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"Multiple Chronic Conditions"

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https://www.readbyqxmd.com/read/27909039/algorithm-for-predicting-death-among-older-adults-in-the-home-care-setting-study-protocol-for-the-risk-evaluation-for-support-predictions-for-elder-life-in-the-community-tool-respect
#1
Amy T Hsu, Douglas G Manuel, Monica Taljaard, Mathieu Chalifoux, Carol Bennett, Andrew P Costa, Susan Bronskill, Daniel Kobewka, Peter Tanuseputro
INTRODUCTION: Older adults living in the community often have multiple, chronic conditions and functional impairments. A challenge for healthcare providers working in the community is the lack of a predictive tool that can be applied to the broad spectrum of mortality risks observed and may be used to inform care planning. OBJECTIVE: To predict survival time for older adults in the home care setting. The final mortality risk algorithm will be implemented as a web-based calculator that can be used by older adults needing care and by their caregivers...
December 1, 2016: BMJ Open
https://www.readbyqxmd.com/read/27906647/county-level-variation-in-per-capita-spending-for-multiple-chronic-conditions-among-fee-for-service-medicare-beneficiaries-united-states-2014
#2
Kevin A Matthews, James Holt, Anne H Gaglioti, Kim A Lochner, Carla Shoff, Lisa C McGuire, Kurt J Greenlund
No abstract text is available yet for this article.
December 1, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27906645/age-differences-in-visits-to-office-based-physicians-by-adults-with-hypertension-united-states-2013
#3
Jill J Ashman, Pinyao Rui, Susan M Schappert
Data from the National Ambulatory Medical Care Survey •The percentage of all adult visits to office-based physicians made by adults with hypertension increased with age, from 9% for those aged 18-44 to 58% for those aged 75 and over. •Hypertensive medications were provided, prescribed, or continued at 62% of visits made by adults with hypertension. •Eighty-two percent of visits by adults with hypertension were made by those with multiple chronic conditions, and the number of chronic conditions increased with age...
November 2016: NCHS Data Brief
https://www.readbyqxmd.com/read/27880632/burden-of-multiple-chronic-conditions-in-delaware-2011-2014
#4
Sangeeta Gupta
The objective of this study was to use data from the Behavioral Risk Factor Surveillance System (BRFSS) to examine the prevalence of multiple chronic conditions (MCC) by select sociodemographic groups and determine the prevalence of most common MCC dyads and triads among Delaware adults. Combined data for 2011 through 2014 from BRFSS (n = 18,052) were analyzed to determine prevalence of MCC. Delaware adults were categorized as having 0, 1, 2, or 3 or more of the following diagnosed chronic conditions: angina, arthritis, asthma, cancer, chronic kidney disease, chronic obstructive pulmonary disease, diabetes, high blood pressure, high cholesterol, myocardial infarction (heart attack), obesity, or stroke...
November 23, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27876455/multiple-morbidities-in-companion-dogs-a-novel-model-for-investigating-age-related-disease
#5
Kelly Jin, Jessica M Hoffman, Kate E Creevy, Dan G O'Neill, Daniel E L Promislow
The proportion of men and women surviving over 65 years has been steadily increasing over the last century. In their later years, many of these individuals are afflicted with multiple chronic conditions, placing increasing pressure on healthcare systems. The accumulation of multiple health problems with advanced age is well documented, yet the causes are poorly understood. Animal models have long been employed in attempts to elucidate these complex mechanisms with limited success. Recently, the domestic dog has been proposed as a promising model of human aging for several reasons...
2016: Pathobiology of Aging & Age related Diseases
https://www.readbyqxmd.com/read/27833049/comorbidity-and-its-relationship-with-health-service-use-and-cost-in-community-living-older-adults-with-diabetes-a-population-based-study-in-ontario-canada
#6
Kathryn Fisher, Lauren Griffith, Andrea Gruneir, Dilzayn Panjwani, Sima Gandhi, Li Lisa Sheng, Amiram Gafni, Patterson Chris, Maureen Markle-Reid, Jenny Ploeg
AIMS: This study describes the comorbid conditions in Canadian, community-dwelling older adults with diabetes and the association between the number of comorbidities and health service use and costs. METHODS: This retrospective cohort study used multiple linked administrative data to determine 5-year health service utilization in a population-based cohort of community-living individuals aged 66 and over with a diabetes diagnosis as of April 1, 2008 (baseline). Utilization included physician visits, emergency department visits, hospitalizations, and home care services...
October 20, 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27831682/understanding-barriers-to-cervical-cancer-screening-in-women-with-access-to-care-behavioral-risk-factor-surveillance-system-2014
#7
Anatasha Crawford, Vicki Benard, Jessica King, Cheryll C Thomas
Cervical cancer screening can save lives when abnormal cervical lesions and early cancers are detected and treated; however, many women are not screened as recommended. We used the Behavioral Risk Factor Surveillance System survey to examine nonfinancial barriers to cervical cancer screening among women who reported having insurance and a personal doctor or health care provider. Among these women, a higher proportion who were never or rarely screened reported having multiple chronic conditions. The results of this study underscore the importance of incorporating preventive clinical services into the management of one or more chronic conditions...
November 10, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27812983/ampk-as-a-pro-longevity-target
#8
Kristopher Burkewitz, Heather J M Weir, William B Mair
Chronic, age-associated diseases are already among the leading causes of morbidity and death in the world, a problem exacerbated by the rapidly rising proportion of elderly in the global population. This emergent epidemic represents the next great challenge for biomedical science and public health. Fortunately, decades of studies into the biology of aging have provided a head start by revealing an evolutionarily conserved network of genes that controls the rate and quality of the aging process itself and which can thereby be targeted for protection against age-onset disease...
2016: EXS
https://www.readbyqxmd.com/read/27811577/exploring-the-validity-of-developing-an-interdisciplinarity-score-of-a-patient-s-needs-care-coordination-patient-complexity-and-patient-safety-indicators
#9
Ashley Hodgson, Lacey Etzkorn, Alexander Everhart, Nicholas Nooney, Jessica Bestrashniy
Despite the Affordable Care Act's push to improve the coordination of care for patients with multiple chronic conditions, most measures of coordination quality focus on a specific moment in the care process (e.g., medication errors or transfer between facilities), rather than patient outcomes. One possible supplementary way of measuring the care coordination quality of a facility would be to identify the patients needing the most coordination, and to look at outcomes for that group. This paper lays the groundwork for a new measure of care coordination quality by outlining a conceptual framework that considers the interaction between a patient's interdisciplinarity, biological susceptibility, and procedural intensity...
November 1, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27801713/multiple-chronic-conditions-and-hospitalizations-among-recipients-of-long-term-services-and-supports
#10
Janet H Van Cleave, Brian L Egleston, Katherine M Abbott, Karen B Hirschman, Aditi Rao, Mary D Naylor
BACKGROUND: Among older adults receiving long-term services and supports (LTSS), debilitating hospitalizations is a pervasive clinical and research problem. Multiple chronic conditions (MCCs) are prevalent in LTSS recipients. However, the combination of MCCs and diseases associated with hospitalizations of LTSS recipients is unclear. OBJECTIVE: The purpose of this analysis was to determine the association between classes of MCCs in newly enrolled LTSS recipients and the number of hospitalizations over a 1-year period following enrollment...
November 2016: Nursing Research
https://www.readbyqxmd.com/read/27793527/reduced-emergency-room-and-hospital-utilization-in-persons-with-multiple-chronic-conditions-and-disability-receiving-home-based-primary-care
#11
Andrew Schamess, Randi Foraker, Matthew Kretovics, Kelli Barnes, Stuart Beatty, Seuli Bose-Brill, Neeraj Tayal
BACKGROUND: Persons with multiple chronic conditions and disability face access barriers to office-based primary care and have very high rates of emergency department (ED) use and hospital admissions. Home-based primary care (HBPC) has been proposed as a way to improve disease management and prevent health crises. HYPOTHESIS: Enrollment of patients with disability and multiple chronic conditions in a HBPC program is associated with a subsequent decrease in ED visits and hospital admissions...
October 15, 2016: Disability and Health Journal
https://www.readbyqxmd.com/read/27783702/who-treats-patients-with-diabetes-and-compensated-cirrhosis
#12
Tsai-Ling Liu, A Sidney Barritt Iv, Morris Weinberger, John E Paul, Bruce Fried, Justin G Trogdon
BACKGROUND: Increasingly, patients with multiple chronic conditions are being managed in patient-centered medical homes (PCMH) that coordinate primary and specialty care. However, little is known about the types of providers treating complex patients with diabetes and compensated cirrhosis. OBJECTIVE: We examined the mix of physician specialties who see patients dually-diagnosed with diabetes and compensated cirrhosis. DESIGN: Retrospective cross-sectional study using 2000-2013 MarketScan® Commercial Claims and Encounters and Medicare Supplemental Databases...
2016: PloS One
https://www.readbyqxmd.com/read/27779440/internet-based-resources-for-disease-self-care-among-middle-aged-and-older-women-with-chronic-conditions
#13
Amanda J Pettus, Carolyn A Mendez-Luck, Caroline D Bergeron, SangNam Ahn, Samuel D Towne, Marcia G Ory, Matthew Lee Smith
OBJECTIVE: This two-part study analyzed data collected from middle-aged (age 44-64) and older women (age 65+) with one or more chronic conditions who completed the National Council on Aging Chronic Care Survey. MATERIALS AND METHODS: Part One analyzed data from 418 women to describe sociodemographics, disease types, and healthcare utilization associated with Internet use among middle-aged and older women with 1 or more chronic diseases. Part Two analyzed data from the 251 Internet-using women to identify the online self-care resources they are using (format, host organization) and for what purposes...
October 25, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27771217/prevalence-and-reasons-for-delaying-and-foregoing-necessary-care-by%C3%A2-the%C3%A2-presence-and-type-of-disability-among-working-age-adults
#14
Amanda Reichard, Michelle Stransky, Kimberly Phillips, Monica McClain, Charles Drum
BACKGROUND: While it is commonly accepted that disparities in unmet need for care vary by age, race/ethnicity, income, education, and access to care, literature documenting unmet needs experienced by adults with different types of disabilities is developing. OBJECTIVE: The main objective was to determine whether subgroups of people with disabilities are more likely than people without disabilities to delay/forgo necessary care, in general and among the insured. METHODS: We used pooled Medical Expenditure Panel Survey data (2004-2010) to examine delaying or forgoing medical, dental, and pharmacy care among five disability subgroups (physical, cognitive, visual, hearing, multiple) and the non-disabled population...
January 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/27767235/demographic-trends-among-older-cannabis-users-in-the-united-states-2006-2013
#15
Benjamin H Han, Scott Sherman, Pia M Mauro, Silvia S Martins, James Rotenberg, Joseph J Palamar
BACKGROUND AND AIMS: The ageing United States (US) population is providing an unprecedented population of older adults who use recreational drugs. We aimed to estimate the trends in the prevalence of past-year use of cannabis, describe the patterns and attitudes, and determine correlates of cannabis use by adults age 50 and older. DESIGN: Secondary analysis of the National Survey on Drug Use and Health survey from 2006 to 2013, a cross-sectional survey given to a nationally representative probability sample of populations living in US households...
October 21, 2016: Addiction
https://www.readbyqxmd.com/read/27757378/factors-affecting-dental-diseases-presenting-at-the-university-of-ghana-hospital
#16
Joseph Nimako-Boateng, Michael Owusu-Antwi, Priscilla Nortey
Dental diseases are common in man and range from a toothache to cancers of the head and neck. Dental conditions can affect our capacity to function effectively in areas such as smiling, chewing and speaking. The objective of this study was to describe the main types of dental conditions presenting at the University Hospital between January 2006 and December 2011 and to determine factors associated with the top five diagnosed conditions as well as the acute and chronic conditions. A retrospective review of all 5012 clinical records of dental patients visiting the dental unit within the period stated was carried out...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27756796/few-disparities-in-baseline-laboratory-testing-after-the-diuretic-or-digoxin-initiation-by-medicare-fee-for-service-beneficiaries
#17
Matthew L Maciejewski, Xiaojuan Mi, Lesley H Curtis, Judy Ng, Samuel C Haffer, Bradley G Hammill
BACKGROUND: Despite the persistence of significant disparities, few evaluations examine disparities in laboratory testing by race/ethnicity, age, sex, Medicaid eligibility, and number of chronic conditions for Medicare fee-for-service beneficiaries' newly prescribed medications. In Medicare beneficiaries initiating diuretics or digoxin, this study examined disparities in guideline-appropriate baseline laboratory testing and abnormal laboratory values. METHODS AND RESULTS: To evaluate guideline-concordant testing for serum creatinine and serum potassium within 180 days before or 14 days after the index prescription fill date, we constructed retrospective cohorts from 10 states of 99 711 beneficiaries who had heart failure or hypertension initiating diuretic in 2011 and 8683 beneficiaries who had heart failure or atrial fibrillation initiating digoxin...
October 18, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27755393/prescriber-continuity-and-disease-control-of-older-adults
#18
Matthew L Maciejewski, Bradley G Hammill, Elizabeth A Bayliss, Laura Ding, Corrine I Voils, Lesley H Curtis, Virginia Wang
BACKGROUND: Medicare beneficiaries with multiple chronic conditions are typically seen by multiple providers, particularly specialists. Clinically appropriate referrals to multiple specialists may compromise the continuity of care for multiple chronic condition beneficiaries and create care plans that patients may find challenging to reconcile, which may impact patient outcomes. OBJECTIVE: The objective was to examine whether glycemic control or lipid control was associated with the number of prescribers of cardiometabolic medications...
October 14, 2016: Medical Care
https://www.readbyqxmd.com/read/27720595/drug-therapy-problems-and-medication-discrepancies-during-care-transitions-in-super-utilizers
#19
Satya Surbhi, Kiraat D Munshi, Paula C Bell, James E Bailey
OBJECTIVES: First, to investigate the prevalence and types of drug therapy problems and medication discrepancies among super-utilizers, and associated patient characteristics. Second, to examine the outcomes of pharmacist recommendations and estimated cost avoidance through care transitions support focused on medication management. DESIGN: Retrospective analysis of the pharmacist-led interventions as part of the SafeMed Program. SETTING: A large nonprofit health care system serving the major medically underserved areas in Memphis, Tennessee...
October 6, 2016: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/27717532/decision-making-and-goal-setting-in-chronic-disease-management-baseline-findings-of-a-randomized-controlled-trial
#20
Shreya Kangovi, Nandita Mitra, Robyn A Smith, Raina Kulkarni, Lindsey Turr, Hairong Huo, Karen Glanz, David Grande, Judith A Long
OBJECTIVE: Growing interest in collaborative goal-setting has raised questions. First, are patients making the 'right choices' from a biomedical perspective? Second, are patients and providers setting goals of appropriate difficulty? Finally, what types of support will patients need to accomplish their goals? We analyzed goals and action plans from a trial of collaborative goal-setting among 302 residents of a high-poverty urban region who had multiple chronic conditions. METHODS: Patients used a low-literacy aid to prioritize one of their chronic conditions and then set a goal for that condition with their primary care provider...
September 25, 2016: Patient Education and Counseling
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