David Avram Ganz

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OBJECTIVE To compare in vitro maturation of cumulus-free oocytes in glucose-free medium (P1) and standard medium (TC199). DESIGN Prospective, cohort study. SETTING Assisted reproductive technology program. PATIENT(S) One hundred eight patients undergoing ICSI. INTERVENTION(S) Germinal vesicle-stage or metaphase I--stage oocytes were allocated to(More)
OBJECTIVES To determine whether the interval over which patients are asked to remember their falls affects fall reporting. DESIGN Systematic literature review. SETTING Community. PARTICIPANTS Individuals being monitored for falls in prospective studies that asked participants to recall falls over varying intervals. MEASUREMENTS Sensitivity and(More)
BACKGROUND Older patients with multiple chronic conditions may be at higher risk of receiving poorer overall quality of care compared with those with single or no chronic conditions. Possible reasons include competing guidelines for individual conditions, burden of numerous recommendations, and difficulty implementing treatments for multiple conditions. (More)
OBJECTIVE To describe the quality of osteoarthritis care provided to community-dwelling elderly patients and to characterize arthritis-related function in these patients. METHODS Two medical groups in the western United States participated in a practice-redesign intervention targeted at falls and mobility disorders, incontinence, and cognitive impairment,(More)
Falls are common among inpatients. Several reviews, including 4 meta-analyses involving 19 studies, show that multicomponent programs to prevent falls among inpatients reduce relative risk for falls by as much as 30%. The purpose of this updated review is to reassess the benefits and harms of fall prevention programs in acute care settings and to identify(More)
Clinical application of pharmacogenetic testing has been proposed as a means of improving treatment outcomes in psychiatry. The identification of a putative genetic test for better clozapine response in schizophrenia offers an opportunity to evaluate the cost-effectiveness of such testing. The authors performed a cost-effectiveness analysis of a genetic(More)
OBJECTIVES To systematically document the implementation, components, comparators, adherence, and effectiveness of published fall prevention approaches in U.S. acute care hospitals. DESIGN Systematic review. Studies were identified through existing reviews, searching five electronic databases, screening reference lists, and contacting topic experts for(More)
The IMPACT Program seeks to improve access to prostate cancer care for low-income, uninsured men. The objective of the current study was to compare the cost-effectiveness of four policy alternatives in treating this population. We analyzed the cost-effectiveness of four policy alternatives for providing care to low-income, uninsured men with prostate(More)
OBJECTIVES To determine whether community-based primary care physician (PCP)-nurse practitioner (NP) comanagement implementing the Assessing Care of Vulnerable Elders (ACOVE)-2 model: (case finding, delegation of data collection, structured visit notes, physician and patient education, and linkage to community resources) can improve the quality of care for(More)