Mitchell Tod Heflin

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OBJECTIVES To identify associations between the type and number of diagnoses and receipt of screening for breast, cervical, and colorectal cancer by older people. DESIGN Sixth annual follow-up of a community-based survey with 4,162 participants aged 65 and older at baseline in 1986. SETTING Piedmont area of North Carolina. PARTICIPANTS Two thousand(More)
OBJECTIVES To determine whether readily collected perioperative information might identify older surgical patients at higher risk of complications. DESIGN Retrospective cohort study. SETTING Medical chart review at a single academic institution. PARTICIPANTS One hundred two individuals aged 65 and older who underwent abdominal surgery between January(More)
OBJECTIVES To evaluate the evidence for interventions designed to improve outcomes for elders discharged from the emergency department (ED). METHODS The study was a systematic review of English-language articles indexed in MEDLINE and CINAHL (1966-2005) with 1) key words "geriatric," "older adults," or "seniors," or 2) Medical Subject Heading (MeSH) terms(More)
Delirium is a common and serious condition that is underrecognized in older adults in a variety of healthcare settings. It is poorly recognized because of deficiencies in provider knowledge and its atypical presentation. Early recognition of delirium is warranted to better manage the disease and prevent the adverse outcomes associated with it. The purpose(More)
BACKGROUND Older adults in the United States receive a significant amount of care in the emergency department (ED), yet the associations between ED and other types of health care utilization have not been adequately studied in this population. OBJECTIVES The goals of this study were to examine the relationships between health care use before and after an(More)
BACKGROUND Screening for breast and cervical cancer reduces disease-specific mortality, but high rates of comorbidity and disability among elderly persons may alter the risks and benefits of screening. METHODS We performed a mail survey of primary care physicians to estimate the impact of health status on physicians' intentions to offer cancer screening(More)
PURPOSE Most U.S. medical schools and training programs lack sufficient faculty expertise in geriatrics to train future physicians to care for the growing population of older adults. Thus, to reach clinician-educators at institutions and programs that have limited resources for enhancing geriatrics curricula, the Donald W. Reynolds Foundation launched the(More)
BACKGROUND Despite a growing demand for skilled teachers and administrators in graduate medical education, clinician-educator tracks for residents are rare and though some institutions offer 'resident-as-teacher' programs to assist residents in developing teaching skills, the need exists to expand training opportunities in this area. METHODS The authors(More)
OBJECTIVES To identify subject characteristics that predict smoking cessation and describe patterns of cessation and recidivism in a cohort of elderly smokers. DESIGN Prospective cohort study. SETTING Piedmont region, North Carolina. PARTICIPANTS Five hundred seventy-three subjects enrolled in the North Carolina Established Populations for(More)