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https://www.readbyqxmd.com/read/28324149/-outpatient-care-and-disease-burden-of-rheumatoid-arthritis-results-of-a%C3%A2-linkage-of-claims-data-and-a%C3%A2-survey-of-insured-persons
#1
K Albrecht, A Luque Ramos, J Callhoff, F Hoffmann, K Minden, A Zink
BACKGROUND: Healthcare of patients with rheumatoid arthritis (RA) in Germany has mainly been evaluated in the past in RA cohorts from specialized arthritis centers. This study investigated rheumatological care on a population basis, using claims data from a nationwide statutory health insurance fund (BARMER GEK) in combination with patient-reported outcomes from a questionnaire survey of insured persons with RA. METHODS: Data from insurants aged 18-79 years with M05 (seropositive RA) or M06 (other RA, ICD-10) diagnoses were analyzed concerning diagnostics, medication and prescribing physician...
March 21, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/28319695/suicidal-ideation-reported-on-the-phq9-and-risk-of-suicidal-behavior-across-age-groups
#2
Rebecca C Rossom, Karen J Coleman, Brian K Ahmedani, Arne Beck, Eric Johnson, Malia Oliver, Greg E Simon
OBJECTIVE: The Joint Commission recommends all patients be screened for suicide. However, differences in suicide attempt and death rates may affect how well tools predict risk across age groups. Our objective was to determine whether item 9 of the Patient Health Questionnaire (PHQ9) predicts risk for suicide attempts and deaths across age groups. METHODS: PHQ9s completed by adult outpatients treated for mental health conditions in 2010-2012 at four Mental Health Research Network-affiliated healthcare systems were used to measure depression severity and suicidal ideation...
March 16, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28317318/men-with-biopsy-confirmed-hepatocellular-adenoma-have-a-high-risk-of-progression-to-hcc-a-nationwide-population-based-study
#3
Lars Bossen, Henning Grønbaek, Peter Lykke Eriksen, Peter Jepsen
BACKGROUND: Hepatocellular adenoma is a benign liver tumour that may transform to hepatocellular carcinoma (HCC). We used data from Danish nationwide healthcare registries to investigate the incidence and prognosis of hepatocellular adenoma. METHODS: We included all patients with a hospital discharge diagnosis for benign liver tumour (ICD-10: D13.4) in 1997-2012 and a liver biopsy confirming the hepatocellular adenoma diagnosis. Follow-up began one year after adenoma diagnosis, to minimize the possibility that the tumour was a misdiagnosed HCC...
March 19, 2017: Liver International: Official Journal of the International Association for the Study of the Liver
https://www.readbyqxmd.com/read/28306739/automatic-icd-10-coding-algorithm-using-an-improved-longest-common-subsequence-based-on-semantic-similarity
#4
YunZhi Chen, HuiJuan Lu, LanJuan Li
ICD-10(International Classification of Diseases 10th revision) is a classification of a disease, symptom, procedure, or injury. Diseases are often described in patients' medical records with free texts, such as terms, phrases and paraphrases, which differ significantly from those used in ICD-10 classification. This paper presents an improved approach based on the Longest Common Subsequence (LCS) and semantic similarity for automatic Chinese diagnoses, mapping from the disease names given by clinician to the disease names in ICD-10...
2017: PloS One
https://www.readbyqxmd.com/read/28306148/sleep-disruption-at-home-as-an-independent-risk-factor-for-postoperative-delirium
#5
Oliver M Todd, Lisa Gelrich, Alasdair M MacLullich, Martin Driessen, Christine Thomas, Stefan H Kreisel
OBJECTIVES: To determine whether sleep disruption at home or in hospital is an independent risk factor for postoperative delirium in older adults undergoing elective surgery. DESIGN: Prospective cohort study. SETTING: German teaching hospital. PARTICIPANTS: Individuals aged 65 and older undergoing elective arthroplasty (N = 101). MEASUREMENTS: Preoperative questionnaires were used to assess sleep disruption at home (Pittsburgh Sleep Quality Index)...
March 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28303523/initiation-switching-and-cessation-of-psoriasis-treatments-among-patients-with-moderate-to-severe-psoriasis-in-the-united-states
#6
April W Armstrong, J Will Koning, Simon Rowse, Huaming Tan, Carla Mamolo, Mandeep Kaur
BACKGROUND: Psoriasis patients frequently switch among multiple therapies while managing their psoriasis. Determining treatment transitions is fundamental to understanding how patients access and use treatments. OBJECTIVE: We aimed to identify patterns of treatment transitions of US patients with moderate to severe psoriasis over 5 years. METHODS: This was a retrospective, longitudinal cohort study in which US patients aged ≥18 years who had at least one psoriasis claim (International Classification of Diseases, Ninth Revision [ICD-9] diagnosis) were continuously enrolled in a health plan between October 2007 and September 2012...
March 16, 2017: Clinical Drug Investigation
https://www.readbyqxmd.com/read/28300324/risk-of-stress-fracture-varies-by-race-ethnic-origin-in-a-cohort-study-of-1-3-million-u-s-army-soldiers
#7
Lakmini Bulathsinhala, Julie M Hughes, Craig J McKinnon, Joseph R Kardouni, Katelyn I Guerriere, Kristin L Popp, Ronald W Matheny, Mary L Bouxsein
Stress fractures (SF) are common and costly injuries in military personnel. Risk for SF has been shown to vary with race/ethnicity. Previous studies report increased SF risk in White and Hispanic Soldiers compared to Black soldiers. However, these studies did not account for the large ethnic diversity in the U.S. Military. PURPOSE: We aimed to identify differences in SF risk among racial/ethnic groups within the U.S. Army. METHODS: A retrospective cohort study was conducted using data from the Total Army Injury and Health Outcomes Database from 2001 until 2011...
March 16, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28298562/deaths-associated-with-ankylosing-spondylitis-in-france-from-1969-to-2009
#8
Clément Prati, Marc Puyraveau, Xavier Guillot, Franck Verhoeven, Daniel Wendling
OBJECTIVE: To describe deaths for which ankylosing spondylitis (AS) was on death certificates in France. METHODS: Death certificates in which AS was indicated were evaluated. Standard mortality ratio (SMR) was assessed. RESULTS: AS appeared in 2940 death certificates. The mortality rate of AS seemed stable. The most frequent initial causes were diseases of the circulatory system [28.3% in the International Classification of Diseases, 10th ed (ICD-10)]...
March 15, 2017: Journal of Rheumatology
https://www.readbyqxmd.com/read/28298067/incidence-of-second-anterior-cruciate-ligament-tears-1990-2000-and-associated-factors-by-geographic-locale
#9
Nathan D Schilaty, Nathaniel A Bates, Thomas L Sanders, Aaron J Krych, Michael J Stuart, Timothy E Hewett
BACKGROUND: Second anterior cruciate ligament (ACL) tears after reconstruction occur at a reported rate of 20% to 30%. This high frequency indicates that there may be factors that predispose an athlete to graft failure and ACL tears of the contralateral knee. PURPOSE: To determine the incidence of second ACL injuries in a geographic population-based cohort over a 10-year observation period. STUDY DESIGN: Descriptive epidemiological study. METHODS: International Classification of Diseases, 9th Revision (ICD-9) codes relevant to the diagnosis of an ACL tear and the procedure code for ACL reconstruction were searched across the Rochester Epidemiology Project, a multidisciplinary county database, between the years of 1990 and 2000...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28295856/factors-affecting-prolonged-length-of-stay-in-psychiatric-patients-in-japan-a-retrospective-observational-study
#10
Daisuke Shinjo, Hisateru Tachimori, Keiko Sakurai, Tetsu Ohnuma, Kenji Fujimori, Kiyohide Fushimi
AIM: Hospital length of stay is one of the stratified measures of health care efficiency and is commonly used to assess performance of psychiatric care. The aim of this study is to identify risk factors for prolonged length of stay of psychiatric patients. METHODS: We retrospectively analyzed adult psychiatric patients (ICD-10; F-00-F99) between April of 2012 and March of 2014 in the Japanese Diagnosis Procedure Combination database. We examined factors affecting prolonged length of stay using multivariable logistic regression analysis...
March 14, 2017: Psychiatry and Clinical Neurosciences
https://www.readbyqxmd.com/read/28293898/the-negative-impact-of-an-uncertain-residence-status-analysis-of-migration-related-stressors-in-outpatients-with-turkish-migration-background-and-psychiatric-disorders-in-germany-over-a-10-year-period-2005-2014
#11
Matthias J Müller, Sabrina Zink, Eckhardt Koch
Several studies indicate that immigration is associated with a higher risk for mental disorders, particularly in refugees and asylum seekers. We investigated migration-related distress in outpatients with Turkish migration background and a psychiatric disorder. Asylum applicants (ASA) and migrants with a permanent residency status (PRS) from a specialized German psychiatric outpatient service were compared with respect to clinical variables and stressors related to migration and acculturation. Of n = 620 migrant outpatients (main diagnosis: 3...
March 14, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28293746/long-standing-crohn-s-disease-and-its-implication-on-anal-squamous-cell-cancer-management
#12
Amy L Lightner, Sara B Moncrief, Thomas C Smyrk, John H Pemberton, Michael G Haddock, David W Larson, Eric J Dozois, Kellie L Mathis
BACKGROUND: Anal squamous cell carcinoma (ASCC) is rare, accounting for only 1% of gastrointestinal malignancies. We sought to better understand management strategies for ASCC in the setting of Crohn's disease (CD). METHODS: A retrospective chart review from 2001 to 2016 was conducted using ICD-9/10 codes for CD (555.9/K50) and ASCC (154.3/C44.520). Adult patients with a diagnosis of CD at the time of ASCC diagnosis were included. RESULTS: Seven patients (five female) were included with a median age of 50 years...
March 14, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28292279/the-quality-of-severe-mental-disorder-diagnoses-in-a-national-health-registry-as-compared-to-research-diagnoses-based-on-structured-interview
#13
Ragnar Nesvåg, Erik G Jönsson, Inger Johanne Bakken, Gun Peggy Knudsen, Thomas D Bjella, Ted Reichborn-Kjennerud, Ingrid Melle, Ole A Andreassen
BACKGROUND: Utilization of diagnostic information from national patient registries rests on the quality of the registered diagnoses. We aimed to investigate the agreement and consistency of diagnoses of psychotic and bipolar disorders in the Norwegian Patient Registry (NPR) compared to structured interview-based diagnoses given as part of a clinical research project. METHODS: Diagnostic data from NPR were obtained for the period 01.01.2008-31.12.2013 for all patients who had been included in the Thematically Organized Psychosis (TOP) study between 18...
March 14, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28291974/comorbid-depression-and-suicide-ideation-in-patients-with-combat-related-ptsd-the-role-of-temperament-character-and-trait-impulsivity
#14
Nenad Jakšić, Branka Aukst Margetić, Darko Marčinko
BACKGROUND: War veterans with PTSD have a high chance of developing major depressive disorder (MDD) at some point, while they can also exhibit increased suicidal tendencies. The primary goal of this research was to investigate whether personality dimensions, including temperament, character, and trait impulsivity, were associated with comorbid MDD, as well as with suicidal ideation in psychiatric patients suffering from combat-related PTSD. SUBJECTS AND METHODS: The sample consisted of 148 Croatian male war veterans (mean age 49...
March 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28291831/t-wave-loop-area-from-a-pre-implant-12-lead-ecg-is-associated-with-appropriate-icd-shocks
#15
Joachim Seegers, Katerina Hnatkova, Tim Friede, Marek Malik, Markus Zabel
AIMS: In implantable cardioverter-defibrillator (ICD) patients, predictors of ICD shocks and mortality are needed to improve patient selection. Electrocardiographic (ECG) markers are simple to obtain and have been demonstrated to predict mortality. We aimed to assess the association of T-wave loop area and circularity with ICD shocks. METHODS: The study investigated patients with ICDs implanted between 1998 and 2010 for whom digital 12-lead ECGs (Schiller CS200 ECG-Network) of sufficient quality were obtained within 1 month prior to the implantation...
2017: PloS One
https://www.readbyqxmd.com/read/28290828/-assessment-of-the-possibility-of-comparing-mortality-rates-from-diseases-of-the-circulatory-system-in-the-united-states-and-russia
#16
S A Boytsov, E M Andreev, I V Samorodskaya
OBJECTIVE: to compare and discuss causes of differences between standardized mortality rates (SMR) from diseases of the circulatory system (DCS) among men and women older than 50 years in Russia and USA. MATERIAL AND METHODS: Data on mortality rate in the USA were taken from WHO mortality database (WHO MD), those on the USA population by 5-years age bands from Human Mortality Database (HMD). Information on mortality rates in Russia was obtained from Rosstat. In analysis we used age-adjusted death rates and SMR for DCS or ages more or equal 50 years...
January 2017: Kardiologiia
https://www.readbyqxmd.com/read/28289555/gender-differences-in-post-traumatic-stress
#17
Maria Grazia Modena, Daniele Pettorelli, Giulia Lauria, Elisa Giubertoni, Erminio Mauro, Valentina Martinotti
Acute stress can trigger cardiovascular events and disease. The earthquake is an "ideal" natural experiment for acute and chronic stress, with impact mainly on the cardiovascular system. On May 20th and 29th, 2012, two earthquakes of magnitude 5.9° to 6.4° on the Richter scale, hit the province of Modena and Reggio Emilia, an area of the north-center of Italy never considered at seismic risk. The purpose of our study was to assess whether there were gender-specific differences in stress-induced incidence of cardiovascular events and age of patients who arrived at the Emergency Departments (ED) of the three main teaching hospitals of the University of Modena and Reggio Emilia...
2017: BioResearch Open Access
https://www.readbyqxmd.com/read/28289531/critical-analysis-of-ineffective-post-implantation-implantable-cardioverter-defibrillator-testing
#18
Markus Roos, J Christoph Geller, Marc-Alexander Ohlow
AIM: To test of the implantable-cardioverter-defibrillator is done at the time of implantation. We investigate if any testing should be performed. METHODS: All consecutive patients between January 2006 and December 2008 undergoing implantable cardioverter-defibrillator (ICD) implantation/replacement (a total of 634 patients) were included in the retrospective study. RESULTS: Sixteen patients (2.5%) were not tested (9 with LA/LV-thrombus, 7 due to operator's decision)...
February 26, 2017: World Journal of Cardiology
https://www.readbyqxmd.com/read/28288526/performance-of-khorana-risk-score-for-prediction-of-venous-thromboembolism-in-patients-with-hepatocellular-carcinoma
#19
Y Wang, B M Attar, H E Fuentes, J Yu, Huiyuan Zhang, A J Tafur
Cancer-associated venous thromboembolism (VTE) is one of the leading causes of mortality and morbidity among patients with malignancy. The Khorana risk score (KRS) is currently the best validated risk assessment model to stratify risks of VTE development in ambulatory patients with cancer. In the current study, we assessed the performance of KRS in patients with hepatocellular carcinoma (HCC). We retrospectively analyzed patients with diagnosis of HCC (screened by International Classification of Diseases [ ICD-9] and ICD-10 code, confirmed with radiographic examination and/or histopathology) at a large public hospital over 15 years (January 2000 through July 2015)...
January 1, 2017: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/28288406/early-adversity-and-risk-for-moderate-to-severe-unipolar-depressive-disorder-in-adolescence-and-adulthood-a-register-based-study-of-978-647-individuals
#20
Signe Kirk Dahl, Janne Tidselbak Larsen, Liselotte Petersen, Mads Bonde Ubbesen, Preben Bo Mortensen, Trine Munk-Olsen, Katherine Louise Musliner
BACKGROUND: Early adversity is a known risk factor for unipolar depression. We examined the impact of 9 types of early adversity on risk for moderate to severe unipolar depression in adolescence or adulthood, and evaluated whether these effects were moderated by gender and adversity timing. METHODS: We conducted a prospective, population-based cohort study using Danish national registers. The sample included all individuals born in Denmark between 1980 and 1998 (N=978,647)...
March 7, 2017: Journal of Affective Disorders
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