Karen M. Kramer

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OBJECTIVES The common practice is to use 162 mg of aspirin orally in the emergency department (ED) for patients presenting with myocardial infarction. If the patient cannot take aspirin orally in the authors' facility, then 600 mg of aspirin is given rectally. However, no strong evidence exists as to whether the oral and rectal doses provide equivalent risk(More)
The editor-in-chief, deputy editor, associate editors, editorial board, and staff of Medical Decision Making, the journal of the Society for Medical Decision Making, acknowledge and thank the following people for their assistance in reviewing manuscripts during 2013. The journal’s success rests in large measure on the quality and promptness of reviews. The(More)
6086 Background: Shared decision making may be difficult for older prostate cancer patients of lower SES. Although physicians and patients make shared treatment decisions about the option of radiation, surgery, or watchful waiting, functional and psychosocial obstacles may limit the effectiveness of this process among older men of lower socioeconomic status(More)
6129 Background: Measuring patient preferences for health states related to prostate cancer treatment outcomes provides valuable input to help patients make informed treatment decisions. The most accepted method for direct utility assessment is the standard reference gamble (SG). METHODS A pilot study was conducted with 21 newly diagnosed prostate cancer(More)
OBJECTIVE To demonstrate the feasibility of a skills-based substance abuse prevention counseling program in a community setting for adults who sustained traumatic brain injury. PARTICIPANTS Convenience sample of 117 participants (mean age=35 years) with preinjury history of alcohol or other drug use. Intervention group participants (n=36) from 3(More)
Prostate cancer treatments have positive and negative outcomes that must be taken into account when deciding how to proceed with a patient's care. One way to quickly determine a patient's preferences in this situation is to ascertain their health utilities for various health states. Health utilities are underutilized but powerful tools in aiding shared(More)
6019 Background: African Americans present with a higher stage of disease for prostate cancer. Multivariate analysis indicates that low literacy rather than race, is the most likely predictor of advanced stage (Bennett, JCO 1998). We evaluate the relation of race and literacy with Gleason score, PSA level and treatment. METHODS Newly diagnosed prostate(More)
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