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Risk of Complications After THA Increases Among Patients Who Are Coinfected With HIV and Hepatitis C.

BACKGROUND: Individuals coinfected with both hepatitis C virus (HCV) and HIV represent a unique and growing population of patients undergoin … unger, male (odds ratio [OR], 2.90; 95% confidence interval [CI], 2.20-3.13; p < 0.001), insured by Medicaid (OR, 6.43; 4.41-7.55; p < 0.001), have a history of avascular necrosis (OR, 8.76; 7.20-9.53; p < 0.001), and to be homeless (OR, 6.95; 5.31-7.28; p < 0.001) as compared with patients without HIV or HCV. Additionally, patients with coinfection had th …

2019 ASCO Annual Meeting Highlights for the Advanced Practitioner: Issues in Oncology.

Several abstracts presented at the ASCO Annual Meeting reflected the meeting theme of providing high-quality care to every patient. Following coverage by The ASCO Post, Editor-in-Chief to JADPRO, Pamela Hallquist Viale, RN, MS, CNS, ANP, comments on abstracts revealing disparities afflicting both providers and patients in the cancer care community, as well as initiatives designed to combat them.

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… Medicaid Expansion By January 2019, 33 states implemented Medicaid expansion. An analysis of electronic health records of more than 30,000 patients found that Medicaid expansion greatly improved access to cancer care within 30 days for black people compared with white people. … The experience of patients in states after Medicaid expansion was compared with that before Medicaid expansion or in states that did not have Medicaid expansion by 2018. The experience of black patients was compared with that of white patients. …

Readmissions among NICU graduates: Who, when and why?

Readmission amongst previous neonatal intensive care unit (NICU) graduates, especially for preterm infants, is common and remains a significant risk for these infants beyond the neonatal period. This review explores risk factors for readmissions, common reasons for requiring rehospitalization and explores opportunities for improving the transition from discharge to home with the ultimate goal of reducing readmissions for these high risk infants.

Impact of Health Insurance Expansions on Nonelderly Adults With Hypertension.

INTRODUCTION: Hypertension is a risk factor for cardiovascular disease (CVD), the leading cause of death in the United States. The treatment and control of hypertension is inadequate, especially among patients without health insurance coverage. The Affordable Care Act offered an opportunity to improve hypertension management by increasing the number of people covered by insurance. This study predicts the long-term effects of improved hypertension treatment rates due to insurance expansions on the prevalence and mortality rates of CVD of nonelderly Americans with hypertension. METHODS: We deve

Second-Class Care: How Immigration Law Transforms Clinical Practice in the Safety Net.

This article examines how U.S. immigration law extends into the health care safety net, enacting medical legal violence that diminishes noncitizens' health chances and transforms clinical practices. Drawing on interviews with health care workers in three U.S. states from 2015 to 2020, I ask how federal citizenship-based exclusions within an already stratified health care system shape the clinical trajectories of noncitizens in safety-net institutions. Focusing specifically on cancer care, I find that increasingly anti-immigrant federal policies often reshape clinical practices toward noncitize

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… Medicaid under the Affordable Care Act Provides state-funded Medicaid to certain undocumented children and adults | Does not provide state-funded Medicaid to any undocumented immigrants | Does not provide state-funded Medicaid to any undocumented immigrants Provides Emergency Medicaid to income-eligible … Although Medicaid covers bone marrow transplants for leukemia and lymphoma, Emergency Medicaid does not. …

[Age at diagnosis of Autism Spectrum Disorder depending on ethno-cultural background or migratory status: A systematic literature review].

INTRODUCTION: The early identification and access to health care of toddlers with autism spectrum disorder (ASD) - or at risk of developing … are from DSM IV, IV TR and ICD; data originate from medical records, phone or internet surveys, and Medicaid healthcare claims. Comparison of the age at diagnosis is the principal objective for only thirteen studies; statistical data analyses vary, especially concerning adjustments. Seventy-five percent of the articles originate from North America where th …

Regulation of limited N-terminal proteolysis of APE1 in tumor via acetylation and its role in cell proliferation.

BACKGROUND: Effective January 1, 2017, open surgical decompression and interlaminar stabilization (ILS) received a Category I Current Proced … ty Society Relative Value Scale Update Committee (RUC), and ultimately the Centers for Medicare and Medicaid Services (CMS) regarding the value of ILS. The resulting physician payment determination for the ILS procedure has had severe deleterious effects on this procedure being offered to lumbar spinal stenosis (LSS) patients. Our independent society-drive …

The quest for quality blood banking program in the new millennium the American way.

For an industry to succeed and satisfy its customers, "QUALITY" must be a primary goal. Quality has been central to blood banking from its i … lth Care Financing Administration [HCFA, which was recently renamed as the Centers for Medicare and Medicaid Services (CMS) in July, 2001], and the State Department of Health, and accrediting agencies, such as the American Association of Blood Banks (AABB), the College of American Pathologists (CAP), and the Joint Commission on Accreditation of Healthcare …

Assessing the impact of pediatric-based development services on infants, families, and clinicians: challenges to evaluating the Health Steps Program.

BACKGROUND: Begun in 1996, the Healthy Steps for Young Children Program (HS) is a new model of pediatric practice that incorporates child de … African-American; slightly >20% are of Hispanic origin; 36% are single; and close to one-third used Medicaid for their prenatal care. Approximately 7% of infants were low birth weight. When compared with national birth data for the United States as a whole, the Healthy Steps sample seems similarly diverse. However, with the exception of maternal age, the d …

Более широкие соображения в отношении интеграции медицинских и стоматологических данных

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… Medicaid funding is a major source of state government deficits. Many states are slashing Medicaid coverage during this time of crisis (Wolf 2010). Improving Medicaid dental coverage during times of budget crisis would meet substantial political resistance. … Because the Medicaid dollars are limited and coverage for systemic diseases has precedence, Medicaid coverage of dental care has been spotty. …

Viewing the US presidential electoral map through the lens of public health.

Health, disease, and mortality vary greatly at the county level, and there are strong geographical trends of disease in the United States. Healthcare is and has been a top priority for voters in the U.S., and an important political issue. Consequently, it is important to determine what relationship voting patterns have with health, disease, and mortality, as doing so may help guide appropriate policy. We performed a comprehensive analysis of the relationship between voting patterns and over 150 different public health and wellbeing variables at the county level, comparing all states, including

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… For this group, Medicaid expansion directly improved the insurance rates of states. … to states that expanded Medicaid. …

Catchment area and cancer population health research through a novel population-based statewide database: a scoping review.

BackgroundPopulation-based linked datasets are vital to generate catchment area and population health research. The novel Cancer Information and Population Health Resource (CIPHR) links statewide cancer registry data, public and private insurance claims, and provider- and area-level data, representing more than 80% of North Carolina's large, diverse population of individuals diagnosed with cancer. This scoping review of articles that used CIPHR data characterizes the breadth of research generated and identifies further opportunities for population-based health research.MethodsArticles publishe

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… Those with Medicaid coverage in the 6 months before their cancer diagnosis were less likely to be diagnosed with advanced stage cancer than those with Medicaid coverage that started after their cancer diagnosis ( 47 ). … Medical costs of treating breast cancer among younger Medicaid beneficiaries by stage at diagnosis . …

Dissonance in the Sole Quality Measure for Outpatient Chemotherapy, OP-35.

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… Centers for Medicare and Medicaid Services . https://qualitynet.cms.gov/pch/measures/chemotherapy/methodology 8. … Centers for Medicare and Medicaid Services : Medicare Monthly Enrollment . https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment 16. …

Associations of Education Level With Survival Outcomes and Treatment Receipt in Patients With Gastric Adenocarcinoma.

BackgroundIt remains largely unclear how education level, an important socioeconomic factor, affects prognoses for patients with gastric adenocarcinoma (GAC). We aimed to demonstrate the associations between education level and clinical outcomes in patients with GAC.MethodsWe included a total of 30,409 patients diagnosed with GAC from the Surveillance, Epidemiology, and End Results 18 registry database. Education level, household income, unemployment rate, poverty rate, insurance status, and marital status were selected as sociodemographic variables for the comprehensive analysis. Cox and logi

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… Insurance status was classified as insured, uninsured, or Medicaid. The SEER database contains county-level rather than patient-level socioeconomic attributes. … We also point out that uninsured or Medicaid patients had a significantly higher risk of no treatment. One reasonable explanation for this finding is that an uninsured or Medicaid status is more likely to be linked to poverty, low education levels, and other unfavorable SES factors. …

Disparities in Musculoskeletal Oncology.

Purpose of reviewDisparities within the healthcare system serve as barriers to care that lead to poor outcomes for patients. These healthcare disparities are present in all facets of medicine and extend to musculoskeletal oncology care. There are various tenets to health disparities with some factors being modifiable and non-modifiable. The factors play a direct role in a patient's access to care, time of presentation, poor social determinants of health, outcomes and survival.Recent findingsIn musculoskeletal oncologic care, factors such as race, socioeconomic factors and insurance status are

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… Longer survival time has been seen in patients with non-Medicaid/private insurance vs. that seen in uninsured patients or those with Medicaid [ 24 ]. … Smartt et al. found that patients with Medicaid insurance were twice as likely to undergo amputation surgery than those with non-Medicaid insurance in the treatment of both PBM and STS [ 24 ]. …

Dynamic frailty risk assessment among older adults with multiple myeloma: A population-based cohort study.

Multiple myeloma (MM) is a cancer of older adults and those who are more frail are at high risk of poor outcomes. Current tools for identifying and categorizing frail patients are often static and measured only at the time of diagnosis. The concept of dynamic frailty (i.e. frailty changing over time) is largely unexplored in MM. In our study, adults with newly-diagnosed MM who received novel drugs between the years 2007-2014 were identified in the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked databases. Using a previously published cumulative deficit approach, a frailty in

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… Variables of interest included: age, sex, race, Medicaid enrollment, as a proxy for socioeconomic status, and first-line anti-myeloma treatment, defined as treatment within the first 6 months post-diagnosis. … Additionally, Medicaid enrollment also emerged as an additional factor for frailty deterioration. Medicaid enrollment is an often used proxy for socioeconomic status [ 27 ] and has also been associated with reduced access to care for among people with multiple myeloma [ 28 , 29 ]. …

The association between financial toxicity and mortality in hematologic malignancies: a systematic review and meta-analysis.

BackgroundHematologic malignancies impose substantial economic burdens, but the quantitative association between financial toxicity and overall survival remains poorly defined across diverse clinical settings and disease lineages.MethodsAdhering to PRISMA and MOOSE guidelines, we searched electronic databases through January 2026 for studies reporting multivariable-adjusted hazard ratios (aHRs) for the association between financial toxicity and mortality in adults diagnosed with hematologic malignancies. A random-effects model with Hartung-Knapp adjustment was used for data synthesis. Small-st

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… -5.46) | Primary Chohan (2022) | Insurance Status | Medicaid vs Private | 1.88 (1.01-3.48) | Subgroup Lymphoma | Goldstein (2018) | Insurance Status | Uninsured vs Private | 1.96 (1.69-2.28) | Primary Goldstein (2018) | Insurance Status | Medicaid vs Private | 1.83 (1.57-2.12) | Subgroup Wang (2017) … Objective measures, such as uninsured status or Medicaid enrollment, were consistently associated with heightened mortality (pooled aHR: 1.66). …