The Experts below are selected from a list of 315 Experts worldwide ranked by ideXlab platform
Neela D. Goswami - One of the best experts on this subject based on the ideXlab platform.
-
A model for bringing TB expertise to HIV providers: Medical Consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013-2017.
PloS one, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Ashley C. Mcdowell, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (
-
a model for bringing tb expertise to hiv providers Medical Consultations to the cdc funded regional tuberculosis training and Medical Consultation centers 2013 2017
PLOS ONE, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Ashley Mcdowell, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (<18 years) patient, and to categorize key concepts and themes arising within Consultation queries and Medical consultant responses. RESULTS Of 14,586 Consultations captured by the MCD in 2013-2017, 544 (4%) were categorized as TB/HIV-related, with 100 (18%) received in 2013, 129 (24%) in 2014, 104 (19%) in 2015, 117 (22%) in 2016, and 94 (17%) in 2017. Most TB/HIV Consultations came from nurses (54%) or physicians (43%) and from local (65%) or state health departments (10%). Only 17 (3%) of HIV-related Consultations involved pediatric cases. Off the 544 TB/HIV Consultations, 347 (64%) concerned the appropriate treatment regimen for TB/HIV or LTBI/HIV for a patient on or not on antiretroviral therapy (ART). CONCLUSIONS The data support a clear and ongoing gap in areas of specialized HIV knowledge by TB experts that could be supplemented with proactive educational outreach. The specific categories of TB/HIV inquiries captured by this analysis are strategically informing future targeted training and educational activities planned by the CDC TB Centers of Excellence, as well as guiding HIV educational efforts at regional and national TB meetings.
-
tuberculosis in the united states Medical Consultation services provided by 5 tuberculosis regional training and Medical Consultation centers 2013 2017
Open Forum Infectious Diseases, 2019Co-Authors: Neela D. Goswami, Lisa Chen, John W Wilson, Sundari Mase, Rajita Bhavaraju, Alfred Lardizabal, David Griffith, Michael Lauzardo, Courtney Chappelle, Connie A HaleyAbstract:With only 9105 new US tuberculosis (TB) cases reported in 2017, expert Consultation is essential for TB care. Data were captured 2013-2017 from Consultations by 5 CDC-funded centers, now the TB Centers of Excellence (COEs). 14 586 Consultations were provided to TB providers, most related to TB disease and treatment regimens.
Connie A Haley - One of the best experts on this subject based on the ideXlab platform.
-
A model for bringing TB expertise to HIV providers: Medical Consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013-2017.
PloS one, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Ashley C. Mcdowell, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (
-
a model for bringing tb expertise to hiv providers Medical Consultations to the cdc funded regional tuberculosis training and Medical Consultation centers 2013 2017
PLOS ONE, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Ashley Mcdowell, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (<18 years) patient, and to categorize key concepts and themes arising within Consultation queries and Medical consultant responses. RESULTS Of 14,586 Consultations captured by the MCD in 2013-2017, 544 (4%) were categorized as TB/HIV-related, with 100 (18%) received in 2013, 129 (24%) in 2014, 104 (19%) in 2015, 117 (22%) in 2016, and 94 (17%) in 2017. Most TB/HIV Consultations came from nurses (54%) or physicians (43%) and from local (65%) or state health departments (10%). Only 17 (3%) of HIV-related Consultations involved pediatric cases. Off the 544 TB/HIV Consultations, 347 (64%) concerned the appropriate treatment regimen for TB/HIV or LTBI/HIV for a patient on or not on antiretroviral therapy (ART). CONCLUSIONS The data support a clear and ongoing gap in areas of specialized HIV knowledge by TB experts that could be supplemented with proactive educational outreach. The specific categories of TB/HIV inquiries captured by this analysis are strategically informing future targeted training and educational activities planned by the CDC TB Centers of Excellence, as well as guiding HIV educational efforts at regional and national TB meetings.
-
tuberculosis in the united states Medical Consultation services provided by 5 tuberculosis regional training and Medical Consultation centers 2013 2017
Open Forum Infectious Diseases, 2019Co-Authors: Neela D. Goswami, Lisa Chen, John W Wilson, Sundari Mase, Rajita Bhavaraju, Alfred Lardizabal, David Griffith, Michael Lauzardo, Courtney Chappelle, Connie A HaleyAbstract:With only 9105 new US tuberculosis (TB) cases reported in 2017, expert Consultation is essential for TB care. Data were captured 2013-2017 from Consultations by 5 CDC-funded centers, now the TB Centers of Excellence (COEs). 14 586 Consultations were provided to TB providers, most related to TB disease and treatment regimens.
Andreas Laupacis - One of the best experts on this subject based on the ideXlab platform.
-
variation in the practice of preoperative Medical Consultation for major elective noncardiac surgery a population based study
Anesthesiology, 2012Co-Authors: Duminda N Wijeysundera, Peter C Austin, Scott W Beattie, Janet E Hux, Andreas LaupacisAbstract:BACKGROUND Patients scheduled for major elective noncardiac surgery frequently undergo preoperative Medical Consultations. However, the factors that determine whether individuals undergo Consultation and the extent of interhospital variation remain unclear. METHODS The authors used population-based administrative databases to conduct a cohort study of patients, aged 40 yr or older, who underwent major elective noncardiac surgery in Ontario, Canada, between April 2004 and February 2009. Multilevel logistic regression models were used to identify patient- and hospital-level predictors of Consultation. RESULTS Within the cohort of 204,819 patients who underwent surgery at 79 hospitals, 38% (n = 77,965) underwent preoperative Medical Consultation. Although patient- and surgery-level factors did predict Consultation use, they explained only 5.9% of variation in Consultation rates. Differences in rates across hospitals were large (range, 10-897 per 1,000 procedures), were not explained by surgical procedure volume or hospital teaching status, and persisted after adjustment for patient- and surgery-level factors. The median odds of undergoing Consultation were 3.51 times higher if the same patient had surgery at one randomly selected hospital as opposed to another. CONCLUSIONS One-third of surgical patients undergo preoperative Medical Consultation. Although patient- and surgery-level factors are weak predictors of Consultation use, the individual hospital is the major determinant of whether patients undergo Consultation. Additional research is needed to better understand the basis for this substantial interhospital variation and to determine which patients benefit most from preoperative Consultation.
-
outcomes and processes of care related to preoperative Medical Consultation
JAMA Internal Medicine, 2010Co-Authors: Duminda N Wijeysundera, Peter C Austin, Scott W Beattie, Janet E Hux, Andreas LaupacisAbstract:Background Preoperative Consultations by internal medicine physicians facilitate documentation of comorbid disease, optimization of Medical conditions, risk stratification, and initiation of interventions intended to reduce risk. Nonetheless, the impact of these Consultations, which may be performed by general internists or specialists, on outcomes is unclear. Methods We used population-based administrative databases to conduct a cohort study of patients 40 years or older who underwent major elective noncardiac surgery in Ontario, Canada, between 1994 and 2004. Propensity scores were used to assemble a matched-pairs cohort that reduced differences between patients who did and did not undergo preoperative Consultation by general internists or specialists. The association of Consultation with mortality and hospital stay was determined within this matched cohort. As a sensitivity analysis, we evaluated the association of Consultation with an outcome for which no difference would be expected: postoperative wound infection. Results Of 269 866 patients in the cohort, 38.8% (n = 104 695) underwent Consultation. Within the matched cohort (n = 191 852), Consultation was associated with increased 30-day mortality (relative risk [RR], 1.16; 95% confidence interval [CI], 1.07-1.25; number needed to harm, 516), 1-year mortality (1.08; 1.04-1.12; number needed to harm, 227), mean hospital stay (difference, 0.67 days; 0.59-0.76), preoperative testing, and preoperative pharmacologic interventions. Notably, Consultation was not associated with any difference in postoperative wound infections (RR, 0.98; 95% CI, 0.95-1.02). These findings were stable across subgroups as well as sensitivity analyses that tested for unmeasured confounding. Conclusions Medical Consultation before major elective noncardiac surgery is associated with increased mortality and hospital stay, as well as increases in preoperative pharmacologic interventions and testing. These findings highlight the need to better understand mechanisms by which Consultation influences outcomes and to identify efficacious interventions to decrease perioperative risk.
John W Wilson - One of the best experts on this subject based on the ideXlab platform.
-
a model for bringing tb expertise to hiv providers Medical Consultations to the cdc funded regional tuberculosis training and Medical Consultation centers 2013 2017
PLOS ONE, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Ashley Mcdowell, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (<18 years) patient, and to categorize key concepts and themes arising within Consultation queries and Medical consultant responses. RESULTS Of 14,586 Consultations captured by the MCD in 2013-2017, 544 (4%) were categorized as TB/HIV-related, with 100 (18%) received in 2013, 129 (24%) in 2014, 104 (19%) in 2015, 117 (22%) in 2016, and 94 (17%) in 2017. Most TB/HIV Consultations came from nurses (54%) or physicians (43%) and from local (65%) or state health departments (10%). Only 17 (3%) of HIV-related Consultations involved pediatric cases. Off the 544 TB/HIV Consultations, 347 (64%) concerned the appropriate treatment regimen for TB/HIV or LTBI/HIV for a patient on or not on antiretroviral therapy (ART). CONCLUSIONS The data support a clear and ongoing gap in areas of specialized HIV knowledge by TB experts that could be supplemented with proactive educational outreach. The specific categories of TB/HIV inquiries captured by this analysis are strategically informing future targeted training and educational activities planned by the CDC TB Centers of Excellence, as well as guiding HIV educational efforts at regional and national TB meetings.
-
A model for bringing TB expertise to HIV providers: Medical Consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013-2017.
PloS one, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Ashley C. Mcdowell, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (
-
tuberculosis in the united states Medical Consultation services provided by 5 tuberculosis regional training and Medical Consultation centers 2013 2017
Open Forum Infectious Diseases, 2019Co-Authors: Neela D. Goswami, Lisa Chen, John W Wilson, Sundari Mase, Rajita Bhavaraju, Alfred Lardizabal, David Griffith, Michael Lauzardo, Courtney Chappelle, Connie A HaleyAbstract:With only 9105 new US tuberculosis (TB) cases reported in 2017, expert Consultation is essential for TB care. Data were captured 2013-2017 from Consultations by 5 CDC-funded centers, now the TB Centers of Excellence (COEs). 14 586 Consultations were provided to TB providers, most related to TB disease and treatment regimens.
-
pediatric tuberculosis Consultations across 5 cdc regional tuberculosis training and Medical Consultation centers
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 2018Co-Authors: Anjeli Mase, Stephen Ryan, Greg Mader, Ana M Alvarez, Lisa Y Armitige, Lisa Chen, George Mcsherry, John W Wilson, Sundari Mase, Ritu BanerjeeAbstract:Abstract Background The U.S. Centers for Disease Control and Prevention (CDC) funds five Regional Tuberculosis Training and Medical Consultation Centers (RTMCCs) that provide training and Consultation for tuberculosis (TB) control and management. RTMCC utilization for assistance with diagnosis and management of TB in children has not been described. We analyzed pediatric TB Consultations performed across all RTMCCs in terms of question type, provider type, and setting. Methods The CDC Medical Consultation database was queried for Consultations regarding patients ≤ 18 years provided between 1/1/13–4/22/15 by all RTMCCs (Curry International TB Center, Heartland National TB Center, Mayo Clinic Center for TB, New Jersey Medical School Global TB Institute, Southeastern National TB Center). Each query was categorized into multiple subject areas based on provider type, setting, Consultation topic, and patient age. Results The 5 RTMCCs received 1164 pediatric Consultation requests, representing approximately 20% of all Consultations performed by the centers during the study period. Providers requesting consults were primarily physicians (46.3%) or nurses (45.0%). The majority of pediatric consult requests were from state and local public health departments (679, 58.3%) followed by hospital providers (199, 17.1%); fewer requests came from clinicians in private practice (84, 7.2%) or academic institutions (40, 3.4%). Consults addressed 14 different topics, most commonly management of children with TB disease (19.1%), latent TB infection (LTBI) (18.2%), diagnosis or laboratory testing (18.7%), and pharmacology (9.2%). Discussion Pediatric Consultations accounted for approximately 20% of all Consultations performed by RTMCCs during the study period. RTMCCs were utilized primarily by public health departments regarding management of TB disease, LTBI, and diagnosis or laboratory testing. The relative underutilization of the RTMCCs by clinicians in non-public health settings, who often manage children with TB exposure or infection, warrants further study. As US TB case rates decline and providers become less experienced with childhood TB, Medical Consultation support may become increasingly important.
Rajita Bhavaraju - One of the best experts on this subject based on the ideXlab platform.
-
A model for bringing TB expertise to HIV providers: Medical Consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013-2017.
PloS one, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Ashley C. Mcdowell, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (
-
a model for bringing tb expertise to hiv providers Medical Consultations to the cdc funded regional tuberculosis training and Medical Consultation centers 2013 2017
PLOS ONE, 2020Co-Authors: Robyn Fernando, Lisa Y Armitige, John W Wilson, Rajita Bhavaraju, Henry Fraimow, Connie A Haley, Ashley Mcdowell, Neela D. GoswamiAbstract:BACKGROUND Persons living with human immunodeficiency virus (HIV) are at a greater risk of developing tuberculosis (TB) compared to people without HIV and of developing complications due to the complexity of TB/HIV coinfection management. METHODS During 2013-2017, the Centers for Disease Control and Prevention (CDC) funded 5 TB Regional Training and Medical Consultation Centers (RTMCCs) (now known as TB Centers of Excellence or COEs) to provide Medical Consultation to providers for TB disease and latent TB infection (LTBI), with data entered into a Medical Consultation Database (MCD). Descriptive analyses of TB/HIV-related Consultations were conducted using SAS® software, version [9.4] to determine the distribution of year of Consultation, Medical setting and provider type, frequency of Consultations regarding a pediatric (<18 years) patient, and to categorize key concepts and themes arising within Consultation queries and Medical consultant responses. RESULTS Of 14,586 Consultations captured by the MCD in 2013-2017, 544 (4%) were categorized as TB/HIV-related, with 100 (18%) received in 2013, 129 (24%) in 2014, 104 (19%) in 2015, 117 (22%) in 2016, and 94 (17%) in 2017. Most TB/HIV Consultations came from nurses (54%) or physicians (43%) and from local (65%) or state health departments (10%). Only 17 (3%) of HIV-related Consultations involved pediatric cases. Off the 544 TB/HIV Consultations, 347 (64%) concerned the appropriate treatment regimen for TB/HIV or LTBI/HIV for a patient on or not on antiretroviral therapy (ART). CONCLUSIONS The data support a clear and ongoing gap in areas of specialized HIV knowledge by TB experts that could be supplemented with proactive educational outreach. The specific categories of TB/HIV inquiries captured by this analysis are strategically informing future targeted training and educational activities planned by the CDC TB Centers of Excellence, as well as guiding HIV educational efforts at regional and national TB meetings.
-
tuberculosis in the united states Medical Consultation services provided by 5 tuberculosis regional training and Medical Consultation centers 2013 2017
Open Forum Infectious Diseases, 2019Co-Authors: Neela D. Goswami, Lisa Chen, John W Wilson, Sundari Mase, Rajita Bhavaraju, Alfred Lardizabal, David Griffith, Michael Lauzardo, Courtney Chappelle, Connie A HaleyAbstract:With only 9105 new US tuberculosis (TB) cases reported in 2017, expert Consultation is essential for TB care. Data were captured 2013-2017 from Consultations by 5 CDC-funded centers, now the TB Centers of Excellence (COEs). 14 586 Consultations were provided to TB providers, most related to TB disease and treatment regimens.