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https://www.readbyqxmd.com/read/28301213/academic-radiologist-subspecialty-identification-using-a-novel-claims-based-classification-system
#1
Andrew B Rosenkrantz, Wenyi Wang, Danny R Hughes, Luke A Ginocchio, David A Rosman, Richard Duszak
OBJECTIVE: The objective of the present study is to assess the feasibility of a novel claims-based classification system for payer identification of academic radiologist subspecialties. MATERIALS AND METHODS: Using a categorization scheme based on the Neiman Imaging Types of Service (NITOS) system, we mapped the Medicare Part B services billed by all radiologists from 2012 to 2014, assigning them to the following subspecialty categories: abdominal imaging, breast imaging, cardiothoracic imaging, musculoskeletal imaging, nuclear medicine, interventional radiology, and neuroradiology...
March 16, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28295159/first-and-second-trimester-serum-tests-with-and-without-first-trimester-ultrasound-tests-for-down-s-syndrome-screening
#2
REVIEW
S Kate Alldred, Yemisi Takwoingi, Boliang Guo, Mary Pennant, Jonathan J Deeks, James P Neilson, Zarko Alfirevic
BACKGROUND: Down's syndrome occurs when a person has three copies of chromosome 21 (or the specific area of chromosome 21 implicated in causing Down's syndrome) rather than two. It is the commonest congenital cause of mental disability. Non-invasive screening based on biochemical analysis of maternal serum or urine, or fetal ultrasound measurements, allows estimates of the risk of a pregnancy being affected and provides information to guide decisions about definitive testing.  Before agreeing to screening tests, parents need to be fully informed about the risks, benefits and possible consequences of such a test...
March 15, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28292475/constrained-optimization-methods-in-health-services-research-an-introduction-report-1-of-the-ispor-optimization-methods-emerging-good-practices-task-force
#3
William Crown, Nasuh Buyukkaramikli, Praveen Thokala, Alec Morton, Mustafa Y Sir, Deborah A Marshall, Jon Tosh, William V Padula, Maarten J Ijzerman, Peter K Wong, Kalyan S Pasupathy
Providing health services with the greatest possible value to patients and society given the constraints imposed by patient characteristics, health care system characteristics, budgets, and so forth relies heavily on the design of structures and processes. Such problems are complex and require a rigorous and systematic approach to identify the best solution. Constrained optimization is a set of methods designed to identify efficiently and systematically the best solution (the optimal solution) to a problem characterized by a number of potential solutions in the presence of identified constraints...
March 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28292292/measurement-properties-and-normative-data-for-the-norwegian-sf-36-results-from-a-general-population-survey
#4
A M Garratt, K Stavem
BACKGROUND: The interpretation of the SF-36 in Norwegian populations largely uses normative data from 1996. This study presents data for the general population from 2002-2003 which has been used for comparative purposes but has not been assessed for measurement properties. METHODS: As part of the Norwegian Level of Living Survey 2002-2003, a postal survey was conducted comprising 9,164 members of the general population aged 16 years and over representative for Norway who received the Norwegian SF-36 version 1...
March 14, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28277202/facilitative-components-of-collaborative-learning-a-review-of-nine-health-research-networks
#5
Lisa Leroy, Jessica Levin Rittner, Karin E Johnson, Jessie Gerteis, Therese Miller
OBJECTIVE: Collaborative research networks are increasingly used as an effective mechanism for accelerating knowledge transfer into policy and practice. This paper explored the characteristics and collaborative learning approaches of nine health research networks. DATA SOURCES/STUDY SETTING: Semi-structured interviews with representatives from eight diverse US health services research networks conducted between November 2012 and January 2013 and program evaluation data from a ninth...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28271434/a-health-services-research-agenda-for-bariatric-surgery-within-the-veterans-health-administration
#6
L M Funk, W Gunnar, J A Dominitz, D Eisenberg, S Frayne, M Maggard-Gibbons, M A Kalarchian, E Livingston, V Sanchez, B R Smith, H Weidenbacher, Matthew L Maciejewski
In 2016, the Veterans Health Administration (VHA) held a Weight Management State of the Art conference to identify evidence gaps and develop a research agenda for population-based weight management for veterans. Included were behavioral, pharmacologic, and bariatric surgery workgroups. This article summarizes the bariatric surgery workgroup (BSWG) findings and recommendations for future research. The BSWG agreed that there is evidence from randomized trials and large observational studies suggesting that bariatric surgery is superior to medical therapy for short- and intermediate-term remission of type 2 diabetes, long-term weight loss, and long-term survival...
March 7, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28271426/rapid-evidence-review-of-bariatric-surgery-in-super-obesity-bmi%C3%A2-%C3%A2-%C3%A2-50-kg-m-2
#7
Kim Peterson, Johanna Anderson, Erin Boundy, Lauren Ferguson, Katherine Erickson
BACKGROUND: Despite accumulating evidence of the important health benefits of bariatric surgery in morbidly obese patients in general, bariatric surgery outcomes are less clear in higher-risk, high-priority populations of patients with BMI ≥ 50 kg/m(2). To help the Department of Veterans Affairs (VA) Health Services Research & Development Service (HSR&D) develop a research agenda, we conducted a rapid evidence review to better understand bariatric surgery outcomes in adults with BMI ≥ 50 kg/m(2)...
March 7, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28262631/-surgical-treatment-for-endocarditis-in-iceland-1997-2003
#8
Hedinn Sigurdsson, Sunna Gestsdottir, Kristjan G Gudmundsson, Sigridur Halldorsdottir
INTRODUCTION: Most GPs in Iceland are public employees on fixed salaries which is very different from their Norwegian colleagues. The aim of this study was to explore the experience of Icelandic GPs who have also worked as GPs in Norway and compare their experience of working in these two neighboring countries. MATERIAL AND METHODS: Data were collected through interviews with 16 GPs that during the study period 2009-2010 were all working in Iceland. Two to ten years had passed since their return from Norway...
2017: Læknablađiđ
https://www.readbyqxmd.com/read/28243670/narrative-review-of-frameworks-for-translating-research-evidence-into-policy-and-practice
#9
Andrew J Milat, Ben Li
BACKGROUND: A significant challenge in research translation is that interested parties interpret and apply the associated terms and conceptual frameworks in different ways. The purpose of this review was to: a) examine different research translation frameworks; b) examine the similarities and differences between the frameworks; and c) identify key strengths and weaknesses of the models when they are applied in practice. METHODS: The review involved a keyword search of PubMed...
February 15, 2017: Public Health Research & Practice
https://www.readbyqxmd.com/read/28243668/a-long-term-strategic-approach-to-evidence-generation-and-knowledge-translation-in-nsw-australia
#10
Sarah Thackway, Danielle Campbell, Tina Loppacher
There is a growing body of literature about the barriers to, and enablers of, the use of research evidence in policy and practice. Research funders are in a unique position to influence activities aimed at promoting research use. During the past decade, NSW (New South Wales) Health has systematically built and invested in an integrated population and health services research portfolio made up of different types of investment and policy focuses. Each of these investments has an explicit focus on translation...
February 15, 2017: Public Health Research & Practice
https://www.readbyqxmd.com/read/28241185/maintenance-of-weight-loss-after-initiation-of-nutrition-training-a-randomized-trial
#11
Corrine I Voils, Maren K Olsen, Jennifer M Gierisch, Megan A McVay, Janet M Grubber, Leslie Gaillard, Jamiyla Bolton, Matthew L Maciejewski, Elizabeth Strawbridge, William S Yancy
Background: Weight regain after successful weight loss interventions is common. Objective: To establish the efficacy of a weight loss maintenance program compared with usual care in obese adults. Design: 2-group, parallel, randomized trial stratified by initial weight loss (<10 kg vs. ≥10 kg), conducted from 20 August 2012 to 18 December 2015. Outcome assessors were blinded to treatment assignment. (ClinicalTrials.gov: NCT01357551). Setting: 3 primary care clinics at the Veterans Affairs Medical Center in Durham and Raleigh, North Carolina...
February 21, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28239018/rural-african-americans-perspectives-on-mental-health-comparing-focus-groups-and-deliberative-democracy-forums
#12
Greer Sullivan, Ann Cheney, Mary Olson, Tiffany Haynes, Keneshia Bryant, Naomi Cottoms, Christina Reaves, Geoff Curran
A number of approaches have been used to obtain community members' health perspectives. Health services researchers often conduct focus groups while political scientists and community groups may hold forums. To compare and contrast these two approaches, we conducted six focus groups (n = 50) and seven deliberative democracy forums (n = 233) to obtain the perspectives of rural African Americans on mental health problems in their community. Inductive qualitative analysis found three common themes: rural African Americans (1) understood stresses of poverty and racism were directly related to mental health, (2) were concerned about widespread mental illness stigma, and (3) thought community members could not identify mental health problems requiring treatment...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28221277/introduction-to-medical-care-statistical-workshops-for-health-services-research-practical-state-of-the-art-reviews
#13
Claude M Setodji, Jeroan J Allison
No abstract text is available yet for this article.
April 2017: Medical Care
https://www.readbyqxmd.com/read/28191271/the-unchartered-frontier-preventive-cardiology-between-the-ages-of-15-and-35-years
#14
Holly Gooding, Heather M Johnson
It is well established that atherosclerosis, the pathological basis of cardiovascular disease (CVD), begins in childhood and progresses steadily between the ages of 15 to 35 years. These adolescent and young adult years are also marked by significant physiological, psychological, and sociodemographic changes that impact both CVD risk factor development and CVD prevention and treatment strategies. In this review, we highlight the importance of the primordial prevention of CVD risk factors before they ever occur and the primary prevention of CVD by treating CVD risk factors in this age group...
September 2016: Current Cardiovascular Risk Reports
https://www.readbyqxmd.com/read/28190508/navigating-the-clinical-trial-pathway-conception-design-execution-and-results-dissemination
#15
John S Sampalis, Joanne Watson, Stella Boukas, Marianna Boukas, Natalie Harvey, Sanjay Machado, Michel Bordeleau, Emmanouil Rampakakis
Dr Sampalis is founder, Chief Executive Officer, and Chief Scientific Officer of JSS Medical Research Inc, founded in 1997. He is a tenured professor of Surgery and Epidemiology & Biostatistics of McGill University, the University of Montreal and University of Laval. Recognized as a leading clinical epidemiologist and one of the top trauma researchers in Canada, he possesses extensive expertise in health services research, clinical trials, and offers services as a Research and Epidemiological Consultant for numerous pharmaceutical companies, hospitals and government organizations and agencies...
March 2017: Surgery
https://www.readbyqxmd.com/read/28159496/androgen-deprivation-with-or-without-radiation-therapy-for-clinically-node-positive-prostate-cancer-lin-cc-gray-pj-jemal-a-efstathiou-ja-surveillance-and-health-services-research-program-intramural-research-american-cancer-society-atlanta-ga-ccl-aj-department
#16
Eggener Scott
BACKGROUND: Clinically lymph node-positive (cN+) prostate cancer (PCa) is an often-fatal disease. Its optimal management remains largely undefined given a lack of prospective, randomized data to inform practice. We sought to describe modern practice patterns in the management of cN+PCa and assess the effect of adding radiation therapy (RT) to androgen deprivation therapy (ADT) on survival using the National Cancer Data Base. METHODS: Patients with cN+PCa and without distant metastases diagnosed between 2004 and 2011 were included...
March 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28157755/coding-in-stroke-and-other-cerebrovascular-diseases
#17
Pearce J Korb, William Jones
Accurate coding is critical for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of coding principles for patients with strokes and other cerebrovascular diseases and includes an illustrative case as a review of coding principles in a patient with acute stroke...
February 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28152782/the-impact-of-guideline-treatment-nonadherence-on-survival-for-colorectal-cancer-patients-propensity-score-calibration-via-a-validation-cohort
#18
Sue Min Lai, Joaquina Celebre Baranda, Kimberly K Engelman, Frank Dong, A Rana Bayakly, Tracie Collins
308 Background: The quality of cancer care has been the focus of ongoing concern for cancer researchers, providers, and policy makers. The objectives of this study were: 1) to evaluate nonadherence with National Comprehensive Cancer Network treatment guidelines for colorectal cancer (CRC) patients and the impact on survival, and 2) to obtain error-corrected estimates of effect by means of propensity score calibration via a validation cohort. METHODS: CRC patients identified by the Georgia Comprehensive Cancer Registry for the years 2000-07 were eligible (N = 18,388)...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28146637/fifty-years-of-research-in-ards-insight-into-ards-from-models-to-patients
#19
John G Laffey, Brian P Kavanagh
Clinicians treating patients with Acute Respiratory Distress Syndrome (ARDS) use information and guidance from a wide array of sources ranging from laboratory experiments, clinical data, health services research, intuition, and personal experience. Each of these sources of information brings unique methodology and information, but each is inherently limited. Because ARDS is a syndrome (and not a disease), the clinician or scientist must take additional care when applying knowledge to individual patients among a group - as patients often do not have identical lung pathophysiology...
February 1, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28137960/health-services-research-in-improving-the-delivery-of-care-for-patients-with-cardiovascular-diseases-moving-from-observation-to-innovation-to-action
#20
Thomas M Maddox, P Michael Ho
No abstract text is available yet for this article.
January 31, 2017: Circulation
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