Four aspects of quality were assessed: mortality, preventable hospitalizations, quality indicators derived from the Minimum Data Set, and change in functioning...
Consumer reactions to the Wisconsin Partnership Program and its parent, the Program for All-Inclusive Care of the Elderly (PACE)Robert L Kane
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis 55455, USA
Gerontologist 42:314-20. 2002....
Adding values: an experiment in systematic attention to values and preferences of community long-term care clientsR A Kane
Department of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, USA
J Gerontol B Psychol Sci Soc Sci 54:S109-19. 1999..We tested the effects of providing case managers with tools to assess and respond to client values and preferences on their subsequent knowledge of clients' values and their practices in arranging long-term care...
Effects of using consumer and expert ratings of an activities of daily living scale on predicting functional outcomes of postacute careQ Chen
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
J Clin Epidemiol 54:334-42. 2001..This study suggests that the choice of weights for ADL items is important...
Outcome trajectories for assisted living and nursing facility residents in OregonJ R Frytak
Center for Health Care Policy and Evaluation, United Health Group, Minneapolis, MN 55440-1459, USA
Health Serv Res 36:91-111. 2001..For psychological well-being, residents experienced no change on average. CONCLUSIONS: The lack of difference in growth trajectories for ADLs, pain and discomfort, and psychological well-being between the two settings was noteworthy...
Peer review of the quality of care. Reliability and sources of variability for outcome and process assessmentsM A Smith
Division of Health Services Research, School of Public Health, University of Minnesota, Minneapolis 55454 1015, USA
JAMA 278:1573-8. 1997..Peer assessments have traditionally been used to judge the quality of care, but a major drawback has been poor interrater reliability...
Assessment in long-term careR L Kane
University of Minnesota School of Public Health, Minneapolis 55455, USA
Annu Rev Public Health 21:659-86. 2000..These data are important both for weighting the individual components of an assessment and for directly addressing preferences about the care and lifestyle available...
Geographic variation in the use of post-acute careRobert L Kane
University of Minnesota School of Public Health, Minneapolis 55455, USA
Health Serv Res 37:667-82. 2002..65-0.93). CONCLUSIONS: The variation in PAC use is not a statistical artifact. It is likely the result of several forces: practice styles, supply of services, and local regulatory practices...
Quality assurance for a program of comprehensive care for older personsR L Kane
School of Public Health, University of Minnesota, Minneapolis 55455
Health Care Financ Rev 14:89-110. 1993....
Differences in valuation of functional status components among consumers and professionals in Europe and the United StatesR L Kane
University of Minnesota Clinical Outcomes Research Center, Minneapolis, USA
J Clin Epidemiol 51:657-66. 1998..As function is increasingly used as a clinical outcome, agreement is needed on how to weight the components. The differences uncovered in this study suggest a need for more dialogue about what ends are truly sought by various parties...
Complications and short-term outcomes associated with total hip arthroplasty in teaching and community hospitalsRoby Thompson
Academic Health Center, Minneapolis, Minnesota, USA
J Arthroplasty 17:32-40. 2002....
Prevalence and risk factors of fecal incontinence in community-dwelling menTatyana A Shamliyan
Minnesota Evidence based Practice Center, Minneapolis, USA
Rev Gastroenterol Disord 9:E97-110. 2009..Cognitive impairment, poor general health, surgery, and radiation for prostate cancer were associated with incontinence in community-dwelling men. No effective interventions are known at the present time...
Ninety-day mortality after intertrochanteric hip fracture: does provider volume matter?Mary L Forte
University of Minnesota, Minneapolis, Minnesota, USA
J Bone Joint Surg Am 92:799-806. 2010..This study examined the association between surgeon and hospital volumes of procedures performed for the treatment of intertrochanteric hip fractures in Medicare beneficiaries and inpatient through ninety-day postoperative mortality...
Association of medication attitudes with non-persistence and non-compliance with medication to prevent fracturesJ T Schousboe
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA
Osteoporos Int 21:1899-909. 2010....
Does scoliosis have a psychological impact and does gender make a difference?W K Payne
Twin Cities Scoliosis Spine Center, University of Minnesota, Minneapolis, USA
Spine (Phila Pa 1976) 22:1380-4. 1997..CONCLUSION: Scoliosis is a significant risk factor for psychosocial issues and health-compromising behavior. Gender differences exist in male and female adolescents with scoliosis...
How EverCare nurse practitioners spend their timeR L Kane
University of Minnesota School of Public Health, Minneapolis 55455, USA
J Am Geriatr Soc 49:1530-4. 2001..CONCLUSIONS: NPs' activities are varied. Much of their time is spent communicating with vital parties, an important function that supports the physicians' primary care role and should enhance families' satisfaction with care...
What older people want from long-term care, and how they can get itR L Kane
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis, USA
Health Aff (Millwood) 20:114-27. 2001....
Innovative healthcare for chronically ill older persons: results of a national surveyC Boult
Department of Family Practice and Community Health, University of Minnesota Medical School, USA
Am J Manag Care 5:1162-72. 1999..To describe the origin, scope, operations, funding, and outcomes of innovative healthcare programs for chronically ill older persons...
Predictors of institutionalization in Latinos with dementiaJoseph E Gaugler
Center on Aging, Center for Gerontological Nursing, School of Nursing, The University of Minnesota, Minneapolis, MN 55455, USA
J Cross Cult Gerontol 21:139-55. 2006..The findings emphasize the need to explore time to institutionalization across racial and ethnic contexts, and suggest future variables to consider when analyzing nursing home placement in diverse situations...
The effects of incident and persistent behavioral problems on change in caregiver burden and nursing home admission of persons with dementiaJoseph E Gaugler
Adult and Gerontology Health Cooperative, School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA
Med Care 48:875-83. 2010..The individual contributions of behavior problems to key and related outcomes in dementia, such as nursing home admission (NHA) or caregiver burden, remain unclear...
A systematic review of tools used to assess the quality of observational studies that examine incidence or prevalence and risk factors for diseasesTatyana Shamliyan
Minnesota Evidence based Practice Center, University of Minnesota School of Public Health, Minneapolis, MN 55455, USA
J Clin Epidemiol 63:1061-70. 2010..To create a comprehensive evaluation of checklists and scales used to evaluate observational studies that examine incidence or prevalence and risk factors for diseases...
Families and assisted livingJoseph E Gaugler
Center on Aging, Center for Gerontological Nursing, School of Nursing, University of Minnesota, 6 150 Weaver Densford Hall, 1331, 308 Harvard Street SE, Minneapolis, MN 55455, USA
Gerontologist 47:83-99. 2007..This article examines family involvement in AL, including family structures of residents, types of involvement from family members living outside the AL facility, and outcomes for these family members...
Barriers to physical and mental condition integrated service deliveryRoger G Kathol
Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota, USA
Psychosom Med 72:511-8. 2010..Integrating specialty mental health into primary care improves outcomes for patients with common disorders, such as depression...
Assessing the effectiveness of postacute care rehabilitationRobert L Kane
University of Minnesota School of Public Health, Minneapolis, MN, USA
Arch Phys Med Rehabil 88:1500-4. 2007....
Ductal carcinoma in situ of the breast: a systematic review of incidence, treatment, and outcomesBeth A Virnig
Division of Health Policy and Management, University of Minnesota School of Public Health, A365 Mayo MMC 729, Minneapolis, MN 55455, USA
J Natl Cancer Inst 102:170-8. 2010....
Antiviral therapy for adults with chronic hepatitis B: a systematic review for a National Institutes of Health Consensus Development ConferenceTatyana A Shamliyan
Minnesota Evidence based Practice Center, Division of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware Street SE, Minneapolis, MN 55455, USA
Ann Intern Med 150:111-24. 2009..Chronic hepatitis B infection can lead to liver failure, hepatocellular carcinoma, and death...
Assisted living literature through May 2004: taking stockRosalie A Kane
Health Policy and Management, School of Public Health, University of Minnesota, D527 Mayo Building, 420 Delaware SE, MMC 197, Minneapolis, MN 55455, USA
Gerontologist 47:125-40. 2007..This article assesses the state of research on assisted living (AL) from 1989 to May 2004...
Geographic variation in device use for intertrochanteric hip fracturesMary L Forte
Division of Health Policy and Management, School of Public Health, University of Minnesota, MMC 197, D351 Mayo, 420 Delaware Street S E, Minneapolis, MN 55455, USA
J Bone Joint Surg Am 90:691-9. 2008..We assessed the degree of geographic variation in use of intramedullary nailing for intertrochanteric femoral fractures among Medicare beneficiaries between 2000 and 2002...
Resilience and transitions from dementia caregivingJoseph E Gaugler
School of Nursing, The University of Minnesota, 6 150 Weaver Densford Hall, 1331, 308 Harvard Street S E, Minneapolis, MN 55455, USA
J Gerontol B Psychol Sci Soc Sci 62:P38-44. 2007..The findings suggest the need for researchers to capture the heterogeneity of caregiver resilience when examining the longitudinal implications of informal long-term care and delivering clinical interventions...
Quality of systematic reviews of observational nontherapeutic studiesTatyana Shamliyan
Minnesota Evidence based Practice Center, University of Minnesota School of Public Health, D351 Mayo MMC 197, 420 Delaware St SE, Minneapolis, MN 55455, USA
Prev Chronic Dis 7:A133. 2010..High-quality epidemiologic research is essential in reducing chronic diseases. We analyzed the quality of systematic reviews of observational nontherapeutic studies...
Unmet care needs and key outcomes in dementiaJoseph E Gaugler
School of Nursing, Center on Aging, University of Minnesota, Minneapolis, Minnesota 55455, USA
J Am Geriatr Soc 53:2098-105. 2005..To determine how unmet needs for activity of daily living tasks influenced nursing home placement, death, or loss to follow-up in dementia...
Ductal carcinoma in situ: risk factors and impact of screeningBeth A Virnig
Division of Health Policy and Management, School of Public Health, University of Minnesota, A365 Mayo MMC 729, 420 Delaware St SE, Minneapolis, MN 55455, USA
J Natl Cancer Inst Monogr 2010:113-6. 2010....
Association between patient and tumor characteristics with clinical outcomes in women with ductal carcinoma in situTatyana Shamliyan
Division of Health Policy and Management, University of Minnesota School of Public Health, D330 5 Mayo MMC 729, 420 Delaware St SE, Minneapolis, MN 55455, USA
J Natl Cancer Inst Monogr 2010:121-9. 2010..Future research should address composite prediction indices among race groups for all outcomes...
Systematic review of the literature on comparative effectiveness of antiviral treatments for chronic hepatitis B infectionTatyana A Shamliyan
Division of Health Policy and Management, Minnesota Evidence based Practice Center, University of Minnesota School of Public Health, 420 Delaware Street SE, D330 5 Mayo MMC 729, Minneapolis, MN 55455, USA
J Gen Intern Med 26:326-39. 2011..To evaluate the comparative effectiveness of antiviral drugs in adults with chronic hepatitis B monoinfection for evidence-based decision-making...
Does integrated care improve treatment for depression? A systematic reviewMary Butler
Minnesota Evidence based Practice Center, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA
J Ambul Care Manage 34:113-25. 2011..Integrated care appears to improve depression management in primary care patients, but questions remain about its specific form and implementation...
Predictors of patients' perceived need for medication to prevent fractureJohn T Schousboe
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN 55416, USA
Med Care 49:273-80. 2011..Adherence with medications to prevent fractures is suboptimal. Patients' perceived need for medication is an important predictor of medication-use behavior...
Use of proxy respondents and accuracy of minimum data set assessments of activities of daily livingTerry Y Lum
University of Minnesota School of Social Work, St Paul, MN 55108, USA
J Gerontol A Biol Sci Med Sci 60:654-9. 2005..To investigate this issue, the authors studied the accuracy of functional assessments by comparing the MDS and interview data collected in two evaluation studies...
The impact of sentinel lymph node biopsy and magnetic resonance imaging on important outcomes among patients with ductal carcinoma in situTodd M Tuttle
Department of Surgery, University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA
J Natl Cancer Inst Monogr 2010:117-20. 2010..Although MRI may identify occult multicentric or contralateral breast cancer in some patients, it may also lead to unnecessary biopsies and overtreatment...
Quality of life measures for nursing home residentsRosalie A Kane
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis 55455, USA
J Gerontol A Biol Sci Med Sci 58:240-8. 2003..Quality of life (QOL) is a goal for nursing home residents, but measures are needed to tap this phenomenon...
Alcoholism treatment episodes validly defined using mental health care utilization recordsMelanie M Wall
Division of Biostatistics, University of Minnesota School of Public Health, Mail Code 303, 420 Delaware Street SE, Minneapolis, MN 55455, USA
J Clin Epidemiol 57:373-80. 2004..We propose a method for defining and empirically validating episodes of alcoholism treatment from health care utilization records...
Medicare expenditures associated with Alzheimer diseaseR L Kane
Division of Health Services Research and Policy, University of Minnesota School of Public Health, Minneapolis 55455, USA
Alzheimer Dis Assoc Disord 14:187-95. 2000..In some years, dementia was associated with higher adjusted expenditures for community living persons, whereas nursing home residents with Alzheimer disease have lower Medicare expenditures...
Clinical outcomes of PTCA in chronic renal failure: a case-control study for comorbid features and evaluation of dialysis dependenceR W Asinger
Cardiology Division 865A, Hennepin County Medical Center, 701 Park Avenue S, Minneapolis, MN 55415, USA
J Invasive Cardiol 13:21-8. 2001....
Scaling the heights of quality of lifeR L Kane
University of Minnesota School of Public Health, Minneapolis, MN 55455-0374, USA
J Clin Epidemiol 54:1079-80. 2001..Measuring always involves abstracting reality. Measuring an abstraction like quality of life is a daunting task. Numerous conceptual and methodological issues must be addressed, but the challenges should not deter the journey...
Cognitive impairment in hemodialysis patients is commonA M Murray
Department of Medicine, Hennepin County Medical Center, Minneapolis, USA
Neurology 67:216-23. 2006..Hemodialysis patients are at high risk for cognitive impairment due to their older age and high prevalence of stroke and cardiovascular risk factors...
Potential for bone turnover markers to cost-effectively identify and select post-menopausal osteopenic women at high risk of fracture for bisphosphonate therapyJ T Schousboe
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis, MN, USA
Osteoporos Int 18:201-10. 2007..Measurement of bone turnover may cost-effectively identify a subset of women with T-score >-2.5 for whom anti-resorptive drug therapy is cost-effective...
A randomized clinical trial of outpatient geriatric evaluation and managementC Boult
Department of Family Practice and Community Health, University of Minnesota School of Public Health, Minneapolis, USA
J Am Geriatr Soc 49:351-9. 2001..Mortality, use of most health services, and total Medicare payments did not differ significantly between the two groups. The intervention cost $1,350 per person. CONCLUSION: Targeted outpatient GEM slows functional decline...
Improving quality assessment through multilevel modeling: the case of nursing home compareGreg Arling
Center for Health Policy, School of Public and Environmental Affairs, IUPUI, Indianapolis, IN 46204, USA
Health Serv Res 42:1177-99. 2007..To demonstrate how multilevel modeling and empirical Bayes (EB) estimates can improve Medicare's Nursing Home Compare quality measures (QMs)...
The longitudinal effects of early behavior problems in the dementia caregiving careerJoseph E Gaugler
Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY 40536 0086, USA
Psychol Aging 20:100-16. 2005....
Rural-urban differences in medical care for nursing home residents with severe dementia at the end of lifeCharles E Gessert
Division of Education and Research, SMDC Health System, Duluth, Minnesota 55805, USA
J Am Geriatr Soc 54:1199-205. 2006..To identify factors associated with the use of selected medical services near the end of life in cognitively impaired residents of rural and urban nursing homes...
Using scripted video to assess interdisciplinary team effectiveness training outcomesKathryn Hyer
Training Academy on Aging, Florida Policy Exchange Center on Aging, University of South Florida, Tampa, FL 33612, USA
Gerontol Geriatr Educ 24:75-91. 2003..The results reported here include an analysis of 740 trainees' baseline responses from the multi-site educational programs to determine the construct validity of the new measure...
Predicting nursing facility residents' quality of life using external indicatorsHoward B Degenholtz
Department of Health Policy and Management, Graduate School of Public Health, University of Pittsburgh, PA 15213, USA
Health Serv Res 41:335-56. 2006..However, the level of prediction possible from these data sources does not justify reliance on external indicators of resident QOL for policy purposes...
Measuring pain presence and intensity in nursing home residentsWen Chieh Lin
Department of Family and Community Medicine, University of Missouri Columbia, Columbia, MO 65212, USA
J Am Med Dir Assoc 7:147-53. 2006..To examine the extent of agreement between nursing home residents' (or their proxies') reports of pain presence and intensity as derived from an interview questionnaire and the Minimum Data Set (MDS) nearest to the interview date...
The causes of racial and ethnic differences in influenza vaccination rates among elderly Medicare beneficiariesPaul L Hebert
Mount Sinai School of Medicine, Department of Health Policy, New York, NY, USA
Health Serv Res 40:517-37. 2005..Eliminating missed opportunities for vaccination in 1995 would have raised vaccination rates in three racial/ethnic groups to the Healthy People 2000 goal of 60 percent vaccination...
Losing Neverland: creating a better world to age inRobert L Kane
J Am Med Dir Assoc 6:353-6. 2005
Primary care outcomes in patients treated by nurse practitioners or physicians: two-year follow-upElizabeth R Lenz
Ohio State University, OH, USA
Med Care Res Rev 61:332-51. 2004..The results are consistent with the 6-month findings and with a growing body of evidence that the quality of primary care delivered by nurse practitioners is equivalent to that by physicians...
Older adults' satisfaction with integrated capitated health and long-term careAdam Atherly
Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA
Gerontologist 44:348-57. 2004..Because many older persons are unable to respond to surveys, separate instruments were developed for individuals and for their families...
Professionals with Personal Experience in Chronic Care (PPECC)Robert L Kane
J Gerontol A Biol Sci Med Sci 58:M867. 2003
Professionals with personal experience in chronic careRobert L Kane
J Am Geriatr Soc 51:1322. 2003
Strengthening research to improve the practice and management of long-term carePenny Hollander Feldman
VNSNY Center for Home Care Policy and Research, USA
Milbank Q 81:179-220, 171. 2003....
Research Grants
- Nursing Effort and Quality in Long-Term Care FacilitiesRobert Kane; Fiscal Year: 2004..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
