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Examining Sociodemographic Disparities in Diagnostic Delays and Surgical Management of Non-Syndromic Craniosynostosis: A 10-Year Review.

ObjectiveTo investigate the impact of sociodemographic factors on the surgical management and outcomes of patients with non-syndromic cranio … o those undergoing ES + HT. When controlling procedure type and sociodemographic variables, private insurance was a predictor of earlier diagnosis (β=-3.06, 95% CI [-5.97, -0.16], P = 0.039) and earlier surgical intervention (β=-3.55, 95% CI [-6.67, -0.42], P = 0.026). Independent predictors of longer hospital stay included Hispanic ethnicity (β=0.45, 95% C …

Primary Care Utilization After Pregnancies Complicated by Hypertension and Diabetes: An Analysis of the Medical Expenditure Panel Survey From 2016-2022.

BACKGROUND: Primary care after pregnancy allows for cardiovascular risk factor modification amidst rising rates of cardiometabolic complications in pregnancy. However, postpartum primary care utilization is understudied, with few national studies among the privately insured. In response to updated professional guidelines and expanded insurance access, we conducted a nationally representative, multipayer study among privately and publicly insured individuals with cardiometabolic complications to explore primary care utilization after pregnancy. METHODS: Using Medical Expenditure Panel Survey (…

Health Care Financial Hardship Among Nonelderly U.S. Adults by Diabetes Status.

OBJECTIVE: Individuals with diabetes face substantial health-related financial burdens, but a comprehensive understanding of these burdens r … lence of financial hardships between individuals with and without diabetes across income levels and insurance coverages. RESULTS: The study sample included 6,091 individuals with diabetes and 61,691 individuals without diabetes. Nonelderly adults with diabetes experienced significantly higher rates of financial hardship than those without. Specifically, 40 …

Genital Herpes Diagnoses With Connecting Pharmacological Prescriptions Among Enrollees 18 Years and Older in a Large Employer-Based Healthcare Claims Data, United States, 2019-2023.

OBJECTIVES: Genital herpes (GH) is caused by herpes simplex type 1 and type 2. GH affects 500 million people worldwide and is often managed with pharmaceutical therapies, counseling, and education. We examined diagnosed GH among individuals with employer-sponsored insurance in the United States from 2019 to 2023. Our analysis aims to describe: (1) demographics of employer-sponsored insurance enrollees diagnosed with GH between 2019 and 2023, and (2) prescription patterns for the treatment of GH and assess whether these prescriptions are aligned with the Centers for Disease Control and Preventi…

Text Messaging as a Tool to Address Language Barriers in Cervical Cancer Screening Among Spanish-Preferred Populations: A Quality Improvement Study.

BackgroundDespite advances in cervical cancer screening, cervical cancer rates have been increasing in the last decade. Hispanic women have … screening and those who did not.ResultsWe had 52 patients in IM and 58 in FM, differing in age and insurance status, with median ages of 45.5 and 40.0, and percent insured of 65.4% and 82.8%. Post-study, 25.0% (13/52) in IM and 15.5% (9/58) in FM scheduled cervical screening appointments, which was not significantly different, p=0.21. Patients who schedule …

Telehealth Disparities in Outpatient Substance Use Disorder (SUD) Treatment among Medicaid Beneficiaries during COVID-19.

BACKGROUND: We investigated racial and ethnic disparities in telehealth counseling among Medicaid-insured patients in outpatient substance use disorder (SUD) treatment clinics and assessed whether the clinic-level proportion of Medicaid-insured patients moderated these disparities. METHODS: Using New York State (NYS) Medicaid and statewide treatment registry data, we analyzed 24,814 admission episodes across 399 outpatient SUD clinics during the first 6 months of COVID-19 (April-September 2020). Our outcome measure was the number of tele-counseling sessions within the first 90 days of treatme

Identifying Gaps and Disparities in Screening for Cystic Fibrosis Associated Liver Disease: Insights From a CF Center Analysis.

BACKGROUND: New 2023 CF liver disease (CFLD) guidelines advocate for additional screening in people with cystic fibrosis (PwCF), including b … center: 37% (n = 42) self-reported as mixed race, 27% (n = 30) as Hispanic; 53% (n = 59) had public insurance. Incomplete lab screening was identified in 19% of our cohort. GGT was the most frequently missed component (14%, n = 16). Hispanics and publicly insured people were more likely to have incomplete screening. Of the 112, 45 met criteria for HBI. Demo …

Sociocultural correlates of cervical cancer prevention behaviors among Hispanic/Latina women in the United States.

BACKGROUND: Hispanic/Latina women in the United States have high rates of cervical cancer and little is known regarding how sociocultural fa … hile controlling for sociodemographic variables. CONCLUSIONS: Age, income, sexual orientation, and insurance status were consistently related to cervical cancer prevention behaviors among Hispanic/Latina women. Future research should examine the mechanisms through which the association between simpatía and HPV vaccine initiation occurs.

Impact of Increasing Midwifery-Led Prenatal Care on Birth Outcomes: An Application of the g-Formula and Target Trial Emulation.

BACKGROUND: Compared to undergoing prenatal care with a physician, care with a midwife reduces the risk of medical interventions and complic … eased. METHODS: Our sample included commercially insured, midwifery-eligible pregnant people in an insurance claims data source. We used g-computation to assess the change in prevalence of caesarean deliveries, primary and secondary postpartum haemorrhage, obstetric trauma, and maternal infection if 10%, 20%, and 50% more pregnant people enrolled in prenat …

Travel Time to Fertility Specialty Care Among Reproductive-Age Cancer Survivors.

Purpose: Adolescent and young adult (AYA) women facing gonadotoxic cancer treatments are recommended to consider fertility preservation. How … vel time to fertility clinics showed important differences by race and ethnicity, neighborhood SES, insurance, and rurality. The results emphasize the need for tailored and multifaceted strategies to improve access.

Surveillance of Clostridioides difficile on hospital admission and outpatient antibiotic use in Germany-a 9 year ecological analysis.

BACKGROUND: Antibiotic consumption is considered an important risk factor for Clostridioides difficile infection (CDI). This ecological analysis investigates the influence of outpatient antibiotic prescriptions in statutory health insurance (SHI) on the admission prevalence of CDI in German hospitals participating in voluntary CDI surveillance through the hospital infection surveillance system (Krankenhaus-Infektions-Surveillance-System; KISS). METHODS: The annual CDI admission prevalence of a hospital at the federal state level was associated with the outpatient antibiotic consumption of the…

Major adverse thrombotic events and bleeding in stage 4 and 5 chronic kidney disease and dialysis-dependent end-stage kidney disease.

BACKGROUND: Balancing the risks of thrombotic and bleeding events in people with advanced kidney disease is a clinical challenge. OBJECTIVE … es of MATEs and bleeding events in individuals with CKD insured by Medicare Advantage or commercial insurance followed similar patterns but were lower. CONCLUSION: Rates of MATEs and bleeding events increased with greater severity of kidney disease, illustrating the difficulty associated with balancing the management of these events in populations at high …

Centralization of Surgical Care for Vestibular Schwannomas: A Scoping Review.

OBJECTIVE: To evaluate the ethical implications, clinical benefits, and challenges associated with centralizing the surgical care of vestibu … ume hospitals (LVHs) were generally older and more racially diverse, and more likely to have public insurance (Medicare or Medicaid), whereas high-volume hospitals (HVHs) served a younger, predominantly White, and privately insured population. Of the 14 studies evaluating outcomes, 12 demonstrated a positive association between higher surgical volume and im …

Сопоставление эффективности различных вакцин у людей с аутоиммунными заболеваниями и без них: протокол исследования для пробной эмуляции цели.

АИМ: Эта статья представляет собой протокол исследования ретроспективного когортного исследования, предназначенного для сопоставления эффективности герпеса-зостера и вакцин против гриппа у лиц с множественным склерозом (МС), хроническими воспалительными кишечными заболеваниями (ИБД) или хроническими воспалительными ревматическими заболеваниями (КВРД) с лицами, не имеющими этих заболеваний, с использованием данных, касающихся одной из крупнейших систем медицинского страхования населения Германии. КОЛИЧЕСТВО: Лица, страдающие аутоиммунными заболеваниями, такими, как MS, IBD и CIRD, в большей сте

Совпадение в аннотации оригинала
AIM: This article presents the study protocol of a retrospective cohort study designed to compare the effectiveness of herpes zoster, and in … individuals without these diseases, using claims data of one of the largest population based health insurances in Germany. BACKGROUND: Individuals with autoimmune diseases such as MS, IBD, and CIRD are more susceptible to vaccine preventable infectious diseases such as influenza and herpes zoster, due to the autoimmune disease itself, the presence of comor …

Inequities in Unexpected Cost-Sharing for Preventive Care in the United States.

INTRODUCTION: Unexpected out-of-pocket (OOP) costs for preventive care reduce future uptake. Because adherence to service guidelines differs by patient populations, understanding the role of patient demographics and social determinants of health (SDOH) in the incidence and size of unexpected cost-sharing is necessary to address these disparities. This study examined the associations between patient demographics and cost-sharing for common preventive services. METHODS: This cross-sectional study used a national sample of insurance claims for recommended preventive services provided to privatel…

Hydroxychloroquine and risk of osteoporosis in patients with rheumatoid arthritis: A population-based retrospective study of 6408 patients.

AIM: Patients with rheumatoid arthritis (RA) are at a higher risk of osteoporotic fractures. Studies have shown that patients with Sjogren's syndrome (SS) and systemic lupus erythematosus (SLE) experienced an increase in bone mineral density (BMD) after receiving hydroxychloroquine (HCQ) treatment, indicating a potential protective effect against osteoporosis. Therefore, this study is to examine the relationship between HCQ usage and the risk of osteoporosis in patients diagnosed with RA. METHODS: The retrospective cohort study used data from Taiwan's National Health Insurance Research Databa…

Revision Surgery after Single Level Anterior Cervical Discectomy and Fusion With Plate vs Stand-Alone Cage over 2 to 5 Year Follow-Up.

Study Designretrospective study.ObjectiveTo investigate the incidence of all-cause revision surgery between plated vs stand-alone cage constructs for single level ACDF.MethodsWe retrospectively analyzed a commercial insurance claims database. Patients 18-65 years-old were included if they underwent single-level inpatient ACDF (defined with CPT codes) from 2010 - 2018, with a minimum of 2-year continuous insurance enrollment. The primary independent variable was the use of anterior plating vs zero profile device or stand-alone cage. Synthetic (ie, metal, PEEK, etc.) vs allograft interbody was a…

ASSESSING CATASTROPHIC HEALTHCARE EXPENDITURES IN THE EMERGENCY SURGICAL CARE OF CHILDREN WITH INTUSSUSCEPTION: INSIGHTS FROM A TERTIARY HOSPITAL IN NIGERIA.

BACKGROUND: Emergency and essential surgery should be affordable, accessible, and timely. However, this is not the narrative in our setting … e period had 72 laparotomies. Only 6.1% (4/66) of the patients were enrolled in the National Health Insurance Scheme. The insured patients presented earlier than the uninsured patients (median 4 versus 6 days, p=0.04). The median total health expenditure was $458 (Inter Quartile Range $372.4 ? $707.1) for the uninsured patients. The total health expenditure …

Excess mortality among adults with mental disorders treated in psychiatric and general medical settings: A population-based cohort study using municipal medical claims data in Japan.

OBJECTIVES: To estimate the excess mortality associated with serious mental illnesses (schizophrenia and bipolar disorder) and common mental disorders (depression and anxiety) at the population level. METHODS: We conducted a population-based, retrospective cohort study in Tsukuba, Japan. Individuals aged 20-74 years and insured for at least 12 months by the National Health Insurance or Late Elders' Health Insurance as of April 2015 were included (n = 41,618, 29% of the city's population aged 20-74 years). Individuals with mental disorders (International Classification of Diseases-10 code: F00…

Specialist access and leg amputations among Texas Medicaid patients.

Medicaid coverage among patients with peripheral artery disease (PAD) has been associated with higher rates of primary amputations. We sought to determine the relative contributions of clinical, demographic, and hospital factors to leg amputations among Texas Medicaid patients. Patient-level data were used to identify patients who underwent treatment for PAD-related foot complications in Texas. Patients were categorized into groups by insurance provider (Medicaid, Medicare, dual-enrollee, commercial, and provider network). Individual- and area-level multivariate analyses were used to find asso…