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  1. Article ; Online: Following the High-Risk Patient: Breast Cancer Risk-Based Screening.

    Klassen, Christine L / Viers, Lyndsay D / Ghosh, Karthik

    Annals of surgical oncology

    2024  Volume 31, Issue 5, Page(s) 3154–3159

    Abstract: Breast cancer (BC) is the most common cancer occurring in women in the USA today, and accounts for more than 40,000 deaths annually (Giaquinto in CA Cancer J Clin 72: 524-541, 2022). While breast cancer survival has improved over the past decades, ... ...

    Abstract Breast cancer (BC) is the most common cancer occurring in women in the USA today, and accounts for more than 40,000 deaths annually (Giaquinto in CA Cancer J Clin 72: 524-541, 2022). While breast cancer survival has improved over the past decades, incidence has increased, and diagnoses are being made at younger ages. This emphasizes the importance of risk evaluation, accurate prediction, and effective mitigation and risk reduction strategies. Enhanced screening can help detect cancers at an earlier stage, thus improving morbidity and mortality. This review addresses the recognition of women at high-risk for BC and monitoring strategies for those at high risk.
    MeSH term(s) Female ; Humans ; Breast Neoplasms ; Mammography ; Early Detection of Cancer ; Breast ; Incidence ; Mass Screening
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-024-14957-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Idiopathic Granulomatous Mastitis.

    Dilaveri, Christina / Degnim, Amy / Lee, Christine / DeSimone, Daniel / Moldoveanu, Dan / Ghosh, Karthik

    The breast journal

    2024  Volume 2024, Page(s) 6693720

    Abstract: Idiopathic granulomatous mastitis (IGM) is a rare, benign inflammatory disorder of the breast that is often underrecognized. The exact etiology and pathophysiology are unknown, but milk stasis is felt to play a role. Classically, this condition is ... ...

    Abstract Idiopathic granulomatous mastitis (IGM) is a rare, benign inflammatory disorder of the breast that is often underrecognized. The exact etiology and pathophysiology are unknown, but milk stasis is felt to play a role. Classically, this condition is noninfectious, but many cases are noted to be associated with
    MeSH term(s) Female ; Humans ; Adult ; Granulomatous Mastitis/diagnosis ; Granulomatous Mastitis/drug therapy ; Breast Neoplasms/diagnosis ; Neoplasm Recurrence, Local ; Breast/pathology ; Steroids
    Chemical Substances Steroids
    Language English
    Publishing date 2024-01-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1289960-4
    ISSN 1524-4741 ; 1075-122X
    ISSN (online) 1524-4741
    ISSN 1075-122X
    DOI 10.1155/2024/6693720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Common benign breast concerns for the primary care physician.

    Klassen, Christine Lara / Hines, Stephanie L / Ghosh, Karthik

    Cleveland Clinic journal of medicine

    2019  Volume 86, Issue 1, Page(s) 57–65

    Abstract: Women often visit their primary care physician because of breast concerns such as masses, pain, and nipple discharge. Most breast problems are benign, but it is important to know how to manage these and other breast problems and when to refer patients ... ...

    Abstract Women often visit their primary care physician because of breast concerns such as masses, pain, and nipple discharge. Most breast problems are benign, but it is important to know how to manage these and other breast problems and when to refer patients for further testing.
    MeSH term(s) Breast Diseases/diagnosis ; Female ; Humans ; Physicians, Primary Care
    Language English
    Publishing date 2019-01-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639116-3
    ISSN 1939-2869 ; 0891-1150
    ISSN (online) 1939-2869
    ISSN 0891-1150
    DOI 10.3949/ccjm.86a.17100
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Percutaneous "biopsy" of biopsy clips: A commentary on our initial experience.

    Samreen, Naziya / Lee, Christine / Sandhu, Nicole / Ghosh, Karthik

    The breast journal

    2019  Volume 25, Issue 3, Page(s) 552–554

    MeSH term(s) Adult ; Aged ; Biopsy/adverse effects ; Biopsy/instrumentation ; Female ; Humans ; Image-Guided Biopsy/methods ; Mammary Glands, Human/diagnostic imaging ; Pain/etiology ; Surgical Instruments ; Ultrasonography, Mammary
    Language English
    Publishing date 2019-04-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1289960-4
    ISSN 1524-4741 ; 1075-122X
    ISSN (online) 1524-4741
    ISSN 1075-122X
    DOI 10.1111/tbj.13264
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Breast Cancer Risk Perceptions Among Underserved, Hispanic Women: Implications for Risk-Based Approaches to Screening.

    Austin, Jessica D / Jenkins, Sarah M / Suman, Vera J / Raygoza, Jhenitza P / Ridgeway, Jennifer L / Norman, Aaron / Gonzalez, Crystal / Hernandez, Valentina / Ghosh, Karthik / Patel, Bhavika K / Vachon, Celine M

    Journal of racial and ethnic health disparities

    2024  

    Abstract: Background: Understanding factors that shape breast cancer risk perceptions is essential for implementing risk-based approaches to breast cancer detection and prevention. This study aimed to assess multilevel factors, including prior screening behavior, ...

    Abstract Background: Understanding factors that shape breast cancer risk perceptions is essential for implementing risk-based approaches to breast cancer detection and prevention. This study aimed to assess multilevel factors, including prior screening behavior, shaping underserved, Hispanic women's perceived risk for breast cancer.
    Methods: Secondary analysis of survey data from Hispanic women (N = 1325, 92% Spanish speaking, 64% < 50) enrolled in a large randomized controlled trial. Analyses were performed in two cohorts to account for the role of age on screening guideline recommendations (< 50 and 50 +). For each cohort, we examined differences in three common measures of perceived risk of breast cancer (percent lifetime, ordinal lifetime, comparative) by participant factors with chi-square or Kruskal-Wallis tests, as appropriate. Multivariate analyses examined the association between mammography history with percent perceived lifetime risk (outcome > 10 vs ≤ 10%).
    Results: Overall, 75% reported a lifetime risk between 0 and 10%, 96% rated their ordinal risk as "not high," and 50% rated their comparative risk as "much lower." Women < 50 with a family history of breast cancer reported significantly higher levels of perceived risk across all three measures. Among women 50 + , those reporting lower levels of perceived risk were significantly more likely to be Spanish speaking. No significant association was observed between mammography history and percent lifetime risk of breast cancer.
    Conclusion: Factors shaping breast cancer risk perceptions differ by age. Prior screening may play less of role in constructing risk perceptions. Research is needed to develop culturally and linguistically appropriate strategies to improve implementation of risk-based screening.
    Language English
    Publishing date 2024-02-21
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2760524-3
    ISSN 2196-8837 ; 2197-3792
    ISSN (online) 2196-8837
    ISSN 2197-3792
    DOI 10.1007/s40615-024-01949-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reflect, Inspire, Strengthen, and Empower 2.0 Program: Advancing Careers and Leadership for Women Physician Staff in an Academic Institution.

    Kang, Ji Yun / Croghan, Ivana T / Matchett, Caroline L / Raffals, Laura E / Schletty, Anne A / Monson, Tammy R / Fischer, Karen M / Pagel, Erin M / Ghosh, Karthik / Bhagra, Anjali

    Women's health reports (New Rochelle, N.Y.)

    2024  Volume 5, Issue 1, Page(s) 65–74

    Abstract: Background: To study the effects of the Reflect, Inspire, Strengthen, and Empower (RISE) 2.0 Program designed for professional development of women staff. Topics included emotional intelligence, appreciative coaching, resilience, and strategic career ... ...

    Abstract Background: To study the effects of the Reflect, Inspire, Strengthen, and Empower (RISE) 2.0 Program designed for professional development of women staff. Topics included emotional intelligence, appreciative coaching, resilience, and strategic career development.
    Methods: The RISE 2.0 program was held between September 2020 and February 2021. After each session, program satisfaction surveys were sent to evaluate whether session objectives were met. Professional network, professional mentor, and professional goals were surveyed at the introductory session and at 1 month after the program ended. Survey data about leadership self-efficacy, motivation to lead, and well-being were collected at the introductory session (baseline) and at months 1 and 3 to evaluate the sustainability of program outcomes.
    Results: Of the 71 notified, 41 (58%) committed to the program. Results increased for having a robust professional network from baseline to month 1 for very good (7.3% to 13.3%) and excellent (19.5% to 40%). Those who responded favorably to setting and attaining ambitious goals increased from 78.1% to 93.3%. For leadership self-efficacy, all except 2 respondents reported an increase in ratings from baseline to month 3. Motivation to lead changed only slightly. Well-being scores fluctuated as affected by daily needs and fulfillment. For 10 of 15 respondents, well-being increased overall from baseline to month 1 or 3, from month 1 to 3.
    Conclusions: Based on participant evaluations and feedback, the RISE 2.0 program received positive responses overall in achieving its learning goals. The program exhibited promise in fostering career advancement and leadership development, particularly when assessed using indicators predictive of successful leadership, such as self-efficacy, motivation to lead, and overall wellbeing.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Journal Article
    ISSN 2688-4844
    ISSN (online) 2688-4844
    DOI 10.1089/whr.2023.0094
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Assessing vitamin D and mammographic breast density in Alaskan women.

    Duma, Narjust / Croghan, Ivana / Jenkins, Sarah / Vachon, Celine / Neal, Loni / Ghosh, Karthik / Pruthi, Sandhya

    Clinics and practice

    2020  Volume 10, Issue 4, Page(s) 1253

    Abstract: Vitamin D deficiency and high breast density may be associated with increased breast cancer risk. We examined a possible association between vitamin D levels and mammographic breast density in a population of Alaskan women. Patients seen in the Mayo ... ...

    Abstract Vitamin D deficiency and high breast density may be associated with increased breast cancer risk. We examined a possible association between vitamin D levels and mammographic breast density in a population of Alaskan women. Patients seen in the Mayo Clinic-Alaska Native Medical Center telemedicine program from December 2014 to December 2017 were enrolled in the study. Pearson correlation was used to estimate the association between mammographic breast density and vitamin D levels. Of the 33 women enrolled, 70% of women self-identified as American Indian/Alaskan Native, 12% as White, 6% as Native Hawaiian/Pacific Islander and 12% as other. Nineteen (58%) participants were taking vitamin D supplementation. No correlation was identified between breast density and serum vitamin D levels overall (correlation= -0.03). Larger studies controlling for vitamin supplementation are needed, as this association could potentially impact breast cancer rates in populations at risk for vitamin D deficiency.
    Language English
    Publishing date 2020-10-15
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2605724-4
    ISSN 2039-7283 ; 2039-7275
    ISSN (online) 2039-7283
    ISSN 2039-7275
    DOI 10.4081/cp.2020.1253
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: An Innovative, Pilot Program to Enhance Career Development and Staff Engagement for Mid- and Late-Career Physician Staff Within an Academic Institution: The RISE Program.

    Bhagra, Anjali / Croghan, Ivana T / Monson, Tammy R / Schletty, Anne A / Baedke, Laurie K / Ghosh, Karthik

    Mayo Clinic proceedings. Innovations, quality & outcomes

    2020  Volume 4, Issue 6, Page(s) 786–791

    Language English
    Publishing date 2020-10-29
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2542-4548
    ISSN (online) 2542-4548
    DOI 10.1016/j.mayocpiqo.2020.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Developing & integrating a mobile application tool into a survivorship clinic for esophageal cancer patients.

    Chaar, Mohamad K Abou / Yost, Kathleen J / Lee, Minji K / Chlan, Linda L / Ghosh, Karthik / Hudspeth, Luke A / Jatoi, Aminah / Ruddy, Kathryn J / Santore, Lee Ann / Blackmon, Shanda H

    Journal of thoracic disease

    2023  Volume 15, Issue 4, Page(s) 2240–2252

    Abstract: Esophageal cancer (EC) patients are living longer due to enhanced screening and novel therapeutics, however, the post-esophagectomy long-term management remains challenging for patients, caregivers, and providers. Patients experience significant ... ...

    Abstract Esophageal cancer (EC) patients are living longer due to enhanced screening and novel therapeutics, however, the post-esophagectomy long-term management remains challenging for patients, caregivers, and providers. Patients experience significant morbidity and have difficulty managing symptoms. Providers struggle to manage symptoms, affecting patients' quality of life and complicating care coordination between surgical teams and primary care providers. To address these patient unique needs and create a standardized method for evaluating patient reported long-term outcomes after esophagectomy for EC, our team developed the Upper Digestive Disease Assessment tool, which evolved to become a mobile application. This mobile application is designed to monitor symptom burden, direct assessment, and quantify data for patient outcome analysis after foregut (upper digestive) surgery, including esophagectomy. It is available to the public and enables virtual and remote access to survivorship care. Patients using the Upper Digestive Disease Application (UDD App) must consent to enroll, agree to terms of use, and acknowledge use of health-related information prior to gaining access to the UDD App. The results of patients scores can be utilized for triage and assessment. Care pathways can guide management of severe symptoms in a scalable and standardized method. Here we describe the history, process, and methodology for developing a patient-centric remote monitoring program to improve survivorship after EC. Programs like this that facilitate patient-centered survivorship should be an integral part of comprehensive cancer patient care.
    Language English
    Publishing date 2023-04-25
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-22-1343
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Development of a Visit Facilitator Role to Assist Physicians in an Ambulatory Consultative Medical Practice.

    Gilman, Elizabeth A / Aakre, Christopher / Meyers, Adam / Collins, Nerissa / VerNess, Chrissy / Dougan, Brian / Davis, Xiomari / Philpot, Lindsey / Ramar, Priya / Croghan, Ivana / Schroeder, Darrell R / Pagel, Erin / Ghosh, Karthik / Hurt, Ryan T

    Mayo Clinic proceedings. Innovations, quality & outcomes

    2023  Volume 7, Issue 3, Page(s) 187–193

    Abstract: Objective: To decrease the electronic health record (EHR) clerical burden and improve patient/clinician satisfaction, allied health staff were trained as visit facilitators (VFs) to assist the physician in clinical and administrative tasks.: Patients ... ...

    Abstract Objective: To decrease the electronic health record (EHR) clerical burden and improve patient/clinician satisfaction, allied health staff were trained as visit facilitators (VFs) to assist the physician in clinical and administrative tasks.
    Patients and methods: From December 7, 2020, to October 11, 2021, patients with complex medical conditions were evaluated by an internal medicine physician in an outpatient general internal medicine (GIM) consultative practice at a tertiary care institution. A VF assisted with specific tasks before, during, and after the clinical visit. Presurvey and postsurvey assessments were performed to understand the effect of the VF on clinical tasks as perceived by the physician.
    Results: A total of 57 GIM physicians used a VF, and 41 (82%) physicians and 39 (79%) physicians completed the pre-VF and post-VF surveys, respectively. Physicians reported a significant reduction in time reviewing outside materials, updating pertinent information, and creating/modifying EHR orders (
    Conclusion: VFs significantly reduced the EHR clinical burden and improved GIM physician practice satisfaction. This model can potentially be used in a wide range of medical practices.
    Language English
    Publishing date 2023-05-14
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2542-4548
    ISSN (online) 2542-4548
    DOI 10.1016/j.mayocpiqo.2023.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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