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PAs and NPs in liver transplantation: Perceptions, implementation, and effect. 肝脏移植手术中的助理医师和护士：认知、实施和效果。
Journal of the American Academy of Physician Assistants Pub Date : 2024-09-11 DOI: 10.1097/01.jaa.0000000000000125
Sarah Nargiso,Mary Lo,Leyda Ramos,Amarilis Bolaños,Evelyn Lee,Linda Sher
{"title":"PAs and NPs in liver transplantation: Perceptions, implementation, and effect.","authors":"Sarah Nargiso,Mary Lo,Leyda Ramos,Amarilis Bolaños,Evelyn Lee,Linda Sher","doi":"10.1097/01.jaa.0000000000000125","DOIUrl":"https://doi.org/10.1097/01.jaa.0000000000000125","url":null,"abstract":"OBJECTIVESThis study assessed the use and perceptions of physician associates/assistants (PAs) and NPs at liver transplant centers and sought to determine their financial effect.METHODSLeaders of liver transplant programs performing 25 or more transplants in 2020 were contacted to complete an 11-question survey about the role and effect of PAs and NPs in liver transplant. A single-center retrospective analysis compared length of stay (LOS) and readmission rates for primary liver transplants and simultaneous liver-kidney transplants before and after a dedicated PA team was established. Chi-square and t-test analyses were performed.RESULTSThe survey achieved a 77% response rate, and 98% of institutions reported using PAs and NPs. The single-center study found the mean LOS post-transplant was significantly shorter in the post-PA cohort (P = .0005). No significant difference was found in 30-day readmission rates.CONCLUSIONSPAs and NPs are used broadly across the post-liver transplant care continuum. Using LOS as a surrogate financial marker suggests that a dedicated PA and NP team may contribute to cost savings.","PeriodicalId":519966,"journal":{"name":"Journal of the American Academy of Physician Assistants","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updated guidelines for chronic kidney disease. 慢性肾脏病最新指南。
Journal of the American Academy of Physician Assistants Pub Date : 2024-09-11 DOI: 10.1097/01.jaa.0000000000000088
Becky Ness,Amy Mosman
{"title":"Updated guidelines for chronic kidney disease.","authors":"Becky Ness,Amy Mosman","doi":"10.1097/01.jaa.0000000000000088","DOIUrl":"https://doi.org/10.1097/01.jaa.0000000000000088","url":null,"abstract":"Chronic kidney disease (CKD) is an increasingly common condition worldwide that leads to substantial mortality. Research in the past decade has informed significant advances in preventing CKD or delaying its progression, mainly through new medications. This progress, however, requires adequate screening and identification of early CKD to truly transform patient outcomes. Revised guidelines from the Kidney Disease: Improving Global Outcomes consortium of experts aim to help clinicians incorporate these advances into practice. This article summarizes key updates from the guidelines regarding the evaluation and management of CKD that can lead to better patient outcomes.","PeriodicalId":519966,"journal":{"name":"Journal of the American Academy of Physician Assistants","volume":"41 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managing neonatal hyperbilirubinemia: An updated guideline. 处理新生儿高胆红素血症：最新指南。
Journal of the American Academy of Physician Assistants Pub Date : 2024-09-11 DOI: 10.1097/01.jaa.0000000000000120
Andrew P Chastain,Anne L Geary,Kevin M Bogenschutz
{"title":"Managing neonatal hyperbilirubinemia: An updated guideline.","authors":"Andrew P Chastain,Anne L Geary,Kevin M Bogenschutz","doi":"10.1097/01.jaa.0000000000000120","DOIUrl":"https://doi.org/10.1097/01.jaa.0000000000000120","url":null,"abstract":"More than 80% of newborn infants experience jaundice as a result of elevated bilirubin during the first few weeks after birth. In most cases, hyperbilirubinemia is physiologic, but persistent and extreme elevations can lead to serious long-term complications, such as kernicterus. To avoid these complications and help clinicians in the successful assessment, evaluation, and treatment of hyperbilirubinemia, the American Academy of Pediatrics updated its clinical practice guideline for neonatal hyperbilirubinemia. This article reviews the guideline and highlights significant updates, such as an elevation in the threshold for phototherapy and exchange transfusion, inclusion of gestational age, and removal of racially based norms.","PeriodicalId":519966,"journal":{"name":"Journal of the American Academy of Physician Assistants","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142201474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CME POST-TEST 继续医学教育后测试
Journal of the American Academy of Physician Assistants Pub Date : 2023-11-21 DOI: 10.1097/01.jaa.0000996660.52088.51
{"title":"CME POST-TEST","authors":"","doi":"10.1097/01.jaa.0000996660.52088.51","DOIUrl":"https://doi.org/10.1097/01.jaa.0000996660.52088.51","url":null,"abstract":"","PeriodicalId":519966,"journal":{"name":"Journal of the American Academy of Physician Assistants","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141530145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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