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Funded by: Michigan Department of Health & Human Services and Centers for Medicare & Medicaid Services

Funding Years: 2016-2017

 

PI: John Ayanian

CO(s): Susan Goold, MD. MHSA. MA & Jeffrey Kullgreen, MS. MD. MPH.

Wed, May 21, 2014

 Beth Tarini's 2009 study regarding use of newborn screening samples for research was cited in US News & World Report, which found only 28.2 percent of parents were “very or somewhat willing” to consent to research using their child’s blood samples if their permission were not obtained. In fact, without consent, 55.7 percent would be “very unwilling.” 

Research Topics: 
Mon, December 15, 2014

Dr. Joel Howell recently co-authored The Detroit News Article, "Stop calling our troops 'boots on the ground." In this opinion piece Dr. Howell and Dr. Sanjay Saint discuss their disdain for the phrase and include experiences with veterans they've come to know through the VA.

Research Topics: 
Thu, April 11, 2013

Jeff Kullgren's study on group-based incentivized weight loss has received a great deal of press coverage (Abstract). 

Wed, May 18, 2016

Reshma Jagsi’s survey of high-achieving physician-scientists published in JAMA, found that nearly a third of women reported experiencing sexual harassment. As women now make up about half of medical school students, the researchers emphasize the importance of recognizing unconscious bias as well as overtly inappropriate behaviors.

1. Reshma Jagsi, Kent A. Griffith, Rochelle Jones, Chithra R. Perumalswami, Peter Ubel, Abigail Stewart. Sexual Harassment and Discrimination Experiences of Academic Medical Faculty. JAMA, 2016; 315 (19): 2120 DOI: 10.1001/jama.2016.2188

Research Topics: 
Thu, August 14, 2014

Tarini and her colleagues studied parent attitudes about using newborn screening samples for research. The research, published in 2009, found that if permission is obtained, 76.2% of parents were ‘very or somewhat willing’ to permit use of the newborn screening sample for research. If permission is not obtained, only 28.2% of parents were ‘very or somewhat willing.’

The CBS story was about a new law that allows Minnesota health officials to indefinitely hold blood samples from newborn babies without parental consent.

Research Topics: 
Thu, February 26, 2015

Joel Howell is co-author in a paper published in Perspectives in Biology and Medicine, “The heartfelt music of Ludwig van Beethoven.”  The paper analyzes several of Beethoven's compositions for clues of a heart condition some have speculated he had.

“His music may have been both figuratively and physically heartfelt,” says co-author Joel Howell, M.D., Ph.D, a professor of Internal Medicine at the University of Michigan Medical School and member of the U-M Institute for Healthcare Policy and Innovation. “When your heart beats irregularly from heart disease, it does so in some predictable patterns. We think we hear some of those same patterns in his music.”

Goldberger ZD, Whiting SM, Howell JD. The heartfelt music of Ludwig van Beethoven. Perspect Biol Med. 2014 Spring;57(2):285-94. doi: 10.1353/pbm.2014.0013.

Research Topics: 
Thu, October 29, 2015

Jeremy Sussman has received much press for a recent study in JAMA about rates of treatment deintensification in diabetes. Dr. Sussman is first author of a study that found that among older diabetes patients whose treatment resulted in very low blood pressure, only a minority (27% or fewer) underwent treatment deintensification for diabetes, which represents a lost opportunity to reduce overtreatment. The study suggests practice guidelines and performance measures should place more focus on reducing overtreatment through deintensification.

Tanner Caverly and other CBSSM faculty co-authored a national survey study in JAMA examining VA primary care health-care professionals' beliefs regarding prescribing for older diabetics. This study found misperceptions about the benefits of stringent blood glucose control and concerns about negative repercussions following deintensification of therapy. This study is also being cited in a number of press articles.

Original studies:

Sussman, Jeremy B., Eve A. Kerr, Sameer D. Saini, Rob G. Holleman, Mandi L. Klamerus, Lillian C. Min, Sandeep Vijan, and Timothy P. Hofer. "Rates of Deintensification of Blood Pressure and Glycemic Medication Treatment Based on Levels of Control and Life Expectancy in Older Patients With Diabetes Mellitus." JAMA Internal Medicine (2015): 1-8.

Caverly, Tanner J., Angela Fagerlin, Brian J. Zikmund-Fisher, Susan Kirsh, Jeffrey Todd Kullgren, Katherine Prenovost, and Eve A. Kerr. "Appropriate Prescribing for Patients With Diabetes at High Risk for Hypoglycemia: National Survey of Veterans Affairs Health Care Professionals." JAMA internal medicine (2015): 1-3.

Mon, October 30, 2017

In a recent US Department of Health and Human Services symposium, Andrew Shuman discussed patient data privacy.

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