NC TraCS Institute logo

TraCS-funded research: lung cancer screening

Doctor-patient discussions neglect potential harms of lung cancer screening, study finds

UNC Lineberger researchers led by Daniel Reuland, MD, MPH, report in JAMA Internal Medicine that their analysis of 14 audio-recorded office visit discussions between doctors and patients found the quality of the conversation about lung cancer screening was "poor" and discussion of the potential harms of screening was "virtually nonexistent." In addition, the doctors spent less than a minute, on average, discussing the issue.

UNC Lineberger's Daniel Reuland, MD, MPH
UNC Lineberger's Daniel Reuland, MD, MPH

Although national guidelines advise doctors to discuss the benefits and harms of lung cancer screening with high-risk patients because of a high rate of false positives and other factors, those conversations aren't happening the way they should be, according to a study by researchers from the University of North Carolina Lineberger Comprehensive Cancer Center.

Lung cancer screening is recommended for high-risk current and former smokers, but because of the potential harms of screening, the U.S. Preventive Services Task Force and other organizations advise physicians and patients to discuss the potential risks and benefits of screening. UNC Lineberger researchers report in JAMA Internal Medicine that their analysis of 14 audio-recorded office visit discussions between doctors and patients found the quality of the conversation about lung cancer screening was "poor" and discussion of the potential harms of screening was "virtually nonexistent." In addition, the doctors spent less than a minute, on average, discussing the issue.

Continue Reading

UNC Health Care site of Adaptable study exceeds enrollment target

Enrollment of UNC Health Care System (UNCHCS) patients into the multi-site Aspirin Dosing: A Patient-centric Trial Assessing Benefits and Long-Term Effectiveness (ADAPTABLE) study has reached 581 participants, exceeding the UNCHCS site's original enrollment target of 500 participants.

The ADAPTABLE study is a three-year pragmatic clinical trial comparing two different doses of daily aspirin to evaluate which dose is more effective at preventing heart attacks and strokes for patients with cardiovascular disease. The study is being conducted at sites across the United States, with a recruitment goal of 15,000 participants.

“Darren
Darren DeWalt, MD, MPH

At UNCHCS, the ADAPTABLE study is led by Darren DeWalt, MD, MPH, Chief of the Division of General Medicine & Clinical Epidemiology at the University of North Carolina at Chapel Hill School of Medicine and the site PI.

"Recruitment is one of the most challenging aspects of many studies," said DeWalt. "Our ADAPTABLE team worked closely with TraCS to streamline recruitment processes through email and MyUNCChart. These methods enabled us to exceed our goal with modest resources."

Continue Reading

Study finds huge variability in task completion efficiency and accuracy

WASHINGTON, D.C. A novel new study involving clinicians using electronic health records (EHRs) to perform certain common tasks provides compelling evidence that the design, development and implementation of these systems need to be improved to make them easier to use by clinicians and, ultimately, safer for patients.

The study, entitled “A usability and safety analysis of electronic health records: a multi-center study,” was published July 2 by the Journal of the American Medical Informatics Association. It was conducted by researchers with MedStar Health’s National Center for Human Factors in Healthcare, the American Medical Association (AMA), and others, and was funded by the AMA. Researchers focused on the two largest EHR vendors, Epic and Cerner, who comprise more than 50 percent of the market. They conducted the study at two sites per vendor, or four health systems.

Twelve to 15 emergency physicians per site were given common tasks mimicking real patient cases—placing orders for medical imaging, lab tests, and medications. Researchers collected data pertaining to length of time and number of clicks to complete each task plus the degree of accuracy. The findings showed huge variability in performance across the sites. For example, time to complete an imaging order varied from 25 seconds at one site to more than a minute at another. Placing an imaging order required an average of eight clicks at one site, while the same task at a different site averaged 31. For a medication order, one site recorded no errors while another had a 30 percent error rate.

Continue Reading

Dr. John Buse featured on ADA TV for advances in diabetes research

Dr. John Buse - UNC

In its 3rd year, ADA TV is in Orlando, Florida at the 2018 ADA Annual Meeting, with more than 13,000 attendees expected. ADA's Scientific Session is the world's largest meeting on Diabetes helping to discover cutting-edge research and new advances in diabetes care.

ADA TV serves to raise the visibility of best practices in the field, as well as to highlight collaborations between diverse institutions including university departments, research institutions and private sector organizations. Along with highlights from the meeting and interviews with key speakers, ADA TV showcases organizations working in the field of diabetes — highlighting the great work that is being done in the USA and around the world.

Continue Reading

logos
Know any news related to Translational & Clinical Research?
Share a Story

Media Contact:

Michelle Maclay, Communications Director