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  1. Article ; Online: The 21st century revolution in CLL: Why this matters to patients.

    Koffman, Brian / Schorr, Andrew

    Best practice & research. Clinical haematology

    2016  Volume 29, Issue 1, Page(s) 122–132

    Abstract: The 21st century has seen rapid, positive changes in the management of chronic lymphocytic leukaemia from the patient's perspective. New prognostic and predictive markers have ushered in the start of more precise and individualized therapy. For the first ...

    Abstract The 21st century has seen rapid, positive changes in the management of chronic lymphocytic leukaemia from the patient's perspective. New prognostic and predictive markers have ushered in the start of more precise and individualized therapy. For the first time, combined therapy [fludarabine, cyclophosphamide and rituximab] has been shown to prolong life significantly. Clinical trials have become more adaptive, faster and more patient friendly. Perhaps the greatest change of all is the development of novel oral agents (ibrutinib and idelalisib) and powerful monoclonal antibodies that offer robust and durable disease control. Finally, access to and understanding of these changes through an empowered and educated patient population has grown through live education forums and the Internet.
    MeSH term(s) Antibodies, Neoplasm/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/history ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Clinical Trials as Topic ; History, 21st Century ; Humans ; Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis ; Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy ; Leukemia, Lymphocytic, Chronic, B-Cell/history ; Precision Medicine/history ; Precision Medicine/methods ; Prognosis ; Purines/therapeutic use ; Pyrazoles/therapeutic use ; Pyrimidines/therapeutic use ; Quinazolinones/therapeutic use
    Chemical Substances Antibodies, Neoplasm ; Purines ; Pyrazoles ; Pyrimidines ; Quinazolinones ; ibrutinib (1X70OSD4VX) ; idelalisib (YG57I8T5M0)
    Language English
    Publishing date 2016-08-11
    Publishing country Netherlands
    Document type Historical Article ; Journal Article ; Review
    ZDB-ID 2048027-1
    ISSN 1532-1924 ; 1521-6926
    ISSN (online) 1532-1924
    ISSN 1521-6926
    DOI 10.1016/j.beha.2016.08.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Not so crystal clear: observations from a case of crystalline arthritis with cytokine release syndrome (CRS) after chimeric antigen receptor (CAR)-T cell therapy.

    Chung, Sarah H / Hughes, Grant / Koffman, Brian / Turtle, Cameron J / Maloney, David G / Acharya, Utkarsh H

    Bone marrow transplantation

    2018  Volume 54, Issue 4, Page(s) 632–634

    MeSH term(s) Aged ; Cell- and Tissue-Based Therapy/methods ; Crystal Arthropathies/etiology ; Crystal Arthropathies/pathology ; Cytokine Release Syndrome/complications ; Cytokine Release Syndrome/pathology ; Humans ; Male ; Receptors, Antigen, T-Cell/immunology
    Chemical Substances Receptors, Antigen, T-Cell
    Language English
    Publishing date 2018-10-05
    Publishing country England
    Document type Case Reports ; Letter
    ZDB-ID 632854-4
    ISSN 1476-5365 ; 0268-3369 ; 0951-3078
    ISSN (online) 1476-5365
    ISSN 0268-3369 ; 0951-3078
    DOI 10.1038/s41409-018-0357-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Management of CLL patients early in the COVID-19 pandemic: An international survey of CLL experts.

    Koffman, Brian / Mato, Anthony / Byrd, John C / Danilov, Alexey / Hedrick, Brad / Ujjani, Chaitra / Roeker, Lindsey / Stephens, Deborah M / Davids, Matthew S / Pagel, John M / Shadman, Mazyar

    American journal of hematology

    2020  Volume 95, Issue 8, Page(s) E199–E203

    MeSH term(s) Aged ; Betacoronavirus ; COVID-19 ; COVID-19 Testing ; Clinical Laboratory Techniques ; Comorbidity ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Health Care Surveys ; Humans ; Internationality ; Leukemia, Lymphocytic, Chronic, B-Cell/epidemiology ; Leukemia, Lymphocytic, Chronic, B-Cell/therapy ; Pandemics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-13
    Publishing country United States
    Document type Letter
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.25851
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Primary care coding activity related to the use of online consultation systems or remote consulting: an analysis of 53 million peoples' health records using OpenSAFELY

    Fonseca, Martina / MacKenna, Brian / Mehrkar, Amir / The OpenSAFELY Collaborative / Walters, Caroline E / Hickman, George / Fisher, Louis / Pearson, Jonathan / Inglesby, Peter / Bacon, Seb / Davy, Simon / Hulme, William / Goldacre, Ben / Koffman, Ofra / Bakhai, Minal

    medRxiv

    Abstract: Objective: We aimed to explore general practice coding activity associated with the use of online consultation systems in terms of trends, COVID-19 effect, variation and quality. The pandemic accelerated work by the NHS in England to enable and stimulate ...

    Abstract Objective: We aimed to explore general practice coding activity associated with the use of online consultation systems in terms of trends, COVID-19 effect, variation and quality. The pandemic accelerated work by the NHS in England to enable and stimulate use of online consultation systems across all practices, for improved access to primary care. Methods: With the approval of NHS England, OpenSAFELY-TPP and OpenSAFELY-EMIS were used to query and analyse in situ records of electronic health record systems of over 53 million patients in over 6,400 practices, mainly in 2019-2020. SNOMED CT codes relevant to online consultation systems and written online consultations were identified. Coded events were described by volumes, practice coverage, trends pre- and post-COVID-19 and inter-practice and sociodemographic variation. Results: 3,550,762 relevant coding events were found in TPP practices, with code eConsultation detected in 84% of practices. Coding activity related to digital forms of interaction increased rapidly from March 2020 at the onset of the COVID-19 pandemic, though we found large variation in coding instance rates among practices in England. Code instances were more commonly found among females, those aged 18-40, those least deprived or white. eConsultation coded activity was more commonly found recorded among patients with a history of asthma or depression. Conclusions: We successfully queried general practice coding activity relevant to the use of online consultation systems, showing increased adoption as well as key areas of variation during the COVID-19 pandemic. The work can be expanded to support monitoring of coding quality and underlying activity. In future, large-scale impact evaluation studies can be implemented within the platform, namely looking at resource utilisation and patient outcomes.
    Keywords covid19
    Language English
    Publishing date 2023-01-28
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2023.01.25.23284428
    Database COVID19

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  5. Article: Management of CLL patients early in the COVID-19 pandemic: An international survey of CLL experts

    Koffman, Brian / Mato, Anthony / Byrd, John C / Danilov, Alexey / Hedrick, Brad / Ujjani, Chaitra / Roeker, Lindsey / Stephens, Deborah M / Davids, Matthew S / Pagel, John M / Shadman, Mazyar

    Am J Hematol

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #155440
    Database COVID19

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  6. Book ; Online: Management of CLL Patients Early in the COVID-19 Pandemic

    Koffman, Brian / Mato, Anthony / Byrd, John C / Danilov, Alexey / Hedrick, Brad / Ujjani, Chaitra / Roeker, Lindsey / Stephens, Deborah M / Davids, Matthew S / Pagel, John M / Shadman, Mazyar

    Articles, Abstracts, and Reports

    An International Survey of CLL Experts

    2020  

    Keywords 2019-nCoV ; Hematology ; Infectious Disease ; Oncology ; covid19
    Publishing date 2020-04-30T07:00:00Z
    Publisher Providence St. Joseph Health Digital Commons
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Management of CLL patients early in the COVID ‐19 pandemic

    Koffman, Brian / Mato, Anthony / Byrd, John C. / Danilov, Alexey / Hedrick, Brad / Ujjani, Chaitra / Roeker, Lindsey / Stephens, Deborah M. / Davids, Matthew S. / Pagel, John M. / Shadman, Mazyar

    American Journal of Hematology

    An international survey of CLL experts

    2020  Volume 95, Issue 8

    Keywords Hematology ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    ZDB-ID 196767-8
    ISSN 1096-8652 ; 0361-8609
    ISSN (online) 1096-8652
    ISSN 0361-8609
    DOI 10.1002/ajh.25851
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Use of CME to impact self-reported changes in the evaluation and management of anaemia in geriatric patients

    Kathleen Farmer / Betsy Dennison / Paul D. Walden / Brian Koffman / David P. Steensma / Jill Hays

    Journal of European CME, Vol 4, Iss 0, Pp 1-

    2015  Volume 8

    Abstract: Objective. The Third US National Health and Nutrition Examination Survey (NHANES III) prompted the recognition of geriatric anaemia as a public health concern since ~10% of people aged 65 years or older were anaemic. The objective of this study was to ... ...

    Abstract Objective. The Third US National Health and Nutrition Examination Survey (NHANES III) prompted the recognition of geriatric anaemia as a public health concern since ~10% of people aged 65 years or older were anaemic. The objective of this study was to design and implement a continuing medical education (CME) event that motivates and guides Primary Care Health Practitioners (PCHPs) to adopt medical practices that improve outcomes among geriatric patients with anaemia by employing effective diagnostic workup. Research design and methods. A total of 4196 PCHPs participated in 11 highly interactive 75-minute live conferences conducted throughout the US from 2011 through 2013 that featured case-based interactive discussions on the workup of microcytic, normocytic, and macrocytic anaemia by a PCHP and local haematologist expert. A standardised diagnostic algorithm for geriatric anaemia was used and distributed as a handout at the live activity. A reinforcing mobile application based on this algorithm was introduced in 2012. Main outcome measures. Data from participants were gathered immediately after the event, 10–12 weeks post-event, and 1–3 years post-event. Outcomes were evaluated according to Moore's levels. Chi-squared analyses compared the proportion of respondents who committed to one or more of the five major behavioural changes over time. Results. The Chi-squared test analysed data from each of the three timelines for five medical behavioural changes. A comparison of participants’ responses showed that there was a significant increase in the proportion of responders committing to behavioural change #1, “Avoid indiscriminant use of erythropoiesis-stimulating agents” and #5, “Refer patients with unexplained mild anaemia to a haematologist” from post-event to 1–3 years (p<0.001) (see Table 2). The proportion of respondents who committed to the other three behavioural changes remained consistent over time, suggesting that actual change in medical practice occurred at 1–3 years. Conclusions. This proof of concept study validates the use of case-based CME involving a highly interactive discussion between PCHP and specialist, used in conjunction with a standardised diagnostic algorithm as effective in improving PCHP knowledge, competence, and self-reported performance improvement. This study lays the groundwork for follow-up studies using objective performance measures.
    Keywords CME ; impact ; change in practice behaviours ; Special aspects of education ; LC8-6691 ; Medicine (General) ; R5-920
    Subject code 796
    Language English
    Publishing date 2015-05-01T00:00:00Z
    Publisher Taylor & Francis Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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