keyword
https://read.qxmd.com/read/38534072/is-blepharoplasty-cost-effective-utility-analysis-of-dermatochalasis-and-cost-effectiveness-analysis-of-upper-eyelid-blepharoplasty
#21
JOURNAL ARTICLE
Tonya C Lee, Sammie E Fung, Jenny Q Hu, George A Villatoro, Kathryn S Park, Brian M Fung, Erik J Groessl, Bobby S Korn, Don O Kikkawa, Catherine Y Liu
PURPOSE: This cross-sectional prospective study measured utility values of upper eyelid dermatochalasis to quantify its impact on quality of life and assess cost-effectiveness of upper blepharoplasty. METHODS: Utility of dermatochalasis was assessed using the standard reference gamble and time trade-off methods, with dual anchor points of perfect eye function and perfect health. The utility value obtained was used to create a Markov model and run a cost-effectiveness analysis of blepharoplasty as a treatment for dermatochalasis while utilizing the societal perspective...
March 21, 2024: Ophthalmic Plastic and Reconstructive Surgery
https://read.qxmd.com/read/38534003/low-acuity-pediatric-emergency-department-utilization-caregiver-motivations
#22
JOURNAL ARTICLE
Lisa Ziemnik, Noah Parker, Kyra Bufi, Kristen Waters, Jacob Almeda, Adrienne Stolfi
OBJECTIVES: Proper emergency department (ED) utilization is a hallmark of population health. Emergency department overcrowding due to nonurgent visits causes increased stress to healthcare staff, higher costs, and longer wait times for more urgent cases. This study sought to better understand post pandemic reasons caregivers have when bringing in their children for nonurgent visits and devise effective interventions to improve caregiver choice for non-ED care for nonurgent conditions...
March 27, 2024: Pediatric Emergency Care
https://read.qxmd.com/read/38533994/mobile-phone-text-messaging-for-medication-adherence-in-secondary-prevention-of-cardiovascular-disease
#23
REVIEW
Julie Redfern, Qiang Tu, Karice Hyun, Matthew A Hollings, Nashid Hafiz, Clara Zwack, Caroline Free, Pablo Perel, Clara K Chow
BACKGROUND: Cardiovascular diseases (CVDs) are the leading cause of death globally, accounting for almost 18 million deaths annually. People with CVDs have a five times greater chance of suffering a recurrent cardiovascular event than people without known CVDs. Although drug interventions have been shown to be cost-effective in reducing the risk of recurrent cardiovascular events, adherence to medication remains suboptimal. As a scalable and cost-effective approach, mobile phone text messaging presents an opportunity to convey health information, deliver electronic reminders, and encourage behaviour change...
March 27, 2024: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/38533952/cost-effectiveness-of-increased-use-of-dual-antiplatelet-therapy-after-high-risk-transient-ischemic-attack-or-minor-stroke
#24
JOURNAL ARTICLE
Paul M Wechsler, Ankur Pandya, Neal S Parikh, Junaid A Razzak, Halina White, Babak B Navi, Hooman Kamel, Ava L Liberman
BACKGROUND: Rates of dual antiplatelet therapy (DAPT) after high-risk transient ischemic attack or minor ischemic stroke (TIAMIS) are suboptimal. We performed a cost-effectiveness analysis to characterize the parameters of a quality improvement (QI) intervention designed to increase DAPT use after TIAMIS. METHODS AND RESULTS: We constructed a decision tree model that compared current national rates of DAPT use after TIAMIS with rates after implementing a theoretical QI intervention designed to increase appropriate DAPT use...
March 27, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38533582/a-short-term-economic-evaluation-of-early-insulin-therapy-compared-to-oral-anti-diabetic-drugs-in-order-to-reduce-the-major-adverse-events-in-type-2-diabetes-patients-in-iran
#25
JOURNAL ARTICLE
Ramin Heshmat, Ali Darvishi, Ramin Abdi Dezfouli, Adeleh Nikkhah, Ramin Radmanesh, Elham Moslemi
OBJECTIVE: While there are some recommendations about early insulin therapy in newly diagnosed Type 2 Diabetes Mellitus (T2DM) patients, there is not sufficient evidence on this strategy's cost-effectiveness. This study compared early insulin therapy versus oral anti-diabetic drugs (OADs) for managing T2DMusing a cost-effectiveness analysis approach in Iran. METHODS: In this economic evaluation, a decision analytic model was designed. The target population was newly diagnosed type 2 diabetic patients, and the study was carried out from the perspective of Iran's healthcare system with a one-year time horizon...
March 27, 2024: Current Medical Research and Opinion
https://read.qxmd.com/read/38533490/barriers-to-medication-adherence-among-patients-with-non-communicable-disease-in-north-wollo-zone-public-hospitals-socio-ecologic-perspective-2023
#26
JOURNAL ARTICLE
Eneyew Talie Fenta, Birtukan Gizachew Ayal, Atitegeb Abera Kidie, Tadele Fentabil Anagaw, Tesfaye Shumet Mekonnen, Eyob Ketema Bogale, Sileshi Berihun, Tilahun Degu Tsega, Chernet Mengistie Munie, Tizazu Talie Fenta, Nigus Kassie Worku, Sintayehu Shiferaw Gelaw, Misganaw Guadie Tiruneh
BACKGROUND: The practice of taking medication as directed by a healthcare provider is known as medication adherence. Therefore, the application of a socio-ecological model to this study identifies multilevel factors on barriers of medication adherence on chronic non-communicable disease and provides information to develop scientific health communication interventional strategies to improve medication adherence. OBJECTIVE: This study aimed to explore barriers of medication adherence on non-communicable disease prevention and care among patients in North Wollo Zone public hospitals, northeast Ethiopia...
2024: Patient Preference and Adherence
https://read.qxmd.com/read/38533419/integrating-fall-prevention-strategies-into-ems-services-to-reduce-falls-and-associated-healthcare-costs-for-older-adults
#27
JOURNAL ARTICLE
Kathlene Camp, Sara Murphy, Brandon Pate
PURPOSE: The purpose of this study is to detail the implementation of fall prevention initiatives through emergency medical services (EMS) and associated outcomes. METHODS: Paramedics with MedStar Mobile Healthcare utilized the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) fall prevention model to screen and direct intervention through 9-1-1 emergency response, High Utilization Group (HUG), and 30-day Hospital Readmission Avoidance (HRA) programs. Outcomes from 9-1-1 calls measured the number of older adults screened for falls and identified risk factors...
2024: Clinical Interventions in Aging
https://read.qxmd.com/read/38533311/virological-non-suppression-non-adherence-and-the-associated-factors-among-people-living-with-hiv-on-dolutegravir-based-regimens-a-retrospective-cohort-study
#28
JOURNAL ARTICLE
Florence Kabiibi, Robert Tamukong, Winnie Muyindike, Tadele Mekuriya Yadesa
BACKGROUND: HIV is one of the leading causes of morbidity and mortality, with 39.0 million people living with HIV worldwide, 25.6 million of whom reside in the African region. Highly active anti-retroviral therapy (HAART) has improved survival and quality of life, yet some patients develop viral non-suppression. Dolutegravir (DTG) has been recommended since 2018 as a first-line treatment option in low- and middle-income countries owing to its effectiveness, low cost, and tolerability, but some studies have reported virological non-suppression with its use...
2024: HIV/AIDS: Research and Palliative Care
https://read.qxmd.com/read/38533289/screening-of-individuals-with-type-2-diabetes-on-anti-diabetic-agents-for-probable-hypoglycaemia-using-the-stanford-hypoglycemia-questionnaire-shq-in-outpatient-settings-a-cross-sectional-study-from-outpatient-diabetes-care-centres-in-north-india
#29
JOURNAL ARTICLE
Rajiv Awasthi, Arun K Pande, Kumar P Chandra, Vivek Agarwal, Mukulesh Gupta, Ajoy Tewari, Nitin Gupta, Santosh Chaubey, Sandeep Chaudhary, Sajid Ansari, Dinesh Kumar
INTRODUCTION: The study was aimed at identifying the incidence of unreported probable hypoglycaemia in individuals with type 2 diabetes (T2DM) on anti-diabetic medications, using the screening Stanford Hypoglycemia Questionnaire (SHQ) in real-world situations. METHODS: It was a multicentre cross-sectional study on consecutive individuals attending 10 diabetes care centres in Lucknow, Uttar Pradesh, India. The inclusion criteria were as follows: known individuals with T2DM, literate, age greater than or equal to 18 years, on at least one anti-diabetic agent for more than a month and not engaged in regular self-monitoring of blood glucose (SMBG)...
2024: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38533202/optimizing-caesarean-section-use-and-feasibility-of-implementing-the-robson-classification-system-perspectives-of-healthcare-providers-and-policymakers
#30
JOURNAL ARTICLE
Noa Shtainmetz, Riki Tesler, Cochava Sharon, Liat Korn
INTRODUCTION AND OBJECTIVE: In recent decades, caesarean section rates have increased dramatically worldwide and the reasons for this trend are not fully understood. This continuing trend has raised public health concerns regarding higher maternal and perinatal risks, high costs, healthcare efficiency, and inequality of services. The current study aimed to explore the perspectives and insights of healthcare providers and policymakers in the Israeli health system regarding the factors that drive caesarean section rates and the readiness and feasibility of implementing the Robson Ten Group Classification System for the first time...
2024: SAGE Open Medicine
https://read.qxmd.com/read/38533171/exploring-the-economic-aspects-of-hospitals-a-comprehensive-examination-of-relevant-factors
#31
REVIEW
Madhur Pradhan, Kiran T Waghmare, Rahma Alghabshi, Fathiya Almahdouri, Khalid M Al Sawafi, Iman M, Atka M Alhadhramy, Einas R AlYaqoubi
Financial limitations in the hospital industry have the potential to exacerbate healthcare disparities, impede investments in cutting-edge medical treatments, as well as impair patient outcomes. The interdependent connection between a hospital economy and the general well-being of the community highlights the necessity of careful financial oversight and inventive healthcare policies. Effective collaboration among policymakers, healthcare administrators, and stakeholders is imperative in the development of sustainable economic models that give equal weight to fiscal prudence and optimal patient outcomes...
February 2024: Curēus
https://read.qxmd.com/read/38533002/towards-the-prospect-of-carbon-neutral-power-system-2060-a-power-meteorology-society-systematic-view
#32
JOURNAL ARTICLE
Hao Ming, Mingyi Lin, Ciwei Gao, Ning Zhang, Le Xie, Yuting Mou
With the target of achieving carbon peaking and neutrality in the power sector in China, both State Grid and China Southern Power Grid have made plans of a rapid increase of renewables in future years towards 2060. However, considering the interactions between the power system and meteorological, society factors, whether those plans would lead to CO2 emission peak in 2030 and carbon neutrality in 2060 is still questionable and needs further analysis. Therefore, a Power-Meteorology-Society System is formulated and interactions between these factors will impact the CO2 emission of the power system is studied...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38532879/evaluation-of-controllers-for-augmentative-hip-exoskeletons-and-their-effects-on-metabolic-cost-of-walking-explicit-versus-implicit-synchronization
#33
JOURNAL ARTICLE
Ali Reza Manzoori, Davide Malatesta, Julia Primavesi, Auke Ijspeert, Mohamed Bouri
Background: Efficient gait assistance by augmentative exoskeletons depends on reliable control strategies. While numerous control methods and their effects on the metabolic cost of walking have been explored in the literature, the use of different exoskeletons and dissimilar protocols limit direct comparisons. In this article, we present and compare two controllers for hip exoskeletons with different synchronization paradigms. Methods: The implicit-synchronization-based approach, termed the Simple Reflex Controller (SRC), determines the assistance as a function of the relative loading of the feet, resulting in an emerging torque profile continuously assisting extension during stance and flexion during swing...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38532824/association-of-bmi-and-incidence-of-type-2-diabetes-in-saudi-population
#34
JOURNAL ARTICLE
Qasem AlJabr, Mohammed Alalawi, Baqer Aldhneen, Ali Al Gharash, Mohammed Aldabbab, Habib Aldabbab, Ali Bu-Khamseen, Abdullah Alkattan, Abdullah Al Sayafi
OBJECTIVE: The study aims to identify the optimal body mass index (BMI) cut-off for obesity based on the risk of developing type 2 diabetes among the general population visiting primary health care in Saudi Arabia. METHODS: A cross-sectional study was conducted in Al-Ahsa City, Saudi Arabia, from January to June 2022. The study included Saudi citizens aged 35 and older who had not previously or currently been diagnosed with type 2 diabetes. Data were collected through electronic health records from 48 primary healthcare centers...
March 2024: Health Science Reports
https://read.qxmd.com/read/38532650/substance-use-treatment-completion-and-criminal-justice-system-contact-in-chile-a-retrospective-linked-data-cohort-study
#35
JOURNAL ARTICLE
Mariel Mateo Pinones, Andrés González-Santa Cruz, Alvaro Castillo-Carniglia, Christine Bond, Jason Payne, Tara Renae McGee
BACKGROUND AND AIMS: Substance use treatment (SUT) has shown to be effective in reducing self-reported offending; however, the association between SUT completion and criminal justice system (CJS) contact has been underexplored, especially in Latin America. This study aimed to estimate the association between SUT completion status and (1) any subsequent CJS contact and (2) CJS contact leading to imprisonment, at 1, 3 and 5 years post-discharge, in Chile. DESIGN: Retrospective cohort study using multivariable survival analysis based on linked administrative data from 2010 to 2019...
March 26, 2024: Addiction
https://read.qxmd.com/read/38532593/-progress-of-circulating-tumor-dna-in-the-clinical-management-of-colorectal-cancer
#36
JOURNAL ARTICLE
Z Y Jiang, W Fu
Despite the great progress in the treatment of colorectal cancer (CRC), the current standard treatment protocols still have many limitations, and there is an urgent need for more effective biomarkers for personalized patient treatment. Circulating tumor DNA (ctDNA), as a dynamic, non-invasive liquid biopsy approach, overcomes the limitations of tissue biopsy in detecting tumor heterogeneity and molecular evolution. Current evidence from several studies suggests that ctDNA shows great promise in stratifying recurrence risk, guiding treatment decisions, and monitoring early recurrence...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532588/-propensity-score-matching-analysis-of-the-short-term-efficacy-of-kamikawa-versus-double-tract-reconstruction-in-laparoscopic-proximal-gastric-cancer-surgery
#37
JOURNAL ARTICLE
H C Yang, J X He, Y Yang, Z Han, B Zhang, S Zhou, T Wu, Q Qiao, X L He, N Wang
Objective: To compare the short-term efficacy of Kamikawa anastomosis and double-tract reconstruction (DTR) after proximal gastrectomy. Methods: This was a propensity score matched, retrospective, cohort study. Inclusion criteria comprised age 20-70 years, diagnosis of gastric cancer by pathological examination of preoperative endoscopic biopsies, tumor diameter ≤4 cm, and location in the upper 1/3 of the stomach (including the gastroesophageal junction), and TNM stage IA, IB, or IIA. The study cohort comprised 73 patients who had undergone laparoscopic proximal gastric cancer radical surgery in the Department of Gastroenterology, Tangdu Hospital, Air Force Medical University between June 2020 and February 2023, 19 of whom were in the Kamikawa group and 54 in the DTR group...
March 25, 2024: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38532475/pneumococcal-conjugate-vaccination-schedules-in-infants-acquisition-immunogenicity-and-pneumococcal-conjugate-and-yellow-fever-vaccine-co-administration-study-statistical-analysis-plan
#38
JOURNAL ARTICLE
Grant A Mackenzie, Isaac Osei, Rasheed Salaudeen, Paul V Licciardi, Brian Greenwood, Kim Mulholland, Cattram Nguyen
RATIONALE: The effectiveness of immunisation with pneumococcal conjugate vaccine (PCV) has been demonstrated in many countries. However, the global impact of PCV is limited by its cost, which has prevented its introduction in some countries. Reducing the cost of PCV programmes will facilitate further vaccine introductions and improve the sustainability of PCV in low-income countries when they transition from subsidised vaccine supply. We are conducting a large, population-level, cluster-randomised field trial (PVS) of an alternative reduced-dose schedule of PCV compared to the standard schedule...
March 26, 2024: Trials
https://read.qxmd.com/read/38532422/cost-effectiveness-and-cost-utility-of-the-ball-and-socket-trapeziometacarpal-prosthesis-compared-to-trapeziectomy-and-ligament-reconstruction-study-protocol-for-a-randomized-controlled-clinical-trial
#39
JOURNAL ARTICLE
Serafín Lirola-Palmero, Guillem Salva-Coll, Aina María Yáñez-Juan, Eduardo Sánchez-Iriso
BACKGROUND: Trapeziometacarpal (TMC) osteoarthritis (OA) is a common cause of pain and weakness during thumb pinch leading to disability. There is no consensus about the best surgical treatment in unresponsive cases. The treatment is associated with costs and the recovery may take up to 1 year after surgery depending on the procedure. No randomized controlled trials have been conducted comparing ball and socket TMC prosthesis to trapeziectomy with ligament reconstruction. METHODS: A randomized, blinded, parallel-group superiority clinical trial comparing trapeziectomy with abductor pollicis longus (APL) arthroplasty and prosthetic replacement with Maïa® prosthesis...
March 27, 2024: Trials
https://read.qxmd.com/read/38532406/treatment-approaches-and-costs-associated-with-diabetes-clinical-metrics-as-measured-by-healthcare-effectiveness-data-and-information-set-hedis
#40
JOURNAL ARTICLE
Jamil Alkhaddo, Jillian M Rung, Ameer Khowaja, Yue Yin, Shannon B Richards, Charlotte Drury-Gworek, Samina Afreen, Caitlan Rossi, Susan Manzi
BACKGROUND: The clinical outcomes of diabetes can be influenced by primary care providers' (PCP) treatment approaches. This study explores the association between PCP approaches to management and performance measured by established diabetes metrics and related costs. METHODS: In phase one, Electronic Medical Records were used to extract diabetes related metrics using Healthcare Effectiveness Data and Information Set (HEDIS), for patients with diabetes who had office visits to 44 PCP practices from April 2019 to March 2020...
March 26, 2024: BMC Health Services Research
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