A new analysis suggests that Medicare should focus more on how well hospitals do at actually keeping patients alive during the first 30 days after a hospitalization, in addition to how well they do at keeping patients from being readmitted..
Pregnancy was not found to raise the risk of stroke in older women, but the risk was significantly higher in young women, according to a study from Columbia University Medical Center and NewYork-Presbyterian.
Scientists, led by a team of researchers at Washington University School of Medicine in St. Louis, have linked mutations in a single gene to autism in people who have a rare tumor syndrome typically diagnosed in childhood. The findings, in patients with neurofibromatosis type 1 (NF1), may lead to a better understanding of the genetic roots of autism in the wider population.
Most patients who need blood transfusions – including those who are critically ill – can be given blood when their hemoglobin drops to a lower level than practiced traditionally, according to AABB, a national association of blood banks that based its recommendation on research led by Rutgers University.
In a study published in the journal JAMA Cardiology, Dr. Dawood Darbar, chief of cardiology at the University of Illinois Hospital & Health Sciences System, and colleagues found that risk prediction models for atrial fibrillation developed by investigators on the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) trial, did not accurately predict incidence of the condition when it was applied to the EMRs of a large group of patients.
A study led by scientists at The Scripps Research Institute and the Scripps Translational Science Institute suggests “molecular autopsies” may help detect gene mutations underlying a sudden death. The research, while early, could help doctors alert living family members to hidden health conditions.
A new study shows just how much it costs to care for patients who suffer a complication after surgery, and how widely hospitals can vary in their ability to keep patients from suffering, or dying from, the same complications. It reveals that hospitals vary widely – as much as two- or three-fold -- in what they get paid for caring for patients with the same complications from the same operation.
Patients using Botox A for urinary incontinence show higher satisfaction with treatment due to greater reduction in bothersome symptoms.
A family-centered pre-k intervention developed at NYU Langone has a positive, lasting impact on child mental health and academic performance.
Rather than charging all patients the same for doctor visits and prescriptions, out-of-pocket costs should be based on how much a specific clinical service improves health, according to two experts who have studied the issue. They recommend specific changes to Medicare and IRS policy to facilitate this.
New research published Sept 29, 2016, in JAMA Oncology shows the HPV vaccine is efficacious in reducing cervical pre-cancers among young women throughout a population. The New Mexico HPV Pap Registry was the data source used in the study. The researchers found that among women who were 15 to 19 years old at the time of a diagnostic cervical biopsy, the incidence rate of cervical abnormalities decreased between 2007 and 2014.
Time is of the essence when getting people stricken with acute ischemic strokes to treatment. And the use of stent retrievers — devices that remove the blood clot like pulling a cork out of a wine bottle Current professional guidelines recommend that stent retrievers be used to remove blood clots from stroke patients within six hours for people to benefit. But new research finds that the procedure has benefits for people up to 7.3 hours following the onset of a stroke.
Nonwhite transplant recipients, who are at lower risk for developing skin cancer than their white counterparts, should still receive routine, total-body skin examinations, according to new patient data.
In 2012, UNC Hospitals launched an initiative aimed at reducing the time it takes hospital staff to recognize when a patient is having a STEMI (ST elevation myocardial infarction) heart attack – the sudden and complete blockage of a heart artery – and to begin appropriate treatment. Now, encouraging results from that effort have been published as a research letter in JAMA Cardiology.
Feeding babies egg and peanut may reduce their risk of developing an allergy to the foods, finds a new study.
Depression can create a huge cost burden on patients and institutions, and for teenagers that includes issues like missed school and the costs of healthcare for families. A new study in JAMA Pediatrics, led by Seattle Children’s Research Institute and Group Health Cooperative, identifies a cost-effective treatment that yields promising results for depressed teens. “We used a collaborative care approach to treat teen depression, which included having a depression care manager who worked with the patient, family and doctors to develop a plan and support the teen in implementing that plan,” said Dr. Laura Richardson, an adolescent medicine physician and researcher at Seattle Children’s.
Nearly 15 million times a year, heart patients climb onto a treadmill to take a stress test that can reveal blockages in their heart’s blood vessels. But a looming shortage of a crucial short-lived radioactive element means many heart patients could end up getting less-precise stress tests, or more invasive, riskier heart imaging procedures.
Researchers at Massachusetts Eye and Ear have discovered a new mutation in a highly antibiotic-resistant strain of E. coli that resists clearance by the body’s own immune system by inhibiting white blood cells that ordinarily kill and remove bacteria. In a paper published online today in JAMA Ophthalmology, the researchers describe the case that led them to discover the mutation, and offer suggestions for how to recognize and address this particular microbe if encountered in the future.
Using electric fans to relieve high levels of heat and humidity may, surprisingly, have the opposite effect for seniors, a study by UT Southwestern Medical Center heart specialists suggests.
Gastric bypass surgery is more effective for weight loss and long-term weight maintenance than are other surgical procedures and non-surgical treatment, according to a study led by researchers at Duke Health and the Durham VA Medical Center.
A major new study in the Journal of the American Medical Association shows that delivering integrated mental and physical healthcare in team-based primary care settings at Intermountain Healthcare results in better clinical outcomes for patients, lower rates of healthcare utilization, and lower costs.
In a paper published online by the Journal of the American Medical Association, UNC Lineberger Comprehensive Cancer Center physician-researchers raised concerns that there are inconsistencies between the five reference guides, or compendia, that the Centers for Medicare and Medicaid Services uses to determine which drugs it will reimburse for off-label uses in cancer care.
University of North Carolina LIneberger Comprehensive Cancer Center researchers say the finding of a high prevalence of financial relationships among authors who helped develop a leading set of cancer care guidelines in the United States lays the foundation for future studies looking at whether payments influenced clinical practice or guideline recommendations.
A type of heart failure caused by a build-up of amyloid can be accurately diagnosed and prognosticated with an imaging technique, eliminating the need for a biopsy, according to a multicenter study.
Special Communication examines sources of high drug prices in the U.S. and possible solutions to reduce unnecessary burdens on patients while maintaining innovation
By discouraging the use of medications that can cause dizziness or loss of balance and prescribing medications known to prevent bone loss, clinicians can help patients lower their risk of falls and fractures.
As scientists learn more about which genetic mutations are driving different types of cancer, they’re targeting treatments to small numbers of patients with the potential for big payoffs in improved outcomes. But even as we learn more about these driver mutations, a new study suggests the science might be leaving racial and ethnic minorities behind.
Large, nationwide study finds better psychological well-being, fewer graft vs. host disease symptoms and greater likelihood of returning to work among bone marrow transplant recipients
One- and two-year-old children are at the highest risk of burning their eyes with chemicals, despite the long held belief that working-age adults were the most at risk from this type of severe eye injury, new Johns Hopkins Bloomberg School of Public Health-led research suggests.
Women who engaged on social media after a breast cancer diagnosis expressed more deliberation about their treatment decision and more satisfaction with the path they chose, a new study finds.
While buprenorphine has long been used to treat adults with opioid dependence, its efficacy can be hindered by lack of adherence to daily, sublingual (beneath the tongue) doses of the medication. New research led by the Icahn School of Medicine at Mount Sinai published online today in The Journal of the American Medical Association (JAMA) showed that a higher percentage of stable, opioid-dependent patients given six-month buprenorphine implants remained abstinent compared to patients given the medication sublingually.
St. Joseph's Hospital - A new study from Lawson Health Research Institute and the Institute for Clinical Evaluative Sciences (ICES) has cast doubt on the clinical significance of brain deposits of gadolinium (a chemical contrast agent commonly used to enhance MRI imaging).
St. Joseph's Hospital - A new study from Lawson Health Research Institute and the Institute for Clinical Evaluative Sciences (ICES) has cast doubt on the clinical significance of brain deposits of gadolinium (a chemical contrast agent commonly used to enhance MRI imaging).
A new study in JAMA Oncology finds that most advanced cancer patients report far more optimistic expectations for survival prognosis than their oncologists, due to patients’ misunderstanding of their oncologists’ clinical judgment.
A new study has found that neither gay men nor heterosexual people with HIV transmit the virus to their partner, provided they are on suppressive antiretroviral treatment.
A new study has found that neither gay men nor heterosexual people with HIV transmit the virus to their partner, provided they are on suppressive antiretroviral treatment.
More seniors are getting help from family, friends and hired helpers to keep them in their homes, despite disabilities that keep them from total independence, a new study finds. Half of disabled seniors in a long-term study got in-home help in 2012, up 20 percent from the late 1990s.
Increasing the number of men who undergo circumcision and increasing the rates at which women with HIV are given antiretroviral therapy (ART) were associated with significant declines in the number of new male HIV infections in rural Ugandan communities, new Johns Hopkins Bloomberg School of Health research suggests.
Among nearly 900 serodifferent (one partner is HIV-positive, one is HIV-negative) heterosexual and men who have sex with men couples in which the HIV-positive partner was using suppressive antiretroviral therapy and who reported condomless sex, during a median follow-up of 1.3 years per couple, there were no documented cases of within-couple HIV transmission, according to a study appearing in the July 12 issue of JAMA, an HIV/AIDS theme issue.
In a study appearing in the July 12 issue of JAMA, an HIV/AIDS theme issue, Lisa R. Metsch, Ph.D., of Columbia University, New York, and colleagues assessed the effect of structured patient navigation (care coordination with case management) interventions with or without financial incentives to improve HIV-l viral suppression rates among hospitalized patients with elevated HIV-1 viral loads and substance use.
In a report appearing in the July 12 issue of JAMA, an HIV/AIDS theme issue, Huldrych F. Gunthard, M.D., of University Hospital Zurich, Switzerland, and colleagues with the International Antiviral Society-USA panel, updated recommendations for the use of antiretroviral therapy in adults with established HIV infection, including when to start treatment, initial regimens, and changing regimens, along with recommendations for using antiretroviral drugs for preventing HIV among those at risk, including preexposure and postexposure prevention.
In a study appearing in the July 12 issue of JAMA, Claire K. Ankuda, M.D., M.P.H., and Deborah A. Levine, M.D., M.P.H., of the University of Michigan, Ann Arbor, examined trends in caregiving for home-dwelling older adults with functional disability.
Children’s hospitals vary greatly in managing inpatients with asthma, according to researchers who analyzed hospital records in a large national database. Even when patients were grouped by characteristics such as age or severity of illness, hospitals differed significantly in inpatient costs, length of stay, and time spent in the intensive care unit (ICU).
State mandates requiring commercial health plans to cover the cost of services for children with autism spectrum disorder (ASD) have resulted in an increased number of children being diagnosed and treated for ASD, according to new research from the Perelman School of Medicine at the University of Pennsylvania. The findings will be published in the July 11th issue of JAMA Pediatrics.
Acupressure helped reduce persistent fatigue in women who had been treated for breast cancer, a new study finds.
Most people would get a little ‘rush’ out of the idea that they’re about to win some money. In fact, if you could look into their brain at that very moment, you’d see activity in the part of the brain that responds to rewards. But for marijuana users, that rush just isn’t as big – and gets smaller over time, a new study finds. And that may open them up to more risk of addiction.
Despite increasing legalization of euthanasia and physician-assisted suicide (PAS) worldwide, the practice remains relatively rare and, when carried out, is primarily motivated by psychological factors such as loss of autonomy or enjoyment of life, rather than physical pain. A new comprehensive assessment of data from around the world shows that in areas where they are legal, only 0.3 to 4.6 percent of deaths result from euthanasia or PAS, with more than 70 percent of cases involving patients with cancer. The study also shows that the majority of patients requesting euthanasia or PAS are older, white and well-educated.
Women who carry the BRCA1 gene mutation that dramatically increases their risk of breast and ovarian cancers are also at higher risk for a lethal form of uterine cancer, according to a study led by a Duke Cancer Institute researcher.
In a surprising about-face, researchers have determined that a protocol providing physical therapy to ICU patients did not shorten hospital length of stay. The study, which is the largest to-date, reversed the findings from earlier pilot studies.
Using so-called next-generation genome sequencing, researchers at Johns Hopkins have identified 84 potential inherited gene mutations that may contribute to the most severe forms of bipolar disorder. About 5.6 million Americans are estimated to have bipolar disorder.
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