Kurt B Angstman

Summary

Affiliation: Mayo Clinic
Country: USA

Publications

  1. doi request reprint The Impact of Posttraumatic Stress Disorder on the 6-Month Outcomes in Collaborative Care Management for Depression
    Kurt B Angstman
    Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 7:159-64. 2016
  2. doi request reprint Family Medicine Panel Size with Care Teams: Impact on Quality
    Kurt B Angstman
    From the Department of Family Medicine, Mayo Clinic, Rochester, MN KBA, JLH, MEB, EWK, JM, TDT the Department of Family Medicine, Mayo Clinic, Scottsdale, AZ MMK, MLG, MJB and the Department of Family Medicine, Mayo Clinic, Jacksonville, FL FBW
    J Am Board Fam Med 29:444-51. 2016
  3. doi request reprint Prolonged care management for depression: a case-controlled study of those enrolled for more than one year
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic Rochester, MN 55905, USA
    J Prim Care Community Health 4:129-34. 2013
  4. doi request reprint Patient body mass index does not predict six-month clinical outcome of depression managed under collaborative care
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55906, USA
    J Prim Care Community Health 4:119-23. 2013
  5. doi request reprint Effects of concurrent low back conditions on depression outcomes
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905 0002, USA
    J Am Osteopath Assoc 113:530-7. 2013
  6. doi request reprint Patient self-assessment factors predictive of persistent depressive symptoms 6 months after enrollment in collaborative care management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Depress Anxiety 30:143-8. 2013
  7. doi request reprint Repeat retail clinic visits: impact of insurance coverage and age of patient
    Kurt B Angstman
    Department of Family Medicine Mayo Clinic, Rochester, MN 55905, USA
    Popul Health Manag 15:358-61. 2012
  8. doi request reprint Inter-relationship of the functional status question of the PHQ-9 and depression remission after six months of collaborative care management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA Electronic address
    J Psychiatr Res 47:418-22. 2013
  9. ncbi request reprint Personality disorders: review and clinical application in daily practice
    Kurt B Angstman
    Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Am Fam Physician 84:1253-60. 2011
  10. ncbi request reprint Retail clinic visits: are resident paneled patients more likely to make multiple visits?
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Fam Med 44:235-9. 2012

Detail Information

Publications55

  1. doi request reprint The Impact of Posttraumatic Stress Disorder on the 6-Month Outcomes in Collaborative Care Management for Depression
    Kurt B Angstman
    Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 7:159-64. 2016
    ..Opportunities still exist for more aggressive management of depression in these patients to help improve remission as well as reduce persistent depressive symptoms. ..
  2. doi request reprint Family Medicine Panel Size with Care Teams: Impact on Quality
    Kurt B Angstman
    From the Department of Family Medicine, Mayo Clinic, Rochester, MN KBA, JLH, MEB, EWK, JM, TDT the Department of Family Medicine, Mayo Clinic, Scottsdale, AZ MMK, MLG, MJB and the Department of Family Medicine, Mayo Clinic, Jacksonville, FL FBW
    J Am Board Fam Med 29:444-51. 2016
    ..Our hypothesis was to determine the relationship between panel size and access, quality, patient satisfaction, and cost in a large family medicine group practice using a team-based care model...
  3. doi request reprint Prolonged care management for depression: a case-controlled study of those enrolled for more than one year
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic Rochester, MN 55905, USA
    J Prim Care Community Health 4:129-34. 2013
    ..CCM can be seen as a resource intensive treatment. Early identification of patients who would not be effectively treated with CCM could allow for alteration of therapy or change in modality...
  4. doi request reprint Patient body mass index does not predict six-month clinical outcome of depression managed under collaborative care
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55906, USA
    J Prim Care Community Health 4:119-23. 2013
    ..Although obesity was common in the study population, it was reassuring, based on this study that 6-month depression treatment outcomes do not appear to be significantly affected by the patient's baseline BMI...
  5. doi request reprint Effects of concurrent low back conditions on depression outcomes
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905 0002, USA
    J Am Osteopath Assoc 113:530-7. 2013
    ..Depression and low back problems are common issues in primary care...
  6. doi request reprint Patient self-assessment factors predictive of persistent depressive symptoms 6 months after enrollment in collaborative care management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Depress Anxiety 30:143-8. 2013
    ..By estimating the relative risk associated with the patient variables, we aimed to outline the combinations of factors predictive of PDS after CCM enrollment...
  7. doi request reprint Repeat retail clinic visits: impact of insurance coverage and age of patient
    Kurt B Angstman
    Department of Family Medicine Mayo Clinic, Rochester, MN 55905, USA
    Popul Health Manag 15:358-61. 2012
    ..In contrast, the pediatric population did not, suggesting that other factors, such as convenience, may play more of a role in the choice of episodic health care for this age group...
  8. doi request reprint Inter-relationship of the functional status question of the PHQ-9 and depression remission after six months of collaborative care management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA Electronic address
    J Psychiatr Res 47:418-22. 2013
    ..Also, improvement of a patient's functional status at six months was highly correlated with clinical remission...
  9. ncbi request reprint Personality disorders: review and clinical application in daily practice
    Kurt B Angstman
    Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Am Fam Physician 84:1253-60. 2011
    ..Patients with antisocial personality disorder may benefit from the use of mood stabilizers, antipsychotics, and antidepressants. Other therapeutic interventions include motivational interviewing and solution-based problem solving...
  10. ncbi request reprint Retail clinic visits: are resident paneled patients more likely to make multiple visits?
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Fam Med 44:235-9. 2012
    ....
  11. doi request reprint Depression care management: impact of implementation on health system costs
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Health Care Manag (Frederick) 30:156-60. 2011
    ..Collaborative care management treatment for depression may be a more cost-efficient method of care for the population as a whole, even in the short term...
  12. doi request reprint Age of depressed patient does not affect clinical outcome in collaborative care management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Postgrad Med 123:122-8. 2011
    ..9121; CI, 0.8475-0.9816; P = 0.0140). Our study suggests that using CCM for depression treatment may transcend age-related differences in depression and result in positive outcomes regardless of age...
  13. doi request reprint Impact of e-consults on return visits of primary care patients
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Health Care Manag (Frederick) 28:253-7. 2009
    ..88; confidence interval, 1.33-2.66; P < .01). E-consults by referral specialists were associated with increased odds of early return visits for primary care patients with a primary care provider...
  14. doi request reprint Initial implementation of a depression care manager model: an observational study of outpatient utilization in primary care clinics
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55906, USA
    Popul Health Manag 12:227-30. 2009
    ..95 visits per patient as compared to the UC patients having 0.55 visits per patient (P = 0.04). This study suggests that the initial implementation of a CM model for treatment of depression will increase outpatient utilization. ...
  15. doi request reprint Impact of online primary care visits on standard costs: a pilot study
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Minnesota 55905, USA
    Popul Health Manag 13:59-63. 2010
    ..Outpatient visits in the previous 6 months were positively related to outlier status (OR 1.23, 95% CI 1.17-1.29). Online visits appeared to reduce medical costs for patients during a 6-month period after the visit...
  16. doi request reprint Nurse practitioners and physician assistants are complements to family medicine physicians
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA
    Popul Health Manag 16:242-5. 2013
    ..Health care reform proposals relying on increased use of NPs/PAs may be more cost-efficient if NPs/PAs are located in retail settings or function as PCPs...
  17. doi request reprint Impact of retail medicine on standard costs in primary care: a semiparametric analysis
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Rochester, MN 55905, USA
    Popul Health Manag 12:333-5. 2009
    ....
  18. pmc Use of a clinical decision support system to increase osteoporosis screening
    Ramona S Dejesus
    Division of Primary Care Internal Medicine, Center for Innovation, Mayo Clinic, Rochester, Minnesota 55905, USA
    J Eval Clin Pract 18:89-92. 2012
    ..We investigated whether we could boost the low rates of bone mineral density testing with implementation of a point-of-care clinical decision support system in our primary care practice...
  19. doi request reprint Impact of symptom remission on outpatient visits in depressed primary care patients treated with collaborative care management and usual care
    Matthew R Meunier
    1 Department of Family Medicine, Mayo Clinic, Rochester, Minnesota
    Popul Health Manag 17:180-4. 2014
    ..892, CI 3.655-6.548, P<0.01). In primary care patients treated for depression, successful treatment to remission at 6 months decreased the likelihood of the patient having more than 8 visits during the 6 months after diagnosis...
  20. pmc Effect of visit length and a clinical decision support tool on abdominal aortic aneurysm screening rates in a primary care practice
    John Eaton
    Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    J Eval Clin Pract 18:593-8. 2012
    ..We examined AAA screening rates among providers and investigated the role of visit duration and other factors in whether patients received screening. We also looked for potential interventions to improve compliance...
  21. doi request reprint Low-density lipoprotein-cholesterol (LDL-C) greater than 100 mg/dL as a quality indicator: locating risk in person, place and time
    James E Rohrer
    Department of Family Medicine, Mayo Clinic, Rochester, MN, USA
    J Eval Clin Pract 21:735-9. 2015
    ..The Centers for Disease Control and Prevention (CDC)'s model for investigation of outbreaks (person-place-time) can be applied to the analysis of quality indicators...
  22. doi request reprint Early return visits by pediatric primary care patients with otitis media: a retail nurse practitioner clinic versus standard medical office care
    James E Rohrer
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Qual Manag Health Care 21:44-7. 2012
    ..To compare outpatient return visits within 2 weeks experienced by pediatric patients diagnosed with otitis media using retail nurse practitioner clinics to similar patients using standard medical office clinics...
  23. doi request reprint Impact of retail walk-in care on early return visits by adult primary care patients: evaluation via triangulation
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Minnesota, USA
    Qual Manag Health Care 18:19-24. 2009
    ..However, few studies have been published reporting on the outcomes of care from these clinics. The purpose of this study was to assess the risk of early return visits for patients using a retail walk-in clinic...
  24. doi request reprint Early return visits by primary care patients: a retail nurse practitioner clinic versus standard medical office care
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Rochester, Minnesota 55905, USA
    Popul Health Manag 15:216-9. 2012
    ..00). The odds of a return visit within 2 weeks were not different by clinic type after adjusting for propensity to use services (OR=1.17, P=0.28). After adjusting for case mix differences, return visit rates did not differ by clinic type...
  25. pmc Use of a Web-based clinical decision support system to improve abdominal aortic aneurysm screening in a primary care practice
    Rajeev Chaudhry
    Division of Primary Care Internal Medicine, Center for Innovation, Department of Family Medicine and Information Technology, Mayo Clinic, Rochester, MN 55905, USA
    J Eval Clin Pract 18:666-70. 2012
    ..We sought to determine the effect of a Web-based point-of-care clinical decision support system on AAA screening rates in a primary care practice...
  26. doi request reprint Family medicine patients who use retail clinics have lower continuity of care
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, Rochester, MN, USA
    J Prim Care Community Health 4:150-3. 2013
    ..Retail medicine clinics have become popular in some markets. However, their impact on continuity of care has not been studied...
  27. doi request reprint Diabetes and obesity not associated with 6-month remission rates for primary care patients with depression
    Todd W Wade
    Department of Family Medicine, Mayo Clinic, Rochester, MN
    Psychosomatics 56:354-61. 2015
    ..Complex interrelationships appear to exist among depression, diabetes, and obesity, and it has been proposed that both diabetes and obesity have an association with depression...
  28. doi request reprint Depression remission decreases outpatient utilization at 6 and 12 months after enrollment into collaborative care management
    Kurt B Angstman
    1 Department of Family Medicine, Mayo Clinic, Rochester, Minnesota
    Popul Health Manag 17:48-53. 2014
    ..Improvement in health care outcomes by CCM could translate into decreased outpatient utilization for depressed patients...
  29. doi request reprint Timely response to secure messages from primary care patients
    James E Rohrer
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA
    Qual Manag Health Care 22:161-6. 2013
    ..To assess delays in response to patient secure e-mail messages in primary care...
  30. doi request reprint Future complexity of care tier affected by depression outcomes
    Kurt B Angstman
    Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 5:30-5. 2014
    ..The hypothesis for this study was that clinical outcome of the depression 6 months after enrollment into collaborative care management would have a role in predicting future complexity of care tier...
  31. ncbi request reprint Outcomes for collaborative care versus routine care in the management of postpartum depression
    Frances E Truitt
    Department of Family Medicine, Neighborhood Healthsource, Minneapolis, MN, USA
    Qual Prim Care 21:171-7. 2013
    ..A collaborative care management (CCM) approach may provide more timely, effective and higher quality of care for women suffering from postpartum depression...
  32. ncbi request reprint Application of a case-control design to the analysis of drop-outs from integrated behavioural health care
    James E Rohrer
    Department of Family Medicine, Mayo Clinic, Rochester, MN, USA
    Qual Prim Care 21:33-7. 2013
    ..The reason for the study was two-fold: (1) to demonstrate the feasibility of the method in a practice setting, and (2) because drop-outs from this programme had not previously been investigated...
  33. doi request reprint Increased Anxiety and Length of Treatment Associated With Depressed Patients Who are Readmitted to Collaborative Care
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 2:82-6. 2011
    ..0206, P = .0033). Patients who are readmitted to CCM for recurrent depression have a statistically increased risk of associated anxiety and a longer treatment course than those who have remained in remission for at least 4 months. ..
  34. doi request reprint Do retail clinics increase early return visits for pediatric patients?
    James E Rohrer
    Department of Family Medicine, Mayo Clinic Rochester, 200 First Street SW, Rochester, MN 55905, USA
    J Am Board Fam Med 21:475-6. 2008
    ..The purpose of this study was to assess the risk of early return visits for pediatric patients using a retail clinic...
  35. pmc Predictors of osteoporosis screening completion rates in a primary care practice
    Ramona S Dejesus
    Division of Primary Care Internal Medicine, Center for Innovation, Mayo Clinic, Rochester, Minnesota 55905, USA
    Popul Health Manag 14:243-7. 2011
    ..It potentially can facilitate the systematic and effective delivery of preventive health services to patients in the primary care setting...
  36. doi request reprint Patient advisory groups in practice improvement: sample case presentation with a discussion of best practices
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
    J Ambul Care Manage 32:328-32. 2009
    ..We will review key "best practices," as defined by the group, regarding size, composition, and meeting frequency that can be used for the development of a clinical patient advisory group...
  37. doi request reprint Increased medical cost metrics for patients 50 years of age and older in the collaborate care model of treatment for depression
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Psychogeriatrics 16:102-6. 2016
    ..In the present study, we aimed to determine the impact of age on cost metrics in patients who were treated with CCM for 6 months after a diagnosis of depression...
  38. doi request reprint Time to Remission for Depression with Collaborative Care Management (CCM) in Primary Care
    Gregory M Garrison
    From the Department of Family Medicine GMG, KBA and the Department of Psychiatry and Psychology MDW, Mayo Clinic, Rochester, MN and the Department of Psychological Sciences, Western Kentucky University, Bowling Green, KY SSO Aurora Health Care, Green Bay, WI TWL
    J Am Board Fam Med 29:10-7. 2016
    ..This study was a survival analysis over time comparing CCM with UC using remission (9-item Patient Health Questionnaire [PHQ-9] score <5) and persistent depressive symptoms (PDSs; PHQ-9 score ≥10) as end points...
  39. pmc Depression remission after six months of collaborative care management: role of initial severity of depression in outcome
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Ment Health Fam Med 9:99-106. 2012
    ..Also, there was a significant increase in the six-month PHQ-9 score for those unremitted patients in the severe vs. moderate depression groups...
  40. doi request reprint Provider satisfaction with virtual specialist consultations in a family medicine department
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic Rochester, Minnesota, USA
    Health Care Manag (Frederick) 28:14-8. 2009
    ..Specialists providing VCs tended to be supportive. This illustrates both the difficulty of incorporating e-health innovations in primary care practice and the potential for increased efficiency...
  41. ncbi request reprint Obesity and symptom burden in family medicine patients
    James E Rohrer
    1 Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA 2 Departments of Psychiatry, Mayo Clinic, Rochester, Minnesota, USA
    Patient 1:165-72. 2008
    ..Medical visits are initiated by patients in search of symptom relief. The extent to which obesity independently increases the risk of common symptoms is unknown...
  42. doi request reprint Cellulitis in Obesity: Adverse Outcomes Affected by Increases in Body Mass Index
    Meghan Theofiles
    Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 6:233-8. 2015
    ..This study looked at antibiotic dosing and treatment failure in the obese population from the primary care perspective and accounts for BMI range, weight, comorbid diabetes, and tobacco use...
  43. doi request reprint Seasonal variation in clinical remission of primary care patients with depression: impact of gender
    Yusuf C Doganer
    Department of Family Medicine, Mayo Clinic, Rochester, MN, USA
    J Eval Clin Pract 21:160-5. 2015
    ..The hypothesis for this study was that the clinical remission rate would be lower in the winter comparing to the other seasons, specifically evaluated by gender...
  44. doi request reprint Use of an on-line patient portal in a depression collaborative care management program
    Jennifer Pecina
    Department of Family Medicine, Mayo Clinic Rochester, MN, USA Electronic address
    J Affect Disord 208:1-5. 2017
    ..Evidence for patient portals on health outcomes is still accumulating...
  45. doi request reprint Variations in lipid screening frequency in family medicine patients with cardiovascular risk factors
    Yusuf C Doganer
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    J Eval Clin Pract 21:215-20. 2015
    ..In addition, we sought to determine the association between testing frequency and achievement of lipid targets...
  46. doi request reprint Cervical cancer screening: a prospective cohort study of the effects of historical patient compliance and a population-based informatics prompted reminder on screening rates
    Kathy L MacLaughlin
    Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    J Eval Clin Pract 20:136-43. 2014
    ..The aim of this study was to assess the impact of historical screening compliance with the effectiveness of patient reminder letters on cervical cancer screening rates...
  47. doi request reprint PHQ-9 Response Curve: Rate of Improvement for Depression Treatment With Collaborative Care Management
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic Rochester, MN
    J Prim Care Community Health 3:155-8. 2012
    ..Also, it demonstrated that in the patients who did respond, there was no any difference in the remission rates over the study period when evaluated by the initial severity of the depression. ..
  48. doi request reprint Collaborative care management for depression: comparison of cost metrics and clinical response to usual care
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN, USA
    J Prim Care Community Health 1:73-7. 2010
    ..However, cost measures were significantly higher among non-responders compared to responders within CCM. Between the two models, the non-responders in UC had lower cost measures than the non-responders under CCM. ..
  49. doi request reprint Impact of collaborative care for depression on clinical, functional, and work outcomes: a practice-based evaluation
    Nathan D Shippee
    Division of Health Policy and Management, University of Minnesota, Minneapolis, 55455, USA
    J Ambul Care Manage 36:13-23. 2013
    ..The impact of collaborative care (CC) on depression and work productivity in routine, nonresearch primary care settings remains unclear due to limited evidence...
  50. pmc Correlation between mental health co-morbidity screening scores and clinical response in collaborative care treatment for depression
    Kurt B Angstman
    Consultant and Assistant Professor of Family Medicine, Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Ment Health Fam Med 7:129-33. 2010
    ..A higher initial screening score for anxiety or bipolar disorder is associated with a statistically significant increase in the relative risk of patients in CCM not responding to current treatments for depression within six months...
  51. ncbi request reprint Differential Experience With Men's and Women's Health Care Visits Between Male and Female Family Medicine Residents
    Gregory M Garrison
    Department of Family Medicine, Mayo Clinic
    Fam Med 48:546-50. 2016
    ..Additionally, the association between panel demographics or continuity of care and the differential experience with gender-specific health care is unclear...
  52. ncbi request reprint Teaching residents electronic fetal monitoring: a national needs assessment
    Matthew R Meunier
    Mayo Clinic Department of Family Medicine, Rochester, MN
    Fam Med 47:445-51. 2015
    ....
  53. doi request reprint Minority Primary Care Patients With Depression: Outcome Disparities Improve With Collaborative Care Management
    Kurt B Angstman
    Department of Family Medicine Division of Health Care Policy and Research Department of Psychiatry and Psychology Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN
    Med Care 53:32-7. 2015
    ....
  54. doi request reprint Patients in a depression collaborative care model of care: comparison of 6-month cost utilization data with usual care
    Kurt B Angstman
    Department of Family Medicine, Mayo Clinic, Rochester, MN
    J Prim Care Community Health 1:12-6. 2010
    ..9% of the UC group (P < 0.001). In this group of patients, CCM is associated with markedly improved clinical outcomes for depression, however with a modest short-term increase in CPT costs. ..
  55. ncbi request reprint Predictors of patient comfort and adherence with less frequent cervical cancer screening
    Kathy L MacLaughlin
    Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA
    Qual Prim Care 19:355-63. 2011
    ..Updated evidence-based cervical cancer screening guidelines support less frequent testing in low-risk patients but have met resistance from providers and patients...