Emily Bonnabeau

Opioid Use Among Children and Adults With Sickle Cell Disease in North Carolina Medicaid Enrollees in the Era of Opioid Harm Reduction

Nancy Crego, Christian E. Douglas, Emily Bonnabeau, Kern Eason et autres

Adults and children with sickle cell disease (SCD) are predominantly African American, with pain-related health disparities. We examined opioid prescription fill patterns in adults and children with SCD and compared factors associated with fills in North Carolina Medicaid enrollees. Our retrospective cohort …

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A Needs Assessment of Persons With Sickle Cell Disease in a Major Medical Center in North Carolina

Rita Vanessa Masese, Nancy Crego, Christian E. Douglas, Gary Rains et autres

BACKGROUND Sickle cell disease (SCD) is a complex disease associated with many complications and a shortened lifespan. In 2016, the National Heart, Lung and Blood Institute funded 8 centers in the United States to form the Sickle Cell Disease Implementation Consortium, with …

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Dissemination of Evidence-Based Recommendations for Sickle Cell Disease to Primary Care and Emergency Department Providers in North Carolina: A Cost Benefit Analysis

Paula Jean Tanabe, Audrey L. Blewer, Emily Bonnabeau, Hayden Barry Bosworth et autres

Background: Sickle cell disease (SCD) is a genetic condition affecting primarily individuals of African descent, who happen to be disproportionately impacted by poverty and who lack access to health care. Individuals with SCD are at high likelihood of high acute care utilization …

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Patient Perspectives of Sickle Cell Management in the Emergency Department

Nancy Crego, Rita Vanessa Masese, Emily Bonnabeau, Christian E. Douglas et autres

Sickle cell disease (SCD) is a common genetic blood disorder predominantly affecting African Americans in the United States. The objective of this study was to use a multimethods approach to describe how patients with SCD in North Carolina perceive the care they …

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Awareness and Use of the Sickle Cell Disease Toolbox by Primary Care Providers in North Carolina

Stephanie O. Ibemere, Paula Jean Tanabe, Emily Bonnabeau, Gary Rains et autres

BACKGROUND: Sickle cell disease (SCD) is a complex chronic blood disorder characterized by severe disease complications ideally managed by both hematologists and primary care providers (PCP's). PCP's report knowledge gaps and discomfort with SCD management. Our team developed and a decision support …

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Effective Recruitment Strategies for a Sickle Cell Patient Registry Across Sites from the Sickle Cell Disease Implementation Consortium (SCDIC)

Rita Vanessa Masese, Terri DeMartino, Emily Bonnabeau, Ebony N. Burns et autres

Sickle cell disease (SCD) is a genetic disorder predominantly affecting people of African descent and is associated with significant morbidity and mortality. To improve SCD outcomes, the National Heart Lung and Blood Institute funded eight centers to participate in the SCD Implementation …

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An Interrupted Time Series Analysis of the Dissemination of a Sickle Cell Vaso-Occlusive Episode Treatment Algorithm and a Case Management Referral Form for Individuals With Sickle Cell Disease in the Emergency Department

Dominique Bulgin, Emily Bonnabeau, Angie Alexander, Emilia Frederick et autres

Sickle-Cell Disease Co-Management, Health Care Utilization, and Hydroxyurea Use

Nancy Crego, Christian E. Douglas, Emily Bonnabeau, Marian F. Earls et autres

BACKGROUND: Sickle-cell disease (SCD) causes significant morbidity, premature mortality, and high disease burden, resulting in frequent health care use. Comanagement may improve utilization and patient adherence with treatments such as Hydroxyurea. The purpose of this study was to describe acute-care utilization in …

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Emergency Department Encounters, Hospitalizations and ED Reliance Among Medicaid Eligible Patients with Sickle Cell Disease in North Carolina

Paula Jean Tanabe, Nancy Crego, Christian E. Douglas, Emily Bonnabeau et autres

Introduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark. Pain from vaso-occlusive episodes is the number one reason for ED visits and hospital admissions. This paper reports Medicaid claims data from NC for individuals with SCD, …

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Hydroxyurea Prescription Fills and Adherence, Among Pediatric and Adult Medicaid Eligible Patients with Sickle Cell Disease in North Carolina

Nirmish Shah, Christian E. Douglas, Nancy Crego, Emily Bonnabeau et autres

Introduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark. Hydroxyurea (HU) is the standard of care for treatment for most patients with SCD and reduces the frequency of pain episodes, acute chest syndrome, need for red …

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Improving the Care of Individuals With Sickle Cell Disease in the Emergency Department Using a Quality Improvement Framework

Jill Brennan‐Cook, Emily Bonnabeau, Haley Harris-Bloom, Paula Jean Tanabe

Sickle cell disease (SCD) is a severe chronic disease that leads to premature mortality caused by serious complications of the disease such as acute chest syndrome, stroke, and sepsis. Patients presenting to the emergency department (ED) with pain due to vaso-occlusive crisis …

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Outpatient Healthcare Utilization and Rates of Co-Management Among Medicaid Patients with Sickle Cell Disease in North Carolina

Nirmish Shah, Christian E. Douglas, Emily Bonnabeau, Nancy Crego et autres

Abstract Introduction: Sickle cell disease (SCD) is a complex disease for which pain is the hallmark, often results in end-organ failure, and is associated with early death. Primary care providers (PCP's), hematologists, and co-management between PCP's and hematologists are necessary to facilitate …

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