Full Text Journal Articles by
Author Bijal A Balasubramanian

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A structural equation modeling approach to understanding pathways linking survivorship care plans to survivor-level outcomes.

Jessica D Austin, Marlyn Allicock, Folefac Atem, Simon Craddock Lee, Maria E Fernandez, Bijal A Balasubramanian,

PURPOSE:Several high-profile organizations have mandated the delivery of survivorship care plans (SCPs) despite mixed evidence regarding the effectiveness of SCPs on key survivor-level outcomes. There is a need to understand the types of survivor-level outcomes the SCPs are likely to change. Informed by existing frameworks and the literature, the objective ... Read more >>

J Cancer Surviv (Journal of cancer survivorship : research and practice)
[2020, :]

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Challenges and approaches to measuring repeat fecal immunochemical test for colorectal cancer screening.

Caitlin C Murphy, Ethan A Halm, Celette Sugg Skinner, Bijal A Balasubramanian, Amit G Singal,

BACKGROUND:Colorectal cancer (CRC) screening with fecal immunochemical testing (FIT) can reduce CRC mortality. Effectiveness of FIT may be compromised when patients do not adhere to a regular schedule. However, having no standard measure of repeat FIT presents challenges for assessing effectiveness across populations and settings. We compared three measures of ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2020, :]

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The COronavirus Pandemic Epidemiology (COPE) Consortium: A Call to Action.

Andrew T Chan, David A Drew, Long H Nguyen, Amit D Joshi, Wenjie Ma, Chuan-Guo Guo, Chun-Han Lo, Raaj S Mehta, Sohee Kwon, Daniel R Sikavi, Marina V Magicheva-Gupta, Zahra S Fatehi, Jacqueline J Flynn, Brianna M Leonardo, Christine M Albert, Gabriella Andreotti, Laura E Beane Freeman, Bijal A Balasubramanian, John S Brownstein, Fiona Bruinsma, Annie N Cowan, Anusila Deka, Michael E Ernst, Jane C Figueiredo, Paul W Franks, Christopher D Gardner, Irene M Ghobrial, Christopher A Haiman, Janet E Hall, Sandra L Deming-Halverson, Brenda Kirpach, James V Lacey, Loic Le Marchand, Catherine R Marinac, Maria Elena Martinez, Roger L Milne, Anne M Murray, Denis Nash, Julie R Palmer, Alpa V Patel, Lynn Rosenberg, Dale P Sandler, Shreela V Sharma, Shepherd H Schurman, Lynne R Wilkens, Jorge E Chavarro, A Heather Eliassen, Jaime E Hart, Jae Hee Kang, Karestan C Koenen, Laura D Kubzansky, Lorelei A Mucci, Sebastien Ourselin, Janet W Rich-Edwards, Mingyang Song, Meir J Stampfer, Claire J Steves, Walter C Willett, Jonathan Wolf, Tim Spector,

The rapid pace of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (COVID-19) pandemic presents challenges to the real-time collection of population-scale data to inform near-term public health needs as well as future investigations. We established the COronavirus Pandemic Epidemiology (COPE) consortium to address this unprecedented crisis on behalf of ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2020, :]

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Rapid implementation of mobile technology for real-time epidemiology of COVID-19.

David A Drew, Long H Nguyen, Claire J Steves, Cristina Menni, Maxim Freydin, Thomas Varsavsky, Carole H Sudre, M Jorge Cardoso, Sebastien Ourselin, Jonathan Wolf, Tim D Spector, Andrew T Chan, ,

The rapid pace of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic (COVID-19) presents challenges to the robust collection of population-scale data to address this global health crisis. We established the COronavirus Pandemic Epidemiology (COPE) consortium to bring together scientists with expertise in big data research and epidemiology to ... Read more >>

Science (Science (New York, N.Y.))
[2020, :]

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The influence of patient-provider communication on cancer screenings differs among racial and ethnic groups.

Tiffany B Kindratt, Florence J Dallo, Marlyn Allicock, Folefac Atem, Bijal A Balasubramanian,

Our study aimed to estimate how associations between adults' perceptions of specific domains of PPC quality and their likelihood of receiving cancer screenings differed by race and ethnicity. We analyzed 2011-2015 Medical Expenditure Panel Survey (MEPS) data. Samples included 7337 women ages 50-74 (breast), 13,276 women ages 21-65 (cervical), and ... Read more >>

Prev Med Rep (Preventive medicine reports)
[2020, 18:101086]

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Evaluating Screening Participation, Follow-up, and Outcomes for Breast, Cervical, and Colorectal Cancer in the PROSPR Consortium.

William E Barlow, Elisabeth F Beaber, Berta M Geller, Aruna Kamineni, Yingye Zheng, Jennifer S Haas, Chun R Chao, Carolyn M Rutter, Ann G Zauber, Brian L Sprague, Ethan A Halm, Donald L Weaver, Jessica Chubak, V Paul Doria-Rose, Sarah Kobrin, Tracy Onega, Virginia P Quinn, Marilyn M Schapira, Anna N A Tosteson, Douglas A Corley, Celette Sugg Skinner, Mitchell D Schnall, Katrina Armstrong, Cosette M Wheeler, Michael J Silverberg, Bijal A Balasubramanian, Chyke A Doubeni, Dale McLerran, Jasmin A Tiro,

BACKGROUND:Cancer screening is a complex process encompassing risk assessment, the initial screening examination, diagnostic evaluation, and treatment of cancer precursors or early cancers. Metrics that enable comparisons across different screening targets are needed. We present population-based screening metrics for breast, cervical, and colorectal cancers for nine sites participating in the ... Read more >>

J. Natl. Cancer Inst. (Journal of the National Cancer Institute)
[2020, 112(3):238-246]

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Financial Incentives to Promote Colorectal Cancer Screening: A Longitudinal Randomized Control Trial.

Alicea Lieberman, Ayelet Gneezy, Emily Berry, Stacie Miller, Mark Koch, Chul Ahn, Bijal A Balasubramanian, Keith E Argenbright, Samir Gupta,

BACKGROUND:Financial incentives may improve health behaviors. We tested the impact of offering financial incentives for mailed fecal immunochemical test (FIT) completion annually for 3 years. METHODS:Patients, ages 50 to 64 years, not up-to-date with screening were randomized to receive either a mailed FIT outreach (n = 6,565), outreach plus $5 ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2019, 28(11):1902-1908]

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Implications for patient-provider communication and health self-efficacy among cancer survivors with multiple chronic conditions: results from the Health Information National Trends Survey.

Jessica D Austin, Michael C Robertson, L Aubree Shay, Bijal A Balasubramanian,

PURPOSE:Cancer survivors with multiple chronic conditions experience significant challenges managing their health. The six core functions of patient-centered communication (PCC)-fostering healing relationships, exchanging information, responding to emotions, managing uncertainty, making decisions, and enabling patient self-management-represent a central component to facilitating a survivor's confidence to manage their health that has not ... Read more >>

J Cancer Surviv (Journal of cancer survivorship : research and practice)
[2019, 13(5):663-672]

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Patient-Reported Barriers to Completing a Diagnostic Colonoscopy Following Abnormal Fecal Immunochemical Test Among Uninsured Patients.

Katelyn K Jetelina, Joshua S Yudkin, Stacie Miller, Emily Berry, Alicea Lieberman, Samir Gupta, Bijal A Balasubramanian,

BACKGROUND:For colorectal cancer (CRC) screening to improve survival, patients with an abnormal fecal immunochemical test (FIT) must follow-up with a diagnostic colonoscopy. Adherence to follow-up is low and patient-level barriers for suboptimal adherence have yet to be explored. OBJECTIVE:To characterize barriers for non-completion of diagnostic colonoscopy after an abnormal FIT ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2019, 34(9):1730-1736]

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Does Ownership Make a Difference in Primary Care Practice?

Stephan Lindner, Leif I Solberg, William L Miller, Bijal A Balasubramanian, Miguel Marino, K John McConnell, Samuel T Edwards, Kurt C Stange, Rachel J Springer, Deborah J Cohen,

PURPOSE:We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices. METHODS:This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2019, 32(3):398-407]

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Cervical cancer screening research in the PROSPR I consortium: Rationale, methods and baseline findings from a US cohort.

Aruna Kamineni, Jasmin A Tiro, Elisabeth F Beaber, Michael J Silverberg, Cosette M Wheeler, Chun R Chao, Jessica Chubak, Celette Sugg Skinner, Douglas A Corley, Jane J Kim, Bijal A Balasubramanian, V Paul Doria-Rose, ,

Little is known about the effect of evolving risk-based cervical cancer screening and management guidelines on United States (US) clinical practice and patient outcomes. We describe the National Cancer Institute's Population-based Research Optimizing Screening through Personalized Regimens (PROSPR I) consortium, methods and baseline findings from its cervical sites: Kaiser Permanente ... Read more >>

Int. J. Cancer (International journal of cancer)
[2019, 144(6):1460-1473]

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Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.

Simon J Craddock Lee, Katelyn K Jetelina, Emily Marks, Eric Shaw, Kevin Oeffinger, Deborah Cohen, Noel O Santini, John V Cox, Bijal A Balasubramanian,

BACKGROUND:The growing numbers of cancer survivors challenge delivery of high-quality survivorship care by healthcare systems. Innovative ways to improve care coordination for patients with cancer and multiple chronic conditions ("complex cancer survivors") are needed to achieve better care outcomes, improve patient experience of care, and lower cost. Our study, Project ... Read more >>

BMC Cancer (BMC cancer)
[2018, 18(1):1204]

Cited: 2 times

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Designing health information technology tools for behavioral health clinicians integrated within a primary care team.

Tanisha Tate Woodson, Rose Gunn, Khaya D Clark, Bijal A Balasubramanian, Katelyn K Jetelina, Brianna Muller, Benjamin F Miller, Timothy E Burdick, Deborah J Cohen,

BACKGROUND:Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. OBJECTIVE:Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology ... Read more >>

J Innov Health Inform (Journal of innovation in health informatics)
[2018, 25(3):158-168]

Cited: 1 time

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Burnout Among Physicians, Advanced Practice Clinicians and Staff in Smaller Primary Care Practices.

Samuel T Edwards, Miguel Marino, Bijal A Balasubramanian, Leif I Solberg, Steele Valenzuela, Rachel Springer, Kurt C Stange, William L Miller, Thomas E Kottke, Cynthia K Perry, Sarah Ono, Deborah J Cohen,

BACKGROUND:Burnout among primary care physicians, advanced practice clinicians (nurse practitioners and physician assistants [APCs]), and staff is common and associated with negative consequences for patient care, but the association of burnout with characteristics of primary care practices is unknown. OBJECTIVE:To examine the association between physician-, APC- and staff-reported burnout and ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2018, 33(12):2138-2146]

Cited: 3 times

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Cervical Cancer Burden and Opportunities for Prevention in a Safety-Net Healthcare System.

Sandi L Pruitt, Claudia L Werner, Eric K Borton, Joanne M Sanders, Bijal A Balasubramanian, Arti Barnes, Andrea C Betts, Celette Sugg Skinner, Jasmin A Tiro,

BACKGROUND:The high prevalence of cervical cancer at safety-net health systems requires careful analysis to best inform prevention and quality improvement efforts. We characterized cervical cancer burden and identified opportunities for prevention in a U.S. safety-net system. METHODS:We reviewed tumor registry and electronic health record (EHR) data of women with invasive ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2018, 27(12):1398-1406]

Cited: 0 times

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Cervical cancer screening among HIV-infected women in an urban, United States safety-net healthcare system.

Arti Barnes, Andrea C Betts, Eric K Borton, Joanne M Sanders, Sandi L Pruitt, Claudia Werner, Andres Bran, Carolee D Estelle, Bijal A Balasubramanian, Stephen J Inrig, Ethan A Halm, Celette Sugg Skinner, Jasmin A Tiro,

OBJECTIVE:Little is known about cervical cancer screening and results patterns among HIV-infected (HIV+) women in real-world healthcare settings. We characterized two periods of screening opportunity. DESIGN:Retrospective cohort. SETTING:US safety-net healthcare system in Dallas County, Texas. PARTICIPANTS:We analyzed data from electronic medical records (EMR) of 1490 HIV+ women receiving care 2010-2014. ... Read more >>

AIDS (AIDS (London, England))
[2018, 32(13):1861-1870]

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Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care.

Katelyn K Jetelina, Tanisha Tate Woodson, Rose Gunn, Brianna Muller, Khaya D Clark, Jennifer E DeVoe, Bijal A Balasubramanian, Deborah J Cohen,

BACKGROUND:Integrating behavioral health into primary care can improve care quality; however, most electronic health records are not designed to meet the needs of integrated teams. We worked with practices and behavioral health (BH) clinicians to design a suite of electronic health record tools to address these needs ("BH e-Suite"). The ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2018, 31(5):712-723]

Cited: 2 times

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Social Disadvantage, Healthcare Utilization, and Colorectal Cancer Screening: Leveraging Longitudinal Patient Address and Health Records Data.

Amy E Hughes, Jasmin A Tiro, Bijal A Balasubramanian, Celette Sugg Skinner, Sandi L Pruitt,

BACKGROUND:Social disadvantage predicts colorectal cancer outcomes across the cancer care continuum for many populations and places. For medically underserved populations, social disadvantage is likely intersectional-affecting individuals at multiple levels and through membership in multiple disadvantaged groups. However, most measures of social disadvantage are cross-sectional and limited to race, ethnicity, and ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2018, 27(12):1424-1432]

Cited: 1 time

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Surveillance for colorectal cancer survivors in an integrated safety-net health system in the United States.

Bijal A Balasubramanian, Katelyn K Jetelina, Michael Bowen, Noel O Santini, Simon Craddock Lee,

Introduction:Guideline-recommended surveillance reduces likelihood of colorectal cancer (CRC) recurrence, yet surveillance rates are low in the United States (US). Little is known about CRC surveillance rates among patients without health insurance and their primary care clinicians/oncologists' attitudes towards surveillance care. Methods:A retrospective study of 205 patients diagnosed with Stage I-III ... Read more >>

Int J Care Coord (International journal of care coordination)
[2018, 21(1-2):26-35]

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Primary Care Practices' Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement.

Deborah J Cohen, David A Dorr, Kyle Knierim, C Annette DuBard, Jennifer R Hemler, Jennifer D Hall, Miguel Marino, Leif I Solberg, K John McConnell, Len M Nichols, Donald E Nease, Samuel T Edwards, Winfred Y Wu, Hang Pham-Singer, Abel N Kho, Robert L Phillips, Luke V Rasmussen, F Daniel Duffy, Bijal A Balasubramanian,

Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented ... Read more >>

Health Aff (Millwood) (Health affairs (Project Hope))
[2018, 37(4):635-643]

Cited: 9 times

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Use of Quality Improvement Strategies Among Small to Medium-Size US Primary Care Practices.

Bijal A Balasubramanian, Miguel Marino, Deborah J Cohen, Rikki L Ward, Alex Preston, Rachel J Springer, Stephan R Lindner, Samuel Edwards, K John McConnell, Benjamin F Crabtree, William L Miller, Kurt C Stange, Leif I Solberg,

PURPOSE:Improving primary care quality is a national priority, but little is known about the extent to which small to medium-size practices use quality improvement (QI) strategies to improve care. We examined variations in use of QI strategies among 1,181 small to medium-size primary care practices engaged in a national initiative ... Read more >>

Ann Fam Med (Annals of family medicine)
[2018, 16(Suppl 1):S35-S43]

Cited: 5 times

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Identifying quality improvement targets to facilitate colorectal cancer screening completion.

Simon J Craddock Lee, Stephen J Inrig, Bijal A Balasubramanian, Celette Sugg Skinner, Robin T Higashi, Katharine McCallister, Wendy Pechero Bishop, Noel O Santini, Jasmin A Tiro,

The colorectal cancer (CRC) screening process involves multiple interfaces (communication exchanges and transfers of responsibility for specific actions) among primary care and gastroenterology providers, laboratory, and administrative staff. After a retrospective electronic health record (EHR) analysis discovered substantial clinic variation and low CRC screening prevalence overall in an urban, integrated ... Read more >>

Prev Med Rep (Preventive medicine reports)
[2018, 9:138-143]

Cited: 1 time

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Taking Innovation To Scale In Primary Care Practices: The Functions Of Health Care Extension.

Sarah S Ono, Benjamin F Crabtree, Jennifer R Hemler, Bijal A Balasubramanian, Samuel T Edwards, Larry A Green, Arthur Kaufman, Leif I Solberg, William L Miller, Tanisha Tate Woodson, Shannon M Sweeney, Deborah J Cohen,

Health care extension is an approach to providing external support to primary care practices with the aim of diffusing innovation. EvidenceNOW was launched to rapidly disseminate and implement evidence-based guidelines for cardiovascular preventive care in the primary care setting. Seven regional grantee cooperatives provided the foundational elements of health care ... Read more >>

Health Aff (Millwood) (Health affairs (Project Hope))
[2018, 37(2):222-230]

Cited: 5 times

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Impact of Patient-Provider Race, Ethnicity, and Gender Concordance on Cancer Screening: Findings from Medical Expenditure Panel Survey.

Jyoti Malhotra, David Rotter, Jennifer Tsui, Adana A M Llanos, Bijal A Balasubramanian, Kitaw Demissie,

Background: Racial and ethnic minorities experience lower rates of cancer screening compared with non-Hispanic whites (NHWs). Previous studies evaluating the role of patient-provider race, ethnicity, or gender concordance in cancer screening have been inconclusive.Methods: In a cross-sectional analysis using the Medical Expenditure Panel Survey (MEPS), data from 2003 to 2010 ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2017, 26(12):1804-1811]

Cited: 3 times

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Factors Related to Implementation and Reach of a Pragmatic Multisite Trial: The My Own Health Report (MOHR) Study.

Bijal A Balasubramanian, Suzanne Heurtin-Roberts, Sarah Krasny, Catherine L Rohweder, Kayla Fair, Tanya T Olmos-Ochoa, Kurt C Stange, Sherri Sheinfeld Gorin, ,

BACKGROUND:Contextual factors relevant to translating healthcare improvement interventions to different settings are rarely collected systematically. This study articulates a prospective method for assessing and describing contextual factors related to implementation and patient reach of a pragmatic trial in primary care. METHODS:In a qualitative case-series, contextual factors were assessed from the ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2017, 30(3):337-349]

Cited: 0 times

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