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Ariel Bardach, Herney Andrés García Perdomo, Ruth Amanda Ruano Gándara, Agustín Ciapponi
Objective: Determine the relationship between tobacco-use prevalence and smoker income level in Latin America and the Caribbean (LAC). Methods: A systematic search was carried out in MEDLINE, EMBASE, CENTRAL, SOCINDEX, and LILACS databases. Studies from LAC published from January 1989 to December 2015 were included and were analyzed by subgroups disaggregated by decade of data, country, bias risk, sex, and age group. Results: Of 1 254 studies evaluated by full text, 29 articles were included, of which 25 were chosen for meta-analysis...
October 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Andrés Pichon-Riviere, Ariel Bardach, Federico Augustovski, Andrea Alcaraz, Luz Myriam Reynales-Shigematsu, Márcia Teixeira Pinto, Marianela Castillo-Riquelme, Esperanza Peña Torres, Diana Isabel Osorio, Leandro Huayanay, César Loza Munarriz, Belén Sáenz de Miera-Juárez, Verónica Gallegos-Rivero, Catherine De La Puente, María Del Pilar Navia-Bueno, Joaquín Caporale
Objective: Estimate smoking-attributable direct medical costs in Latin American health systems. Methods: A microsimulation model was used to quantify financial impact of cardiovascular and cerebrovascular disease, chronic obstructive pulmonary disease (COPD), pneumonia, lung cancer, and nine other neoplasms. A systematic search for epidemiological data and event costs was carried out. The model was calibrated and validated for Argentina, Bolivia, Brazil, Chile, Colombia, Mexico, and Peru, countries that account for 78% of Latin America's population; the results were then extrapolated to the regional level...
October 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Andrea Alcaraz, Joaquín Caporale, Ariel Bardach, Federico Augustovski, Andrés Pichon-Riviere
Objective: Evaluate burden of disease associated with tobacco use in Argentina and estimate health and economic impacts of cigarette price increases through taxes. Methods: A microsimulation model was used to quantify smoking-attributable impact on mortality, quality of life, and costs for cardiovascular, cerebrovascular, and chronic obstructive pulmonary disease; pneumonia; and ten cancers. Modeling was done for effect of different price increase scenarios on tobacco use and their impact on health and economics...
October 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
A Wielandner, P Agarwal, A Toelly, C Bardach
BACKGROUND: In patients with a clinical suspicion of pneumonia, typical clinical and laboratory features along with the detection of infiltrates on chest X‑ray are as a rule considered diagnostic and therapy is immediately initiated; however, studies have shown that in up to 5% of patients with an initial suspicion of pneumonia, another noninfectious pulmonary disease was the underlying cause. Early recognition and differentiation of diseases mimicking pneumonia are prerequisites for an adequate therapy...
January 2017: Der Radiologe
Agustín Ciapponi, Alison Lee, Ariel Bardach, Demián Glujovsky, Lucila Rey-Ares, María Luisa Cafferata, Pilar Valanzasca, Sebastián García Martí
OBJECTIVES: To assess the efficacy, cost-effectiveness, immunogenicity, and safety related to the interchangeability between pneumococcal conjugate vaccines (PCVs) and vaccination schedules in pediatric population. METHODS: Systematic searches were conducted in December 2010 and April 2015 for economic evaluations in MEDLINE, EMBASE, LILACS, and Cochrane Central Register of Controlled Trials. Web sites and databases from medical societies, experts, and associations related to the topic, proceedings or congressional annals, and doctoral theses were also searched...
December 2016: Value in Health Regional Issues
A Alcaraz, A Pichon-Riviere, A Bardach, F Augustovski
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Bonnie T Zima, Jonathan Rodean, Matt Hall, Naomi S Bardach, Tumaini R Coker, Jay G Berry
OBJECTIVE: To describe recent, 10-year trends in pediatric hospital resource use with and without a psychiatric diagnosis and examine how these trends vary by type of psychiatric and medical diagnosis cooccurrence. METHODS: A retrospective, longitudinal cohort analysis using hospital discharge data from 33 tertiary care US children's hospitals of patients ages 3 to 17 years from January 1, 2005 through December 31, 2014. The trends in hospital discharges, hospital days, and total aggregate costs for each psychiatric comorbid group were assessed by using multivariate generalized estimating equations...
November 2016: Pediatrics
Stephanie K Doupnik, John Lawlor, Bonnie T Zima, Tumaini R Coker, Naomi S Bardach, Matt Hall, Jay G Berry
OBJECTIVE: Mental health conditions are prevalent among children hospitalized for medical conditions and surgical procedures, but little is known about their influence on hospital resource use. The objectives of this study were to examine how hospitalization characteristics vary by presence of a comorbid mental health condition and estimate the association of a comorbid mental health condition with hospital length of stay (LOS) and costs. METHODS: Using the 2012 Kids' Inpatient Database, we conducted a retrospective, nationally representative, cross-sectional study of 670 161 hospitalizations for 10 common medical and 10 common surgical conditions among 3- to 20-year-old patients...
December 2016: Pediatrics
Kevin Real, Shoshana H Bardach, David R Bardach
Increasingly, health communication scholars are attending to how hospital built environments shape communication, patient care processes, and patient outcomes. This multimethod study was conducted on two floors of a newly designed urban hospital. Nine focus groups interviews were conducted with 35 health care professionals from 10 provider groups. Seven of the groups were homogeneous by profession or level: nursing (three groups), nurse managers (two groups), and one group each of nurse care technicians ("techs") and physicians...
November 30, 2016: Health Communication
Niamh M Long, Andrew J Plodkowski, Rachel Schor-Bardach, Alexander I Geyer, Junting Zheng, Chaya S Moskowitz, Michelle S Ginsberg
OBJECTIVE: The aims of this study were to describe the computed tomographic features of organizing pneumonia (OP) in an oncologic patient population and to also identify features associated with lung cancer and patients undergoing hematopoietic stem cell transplant (HSCT). METHODS: In retrospective computed tomographies from 151 patients with pathologically confirmed OP between January 2009 and September 2014, number of lesions, location, size, margin type, and consistency, as well as volume of lymphadenopathy and the presence and size of pleural effusions, were recorded...
October 20, 2016: Journal of Computer Assisted Tomography
Brunilda Casetta, Alejandro J Videla, Ariel Bardach, Paola Morello, Natalie Soto, Kelly Lee, Paul Anthony Camacho, Rocío Victoria Hermoza Moquillaza, Agustín Ciapponi
INTRODUCTION: Previous evidence linked low socioeconomic status with higher smoking prevalence. Our objective was to assess the strength of this association in the world population, updating a previous work. METHODS: Systematic review and meta-analysis of observational studies. Subgroup analyses included continents, WHO regions, country mortality levels, gender, age, risk of bias and study publication date. Independent reviewers selected studies, assessed potential bias and extracted data...
September 27, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Agustín Ciapponi, Andrea Alcaraz, María Calderón, María Gabriela Matta, Martin Chaparro, Natalie Soto, Ariel Bardach
INTRODUCTION AND OBJECTIVES: Heart failure is a major public health concern. The aim of this review was to estimate the burden of heart failure in Latin America. METHODS: Systematic review and meta-analysis following a search in MEDLINE, EMBASE, LILACS, and CENTRAL for articles published between January 1994 and June 2014, with no language restrictions. We included experimental and observational studies with at least 50 participants aged ≥ 18 years. RESULTS: In total, 143 of the 4792 references retrieved were included in the study...
November 2016: Revista Española de Cardiología
Sarah D Tarrant, Shoshana H Bardach, Kendra Bates, Heather Nichols, Jacqueline Towner, Clay Tamatha, Allison Caban-Holt, Linda J Van-Eldik, Richard R Murphy, Reisa Sperling, Gregory A Jicha
Effective and practical recruitment strategies are needed to ensure successful recruitment into the Alzheimer disease clinical trials. To facilitate successful recruitment for the NIH-sponsored A4 (Anti-Amyloid treatment in Asymptomatic Alzheimer's disease, NCT02008357) trial for the secondary prevention of Alzheimer disease, we developed a small-group community information session to attract and recruit potential research participants. After a successful media campaign, 213 participants were screened through telephone for eligibility, identifying 127 potential participants...
May 20, 2016: Alzheimer Disease and Associated Disorders
Adam J Schoenfeld, Jason M Davies, Ben J Marafino, Mitzi Dean, Colette DeJong, Naomi S Bardach, Dhruv S Kazi, W John Boscardin, Grace A Lin, Reena Duseja, Y John Mei, Ateev Mehrotra, R Adams Dudley
IMPORTANCE: Commercial virtual visits are an increasingly popular model of health care for the management of common acute illnesses. In commercial virtual visits, patients access a website to be connected synchronously-via videoconference, telephone, or webchat-to a physician with whom they have no prior relationship. To date, whether the care delivered through those websites is similar or quality varies among the sites has not been assessed. OBJECTIVE: To assess the variation in the quality of urgent health care among virtual visit companies...
May 1, 2016: JAMA Internal Medicine
J Erdenetsogt, G N Ayanga, D Tserendulam, R Bayasgalan
INTRODUCTION: The three common complications after cleft palate repair are velopharyngeal incompetence, delayed maxillary growth, and fistula formation. Fistula formation rates are reported 0-76% in the literature. Wider palatal defects are more challenging to avoid excess tension, and recent reports suggest defects >15 mm have a significantly higher risk of fistula formation. By localization, the fistulas are divided into seven groups with Pittsburgh fistula classification system (PFCS)...
July 2015: Annals of Maxillofacial Surgery
Andrés Pichon-Riviere, Andrea Alcaraz, Joaquín Caporale, Ariel Bardach, Lucila Rey-Ares, Karen Klein, María Calderón, Federico Augustovski, Silvio Tatti
OBJECTIVE: To assess the cost-effectiveness of the quadrivalent vaccine against human papillomavirus (HPV) in Argentina from the health system perspective. MATERIALS AND METHODS: A dynamic transmission model was used to estimate the impact of the vaccine on the incidence of cervical cancer, warts, and other HPV related diseases; in quality adjusted life years (QALYs); and in healthcare costs. RESULTS: Vaccination could reduce the risk of cervical cancer by 60% and by 67% the risk of genital warts...
November 2015: Salud Pública de México
Naomi S Bardach, Audrey Lyndon, Renée Asteria-Peñaloza, L Elizabeth Goldman, Grace A Lin, R Adams Dudley
OBJECTIVE: Patient-centred care has become a priority in many countries. It is unknown whether current tools capture aspects of care patients and their surrogates consider important. We investigated whether online narrative reviews from patients and surrogates reflect domains in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and we described additional potential domains. DESIGN: We used thematic analysis to assess online narrative reviews for reference to HCAHPS domains and salient non-HCAHPS domains and compared results by reviewer type (patient vs surrogate)...
December 15, 2015: BMJ Quality & Safety
A Ciapponi, A Bardach, M Calderón, A Alcaraz, M G Matta, M Chaparro, N Soto
No abstract text is available yet for this article.
November 2015: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Ariel Esteban Bardach, Agustin Ciapponi, Natalie Soto, Martin R Chaparro, Maria Calderon, Agustina Briatore, Norma Cadoppi, Roberto Tassara, Marta I Litter
Four million people in Argentina are exposed to arsenic contamination from drinking waters of several center-northern provinces. A systematic review to examine the geographical distribution of arsenic-related diseases in Argentina was conducted, searching electronic databases and gray literature up to November 2013. Key informants were also contacted. Of the 430 references identified, 47 (mostly cross-sectional and ecological designs) referred to arsenic concentration in water and its relationship with the incidence and mortality of cancer, dermatological diseases and genetic disorders...
December 15, 2015: Science of the Total Environment
Márcia Teixeira Pinto, Andres Pichon-Riviere, Ariel Bardach
Advances in tobacco control in Brazil can be reflected in the decrease in prevalence over the past two decades. Death statistics and the occurrence of events and direct costs attributable to tobacco-related diseases have not been frequently estimated in the country. The goal of this article is to estimate the burden of smoking in 2011 regarding mortality, morbidity and medical care costs of the main tobacco-related diseases. A probabilistic microsimulation health economic model was built. The model incorporates the natural history, costs and quality of life of all the tobacco-related adult-specific diseases...
June 2015: Cadernos de Saúde Pública
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