Using Electronic Health Record Data to Identify Chronic Opioid Use in Patients With Osteoarthritis
Osteoarthritis (OA) is the most common cause of chronic non-cancer pain, a quarter of patients with OA may be treated with prescription opioids. Chronic opioid use can carry significant risks including dependence, overdose, and death. Identifying chronic opioid use (COU) is challenging. AMGA developed an algorithm for identifying COU using EHR data in patients with OA and validated the algorithm’s performance using data from 16 health systems.
Impact of the COVID-19 pandemic on Follow-Up Colonoscopy Rates After a Positive Stool-Based Screening Test for Colorectal Cancer
Patients who normally receive a screening colonoscopy may be shifting towards use of at-home, non-invasive SBTs, partly due to disruptions in service that occurred in the COVID-19 pandemic. While overall CRC screening rates declined, the use of SBTs as an alternative to screening colonoscopy increased with the onset of the pandemic. This study analyzed the impact on follow-up colonoscopy rates within 3, 6, and 12 months of a positive SBT (FIT or mt-sDNA).
Exploring a Home-Based Test for Kidney Disease
Of the 37 million Americans estimated to have chronic kidney disease (CKD), nine out of ten are not aware they have the disease. When CKD is undetected, there is a greater risk for cardiovascular complications--even in early stages. AMGA partnered with Valley Medical Group (New Jersey) to study implementation and uptake of a home-based urine screening test for CKD. Effective, at-home CKD tests may help those with the disease obtain timely intervention and management.
Real-Time Continuous Glucose Monitoring For Patients with Type 2 Diabetes
In a database study, AMGA examined the effects of real-time continuous glucose monitoring (CGM) on 458 primary care patients with type 2 diabetes. Patients with a CGM and an HbA1c above 7.5 percent saw an average of -0.9 percent change in their blood glucose regardless of the medication therapy regimen.
Trends in Follow-up Colonoscopy following a Positive Stool-based Screening Test for Colorectal Cancer
An assessment of follow-up colonoscopy rates after a positive stool-based test found over 40 percent of patients fail to receive appropriate follow-up. Disparities exist by race, insurance type and by test modality (FIT or mt-sDNA).
Strategies to Improve Care for People with Obesity
Results of a three-year, population health focused, obesity care model learning collaborative in which 10 U.S. health care organizations implemented strategies within primary care practices that improved care for patients with obesity.