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Incidence of autoimmune disease after hernia surgery with a mesh implant: national retrospective cohort study.

BACKGROUND: Some patients report experiencing various systemic symptoms after surgical placement of a (polypropylene (PP)) mesh implant, including fatigue, arthritis, and myalgia. As these complaints could resemble systemic symptoms of autoimmune disease (AID), there are concerns that mesh implants could induce such disorders. The aim of this study was to identify the incidence of AID after mesh implantation, compared with controls in whom no mesh was implanted. METHODS: In this national retrospective cohort study, approximately 4 million people insured with Dutch health insurer Coöperatie VG

[Temporal Trends and Demographic Profile of Hospital Discharges Associated with Aortic Valve Stenosis in Chile: 2001-2023].

UNLABELLED: Aortic stenosis is a common valvular heart disease, primarily associated with progressive sclerosis and calcification of the aor … equent age group being 60-69 years (28.6%). Since 2013, 13,478 cases were reported under the public insurance system (FONASA) and 2,048 under private insurers (ISAPREs). CONCLUSION: Aortic stenosis is the main cause of intervention under GES No. 74, with a growing number of cases over time. It is essential to monitor effective access to these services and …

[Vitiligo in Germany : A claims data analysis on prevalence, comorbidity, and treatment patterns].

BACKGROUND: Vitiligo is a chronic immune-mediated disease characterized by depigmented skin areas and associated with a wide range of psychological and physical comorbidities. Data on prevalence, comorbidity, and treatment patterns in Germany are currently limited. METHODS: In this retrospective analysis of statutory health insurance (SHI) claims data, information from insured individuals (≥ 12 and ≥ 18 years) from 2023 was evaluated. Prevalent cases were identified using the ICD-10-GM code for vitiligo according to M2Q criteria; incident cases were defined by the absence of diagnosis in the …

Screening for Sexually Transmitted Infections during pregnancy: Is healthcare meeting expectations?

BACKGROUND: Sexually transmitted infections (STIs) during pregnancy contribute to adverse maternal and neonatal outcomes. Guidelines from the U.S. Centers for Disease Control and Prevention (CDC), and American College of Obstetricians and Gynecologists (ACOG), recommend routine screening for syphilis, HIV, chlamydia, gonorrhea, and risk-based screening for trichomoniasis for pregnant women. We assessed pre-COVID-19 prenatal STI screening patterns among privately insured pregnant persons in the United States to assess whether practice aligns with guidelines. METHODS: We conducted a retrospecti

Success by design: A holistic analysis of design principles for depression apps.

OBJECTIVE: Depression is a major challenge for many people and societies, also accelerated by the COVID-19 pandemic. Around 300 million people worldwide are affected by a depressive disorder. Health insurances encourage patients to use applications ("apps") to tackle, for example, mild and moderate depression. The advantages of these depression apps are well understood, but their dissemination and adoption rates among intended users leave room for improvement. To enhance their uptake, we provide a holistic view regarding critical design aspects of depression apps and develop design principles …

Clinical Investigation of Patients With Anchor Screws and Plates at Tokyo Dental College Chiba Dental Center.

Purpose A clinical statistical survey was conducted on the usage of anchor screws and plates over a seven-year period from 2014 to 2021, wit … collected data on gender, age at the initial exam, type of treatment (self-funded or public medical insurance-covered), patient category, malocclusion classification, and treatment details from medical records. Results A total of 655 patients were included, consisting of 197 males and 458 females, with the majority being in their teens and 20s. Of this, 409 …

Analysis of the first inpatient expenditure for cervical cancer patients before and during the COVID-19 pandemic in a provincial maternal and children care hospital in China.

BACKGROUND: COVID-19 has led to economic difficulties for many cancer patients. This study aimed to identify the trend and the major cost it … ESULTS: A total of 909 patients were identified. The median age of the patients was 49±10.25 years. Insurance payments for cancer patients accounted for 33.51% before the COVID-19 pandemic (2017-2019) but increased to 80.29% during the pandemic (2020-2021). Diagnosis costs accounted for the largest proportion of medical expenditure every year and showed an …

Seasonality of Sensorineural Hearing Loss and Impact of the Coronavirus Disease 2019 Pandemic.

OBJECTIVE: This study aimed to clarify the seasonality of the incidence of sudden sensorineural hearing loss and the impact of the coronavirus disease 2019 pandemic. STUDY DESIGN: An interrupted time-series design. SETTING: Comprehensive insurance claims data from the National Database of Health Insurance Claims and Specific Health Checkups of Japan collected between October 2013 and September 2023 were used. METHODS: Individuals who developed sudden sensorineural hearing loss were identified as those with disease code(s) and drug code(s) for steroids with a prior disease-free period of 1 y…

Hospital-Based Emergency Department Visits due to Periapical Abscess in the United States: Nationwide Estimates for the Years 2021-2022.

INTRODUCTION: Periapical abscess (PA) is an odontogenic infection that primarily arises from pulpal disease and can lead to life-threatening … ow-income areas (42.1%). The mean ED hospital charge was $2,585 per encounter. Age, sex, ethnicity, insurance status, household income levels, geographic location, hospital teaching status, and presence of comorbid conditions all had a significant impact on influencing hospital charges (P < .05). CONCLUSIONS: The study found that the frequency of visits fo …

Knowledge and understanding of information after taking decision to participate or not in a randomized trial of surgery vs radiotherapy among patients with locally advanced prostate cancer - an observational study.

BACKGROUND AND PURPOSE: Informed consent from trial participants is mandatory. In a randomized clinical trial, we investigated (1) differenc … d 95% of participants. Between-group differences in knowledge were found for duration of the trial, insurances in the trial, and if the trial intervention had been proven to be superior. Patients had high levels of knowledge (> 80%) regarding the trial aim, that participation implied research, the right to decline, that future patients benefit from research …

[Testicular Sperm Extraction in an Unmarried Male Patient with Spinal Cord Injury : A Case Report].

Spinal cord injury (SCI) patients often develop erectile dysfunction and ejaculatory dysfunction, and prolonged post-injury time can be comp … rried male and the purpose of the procedure was sperm preservation for future use, Japanese medical insurance did not cover these examinations, hospitalization and surgery costs. The financial burden of performing TESE and sperm preservation in unmarried male SCI patients is considerable. Even if infertility treatment is covered by medical insurance in Japa …

Rural-urban disparities in hospitalisation for myocardial infarction in systemic lupus erythematosus in the USA.

OBJECTIVE: To assess whether rural-urban disparities exist in people with SLE for hospitalisation with myocardial infarction (MI). METHODS: … 5 versus 1435 (p value<0.001). In the multivariable-adjusted model that accounted for demographics, insurance payer, household income, comorbidities and hospital characteristics including geographical location, we found that rural residence was associated with an aOR of 1.98 (95% CI, 1.71 to 2.29; reference category, urban residence) of MI hospitalisations …

Assessing the costs of midfoot arthrodesis: A retrospective cohort study.

This retrospective cohort study aims to determine the economic cost of midfoot arthrodesis when treating midfoot arthritis, identifying the major driving forces of cost. A retrospective analysis was conducted on midfoot arthrodesis cases in South Carolina from 2012 to 2020 using the South Carolina Revenue and Fiscal Affairs (SCRFA) database. Patient cases were identified by ICD-9, ICD-10, or CPT code, yielding a total of 1,313 cases included in our analysis. Patients undergoing midfoot arthrodesis were primarily female (71.1 %), Caucasian (74.6 %), insured through commercial insurance (40.2 %)…

Association of nucleoside reverse transcriptase inhibitor use with reduced risk of Alzheimer's disease risk.

INTRODUCTION: Inflammasome activation is implicated in Alzheimer's disease (AD). We previously demonstrated that nucleoside reverse transcri … RTI exposure was associated with a significantly lower incidence of AD in two of the largest health insurance databases in the United States. In contrast, exposure to non-NRTIs, protease inhibitors (PIs), and integrase strand transfer inhibitors (INSTIs) was not associated with reducing AD incidence. DISCUSSION: These findings support the concept that infl …

Предсказатели способности работать в множестве склерозов.

Множественный склероз (MS) — хроническое расстройство, которое, как правило, свидетельствует об аккумулировании инвалидности и влияет на трудоспособность. Острота заболевания, как правило, определяется врачами, имеющими расширенную шкалу учета инвалидности (EDSS) в клинике, однако имеются также опросные листы, о которых сообщают пациенты, такие, как шкала множественных последствий склероза (MSIS-29) или шкала утомления моторных и когнитивных функций (FSMC). Цель этой работы заключалась в изучении количественной связи между степенью серьезности заболеваний и числом дней с выплатой пособий по бо

Совпадение в аннотации оригинала
Multiple sclerosis (MS) is a chronic disorder that typically shows accumulation of disability, affecting the ability to work. The disease se … ith MS-related sickness benefits from registry data (the Swedish MS registry and the Swedish Social Insurance Agency's Micro Data for Analyzes of Social Insurance registry). An item response theory model for the disability was built, linking the EDSS, MSIS-29, and FSMC to the same underlying disease construct through five correlated latent variables. A Mark …

Treatment acceptance in adult patients with anterior open bite: A National Dental Practice-Based Research Network study.

INTRODUCTION: Orthodontists have many techniques to treat anterior open bites and must involve patients in making treatment decisions. This … of orthodontics and a concave profile were more likely to accept the most highly recommended plan. Insurance coverage for orthognathic surgery was associated with a higher acceptance rate for surgery. Severe crowding was associated with a lower acceptance of surgery. The most common reasons for declining the recommended plan were not wanting jaw surgery an …

Analysis of factors influencing hospitalization cost of patients with distal radius fractures: an empirical study based on public traditional Chinese medicine hospitals in two cities, China.

BACKGROUND: Distal radius fractures (DRFs) have become a public health problem for all countries, bringing a heavier economic burden of dise … affected by the length of stay, surgery and operation, hospital levels, payment methods of medical insurance, use of TCMa preparations, complications and comorbidities, and clinical pathways. The length of stay is the most critical factor influencing the hospitalization cost, and the longer the length of stay, the higher the hospitalization cost. CONCLUSI …

Impact of the expanded indication of robot-assisted thoracic surgery for mediastinal tumors.

OBJECTIVE: Following the introduction of robot-assisted thoracoscopic surgery (RATS) as a health insurance-covered treatment in Japan, we investigated the current status and impact of the expansion of the indications for RATS for mediastinal tumors. METHODS: Between 2018 and 2022, 209 cases of total mediastinal tumor resection were performed in our hospital. The study period was divided into the first half (January 2018 to June 2020) and the second half (July 2020 to December 2022), and perioperative parameters were compared between the two groups. RESULTS: Ninety-six surgical procedures wer…

A never-ending story: The COVID-19 pandemic and the increase of hospital admissions for typical and atypical anorexia nervosa in children, adolescents and young adults in the post-pandemic era in Germany.

BACKGROUND: A large increase in the rate of hospitalizations for adolescents and children with anorexia nervosa (AN) was observed during the coronavirus disease (COVID-19) pandemic. It is still not clear whether this was a temporary effect or whether the increased admission rates persist. METHODS: Data were retrieved from the largest health insurance in Germany comprising 2.5 million children between 9 and 19 y. All patients of this age group with a discharge diagnosis of typical (AN) and atypical AN (AAN) according to the International Classification of Diseases, Tenth Revision (ICD-10), wer…

Incidence of Inflammatory Bowel Disease in Urban China: A Nationwide Population-based Study.

BACKGROUND & AIMS: Limited studies have evaluated the burden of inflammatory bowel disease (IBD) in China. We aimed to estimate the incidence of IBD including ulcerative colitis (UC) and Crohn's disease (CD) in urban China. METHODS: The national urban incidence in 2016 was calculated based on urban basic medical insurance from 2012 to 2016 in China by using a 4-year washout period. The incidence in Yinzhou District estimated from the Yinzhou electronic health care record database was used to test the accuracy of the results from insurance data. RESULTS: A total of 95,555 patients with IBD we…