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"Medical Expenditure Panel Survey"

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https://www.readbyqxmd.com/read/29769065/prevalence-patterns-and-predictors-of-depression-treatment-among-community-dwelling-older-adults-with-stroke-in-the-united-states-a-cross-sectional-study
#1
Sandipan Bhattacharjee, Majed Al Yami, Sawsan Kurdi, David Rhys Axon
BACKGROUND: Depression is one of the most common psychiatric conditions among stroke survivors and is associated with several negative health outcomes. However, little is known about the depression treatment patterns among stroke survivors. The objective of this study was to examine national-level prevalence, patterns and predictors of depression treatment among community-dwelling stroke survivors. METHODS: This study adopted a retrospective, cross-sectional study design using multiple years of Medical Expenditure Panel Survey (MEPS) (2002-2012) data...
May 16, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29768311/impact-of-provider-participation-in-aco-programs-on-preventive-care-services-patient-experiences-and-health-care-expenditures-in-us-adults-aged-18-64
#2
Young-Rock Hong, Kalyani Sonawane, Samantha Larson, Arch G Mainous, Nicole M Marlow
BACKGROUND: Little is known about the impact of accountable care organization (ACO) on US adults aged 18-64. OBJECTIVES: To examine whether having a usual source of care (USC) provider participating in an ACO affects receipt of preventive care services, patient experiences, and health care expenditures among nonelderly Americans. RESEARCH DESIGN: A cross-sectional analysis of the 2015 Medical Organizations Survey linked with the Medical Expenditure Panel Survey...
May 15, 2018: Medical Care
https://www.readbyqxmd.com/read/29757044/comparison-of-mental-health-outcomes-among-adults-with-psoriasis-on-biologic-versus-oral-therapies-a-population-based-study
#3
Nicole Salame, Nazanin Ehsani-Chimeh, April W Armstrong
PURPOSE: We sought to compare the impact of biologic versus oral therapies on mental health outcomes among adult U.S. residents with moderate-to-severe psoriasis. METHODS: We performed a nationwide, cross-sectional study comparing 2,303,534 (weighted) adults with moderate-to-severe psoriasis on biologic versus oral therapies and their associated mental health outcomes using the 2003-2015 Medical Expenditure Panel Survey (MEPS). Mental health outcomes were measured with the Kessler 6 (K6), a validated measure of psychological distress, and Patient Health Questionnaire 2 (PHQ2), a screening tool for depression...
May 14, 2018: Journal of Dermatological Treatment
https://www.readbyqxmd.com/read/29743222/missed-opportunities-for-depression-screening-and-treatment-in-the-united-states
#4
Elisabeth Kato, Amanda E Borsky, Samuel H Zuvekas, Anita Soni, Quyen Ngo-Metzger
PURPOSE: This study estimates the prevalence of depression assessment in adults age 35 and older and how prevalence varies by sociodemographic characteristics and depressive symptoms. METHODS: We used a nationally representative survey, the Agency for Healthcare Research and Quality's Medical Expenditure Panel Survey, to evaluate if adults 35+ were being assessed for depression by their health care providers in 2014 and 2015. Using multivariate logistic regression, we examined the health and sociodemographic characteristics of patients associated with depression assessment...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29729491/impact-of-weight-related-advice-from-healthcare-professionals-on-body-mass-index-of-patients-in-the-usa
#5
H-Y Yang, H-J Chen, Y-J Hsu, L J Cheskin, Y Wang
OBJECTIVES: Healthcare professionals (HCPs) can help promote healthy eating and active living in patients. This study assessed the effects of weight-related advice from HCPs on change in body mass index (BMI) of patients in the USA. STUDY DESIGN: A 1-year follow-up study of 20,002 adults who participated in a nationally representative survey between 2004 and 2008. METHODS: Using the 2004-2008 Medical Expenditure Panel Survey data, 1-year BMI and weight status changes were compared between patients who did and did not report receiving advice on exercise or on restricted intake of fat and cholesterol from their HCPs...
May 2, 2018: Public Health
https://www.readbyqxmd.com/read/29722044/a-flexible-quantile-regression-model-for-medical-costs-with-application-to-medical-expenditure-panel-survey-study
#6
Xiaobing Zhao, Weiwei Wang, Lei Liu, Ya-Chen T Shih
Medical costs are often skewed to the right and heteroscedastic, having a sophisticated relation with covariates. Mean function regression models with low-dimensional covariates have been extensively considered in the literature. However, it is important to develop a robust alternative to find the underlying relationship between medical costs and high-dimensional covariates. In this paper, we propose a new quantile regression model to analyze medical costs. We also consider variable selection, using an adaptive lasso penalized variable selection method to identify significant factors of the covariates...
May 2, 2018: Statistics in Medicine
https://www.readbyqxmd.com/read/29710214/association-between-hearing-aid-use-and-health-care-use-and-cost-among-older-adults-with-hearing-loss
#7
Elham Mahmoudi, Philip Zazove, Michelle Meade, Michael M McKee
Importance: Hearing loss (HL) is common among older adults and is associated with poorer health and impeded communication. Hearing aids (HAs), while helpful in addressing some of the outcomes of HL, are not covered by Medicare. Objective: To determine whether HA use is associated with health care costs and utilization in older adults. Design, Setting, and Participants: This retrospective cohort study used nationally representative 2013-2014 Medical Expenditure Panel Survey data to evaluate the use of HAs among 1336 adults aged 65 years or older with HL...
April 26, 2018: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29686026/favorable-modifiable-cardiovascular-risk-profile-is-associated-with-lower-healthcare-costs-among-cancer-patients-the-2012-2013-medical-expenditure-panel-survey
#8
Jai Singh, Javier Valero-Elizondo, Joseph A Salami, Haider J Warraich, Oluseye Ogunmoroti, Erica S Spatz, Nihar Desai, Jamal S Rana, Salim S Virani, Ron Blankstein, Michael J Blaha, Khurram Nasir
BACKGROUND: Atherosclerotic cardiovascular disease (ASCVD) and cancer are among the leading causes of economic burden, morbidity, and mortality in the United States. We aimed to quantify the overall impact of cardiovascular modifiable risk factor (CRF) profile on healthcare expenditures among those with and without ASCVD and/or cancer. METHODS AND RESULTS: The 2012-2013 Medical Expenditure Panel Survey, a nationally representative adult sample (≥40 years), was utilized for the study...
April 23, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29684821/the-direct-cost-of-epilepsy-in-children-evidence-from-the-medical-expenditure-panel-survey-2003-2014
#9
Alain Lekoubou, Kinfe G Bishu, Bruce Ovbiagele
INTRODUCTION: Epilepsy is frequent in children and often requires complex healthcare interventions. There is a paucity of recent and detailed healthcare expenditures among children with epilepsy in the United States (US). METHODS: Data on children (aged ≤17years) from the Medical Expenditure Panel Survey-Household Component (MEPS-HC) from 2003 to 2014 were analyzed. Unadjusted overall and specific cost components were compared between children with epilepsy and those without epilepsy...
April 20, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29680100/assessment-of-reliability-and-validity-of-sf-12v2-among-a-diabetic-population
#10
Niranjan Kathe, Corey J Hayes, Naleen Raj Bhandari, Nalin Payakachat
OBJECTIVES: To validate the Medical Outcomes Study Short Form version 2 (SF-12v2) in diabetic patients. METHODS: Adults with self-reported diabetes from the Medical Expenditure Panel Survey (2011-2013) were identified. Reliability (internal consistency and test-retest) and validity (construct, concurrent, criterion, and predictive) of the SF-12v2 were assessed. The SF-12v2 consists of two normalized composite scores: the physical component summary score (PCS12) and the mental component summary score (MCS12)...
April 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29672145/trends-in-prescription-pain-medication-use-by-race-ethnicity-among-us-adults-with-noncancer-pain-2000-2015
#11
Jordan M Harrison, Pooja Lagisetty, Brian D Sites, Cui Guo, Matthew A Davis
OBJECTIVES: To examine national trends in the use of various pharmacological pain medication classes by race/ethnicity among the US pain population. METHODS: We used data from the Medical Expenditure Panel Survey to conduct a nationally representative, serial cross-sectional study of the noninstitutionalized US adult population from 2000 to 2015. We identified adults with moderate or severe self-reported pain and excluded individuals with cancer. We used complex survey design to provide national estimates of the percentage of adults with noncancer pain who received prescription pain medications among 4 groups: non-Hispanic White, non-Hispanic Black, Hispanic or Latino, and other...
April 19, 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29668209/the-well-being-of-long-term-cancer-survivors
#12
Jeffrey Sullivan, Julia Thornton Snider, Emma van Eijndhoven, Tony Okoro, Katharine Batt, Thomas DeLeire
OBJECTIVES: To compare the well-being of long-term cancer survivors with that of US residents of similar age and demographic characteristics, patients recently diagnosed with cancer, and individuals with chronic illness. STUDY DESIGN: Retrospective observational study. METHODS: Using the Health and Retirement Study, a survey of US residents older than 50 years, we defined 4 cohorts: long-term cancer survivors (>4 years post diagnosis), individuals recently diagnosed with cancer (≤4 years post diagnosis), individuals with chronic illness, and US residents older than 50 years ("nationally representative cohort")...
April 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29645083/polypharmacy-and-patterns-of-prescription-medication-use-among-cancer-survivors
#13
Caitlin C Murphy, Hannah M Fullington, Carlos A Alvarez, Andrea C Betts, Simon J Craddock Lee, David A Haggstrom, Ethan A Halm
BACKGROUND: The population of cancer survivors is rapidly growing in the United States. Long-term and late effects of cancer, combined with the ongoing management of other chronic conditions, make survivors particularly vulnerable to polypharmacy and its adverse effects. In the current study, the authors examined patterns of prescription medication use and polypharmacy in a population-based sample of cancer survivors. METHODS: Using data from the Medical Expenditure Panel Survey (MEPS), the authors matched cancer survivors (5216 survivors) with noncancer controls (19,588 controls) by age, sex, and survey year...
April 12, 2018: Cancer
https://www.readbyqxmd.com/read/29625732/healthcare-use-patterns-and-economic-burden-of-chronic-musculoskeletal-pain-in-children-before-diagnosis
#14
Frances Tian, Patsy Guittar, Melissa Moore-Clingenpeel, Gloria Higgins, Stacy P Ardoin, Charles H Spencer, Karla Jones, Bethanne Thomas, Shoghik Akoghlanian, Sharon Bout-Tabaku
OBJECTIVES: To evaluate the healthcare use and costs of amplified musculoskeletal pain syndrome (AMPS) in children before diagnosis. STUDY DESIGN: We performed a retrospective study in children with AMPS at a pediatric rheumatology clinic between 2010 and 2014. Data were abstracted on 80 patients after primary rheumatic diseases were excluded. Healthcare visits, medications and diagnostic testing that occurred in the years before diagnosis were collected. The Medical Expenditure Panel Survey was used to estimate visit costs...
April 3, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29584559/health-services-use-and-costs-for-americans-with-intellectual-and-developmental-disabilities-a-national-analysis
#15
Glenn T Fujiura, Henan Li, Sandy Magaña
Health services and associated costs for adults with intellectual and developmental disabilities (IDD) were nationally profiled and the predictors of high expense users statistically modeled. Using linked data from the National Health Interview Survey and Medical Expenditure Panel Survey for the years 2002 through 2011, the study found a mixed pattern of differences in rates of service use and costs when compared to the general population depending upon personal characteristics, health status, and type of health care service...
April 2018: Intellectual and Developmental Disabilities
https://www.readbyqxmd.com/read/29584522/physical-activity-and-disability-an-analysis-on-how-activity-might-lower-medical-expenditures
#16
Xinling Xu, Orgul D Ozturk, Margaret A Turk, Suzanne W McDermott
BACKGROUND: This study evaluated the effect of increased physical activity on annual medical expenditures among people with disability, as well as people without disability. METHODS: We performed a cross-sectional study with linked national survey data from 2004 to 2013 Medical Expenditure Panel Survey and from 2002 to 2012 National Health Interview Study. We investigated the effect of physical activity on the annual medical expenditures in 2013 US dollars, among people with and without disability who were 18- to 64-year-old adults...
March 27, 2018: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/29578602/colorectal-cancer-screening-prevalence-and-predictors-among-asian-american-subgroups-using-medical-expenditure-panel-survey-national-data
#17
Angela U Sy, Eunjung Lim, Lana Sue Ka'opua, Merle Kataoka-Yahiro, Yumiko Kinoshita, Susan L Stewart
BACKGROUND: Asian American (AA) ethnic subgroups are diverse in socio-economic status, years in the United States, English proficiency, and cultures with different health seeking behaviors and health care access. Fifty-two percent of AAs age ≥50 years had colorectal cancer screening (CRCS) in 2013, compared with 61% of non-Hispanic whites. We hypothesized that CRCS prevalence among AA ethnicities is heterogeneous and that the reasons related to CRCS among AA subgroups are associated with demographic characteristics, acculturation, health care access, and health attitudes...
April 1, 2018: Cancer
https://www.readbyqxmd.com/read/29565323/racial-ethnic-and-nativity-differences-in-mental-health-visits-to-primary-care-and-specialty-mental-health-providers-analysis-of-the-medical-expenditures-panel-survey-2010-2015
#18
Audrey L Jones, Susan D Cochran, Arleen Leibowitz, Kenneth B Wells, Gerald Kominski, Vickie M Mays
BACKGROUND: Black and Latino minorities have traditionally had poorer access to primary care than non-Latino Whites, but these patterns could change with the Affordable Care Act (ACA). To guide post-ACA efforts to address mental health service disparities, we used a nationally representative sample to characterize baseline race-, ethnicity-, and nativity-associated differences in mental health services in the context of primary care. METHODS: Data were obtained from the Medical Expenditures Panel Survey (MEPS), a two-year panel study of healthcare use, satisfaction with care, and costs of services in the United States (US)...
March 22, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29561692/antibiotic-resistant-infection-treatment-costs-have-doubled-since-2002-now-exceeding-2-billion-annually
#19
Kenneth E Thorpe, Peter Joski, Kenton J Johnston
Antibiotic-resistant infections are a global health care concern. The Centers for Disease Control and Prevention estimates that 23,000 Americans with these infections die each year. Rising infection rates add to the costs of health care and compromise the quality of medical and surgical procedures provided. Little is known about the national health care costs attributable to treating the infections. Using data from the Medical Expenditure Panel Survey, we estimated the incremental health care costs of treating a resistant infection as well as the total national costs of treating such infections...
March 21, 2018: Health Affairs
https://www.readbyqxmd.com/read/29530460/nationwide-healthcare-expenditures-among-hypertensive-individuals-with-stroke-2003-2014
#20
Alain Lekoubou, Kinfe G Bishu, Bruce Ovbiagele
BACKGROUND: Of all the various clinical entities, hypertension is arguably most strongly linked to the occurrence of stroke. However, the impact of stroke on health-care expenditures in patients with hypertension has not been previously evaluated. METHODS: We analyzed data from the Medical Expenditure Panel Survey Household Component, 2003-2014 data. Adults aged 18 years or greater were included in this analysis. We used a 2-part model (adjusting for demographic, comorbidity, and time) to estimate the incremental health-care expenditures incurred by stroke among individuals with hypertension...
March 9, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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