Mayo Clinic proceedings
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Mayo Clinic proceedings · Aug 2019
Multicenter Study Comparative StudyBurden of Valvular Heart Diseases in Hispanic/Latino Individuals in the United States: The Echocardiographic Study of Latinos.
To explore the burden and clinical correlates of valvular heart disease in Hispanics/Latinos in the United States. ⋯ Our data provide the first population-based estimates of the prevalence of valvular heart disease in Hispanic/Latinos. Valvular heart disease is fairly common in the Hispanic/Latino population and may constitute an important public health problem.
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Mayo Clinic proceedings · Jul 2019
Multicenter StudyCharacterization of the Obese Phenotype of Heart Failure With Preserved Ejection Fraction: A RELAX Trial Ancillary Study.
To characterize the obese heart failure with preserved ejection fraction (HFpEF) phenotype in a multicenter cohort. ⋯ Obese HFpEF is associated with decreased quality of life, worse symptoms of heart failure, greater systemic inflammation, worse exercise capacity, and higher metabolic cost of exertion as compared with nonobese HFpEF. Further study is required to understand the pathophysiology and potential distinct treatments for patients with the obese phenotype of HFpEF.
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Mayo Clinic proceedings · Feb 2019
Multicenter StudyWide Variation in Opioid Prescribing After Urological Surgery in Tertiary Care Centers.
To describe postoperative opioid prescribing practices in a large cohort of patients undergoing urological surgery. ⋯ The United States is facing an opioid epidemic, and physicians must take action. In this study, we found considerable variation in opioid prescribing patterns within and across surgical procedures. These data provide support for the development of standardized opioid prescribing guidelines for postoperative analgesia.
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Mayo Clinic proceedings · Jan 2019
Randomized Controlled Trial Multicenter StudyElectroacupuncture Versus Pelvic Floor Muscle Training Plus Solifenacin for Women With Mixed Urinary Incontinence: A Randomized Noninferiority Trial.
To evaluate the efficacy and safety of electroacupuncture vs pelvic floor muscle training (PFMT) plus solifenacin for women with mixed urinary incontinence (MUI). ⋯ In women with moderate to severe MUI, electroacupuncture was not inferior to PFMT-solifenacin in decreasing the 72-hour IEF and shows promise as an effective alternative for the treatment of MUI.
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Mayo Clinic proceedings · Jan 2019
Multicenter StudySocioeconomic Status, Race/Ethnicity, and Health Disparities in Children and Adolescents in a Mixed Rural-Urban Community-Olmsted County, Minnesota.
To characterize disparities in childhood health outcomes by socioeconomic status (SES) and race/ethnicity in a mixed rural-urban US community. ⋯ Significant health disparities are present in a predominantly affluent, non-Hispanic white, mixed rural-urban community. Socioeconomic status modifies disparities by race/ethnicity in clinically less overt conditions. Interpretation of future health disparity research should account for the nature of disease.