Profile

I am a pharmacoepidemiologist and health outcomes researcher, currently funded by the Alberta Heritage Foundation for Medical Research (Population Health Investigator) and the Canadian Institutes of Health Research (New Investigator). My focus is in “knowledge translation,” and my current research agenda attempts to answer 3 inter-related questions: (1) Does underuse of proven effective therapies exist? (2) What are the barriers to best practice? (3) How do we change practice and optimize evidence-based prescribing?

 

The following are currently funded examples of my research:

 

1. Osteoporosis: We are enrolling a prospective cohort of patients with wrist fractures, to examine outcomes, health-related quality of life, and costs related to fractures. In a controlled trial, we are studying an intervention to improve the care of these patients compared with usual care. Additional studies involving fractures of the hip and spine are in various stages of development and implementation.

2. Diabetes mellitus: We are enrolling a prospective cohort of patients with diabetes in rural communities, to examine outcomes, quality of life, costs, and access. In a controlled trial, we are studying an intervention to improve the treatment of cardiovascular risk factors in these patients compared with usual care.

3. Chronic cardiovascular disease: We are implementing (and evaluating in a controlled trial) an intervention that uses opinion leader-endorsed guidelines to improve the quality of prescribing for ischemic heart disease and congestive heart failure.

 

These projects include collaboration with researchers within the Department, at the Schools of Public Health and Pharmacy, EPICORE, VIGOUR, Institute of Health Economics, the Alliance for Health Outcomes Research in Diabetes (ACHORD) and other institutions in Canada and the United States.

Key Words

ealth outcomes; quality improvement; knowledge translation; guideline adherence; osteoporosis; diabetes mellitus

Select Publications

Majumdar SR, Guirguis LM, Toth EL, Lewanczuk RZ, Lee TK, Johnson JA. Controlled trial of a multifaceted intervention to improve the quality of care for rural patients with type-2 diabetes. Diabetes Care (in press, 2003).

 

Majumdar SR, Chang W, Armstrong PW. Do the investigative sites that take part in a positive clinical trial translate that evidence into practice? American Journal of Medicine 2002;113:140- 145. (with an editorial by CD Naylor entitled “Putting evidence into practice”)

 

Majumdar SR, Rowe BH, Folk D, Johnson JA, Holroyd BH, Morrish D, Harley CH, Maksymowych WP, Steiner I, Wirzba B, Hanley DA, Russell AS. An intervention that educates wrist fracture patients and their physicians can increase the detection and treatment of osteoporosis (interim results of a controlled trial). Journal of Bone and Mineral Research 2002;17:S375.

Telephone 407 1399
Fax 407 2680
Email me2.majumdar@ualberta.ca