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Articles by Julia C. Prentice
Glycated Hemoglobin A1c Time in Range and Dementia in Older Adults With Diabetes
Key Points Question In older individuals with diabetes, is maintaining stability of glycated hemoglobin A1c levels (HbA1c) in individualized target ranges over time associated with lower risk of Alzheimer disease and related dementias (ADRD)? Findings In this cohort study of 374 021 older veterans with diabetes, greater HbA1c stability, as measured by HbA1c time in range, was associated with a lower risk of ADRD.
Risk of Severe Maternal Morbidity in Birthing People With Opioid Use Disorder.
We examined severe maternal morbidity (SMM) among birthing people with opioid use disorder (OUD) and evaluated the extent to which differences in SMM exist by race and ethnicity. We performed a retrospective cohort study using hospital discharge data for all Massachusetts births between 2016 and 2020. SMM rates for all SMM indicators, except transfusions, were computed for those diagnosed with and without OUD.
Association of hemoglobin A1c time in range with risk for diabetes complications
Results Patients included in the analysis were 76.9 years of age on average at the beginning of follow-up period, predominantly white (86.3%) and male (98.7%) (table 1). The average follow-up period was 5.5 years (range 1–9 years). At the beginning of follow-up, 81% of patients had an existing microvascular complication and 77% of patients had an existing macrovascular complication.
Increased Hemoglobin A1c Time in Range Reduces Adverse Health Outcomes in Older Adults With Diabetes
Epidemiology/Health Services Research Abstract OBJECTIVE Short- and long-term glycemic variability are risk factors for diabetes complications. However, there are no validated A1C target ranges or measures of A1C stability in older adults. We evaluated the association of a patient-specific A1C variability measure, A1C time in range (A1C TIR), on major adverse outcomes.
Association between hemoglobin A1c variability and hypoglycemia-related hospitalizations in veterans with diabetes mellitus
Cardiovascular and metabolic risk Association between hemoglobin A1c variability and hypoglycemia-related hospitalizations in veterans with diabetes mellitus http://orcid.org/0000-0002-2457-3108Molly J Y Zhao1,2, Julia C Prentice1,3, David C Mohr1,4, Paul R Conlin5,6 1Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Health Care System, Boston, Massachusetts, USA 2Boston University School of Medicine, Boston, Massachusetts, USA 3Psychiatry, Boston University...
Association between hemoglobin A1c variability and hypoglycemia-related hospitalizations in veterans with diabetes mellitus
Cardiovascular and metabolic risk Association between hemoglobin A1c variability and hypoglycemia-related hospitalizations in veterans with diabetes mellitus http://orcid.org/0000-0002-2457-3108Molly J Y Zhao1,2, Julia C Prentice1,3, David C Mohr1,4, Paul R Conlin5,6 1Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Health Care System, Boston, Massachusetts, USA 2Boston University School of Medicine, Boston, Massachusetts, USA 3Psychiatry, Boston University...
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey Free http://orcid.org/0000-0003-2620-3685Julia C Prentice1, Sigall K Bell2,3, Eric J Thomas4, Eric C Schneider5, Saul N Weingart6, Joel S Weissman7, Mark J Schlesinger8 1 Betsy Lehman Center for Patient Safety, Boston, Massachusetts, USA 2 Patient Safety and Quality Initiatives, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA...
Predicting 5- and 10-Year Mortality Risk in Older Adults With Diabetes
Clinical Care/Education/Nutrition/Psychosocial Research Abstract OBJECTIVE Several diabetes clinical practice guidelines suggest that treatment goals may be modified in older adults on the basis of comorbidities, complications, and life expectancy. The long-term benefits of treatment intensification may not outweigh short-term risks for patients with limited life expectancy.
Predicting 5- and 10-Year Mortality Risk in Older Adults With Diabetes
Original Research Predicting 5- and 10-Year Mortality Risk in Older Adults With Diabetes Kevin N. Griffith, Julia C. Prentice, David C. Mohr, Paul R. Conlin Abstract OBJECTIVE Several diabetes clinical practice guidelines suggest that treatment goals may be modified in older adults on the basis of comorbidities, complications, and life expectancy. The long-term benefits of treatment intensification may not outweigh short-term risks for patients with limited life expectancy.
Priority access to health care: Evidence from an exogenous policy shock
RESEARCH ARTICLE Christine A. Yee Corresponding Author E-mail address: christine.yee@gmail.com https://orcid.org/0000-0001-5155-2292 Partnered Evidence‐based Policy Resource Center, VA Boston Healthcare System, Boston, Massachusetts Department of Economics, University of Maryland Baltimore County, Baltimore, Maryland Correspondence Christine A.
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey Julia C Prentice1, Sigall K Bell2,3, Eric J Thomas4, Eric C Schneider5, Saul N Weingart6, Joel S Weissman7, Mark J Schlesinger8 1Betsy Lehman Center for Patient Safety, Boston, Massachusetts, USA 2Patient Safety and Quality Initiatives, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA 3Harvard Medical School, Boston,...
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey
Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey Abstract Background How openly healthcare providers communicate after a medical error may influence long-term impacts. We sought to understand whether greater open communication is associated with fewer persisting emotional impacts, healthcare avoidance and loss of trust.
Overcoming Challenges to Evidence‐Based Policy Development in a Large, Integrated Delivery System
Objective To describe a new Veterans Health Administration (VHA) program to foster the learning health system paradigm by rigorously evaluating health care initiatives and to report key lessons learned in designing those evaluations.
Overcoming Challenges to Evidence‐Based Policy Development in a Large, Integrated Delivery System
The VHA's Quality Enhancement Research Initiative and its Health Services Research and Development Service are cooperating on several large, randomized program evaluations aimed at improving the care veterans receive and the efficiency with which it is delivered. The evaluations we describe involve collaborative design, outcomes assessment, and implementation science through partnerships between VHA operations and researchers. We review key factors to assess before committing to an evaluation.
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