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digital.ahrq.gov/sites/default/files/docs/activity/r21hs021797-mohan-annual-summary-2012.pdf
January 01, 2012 - eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer
EXPLORATORY AND DEVELOPMENTAL … The use
of prostate-specific antibody (PSA) as a screening test has led to earlier diagnosis of prostate … cancers,
some of which may never lead to harm. … Because treatment can have harmful side effects, it is critically
important to educate prostate cancer … Yet
current decision aids for prostate cancer treatment have failed to provide patients with needed
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digital.ahrq.gov/ahrq-funded-projects/ecoach-development-and-pilot-testing-decision-aid-prostate-cancer/annual-summary/2012
January 01, 2012 - eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - 2012
Project … Name
eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer
Principal … The use of prostate-specific antibody (PSA) as a screening test has led to earlier diagnosis of prostate … cancers, some of which may never lead to harm. … Because treatment can have harmful side effects, it is critically important to educate prostate cancer
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs021797-gillespie-final-report-2015.pdf
January 01, 2015 - eCoach: Development and Pilot Testing of a Decision Aid for Prostate Cancer - Final Report … The treatment of prostate cancers remains on the forefront of United
States healthcare as the overall … With the advent of widespread use of prostate-specific antigen (PSA) for screening,
along with greater … Important to use to improve quality of prostate cancer care (5.4)
6. … Think that prostate cancer at institution where treated is the highest possible (4.8)
8.
-
digital.ahrq.gov/population/men
January 01, 2023 - Cancer - Final Report
Citation
Gillespie T. eCoach: Development and Pilot Testing of a Decision … Aid for Prostate Cancer - Final Report. … decisionmaking for prostate cancer treatment and found that the tools was technically feasible however … Knowledge Engineering for Decision Support in Osteoporosis
Factors associated with screening … Factors associated with screening or treatment initiation among male United States veterans at risk for
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017820-singh-final-report-2013.pdf
January 01, 2013 - cancer and CRC diagnosis and were developed after iterative review of 214
records (88 prostate cancer … Trigger algorithms were successfully developed for prostate cancer and colorectal cancer
and were able … to exclude most “clinical exclusion” criteria, such as known diagnosis of prostate
cancer, prostatitis … Using electronic triggers to identify patients at risk for
diagnostic delays in prostate cancer [abstract … cancer diagnosis.
-
digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
January 01, 2010 - The goal of this study is to improve clinical decision support and enhance preventive cancer screening … The screening program is being integrated with electronic health record (EHR) data to assess whether … Using average cancer screening test completion rates for breast, cervical, colorectal, and prostate cancers … These letters will include information about the value of cancer screening, the status of a patient’s … eligible screening exams, instructions for scheduling an exam, instructions for notifying a provider
-
digital.ahrq.gov/sites/default/files/docs/activity/technology_for_optimizing_population_care_in_a_resource_limited_environment_2010pdf_2.pdf
November 01, 2012 - The goal
of this study is to improve clinical decision support and enhance preventive cancer screening … The
screening program is being integrated with electronic health record (EHR) data to assess whether … Using average cancer screening test completion rates for breast, cervical, colorectal, and prostate cancers … These letters will include information
about the value of cancer screening, the status of a patient’ … s eligible screening exams, instructions for
scheduling an exam, instructions for notifying a provider
-
digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2012
January 01, 2012 - more than 10 percent for some specific individual services such as colon, cervical, and breast cancer screenings … Four individual services—cervical cancer screening, prostate cancer screening, cholesterol screening, … and diabetes screening—had greater increases for IPHR-users than non-users.
-
digital.ahrq.gov/sites/default/files/docs/activity/r21hs018811-krist-annual-summary-2012.pdf
January 01, 2012 - more than 10 percent for some
specific individual services such as colon, cervical, and breast cancer screenings … Four individual services—cervical cancer screening, prostate cancer screening, cholesterol screening, … and diabetes screening—had greater increases for IPHR-users than non-users.
-
digital.ahrq.gov/sites/default/files/docs/lessons-covid19-slides-07012021.pdf
July 01, 2021 - use standards-based format (e.g., FHIR and CQL)
• Evidence-based content for action
39
Identified Prostate … Cancer
Screening as Target Decision
• Common decision
• Consistent guidelines with general agreement … cancer screening important, but not most important topic
• More useful if add more decisions, maybe … World)
Model for Patient Care Planning
Needs for Interoperable Standards-Based Formats
Identified Prostate … Cancer Screening as Target Decision
Disseminatable Prototype
Cancer Screening Prototype
Cancer Screening
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-data-improve-care-patients-known-or-suspected-cancer
January 01, 2023 - Center
Medical Condition
Cancer
Colorectal Cancer
Respiratory (Lung) Disease
Prostate … Cancer
Population
Physician
Type of Care
Primary Care
Health … Delays in cancer diagnosis, however, are common and may arise when abnormal cancer screening results
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/closing-divide-how-medical-homes
January 01, 2006 - When adults have a medical home, their access to needed care, receipt of routine preventive screenings … The survey found that rates of cholesterol, breast cancer, and prostate screening are higher among adults
-
digital.ahrq.gov/ahrq-funded-projects/interactive-preventive-health-record-iphr-promote-patient-centered-care
January 01, 2023 - Diabetes Mellitus
Hyperlipidemia (HL)
Hypertension
Infectious Disease
Obesity
Osteoporosis
Prostate … Cancer
Tobacco Use
Population
Adults
Clinical Staff/Clinician
Physician … findings show that patients who use MyPreventiveCare are on average 5 percent more up-to-date on their screenings … Screenings for colonoscopies increased by as much as 12 percent, and for mammograms by as much as 16
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022955-thompson-final-report-2020.pdf
January 01, 2020 - Prostate cancer and health-related quality of life: A review of the literature. … Quality-of-life outcomes in men treated for localized prostate cancer. … the cancer of the prostate strategic urologic research endeavor. … Ethnic variation in return to baseline values of
patient-reported outcomes in older prostate cancer … NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines): Prostate Cancer, Verson 4.2011.
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018811-krist-final-report-2012.pdf
January 01, 2012 - breast cancer,
prostate cancer, hypertension, diabetes, dyslipidemia, abdominal aortic aneurysm, Chlamydia … All preventive services are recommended by the USPSTF, with the exception of prostate cancer
screening … , prostate cancer screening, cholesterol screening,
and diabetes screening (Table 10, below). … 0.87
Prostate cancer screening* 42.0% 72.6% 72.2% 68.3% 33.9% 52.9% 53.1% 52.2% <0.001
Hypertension … The liability of giving patients
choice: shared decision-making and prostate cancer.
-
digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention
January 01, 2023 - Four individual services had greater increases for IPHR-users than non-users: cervical cancer screening … , prostate cancer screening, cholesterol screening, and diabetes screening.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017046-krist-final-report-2011.pdf
January 01, 2011 - tests: colorectal cancer, cervical cancer, breast cancer, prostate cancer,
hypertension, diabetes, … , influenza
vaccination, breast cancer screening, cervical cancer screening, Chlamydia screening,
pneumococcal … vaccination, cholesterol screening, hypertension screening, and aspirin
chemoprophylaxis. … 68.8% 73.0% 0.130 69.3% 71.3% 0.432 70.1% 70.7% 0.802 79.2% 92.8%
Prostate cancer
screening
0.022 … 71.3% 72.5% 0.67 72.4% 73% 0.8 70.5% 69.9% 0.823 84.3% 95.1% 0.015
Prostate cancer
screening
-
digital.ahrq.gov/sites/default/files/docs/page/evaluating_health_it_projects___a_state_perspective_5.pdf
July 10, 2008 - Rates
Cancer Screening
(code)
CDDOs ILCs Non-
Participating
Consumers†
No evidence of breast … cancer screening
Females, ages 40 up
to 65 years
N = 171 N = 322 N = 17,076
70.2% 79.2% 73.9% … 78.5% 88.3% 78.8%
No evidence of
colorectal cancer
screening
Males & females,
ages 50 up to … Migraine
Multiple sclerosis
Osteoarthritis
Osteoporosis
Otitis media
Parkinson’s disease
Prostate … cancer
Rhinitis
Sinusitis
Urinary tract infection
Summary
Disabled Medicaid enrollees
-
digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
July 01, 2011 - national organizations; providing decision aids for prostate, breast, and colon cancer screening … The project team examined the effects of the
IPHR on clinical preventive services such as cancer screenings … were observed for many individual preventive services (e.g. 12.3%,
p=0.008, increase in colon cancer screening … and 11.4%, p=0.04, increase in cervical cancer screening comparing
16 months to baseline for users … Chart 1: Rates of Preventive Screening
by Integrated Personal Health Record (IPHR) Users and NonUsers
-
digital.ahrq.gov/sites/default/files/docs/2010-04-06%20Patient%20Empowerment%20(1).pdf
January 01, 2010 - measure
increase in preventive care delivery
Preventive Services Addressed
•
Colon cancer
•
Prostate … cancer
•
Breast cancer
•
Cervical cancer
•
Chlamydia screening
•
Hypertension screening … •
Hyperlipidemia
screening
•
AAA screening
•
ASA chemoprophylaxis
•
Diabetes screening … •
Osteoporosis screening
•
Tetanus vaccination
•
Influenza vaccination
•
Pneumococcal … up-to-date on all services
• Not up-to-date users need an average of 4.6 services
35%
55%
56%
91%
49%
Screening