keyword
https://read.qxmd.com/read/38511239/effects-of-the-valsartan-recall-on-heart-failure-patients-a-nationwide-analysis
#21
JOURNAL ARTICLE
Joshua W Devine, Mina Tadrous, Inmaculada Hernandez, Nandita Mukhopadhyay, Scott D Rothenberger, Katherine Callaway Kim, Walid F Gellad, Katie J Suda
BACKGROUND: Valsartan is commonly used for cardiac conditions. In 2018, the Food and Drug Administration recalled generic valsartan due to the detection of impurities. Our objective was to determine if heart failure patients receiving valsartan at the recall date had a greater likelihood of unfavorable outcomes than patients using comparable antihypertensives. METHODS: We conducted a cohort study of Optum's de-identified Clinformatics® Datamart (July 2017-January 2019)...
April 2024: Pharmacoepidemiology and Drug Safety
https://read.qxmd.com/read/38509493/analysis-of-the-incidence-and-risk-factors-of-blood-transfusion-in-total-knee-revision-a-retrospective-nationwide-inpatient-sample-database-study
#22
JOURNAL ARTICLE
Xiaoyin Li, Hao Xie, Shuxia Liu, Jian Wang, Zhanjun Shi, Qiaobing Yao, Qinfeng Yang, Qiuhong Li, Liangxiao Bao
OBJECTIVE: This study sought to determine the incidence and risk factors of blood transfusion among patients undergoing total knee revision (TKR) using a nationwide database. METHODS: A retrospective data analysis was conducted based on the Nationwide Inpatient Sample (NIS), enrolling patients who underwent TKR from 2010 to 2019 with complete information. The patients were divided into two groups based on whether they received blood transfusion or not. The demographic characteristics (race, sex, and age), length of stay (LOS), total charge of hospitalization, hospital characteristics (admission type, insurance type, bed size, teaching status, location, and region of hospital), hospital mortality, comorbidities, and perioperative complications were analyzed...
March 20, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38506934/payer-negotiated-price-variation-and-relationship-to-surgical-outcomes-for-the-most-common-cancers-at-nci-designated-cancer-centers
#23
JOURNAL ARTICLE
Roshun Sankaran, John O'Connor, Ushapoorna Nuliyalu, Adrian Diaz, Hari Nathan
BACKGROUND: Federal rules mandate that hospitals publish payer-specific negotiated prices for all services. Little is known about variation in payer-negotiated prices for surgical oncology services or their relationship to clinical outcomes. We assessed variation in payer-negotiated prices associated with surgical care for common cancers at National Cancer Institute (NCI)-designated cancer centers and determined the effect of increasing payer-negotiated prices on the odds of morbidity and mortality...
March 20, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38506853/modifier-22-use-in-fee-for-service-medicare
#24
JOURNAL ARTICLE
Christopher P Childers, Naveen V Manisundaram, Chung-Yuan Hu, George J Chang
IMPORTANCE: Modifier 22 is a mechanism designed for surgeons to identify cases that are more complex than their Current Procedural Terminology code accounts for. However, empirical studies of the use and efficacy of modifier 22 are lacking. OBJECTIVE: To assess the use of modifier 22 in common surgical procedures and the association of use with compensation. DESIGN, SETTING, AND PARTICIPANTS: This was a cross-sectional analysis of the 2021 Physician/Supplier Procedure Summary Limited Data Set including all Part B carrier and durable medical equipment fee-for-service claims...
March 20, 2024: JAMA Surgery
https://read.qxmd.com/read/38504583/racial-and-ethnic-differences-in-disease-course-medicare-expenditures-for-beneficiaries-with-dementia
#25
JOURNAL ARTICLE
Natalia Olchanski, Yingying Zhu, Lichen Liang, Joshua T Cohen, Jessica D Faul, Howard M Fillit, Karen M Freund, Pei-Jung Lin
BACKGROUND: Research on racial and ethnic disparities in costs of care during the course of dementia is sparse. We analyzed Medicare expenditures for beneficiaries with dementia to identify when during the course of care costs are the highest and whether they differ by race and ethnicity. METHODS: We analyzed data from the 2000-2016 Health and Retirement Study (HRS) linked with corresponding Medicare claims to estimate total Medicare expenditures for four phases: (1) the year before a dementia diagnosis, (2) the first year following a dementia diagnosis, (3) ongoing care for dementia after the first year, and (4) the last year of life...
March 20, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38504247/association-between-nintedanib-adherence-trajectory-and-healthcare-use-among-idiopathic-pulmonary-fibrosis-patients
#26
JOURNAL ARTICLE
Mona Nili, Andrew J Epstein, Dominic Nunag, Amy Olson, Bijan J Borah
BACKGROUND: Although inverse associations have been found between medication adherence and healthcare use and spending outcomes in many clinical settings, no studies to date have examined these relationships for patients with idiopathic pulmonary fibrosis (IPF) initiating nintedanib. We build on our prior study that used group-based trajectory modeling (GBTM) to compare inpatient hospitalization and medical care spending outcomes between groups of patients with different nintedanib adherence trajectories...
March 19, 2024: BMC Pulmonary Medicine
https://read.qxmd.com/read/38504063/benefit-and-risk-of-oral-anticoagulant-initiation-strategies-in-patients-with-atrial-fibrillation-and-cancer-a-target-trial-emulation-using-the-seer-medicare-database
#27
JOURNAL ARTICLE
Bang Truong, Lori Hornsby, Brent Fox, Chiahung Chou, Jingyi Zheng, Jingjing Qian
Oral anticoagulants (OACs) are recommended for patients with atrial fibrillation (AFib) having CHA2 DS2 -VASc score ≥ 2. However, the benefits of OAC initiation in patients with AFib and cancer at different levels of CHA2 DS2 -VASc is unknown. We included patients with new AFib diagnosis and a record of cancer (breast, prostate, or lung) from the 2012-2019 Surveillance, Epidemiology, and End Results (SEER)-Medicare database (n = 39,915). Risks of stroke and bleeding were compared between 5 treatment strategies: (1) initiated OAC when CHA2 DS2 -VASc ≥ 1 (n = 6008), (2) CHA2 DS2 -VASc ≥ 2 (n = 8694), (3) CHA2 DS2 -VASc ≥ 4 (n = 20,286), (4) CHA2 DS2 -VASc ≥ 6 (n = 30,944), and (5) never initiated OAC (reference group, n = 33,907)...
March 20, 2024: Journal of Thrombosis and Thrombolysis
https://read.qxmd.com/read/38502343/trends-in-the-use-of-ankle-arthrodesis-and-total-ankle-replacements-in-australia-over-the-past-20%C3%A2-years
#28
JOURNAL ARTICLE
Motofumi Yasutomi, Vincent V G An, Joshua Xu, Andrew Wines, Brahman S Sivakumar, Michael J Symes
BACKGROUND: End stage ankle osteoarthritis (OA) is debilitating. Surgical management consists of either ankle arthrodesis (AA) or a total ankle replacement (TAR). The purpose of this study is to assess the trends in operative intervention for end stage ankle OA in an Australian population. METHODS: This is a retrospective epidemiological study of 15,046 surgeries. Data were collected from publicly available national registries including the Australian Medicare Database and Australian Orthopaedic Association National Joint Replacement Registrar from 2001 to 2020...
March 19, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38500895/improving-anesthesia-start-time-documentation-through-a-departmental-education-initiative-at-yale-new-haven-hospital-new-haven-united-states
#29
JOURNAL ARTICLE
Michael H Warren, Sumarth Mehta, Lena Glowka, Octavio Goncalves, Elena Gutman, Robert B Schonberger
Background Reimbursement for anesthetic services in the United States utilizes a formula that incorporates procedural and patient factors with total anesthesia time. According to the Centers for Medicare & Medicaid Services and the American Society of Anesthesiologists, the period of billable time starts when the anesthesia practitioner assumes care of the patient and may include transport to the operating room from the preoperative holding area. In this report on a quality improvement effort, we implemented a departmental education initiative aimed at improving the accuracy of anesthesia start-time documentation...
February 2024: Curēus
https://read.qxmd.com/read/38498870/performance-of-a-claims-based-frailty-proxy-using-varying-frailty-ascertainment-lookback-windows
#30
JOURNAL ARTICLE
Emilie D Duchesneau, Til Stürmer, Dae Hyun Kim, Katherine Reeder-Hayes, Jessie K Edwards, Keturah R Faurot, Jennifer L Lund
BACKGROUND: Frailty is an aging-related syndrome of reduced physiological reserve to maintain homeostasis. The Faurot frailty index has been validated as a Medicare claims-based proxy for predicting frailty using billing information from a user-specified ascertainment window. OBJECTIVES: We assessed the validity of the Faurot frailty index as a predictor of the frailty phenotype and 1-year mortality using varying frailty ascertainment windows. RESEARCH DESIGN: We identified older adults (66+ y) in Round 5 (2015) of the National Health and Aging Trends Study with Medicare claims linkage...
March 12, 2024: Medical Care
https://read.qxmd.com/read/38497237/short-and-long-term-safety-of-discontinuing-chronic-opioid-therapy-among-older-adults-with-alzheimer-s-disease-and-related-dementia
#31
JOURNAL ARTICLE
Yu-Jung Jenny Wei, Almut G Winterstein, Siegfried Schmidt, Roger B Fillingim, Stephan Schmidt, Michael J Daniels, Steven T DeKosky
BACKGROUND: Limited evidence exists on the short- and long-term safety of discontinuing versus continuing chronic opioid therapy (COT) among patients with Alzheimer's disease and related dementias (ADRD). METHODS: This cohort study was conducted among 162,677 older residents with ADRD and receipt of COT using a 100% Medicare nursing home sample. Discontinuation of COT was defined as no opioid refills for ≥90 days. Primary outcomes were rates of pain-related hospitalisation, pain-related emergency department visit, injury, opioid use disorder (OUD) and opioid overdose (OD) measured by diagnosis codes at quarterly intervals during 1- and 2-year follow-ups...
March 1, 2024: Age and Ageing
https://read.qxmd.com/read/38495896/private-health-insurance-in-the-united-states-and-sweden-a-comparative-review
#32
JOURNAL ARTICLE
Udit Dave, Emma G Lewis, Jenilkumar H Patel, Nikhil Godbole
BACKGROUND AND AIMS: The United States of America and Sweden both contain a public and private component to their healthcare systems. While both countries spend a similar amount per capita on public healthcare expenditures, the United States spends significantly more in the private healthcare sector. Sweden has a social democratic model of health care, and given its identity as a welfare state, private health insurance providers have a small and nuanced role. METHODS: This paper was completed after searches were queried for "Sweden," "United States," and variants of the words "insurance," "public," "private," "Medicare," "Medicaid," "public," and "costs...
March 2024: Health Science Reports
https://read.qxmd.com/read/38493921/sts-database-analysis-comparing-sublobar-techniques-in-stage-ia-lung-cancer
#33
JOURNAL ARTICLE
Christopher W Towe, Maria V Grau-Sepulveda, Matthew G Hartwig, Lillian Kang, Boxiang Jiang, Jillian Sinopoli, Leonidas Tapias Vargas, Andrzej Kosinski, Philip A Linden
BACKGROUND: This study compares sublobar resections - wedge resection and segmentectomy - in clinical stage IA lung cancers. It tests the hypothesis that overall survival post-wedge resection is similar to segmentectomy. METHODS: Adults undergoing wedge resection or segmentectomy for clinical stage IA lung cancer were identified from the STS-General Thoracic Surgery Database. Eligible patients were linked to the Centers for Medicare & Medicaid Services database using a matching algorithm...
March 15, 2024: Annals of Thoracic Surgery
https://read.qxmd.com/read/38492986/infection-control-measure-performance-in-long-term-care-hospitals-and-their-relationship-to-joint-commission-accreditation
#34
JOURNAL ARTICLE
Stephen P Schmaltz, Beth A Longo, Scott C Williams
BACKGROUND: This study evaluated the relationship between Joint Commission accreditation and health care-associated infections (HAIs) in long-term care hospitals (LTCHs). METHODS: This observational study used Centers for Medicare & Medicaid Services (CMS) LTCH data for the period 2017 to June 2021. The standardized infection ratio (SIR) of three measures used by the Centers for Disease Control and Prevention's National Healthcare Safety Network were used as dependent variables in a random coefficient Poisson regression model (adjusting for CMS region, owner type, and bed size quartile): catheter-associated urinary tract infections (CAUTIs), Clostridioides difficile infections (CDIs), and central line-associated bloodstream infections (CLABSIs) for the periods 2017 to 2019 and July 1, 2020, to June 30, 2021...
February 16, 2024: Joint Commission Journal on Quality and Patient Safety
https://read.qxmd.com/read/38488792/clinicians-who-practice-primarily-in-nursing-homes-and-the-quality-of-end-of-life-care-among-residents
#35
JOURNAL ARTICLE
Arnab K Ghosh, Mark Aaron Unruh, Hyunkyung Yun, Hye-Young Jung
IMPORTANCE: Clinician specialization in the care of nursing home (NH) residents or patients in skilled nursing facilities (SNFs) has become increasingly common. It is not known whether clinicians focused on NH care, often referred to as SNFists (ie, physicians, nurse practitioners, and physician assistants concentrating their practice in the NH or SNF setting), are associated with a reduced likelihood of burdensome transitions in the last 90 days of life for residents, which are a marker of poor-quality end-of-life (EOL) care...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38488433/validation-of-a-wearable-virtual-reality-perimeter-for-glaucoma-staging-the-nova-trial-novel-virtual-reality-field-assessment
#36
JOURNAL ARTICLE
Chris Bradley, Iqbal Ike K Ahmed, Thomas W Samuelson, Michael Chaglasian, Howard Barnebey, Nathan Radcliffe, Jason Bacharach
PURPOSE: Compare estimated sensitivities of SITA-Standard to the RATA-Standard algorithm of the Radius virtual reality perimeter (VRP), and measure concordance in glaucoma staging. METHODS: One hundred adult glaucoma patients-half with suspect or mild glaucoma, and half with moderate or severe-from five clinics performed four 24-2 visual field tests during a single visit, two with the Humphrey Field Analyzer (HFA) and two with Radius, in randomized order: HRHR or RHRH...
March 1, 2024: Translational Vision Science & Technology
https://read.qxmd.com/read/38487715/optimal-p2y-12-inhibitor-durations-in-older-men-and-older-women-following-an-acute-myocardial-infarction-a-nationwide-cohort-study-using-medicare-data
#37
JOURNAL ARTICLE
Ryan P Hickson, Anna M Kucharska-Newton, Jo E Rodgers, Betsy L Sleath, Gang Fang
STUDY OBJECTIVE: Identify optimal P2Y12 inhibitor durations balancing ischemic-benefit and bleeding-risk outcomes after acute myocardial infarction (AMI) in older men and women. DESIGN: Observational retrospective cohort with 2 years of follow-up, using clone-censor-weight marginal structural models to emulate randomization. SETTING: 20 % sample of US Medicare administrative claims data. PARTICIPANTS: P2Y12 inhibitor new users ≥66 years old following 2008-2013 AMI hospitalization...
December 2023: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38484252/association-of-neighborhood-level-socioeconomic-status-with-prolapse-management-decision
#38
JOURNAL ARTICLE
Perrin Downing, Shirley M Dong, Melissa A Ardizzone, Courtney D Lynch, Lisa C Hickman
IMPORTANCE: This study identifies how neighborhood-level socioeconomic status (SES) may affect patients' treatment decisions for pelvic organ prolapse (POP). OBJECTIVE: This study aimed to evaluate the association of neighborhood-level SES with the decision of surgical versus conservative POP management. STUDY DESIGN: This was a retrospective cohort study of patients newly diagnosed with POP at a tertiary medical center between 2015 and 2021...
March 1, 2024: Urogynecology (Phila)
https://read.qxmd.com/read/38482364/genotypic-characterization-of-bacterial-isolates-causing-urinary-tract-infections-among-adults-at-kiambu-level-5-hospital-kenya-selected-extended-spectrum-%C3%AE-lactamase-genes-and-biofilm-formation
#39
JOURNAL ARTICLE
Fredrick K Wanja, Eric O Omwenga, Caroline W Ngugi, John N Maina, John N Kiiru
The menace of antimicrobial resistance affecting public health is rising globally. Many pathogenic bacteria use mechanisms such as mutations and biofilm formation, significantly reducing the efficacy of antimicrobial agents. In this cross-sectional study, we aimed to determine the prevalence of selected extended-spectrum β-lactamase (ESβL) genes and analyse the biofilm formation abilities of the isolated bacteria causing urinary tract infection among adult patients seeking Medicare at Kiambu Level 5 Hospital, Kenya...
2024: Access microbiology
https://read.qxmd.com/read/38476271/relative-risks-of-childhood-developmental-vulnerabilities-in-three-australian-communities-with-exposure-to-per-and-polyfluoroalkyl-substances-data-linkage-study
#40
JOURNAL ARTICLE
Hsei Di Law, Bruce K Armstrong, Catherine D'este, Rose Hosking, Kayla Smurthwaite, Susan Trevenar, Nina Lazarevic, Robyn M Lucas, Archie C A Clements, Martyn D Kirk, Rosemary J Korda
BACKGROUND: Aqueous film forming foams (AFFF) containing per- and polyfluoroalkyl substances (PFAS) caused local environmental contamination in three Australian residential areas: Katherine in the Northern Territory (NT), Oakey in Queensland (Qld) and Williamtown in New South Wales (NSW). We examined whether children who lived in these areas had higher risks of developmental vulnerabilities than children who lived in comparison areas without known contamination. METHODS: All children identified in the Medicare Enrolment File-a consumer directory for Australia's universal healthcare insurance scheme-who ever lived in exposure areas, and a sample of children who ever lived in selected comparison areas, were linked to the Australian Early Development Census (AEDC)...
2024: International Journal of Population Data Science
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