Institution
Saskatchewan Health
Government•Regina, Saskatchewan, Canada•
About: Saskatchewan Health is a government organization based out in Regina, Saskatchewan, Canada. It is known for research contribution in the topics: Population & Health care. The organization has 442 authors who have published 489 publications receiving 7728 citations.
Papers published on a yearly basis
Papers
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TL;DR: This educational intervention aims to improve information retention and self-efficacy, leading to improved medication adherence after kidney transplantation, at low cost, with little impact to existing healthcare personnel.
Abstract: Introduction Non-adherence after kidney transplantation contributes to increased rejections, hospitalisations and healthcare expenditures. Although effective adherence interventions are sorely needed, increasing education and support to transplant recipients demands greater use of care providers’ time and resources in a healthcare system that is stretched. The objective of this clinical trial is to determine the effectiveness of an electronically delivered video series and adherence behaviour contract on improving medication adherence to immunosuppressant medications. Methods and analysis A multicentre, parallel arm, randomised controlled trial will be conducted with four sites across North America (Saskatoon, Calgary, Halifax, Chicago). Adult patients will be randomised (1:1) to either the intervention (ie, home-based video education +behaviour contract plus usual care) or usual care alone. De novo transplant recipients will be enrolled prior to their hospital discharge and will be provided with electronic access to the video intervention (immediately) and adherence contract (1 month post-transplant). Follow-up electronic surveys will be provided at 3 and 12 months postenrolment. The primary outcome will be adherence at 12 months post-transplant, as measured by self-report Basel Assessment of Adherence to Immunosuppressive medications and immunosuppressant levels. Secondary outcomes include the difference in knowledge score between the intervention and control in groups (measured by the Kidney Transplant Understanding Tool); differences in self-efficacy (Generalised Self-efficacy Scale), Beliefs of Medicine Questionnaire (BMQ), quality of life (Short Form-12), patient satisfaction and cost utilisation. The study aims to recruit at least 200 participants across participating sites. Ethics and dissemination Ethical approval was obtained from the University of Saskatchewan Behavioural Ethics Committee (Beh 18–63), and all patients provide informed consent prior to participating. This educational intervention aims to improve information retention and self-efficacy, leading to improved medication adherence after kidney transplantation, at low cost, with little impact to existing healthcare personnel. If proven beneficial, delivery can be easily implemented into standard of care. Trial registration number NCT03540121; Pre-results.
10 citations
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TL;DR: The combination of increasing maternal age and birth weight were predictors for diabetes, particularly in female FN offspring, consistent with a diabetogenic effect of diabetic pregnancies.
10 citations
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TL;DR: In this article, the impact of a multi-faceted intervention on unnecessary RBC transfusions at hospitals with a baseline appropriateness rate below 90% was evaluated across 15 hospitals.
10 citations
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TL;DR: This pragmatic trial will assess whether adopting lower female hs-cTn thresholds leads to appropriate assessment of women with symptoms suggestive of myocardial infarction, thereby improving treatment and outcomes.
10 citations
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TL;DR: It was found that less than 50% of Saskatchewan people with diabetes achieved optimal glycemic and lipid control, and disparities were most evident among First Nations people and young women.
Abstract: Chronic complications of diabetes can be reduced through optimal glycemic and lipid control as evaluated through measurement of glycosylated hemoglobin (A1C) and low-density lipoprotein cholesterol (LDL-C). We aimed to produce measures of quality of diabetes care in Saskatchewan and to identify sub-groups at particular risk of developing complications. Prevalent adult cases of diabetes in 2005/06 were identified from administrative databases and linked with A1C and LDL-C tests measured in centralized laboratories. A1C results were performed in 33,927 of 50,713 (66.9%) diabetes cases identified in Saskatchewan, and LDL-C results were performed in 12,031 of 24,207 (49.7%) cases identified within the province's two largest health regions. The target A1C of <= 7.0% and the target LDL-C of <2.5 mmol/L were achieved in 48.3% and 45.1% of diabetes cases respectively. The proportions were lower among those who were female, First Nations, non-urban, younger and in lower income quintiles. The same groups experienced poorer glycemic control (exception females), and poorer lipid control (exception First Nations people). Among non-Aboriginal people, younger diabetic females were least likely to receive lipid lowering agents. Linkage of laboratory with administrative data is an effective method of assessing quality of diabetes care on a population basis and to identify sub-groups requiring particular attention. We found that less than 50% of Saskatchewan people with diabetes achieved optimal glycemic and lipid control. Disparities were most evident among First Nations people and young women. The indicators described can be used to provide standardized information that would support quality improvement initiatives.
10 citations
Authors
Showing all 449 results
Name | H-index | Papers | Citations |
---|---|---|---|
Gary R. Hunter | 71 | 337 | 16410 |
Lisa M. Lix | 59 | 462 | 13778 |
Peter O'Hare | 55 | 126 | 9246 |
Edward D. Chan | 54 | 224 | 9014 |
Paul Babyn | 54 | 307 | 11466 |
Roland N. Auer | 52 | 120 | 8564 |
Paul N. Levett | 44 | 137 | 8486 |
Alan A. Boulton | 39 | 183 | 5253 |
Carl D'Arcy | 38 | 129 | 5002 |
Vikram Misra | 37 | 116 | 4363 |
Andrew W. Lyon | 28 | 109 | 2449 |
Denis C. Lehotay | 27 | 52 | 1756 |
Gary F. Teare | 26 | 61 | 2749 |
Greg B. Horsman | 25 | 49 | 1727 |
Emina Torlakovic | 24 | 96 | 1899 |