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Annual wellness visit

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https://www.readbyqxmd.com/read/28429825/validation-of-the-mds-research-criteria-for-prodromal-parkinson-s-disease-longitudinal-assessment-in-a-rem-sleep-behavior-disorder-rbd-cohort
#1
Seyed-Mohammad Fereshtehnejad, Jacques Y Montplaisir, Amelie Pelletier, Jean-François Gagnon, Daniela Berg, Ronald B Postuma
BACKGROUND: Recently, the International Parkinson and Movement Disorder Society introduced the prodromal criteria for PD. Objectives Our study aimed to examine diagnostic accuracy of the criteria as well as the independence of prodromal markers to predict conversion to PD or dementia with Lewy bodies. METHODS: This prospective cohort study was performed on 121 individuals with rapid eye movement sleep behavior disorder who were followed annually for 1 to 12 years...
April 21, 2017: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/28423397/trends-in-use-of-the-us-medicare-annual-wellness-visit-2011-2014
#2
Ishani Ganguli, Jeffrey Souza, J Michael McWilliams, Ateev Mehrotra
No abstract text is available yet for this article.
April 19, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28414254/lifestyle-intervention-for-adults-with-spinal-cord-injury-results-of-the-usc-rlanrc-pressure-ulcer-prevention-study
#3
Mike Carlson, Cheryl Lp Vigen, Salah Rubayi, Erna Imperatore Blanche, Jeanine Blanchard, Michal Atkins, Barbara Bates-Jensen, Susan L Garber, Elizabeth A Pyatak, Jesus Diaz, Lucia I Florindez, Joel W Hay, Trudy Mallinson, Jennifer B Unger, Stanley Paul Azen, Michael Scott, Alison Cogan, Florence Clark
CONTEXT/OBJECTIVE: Medically serious pressure injuries (MSPrIs), a common complication of spinal cord injury (SCI), have devastating consequences on health and well-being and are extremely expensive to treat. We aimed to test the efficacy of a lifestyle-based intervention designed to reduce incidence of MSPrIs in adults with SCI. DESIGN: A randomized controlled trial (RCT), and a separate study wing involving a nonrandomized standard care control group. SETTING: Rancho Los Amigos National Rehabilitation Center, a large facility serving ethnically diverse, low income residents of Los Angeles County...
April 17, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28406981/human-exploitation-assisting-a-threatened-species-the-case-of-muttonbirders-and-buller-s-albatross
#4
Susan M Waugh, Timothée A Poupart, Colin M Miskelly, Jean-Claude Stahl, John P Y Arnould
Albatrosses are flexible and adaptable predators, relying on live prey as well as carrion. Use of predictable food sources and reliance on human-produced resources are well-known trait in long-range feeders like albatrosses and petrels. Breeding Buller's albatrosses studied at Solander I. (Hautere), New Zealand fed their chicks the remains of sooty shearwater juveniles (tītī in Māori), which are harvested from nearby muttonbirding sites. Evidence of this food type was found at over 10% of nests examined, and 17-40% birds that were fitted with GPS loggers visited muttonbirding sites in this and previous studies...
2017: PloS One
https://www.readbyqxmd.com/read/28400254/community-pharmacist-delivered-medicare-annual-wellness-visits-within-a-family-medicine-practice
#5
Taylor A Evans, Patricia H Fabel, Bryan Ziegler
OBJECTIVE: To identify the steps to implement a community pharmacist into a family medicine practice to deliver Medicare Annual Wellness Visits (AWVs). SETTING: Medicine Mart Pharmacy is a locally owned and operated pharmacy that has served the West Columbia, South Carolina, area for over 30 years. The services offered by the pharmacy have expanded over the past 3 years through the addition of a community pharmacy resident. PRACTICE INNOVATION: A stepwise approach was developed for a community pharmacist to identify, market, and establish an AWV service through a collaborative practice agreement with a local family medicine practice...
April 8, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28392710/humanistic-and-economic-burden-of-nausea-and-vomiting-among-migraine-sufferers
#6
Kavita Gajria, Lulu K Lee, Natalia M Flores, Ernesto Aycardi, Sanjay K Gandhi
BACKGROUND: While studies have demonstrated the economic burden of migraines in terms of quality of life, health care resource use (HRU), and costs, there exists a notable paucity of data comparing such outcomes among migraineurs with nausea and vomiting (N/V) and those without. The current study aimed to address this gap. METHODS: This was a retrospective study using data from the 2013 US National Health and Wellness Survey, a cross-sectional, internet-based survey...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28379822/improving-patient-clinician-conversations-during-annual-wellness-visits
#7
Zsolt J Nagykaldi, Ami Dave, Connor J Kristof, Tanya N Watts, Sravanthi Utpala, Elizabeth Wickersham
BACKGROUND: Health risk assessments (HRAs) have been implemented and studied for decades in various settings, but little is known about the effect of introducing HRAs on the dynamics and content of patient-clinician conversations during Medicare Annual Wellness Visits (AWVs) and whether the effective use of HRAs requires additional training and resources. METHODS: We used Conversation Analysis techniques to analyze 40 AWVs conducted in an academic family medicine residency practice...
March 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28378235/the-impact-of-pregnancy-on-headache-evaluation-in-the-emergency-department-a-retrospective-cohort-study
#8
Ian Waldman, Stephen Wagner, Kristine Posadas, Timothy A Deimling
BACKGROUND: Headache is one of the most common emergency department complaints with three million visits annually in the USA. This is further complicated with 30% of those emergency visits being for a hypertensive disorder of pregnancy. There is no currently well-established guideline for diagnostic imaging with a common concern being ionizing radiation exposure in pregnancy. The purpose of this study was to assess the difference in imaging studies ordered for pregnant and non-pregnant patients who reported to a tertiary care emergency department with headache...
April 5, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28373270/patient-provider-communication-and-health-outcomes-among-individuals-with-atherosclerotic-cardiovascular-disease-in-the-united-states-medical-expenditure-panel-survey-2010-to-2013
#9
Victor Okunrintemi, Erica S Spatz, Paul Di Capua, Joseph A Salami, Javier Valero-Elizondo, Haider Warraich, Salim S Virani, Michael J Blaha, Ron Blankstein, Adeel A Butt, William B Borden, Kumar Dharmarajan, Henry Ting, Harlan M Krumholz, Khurram Nasir
BACKGROUND: Consumer-reported patient-provider communication (PPC) assessed by Consumer Assessment of Health Plans Survey in ambulatory settings is incorporated as a complementary value metric for patient-centered care of chronic conditions in pay-for-performance programs. In this study, we examine the relationship of PPC with select indicators of patient-centered care in a nationally representative US adult population with established atherosclerotic cardiovascular disease. METHODS AND RESULTS: The study population consisted of a nationally representative sample of 6810 individuals (aged ≥18 years), representing 18...
April 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28364131/comparative-analysis-of-overall-cost-and-rate-of-healthcare-utilization-among-apical-prolapse-procedures
#10
Lannah L Lua, Erika D Vicente, Prathamesh Pathak, Daniel Lybbert, Vani Dandolu
INTRODUCTION AND HYPOTHESIS: The annual cost of prolapse surgeries is expected to grow at twice the rate of population growth. Understanding the economic impact of apical prolapse procedures, including sacrospinous fixation (SSF), abdominal sacrocolpopexy (ASC), and laparoscopic sacrocolpopexy (LSC), is crucial. We aimed to compare overall cost of SSF versus ASC and LSC, as well as health resource utilization, up to 90-day follow-up. METHODS: Truven Marketscan Commercial Claims and Encounter databases 2008-2012 were used to calculate index and 90-day follow-up costs for SSF, ASC, and LSC with/without hysterectomy...
March 31, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28362184/surveillance-survey-of-family-history-in-children-with-neural-tube-defects
#11
Esther B Dupépé, Daxa M Patel, Brandon G Rocque, Betsy Hopson, Anastasia A Arynchyna, E Ralee' Bishop, Jeffrey P Blount
OBJECTIVE Although there are known risk factors for the development of neural tube defects (NTDs), little is known regarding the role of family history. The authors' goal in this study is to describe the family history in their population of patients with NTDs. METHODS Surveys were completed for 254 patients who were accompanied by their biological mother during their annual visit to the multidisciplinary Spina Bifida Clinic at Children's of Alabama. An NTD has been diagnosed in all patients who are seen in this clinic (myelomeningocele, lipomeningocele, split cord malformation, and congenital dermal sinus tract)...
March 31, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28357998/incidence-of-atrial-fibrillation-and-its-risk-prediction-model-based-on-a-prospective-urban-han-chinese-cohort
#12
L Ding, J Li, C Wang, X Li, Q Su, G Zhang, F Xue
Prediction models of atrial fibrillation (AF) have been developed; however, there was no AF prediction model validated in Chinese population. Therefore, we aimed to investigate the incidence of AF in urban Han Chinese health check-up population, as well as to develop AF prediction models using behavioral, anthropometric, biochemical, electrocardiogram (ECG) markers, as well as visit-to-visit variability (VVV) in blood pressures available in the routine health check-up. A total of 33 186 participants aged 45-85 years and free of AF at baseline were included in this cohort, to follow up for incident AF with an annually routine health check-up...
March 30, 2017: Journal of Human Hypertension
https://www.readbyqxmd.com/read/28345443/economic-burden-of-irritable-bowel-syndrome-with-diarrhea-retrospective-analysis-of-a-u-s-commercially-insured-population
#13
Jessica L Buono, Kush Mathur, Amelia J Averitt, David A Andrae
BACKGROUND: The economic burden associated with irritable bowel syndrome with diarrhea (IBS-D) is not well understood. OBJECTIVES: To (a) evaluate total annual all-cause, gastrointestinal (GI)-related, and symptom-related (i.e., IBS, diarrhea, abdominal pain) health care resource use and costs among IBS-D patients in a U.S. commercially insured population and (b) estimate incremental all-cause health care costs of IBS-D patients versus matched controls. METHODS: Patients aged ≥ 18 years with 12 months of continuous medical and pharmacy benefit eligibility in 2013 were identified from the Truven Health MarketScan research database...
April 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28342721/four-year-follow-up-of-the-changes-in-anterior-segment-after-phakic-collamer-lens-icl-implantation
#14
Yuanyuan Lu, Na Yang, Xuedong Li, Jun Kong
PURPOSE: To assess the changes and relationship in central vaulting, flare intensity and crystalline lens thickness during a follow-up period of 4 years after Implantable Collamer Lens (ICL) implantation in eyes with high myopia. DESIGN: Retrospective observational study. METHODS: 98 eyes of 50 patients were followed up with routine measurements of central vaulting, crystalline lens thickness, endothelial cell density and aqueous flare postoperatively...
March 22, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28306147/early-functional-limitations-in-cognitively-normal-older-adults-predict-diagnostic-conversion-to-mild-cognitive-impairment
#15
Sarah Tomaszewski Farias, Karen Lau, Danielle Harvey, Katherine G Denny, Cheyanne Barba, Anthony N Mefford
OBJECTIVES: To examine whether specific types of early functional limitations in cognitively normal older adults are associated with subsequent development of mild cognitive impairment (MCI), as well as the relative predictive value of self versus informant report in predicting diagnostic conversion to MCI. DESIGN: As a part of a longitudinal study design, participants underwent baseline and annual multidisciplinary clinical evaluations, including a physical and neurological examination, imaging, laboratory work, and neuropsychological testing...
March 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28291307/what-is-the-best-approach-to-annual-wellness-visits-for-seniors
#16
EDITORIAL
Kenneth G Adler
No abstract text is available yet for this article.
March 2017: Family Practice Management
https://www.readbyqxmd.com/read/28291306/medicare-annual-wellness-visits-how-to-get-patients-and-physicians-on-board
#17
Daniel Bluestein, Ryan Diduk-Smith, Laura Jordan, Kelsie Persaud, Travonia Hughes
No abstract text is available yet for this article.
March 2017: Family Practice Management
https://www.readbyqxmd.com/read/28271121/medication-use-among-veterans-across-health-care-systems
#18
Khoa A Nguyen, David A Haggstrom, Susan Ofner, Susan M Perkins, Dustin D French, Laura J Myers, Marc Rosenman, Michael Weiner, Brian E Dixon, Alan J Zillich
INTRODUCTION: Dual healthcare system use can create gaps and fragments of information for patient care. The Department of Veteran Affairs is implementing a health information exchange (HIE) program called the Virtual Lifetime Electronic Record (VLER), which allows providers to access and share information across healthcare systems. HIE has the potential to improve the safety of medication use. However, data regarding the pattern of outpatient medication use across systems of care is largely unknown...
March 8, 2017: Applied Clinical Informatics
https://www.readbyqxmd.com/read/28256998/ambulatory-surgery-data-from-hospitals-and-ambulatory-surgery-centers-united-states-2010
#19
Margaret J Hall, Alexander Schwartzman, Jin Zhang, Xiang Liu
Objectives-This report presents national estimates of surgical and nonsurgical ambulatory procedures performed in hospitals and ambulatory surgery centers (ASCs) in the United States during 2010. Patient characteristics, including age, sex, expected payment source, duration of surgery, and discharge disposition are presented, as well as the number and types of procedures performed in these settings. Methods-Estimates in this report are based on ambulatory surgery data collected in the 2010 National Hospital Ambulatory Medical Care Survey (NHAMCS)...
February 2017: National Health Statistics Reports
https://www.readbyqxmd.com/read/28253876/inequality-in-the-distribution-of-health-resources-and-health-services-in-china-hospitals-versus-primary-care-institutions
#20
Tao Zhang, Yongjian Xu, Jianping Ren, Liqi Sun, Chaojie Liu
BACKGROUND: Equity is one of the major goals of China's recent health system reform. This study aimed to evaluate the equality of the distribution of health resources and health services between hospitals and primary care institutions. METHODS: Data of this study were drawn from the China Health Statistical Year Books. We calculated Gini coefficients based on population size and geographic size, respectively, for the indicators: number of institutions, number of health workers and number of beds; and the concentration index (CI) for the indicators: per capita outpatient visits and annual hospitalization rates...
March 3, 2017: International Journal for Equity in Health
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