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Physician data query

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October 2016: Journal of the National Cancer Institute
Christopher Crowley, Amy R Stuck, Tracy Martinez, Alan C Wittgrove, Feng Zeng, Jesse J Brennan, Theodore C Chan, James P Killeen, Edward M Castillo
BACKGROUND: Almost 70% of hospital admissions for Medicare beneficiaries originate in the emergency department (ED). Research suggests that some of these patients' needs may be better met through home-based care options after evaluation and treatment in the ED. OBJECTIVE: We sought to estimate Medicare cost savings resulting from using the Home Health benefit to provide treatment, when appropriate, as an alternative to inpatient admission from the ED. METHODS: This is a prospective study of patients admitted from the ED...
September 28, 2016: Journal of Emergency Medicine
Robert A Berenson, Rachel A Burton, Megan McGrath
BACKGROUND: Many view advanced primary care models such as the patient-centered medical home as foundational for accountable care organizations (ACOs), but it remains unclear how these two delivery reforms are complementary and how they may produce conflict. The objective of this study was to identify how joining an ACO could help or hinder a primary care practice's efforts to deliver high-quality care. METHODS: This qualitative study involved interviews with a purposive sample of 32 early adopters of advanced primary care and/or ACO models, drawn from across the U...
September 2016: Healthcare
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Journal of the National Cancer Institute
Curtis Hanba, Steven Cox, Michael Bobian, Peter F Svider, Nathan J Gonik, Mahdi A Shkoukani, Anthony Sheyn
OBJECTIVES/HYPOTHESIS: Our objectives were to identify consumer product (CP) ingestion and aspiration trends. Our hope is that evaluation of contemporary trends may be useful to physicians and policy makers and further guide preventative measures. METHODS: The Consumer Product Safety Commission's National Electronic Injury Surveillance System was queried for pediatric CP aspiration and ingestion data for the years 2000 to 2014. Data from 2000 to 2004 were compared to 2010 to 2014 data and analyzed for CP and injury occurrence...
September 13, 2016: Laryngoscope
Richard S Hoehn, Dennis J Hanseman, Alex L Chang, Megan C Daly, Audrey E Ertel, Daniel E Abbott, Shimul A Shah, Ian M Paquette
BACKGROUND: Urgent colectomy is a common procedure with a high mortality rate that is performed by a variety of surgeons and hospitals. We investigated patient, surgeon, and hospital characteristics that predicted mortality after urgent colectomy. METHODS: The University HealthSystem Consortium was queried for adults undergoing urgent or emergent colectomy between 2009 and 2013 (n = 50,707). Hospitals were grouped into quartiles according to risk-adjusted observed-to-expected (O/E) mortality ratios and compared using the 2013 American Hospital Association Annual Survey...
September 1, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Maya A Babu, Robert F Heary, Brian V Nahed
BACKGROUND: The Open Payments Database (OPD) was launched by the Centers for Medicare & Medicaid Services in 2014. Through this online searchable database, the public can explore physician-industry interactions. To date, there is no published literature on the accuracy of the database for neurosurgeons or any physician specialty. OBJECTIVE: To study the accuracy of published records and scope of industry-neurosurgeon relationships between neurosurgeons and industry within the OPD...
August 30, 2016: Neurosurgery
Arya Amini, Bernard L Jones, Debashis Ghosh, Tracey E Schefter, Karyn A Goodman
BACKGROUND: Given the rarity of anal cancer and the technical aspects involved in radiation (RT) planning, the authors conducted a population-based analysis evaluating the impact of radiation oncology facility volume on overall survival (OS) in patients with squamous cell carcinoma (SCC) of the anal canal. METHODS: The National Cancer Data Base (NCDB) was queried for patients with SCC of the anal canal who underwent RT. All patients were coded as having received their entire course of RT at the NCDB reporting facility...
August 29, 2016: Cancer
Sun Zheng, Liu Bing-Ru
Intravascular ultrasound (IVUS)-based tissue characterization is invaluable for the computer-aided diagnosis and interventional treatment of cardiac vessel diseases. Although the analysis of raw backscattered signals allows more accurate plaque characterization than gray-scale images, its applications are limited due to its nature of electrocardiogram-gated acquisition. Images acquired by IVUS devices that do not allow the acquisition of raw signals cannot be characterized. To address these limitations, we developed a method for fast frame-by-frame retrieval and location of calcification according to the jump features of radial gray-level variation curves from sequential IVUS gray-scale images...
August 12, 2016: Bio-medical Materials and Engineering
Amar U Kishan, Gillian Duchesne, Pin-Chieh Wang, Jean-Claude M Rwigema, Christopher Saigal, Matthew Rettig, Michael L Steinberg, Christopher R King
OBJECTIVE: The objective was to query how specialty influences treatment recommendations for high-risk prostate cancer in 3 clinical settings: upfront management, postoperative management, and management of biochemical recurrences (BCRs) after radiotherapy (RT). We hypothesized that specialty bias would manifest in all settings, trumping available evidence. METHODS: A survey of practicing urologists and radiation oncologists was distributed through electronic mail...
August 24, 2016: American Journal of Clinical Oncology
Clara K Zhu, Pegeen W Eslami, Mohammad H Eslami
INTRODUCTION: We set out to compare the rates of Medicare reimbursement to physicians versus hospitals for several major vascular procedures over a period of five years. METHODS: We queried the Wolters Luwer MediRegs database to collect Medicare reimbursement data from fiscal years 2011 to 2015. We surveyed reimbursements for carotid endarterectomy (CEA), carotid angioplasty and stenting (CAS), femoropopliteal bypass, and lower extremity fem-pop revascularization with stenting...
August 20, 2016: Annals of Vascular Surgery
Sohrab S Virk, Frank M Phillips, Safdar N Khan
BACKGROUND: A bundled payment represents a single payment for services during an episode of care for a surgical procedure. Anterior cervical discectomy and fusion (ACDF) and associated 90-day costs have been suggested as a bundle amenable to such a payment structure; however, to our knowledge, there are limited available data with regard to costs related to this procedure and subsequent care. METHODS: The Medicare 5% National Sample Administrative Database was used to catalog clinical and financial data associated with the day of the surgical procedure and the 90-day postoperative period for patients undergoing a one to two-level ACDF procedure from 2005 to 2012...
August 17, 2016: Journal of Bone and Joint Surgery. American Volume
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Journal of the National Cancer Institute
Filipa Silva-Ferreira, Joana Afonso, Pedro Pinto-Lopes, Fernando Magro
BACKGROUND: Immunogenicity to therapeutic proteins has been linked to loss of response by a large percentage of patients taking anti-tumor necrosis factor-alpha agents. Drug monitoring can be extremely useful, allowing physicians to adjust the therapeutic scheme individually. This article aims to systematically review the published data with respect to cutoff levels of infliximab (IFX) and adalimumab (ADA) and relate them to the methodology adopted for quantification of IFX and ADA levels and clinical outcomes...
September 2016: Inflammatory Bowel Diseases
E Viedma-Guiard, P Agüero, L Crespo-Araico, C Estévez-Fraga, G Sánchez-Díez, J L López-Sendón, I Aviles-Olmos, G García-Ribas, M L Palacios Romero, J Masjuan Vallejo, J C Martínez-Castrillo, A Alonso-Cánovas
INTRODUCTION: The clinical problems of patients with movement disorders (MD) are complex, and the duration and frequency of face-to-face consultations may be insufficient to meet their needs. We analysed the implementation of an e-mail-based query service for our MD unit's patients and their primary care physicians (PCPs). METHODS: We retrospectively reviewed all consecutive emails sent and received over a period of 4 months, one year after implementation of the e-mail inquiry system...
July 26, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Yoshinori Ohta, Izumi Miki, Takeshi Kimura, Mitsuru Abe, Mio Sakuma, Kaoru Koike, Takeshi Morimoto
OBJECTIVES: There have been epidemiological studies of adverse events (AEs) among general patients but those of patients cared by cardiologist are not well scrutinized. We investigated the occurrence of AEs and medical errors (MEs) among adult patients with cardiology in Japan. METHODS: We conducted a cross-sectional study of adult outpatients at a Japanese teaching hospital from February through November 2006. We measured AE and ME incidents from patient report, which were verified by medical records, laboratory data, incident reports, and prescription queries...
July 26, 2016: Journal of Patient Safety
Steven F DeFroda, Joseph A Gil, Brett D Owens
PURPOSE: To quantify and compare the incidence of lower extremity injuries in skiers and snowboarders who present to emergency rooms in the United States. METHODS: Cross-sectional study of lower extremity injuries in skiers and snowboarders that were evaluated in emergency rooms in the United States. The National Electric Injury Surveillance System (NEISS) database was queried from January 1st, 2014 and December 31st, 2014 and the reported cases of lower extremity injuries in skiers and snowboarders were examined...
July 7, 2016: Injury
Mark Finkelstein, Khawaja Bilal, Michael Palese
OBJECTIVES: To elucidate the evolving trends in subspecialization related to individual practice within inpatient urology over a 31 year period spanning from 1982 to 2012. MATERIALS AND METHODS: We conducted a retrospective cohort study by querying the centralized New York State data on PN (Partial Nephrectomy), RN (Radical Nephrectomy), RP (Radical Prostatectomy), and RC (Radical Cystectomy) procedures for all inpatient encounters in the state of New York for the years 1982-2012 using the Statewide Planning and Research Cooperative System dataset...
July 12, 2016: Urology
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Journal of the National Cancer Institute
Alexander Hein, Paul Gass, Christina Barbara Walter, Florin-Andrei Taran, Andreas Hartkopf, Friedrich Overkamp, Hans-Christian Kolberg, Peyman Hadji, Hans Tesch, Johannes Ettl, Rachel Wuerstlein, Debra Lounsbury, Michael P Lux, Diana Lüftner, Markus Wallwiener, Volkmar Müller, Erik Belleville, Wolfgang Janni, Tanja N Fehm, Diethelm Wallwiener, Thomas Ganslandt, Matthias Ruebner, Matthias W Beckmann, Andreas Schneeweiss, Peter A Fasching, Sara Y Brucker
As breast cancer is a diverse disease, clinical trials are becoming increasingly diversified and are consequently being conducted in very small subgroups of patients, making study recruitment increasingly difficult. The aim of this study was to assess the use of data from a remote data entry system that serves a large national registry for metastatic breast cancer. The PRAEGNANT network is a real-time registry with an integrated biomaterials bank that was designed as a scientific study and as a means of identifying patients who are eligible for clinical trials, based on clinical and molecular information...
July 2016: Breast Cancer Research and Treatment
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