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September 2012 - FRMC

09/14/2012
Tori Socha
Major depressive disorder is associated with chronic impairment of psychosocial and occupational functioning, creating an economic burden.
Major depressive disorder is associated with chronic impairment of psychosocial and occupational functioning, creating an economic burden.
Major depressive disorder is...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
Philadelphia—Among patients with major depressive disorder (MDD), those with more severe depression have longer duration of illness, increased comorbidity and mortality, fewer spontaneous remissions, and more recurrences. A previous study...
Philadelphia—Among patients with major depressive disorder (MDD), those with more severe depression have longer duration of illness, increased comorbidity and mortality, fewer spontaneous remissions, and more recurrences. A previous study...
Philadelphia—Among patients with...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
Philadelphia—Patients who adhere to their antipsychotic medications are less likely to be hospitalized and spend less time in the hospital when admitted, according to a retrospective database analysis. The inverse relationship between...
Philadelphia—Patients who adhere to their antipsychotic medications are less likely to be hospitalized and spend less time in the hospital when admitted, according to a retrospective database analysis. The inverse relationship between...
Philadelphia—Patients who adhere...
09/14/2012
First Report Managed Care
Conference Insider
09/14/2012
Tori Socha
Philadelphia—It is estimated that 21 million people in the United States work shifts outside of the normal workday, which is defined as any time from 6 am to 6 pm. People who work at night or on early morning shifts are at an increased risk...
Philadelphia—It is estimated that 21 million people in the United States work shifts outside of the normal workday, which is defined as any time from 6 am to 6 pm. People who work at night or on early morning shifts are at an increased risk...
Philadelphia—It is estimated...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
Most Medicaid patients in Missouri with irritable bowel syndrome with constipation or chronic constipation had an unmet medical need or treatment failure.
Most Medicaid patients in Missouri with irritable bowel syndrome with constipation or chronic constipation had an unmet medical need or treatment failure.
Most Medicaid patients in...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
San Diego—Endoscopists who used a high-definition, dual-focus colonoscope were >2 times as likely to detect diminutive (≤5 mm) polyps and had a significantly higher proportion of accurate predictions compared with those who used a standard...
San Diego—Endoscopists who used a high-definition, dual-focus colonoscope were >2 times as likely to detect diminutive (≤5 mm) polyps and had a significantly higher proportion of accurate predictions compared with those who used a standard...
San Diego—Endoscopists who used...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
San Diego—In the next decade, the proportion of people with hepatitis C who have cirrhosis, decompensation, and hepatocellular carcinoma is expected to increase. The complications will primarily affect people between 60 and 80 years of age.
San Diego—In the next decade, the proportion of people with hepatitis C who have cirrhosis, decompensation, and hepatocellular carcinoma is expected to increase. The complications will primarily affect people between 60 and 80 years of age.
San Diego—In the next decade,...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
San Diego—Post hoc analyses of a large phase 3, randomized, placebo-controlled, double-blind study found that adding telaprevir to the standard of care for treating chronic hepatitis C does not significantly decrease a patient’s...
San Diego—Post hoc analyses of a large phase 3, randomized, placebo-controlled, double-blind study found that adding telaprevir to the standard of care for treating chronic hepatitis C does not significantly decrease a patient’s...
San Diego—Post hoc analyses of a...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
San Diego—A retrospective database analysis of patients with cirrhosis found that statin therapy contributed to reduced liver disease progression and lower all-cause mortality rates. Sonal Kumar, MD, the lead author of the study and a...
San Diego—A retrospective database analysis of patients with cirrhosis found that statin therapy contributed to reduced liver disease progression and lower all-cause mortality rates. Sonal Kumar, MD, the lead author of the study and a...
San Diego—A retrospective...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
San Diego—Recent research has indicated healthcare professionals should consider new approaches when treating diverticular disease, which affects the colon and has no known cause. Primarily, the disease affects older adults, however, the...
San Diego—Recent research has indicated healthcare professionals should consider new approaches when treating diverticular disease, which affects the colon and has no known cause. Primarily, the disease affects older adults, however, the...
San Diego—Recent research has...
09/14/2012
First Report Managed Care
News Connection
09/14/2012
Tori Socha
Adverse drug events (ADEs), which are injuries related to using a drug, occur in 5% to 40% of hospitalized patients and in 12% to 17% of patients following hospital discharge. Transitions of care, including hospital admission and discharge,...
Adverse drug events (ADEs), which are injuries related to using a drug, occur in 5% to 40% of hospitalized patients and in 12% to 17% of patients following hospital discharge. Transitions of care, including hospital admission and discharge,...
Adverse drug events (ADEs),...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
Physicians tend to share patients with colleagues who have similar personal traits and practice styles, and there is substantial variation in physician network characteristics across geographic areas, according to study findings reported in...
Physicians tend to share patients with colleagues who have similar personal traits and practice styles, and there is substantial variation in physician network characteristics across geographic areas, according to study findings reported in...
Physicians tend to share...
09/14/2012
First Report Managed Care
09/14/2012
Mary Mihalovic
Safety-net hospitals, those that care for vulnerable and poor populations, performed more poorly in patient-reported experiences compared with nonsafety-net hospitals, according to results of a recent study [Arch Intern Med....
Safety-net hospitals, those that care for vulnerable and poor populations, performed more poorly in patient-reported experiences compared with nonsafety-net hospitals, according to results of a recent study [Arch Intern Med....
Safety-net hospitals, those that...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
In a retrospective observational study of patients who underwent esophagectomy for cancer, only 28.7% of patients and <1 in 10 hospitals met the National Comprehensive Cancer Network (NCCN) benchmark of examining at least 15 lymph nodes....
In a retrospective observational study of patients who underwent esophagectomy for cancer, only 28.7% of patients and <1 in 10 hospitals met the National Comprehensive Cancer Network (NCCN) benchmark of examining at least 15 lymph nodes....
In a retrospective observational...
09/14/2012
First Report Managed Care
09/14/2012
Jill Sederstorm
A new retrospective study examining evidence-based standard protocols (EBSPs) in emergency departments (EDs) and their impact on childhood asthma outcomes found that there was no association between the EDs that used EBSPs and those that did...
A new retrospective study examining evidence-based standard protocols (EBSPs) in emergency departments (EDs) and their impact on childhood asthma outcomes found that there was no association between the EDs that used EBSPs and those that did...
A new retrospective study...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
Implanting bare-metal stents (BMS) rather than drug-eluting stents (DES) in patients at low risk of restenosis has the potential for significant cost savings and may lead to fewer additional target-vessel revascularization (TVR) procedures,...
Implanting bare-metal stents (BMS) rather than drug-eluting stents (DES) in patients at low risk of restenosis has the potential for significant cost savings and may lead to fewer additional target-vessel revascularization (TVR) procedures,...
Implanting bare-metal stents...
09/14/2012
First Report Managed Care
Newsfeed
09/14/2012
Tori Socha
For patients dying of cancer who no longer have the option of curative care, the focus of care may shift from prolonging life to improving the quality of life (QOL). The Institute of Medicine issued a report in 1997 on improving care at the...
For patients dying of cancer who no longer have the option of curative care, the focus of care may shift from prolonging life to improving the quality of life (QOL). The Institute of Medicine issued a report in 1997 on improving care at the...
For patients dying of cancer who...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
Overweight or obese patients, who are at high risk for chronic disease, can benefit from interventions aimed at weight loss as first-line treatment for obesity-related conditions. Some patients are able to achieve 8% to 10% weight loss with 6...
Overweight or obese patients, who are at high risk for chronic disease, can benefit from interventions aimed at weight loss as first-line treatment for obesity-related conditions. Some patients are able to achieve 8% to 10% weight loss with 6...
Overweight or obese patients,...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
According to data from the National Health and Nutrition Examination Survey from 1999 to 2006, only 1 out of 6 overweight and obese American adults reported maintaining weight loss of at least 10% for 1 year. Long-term success rates may be...
According to data from the National Health and Nutrition Examination Survey from 1999 to 2006, only 1 out of 6 overweight and obese American adults reported maintaining weight loss of at least 10% for 1 year. Long-term success rates may be...
According to data from the...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
Statin therapy is commonly used to lower serum cholesterol levels and aid in the prevention of cardiovascular events. Previous statin trials have predominately enrolled men, according to researchers, and there have been conflicting results on...
Statin therapy is commonly used to lower serum cholesterol levels and aid in the prevention of cardiovascular events. Previous statin trials have predominately enrolled men, according to researchers, and there have been conflicting results on...
Statin therapy is commonly used...
09/14/2012
First Report Managed Care
09/14/2012
Mary Beth Nierengarten
Although evidence suggests an increased risk of both diabetes mellitus and cognitive impairment with increased age, the association is less than clear.
Although evidence suggests an increased risk of both diabetes mellitus and cognitive impairment with increased age, the association is less than clear.
Although evidence suggests an...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
More than one third of patients referred from the emergency department (ED) for percutaneous coronary intervention (PCI) do not have ST-segment elevation myocardial infarction (STEMI), according to results of a recent study. For patients with...
More than one third of patients referred from the emergency department (ED) for percutaneous coronary intervention (PCI) do not have ST-segment elevation myocardial infarction (STEMI), according to results of a recent study. For patients with...
More than one third of patients...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
Every year, an estimated 4 million people in the United States develop community-acquired pneumonia (CAP). There were 1.3 million hospitalizations for pneumonia in 2005. The cost of care for patients with CAP, including direct and indirect...
Every year, an estimated 4 million people in the United States develop community-acquired pneumonia (CAP). There were 1.3 million hospitalizations for pneumonia in 2005. The cost of care for patients with CAP, including direct and indirect...
Every year, an estimated 4...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
The progression rate of untreated kidney failure is significantly higher in older compared with younger individuals, according to a study of almost 2 million Canadian adults. [JAMA. 2012;307(23):2507-2512].
The progression rate of untreated kidney failure is significantly higher in older compared with younger individuals, according to a study of almost 2 million Canadian adults. [JAMA. 2012;307(23):2507-2512].
The progression rate of...
09/14/2012
First Report Managed Care
09/14/2012
Tori Socha
Smoking is a major risk factor for multiple chronic diseases, including cardiovascular disease and cancer, as well as for mortality from the leading causes of death. It is one of the 10 leading risk factors for death and is responsible for an...
Smoking is a major risk factor for multiple chronic diseases, including cardiovascular disease and cancer, as well as for mortality from the leading causes of death. It is one of the 10 leading risk factors for death and is responsible for an...
Smoking is a major risk factor...
09/14/2012
First Report Managed Care
09/14/2012
Eileen Koutnik-Fotopoulos
Among patients with type 2 diabetes, treatment with glucose-lowering thiazolidinedione drug therapies appeared to be linked with a higher risk of diabetic macular edema (DME) after 1-year and 10-year follow-up. The researchers reported the...
Among patients with type 2 diabetes, treatment with glucose-lowering thiazolidinedione drug therapies appeared to be linked with a higher risk of diabetic macular edema (DME) after 1-year and 10-year follow-up. The researchers reported the...
Among patients with type 2...
09/14/2012
First Report Managed Care
09/14/2012
Mary Beth Nierengarten
Results of a study that used a risk model to compare hospital performance in care for acute ischemic stroke [JAMA. 2012;308(3):257-264] showed that adding stroke severity to the risk model was associated with a considerable improvement in the...
Results of a study that used a risk model to compare hospital performance in care for acute ischemic stroke [JAMA. 2012;308(3):257-264] showed that adding stroke severity to the risk model was associated with a considerable improvement in the...
Results of a study that used a...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
To deal with escalating costs, health insurers have proposed several ways to control this problem. Near the top of their list is increasing reliance on generic drugs rather than more expensive branded products since generics, besides being...
To deal with escalating costs, health insurers have proposed several ways to control this problem. Near the top of their list is increasing reliance on generic drugs rather than more expensive branded products since generics, besides being...
To deal with escalating costs,...
09/14/2012
First Report Managed Care
09/14/2012
Tim Casey
Throughout his career, Michael E. Porter, MBA, PhD, has played an important role in shaping the ways students learn and businesses operate. Dr. Porter, a Harvard Business School professor, advises corporations on strategy and provides...
Throughout his career, Michael E. Porter, MBA, PhD, has played an important role in shaping the ways students learn and businesses operate. Dr. Porter, a Harvard Business School professor, advises corporations on strategy and provides...
Throughout his career, Michael...
09/14/2012
First Report Managed Care