Getting Answers We Can Believe In: Methodological Considerations When Using Electronic Clinical Data for CER and PCOR

Articles of Interest, January 25, 2013

A weekly compilation of articles appearing in recently released journals and newsletters, including articles funded by AHRQ or authored by AHRQ researchers, mentioning or discussing AHRQ staff, activities, and publications/products, or other research using AHRQ data or products.

This weekly compilation of articles appearing in recently released journals and newsletters includes:

  • Articles funded by the Agency for Healthcare Research and Quality (AHRQ) or authored by AHRQ researchers.
  • Articles mentioning or discussing AHRQ staff, activities, and publications/products.
  • Articles related to AHRQ-funded Evidence-based Practice Centers.
  • Articles related to the U.S. Preventive Services Task Force or Put Prevention into Practice program.
  • Articles mentioning the National Healthcare Disparities Report and National Healthcare Quality Report.
  • Other research using AHRQ data or products.

This weekly compilation of articles appearing in recently released journals and newsletters includes:

  • Articles funded by the Agency for Healthcare Research and Quality (AHRQ) or authored by AHRQ researchers.
  • Articles mentioning or discussing AHRQ staff, activities, and publications/products.
  • Articles related to AHRQ-funded Evidence-based Practice Centers.
  • Articles related to the U.S. Preventive Services Task Force or Put Prevention into Practice program.
  • Articles mentioning the National Healthcare Disparities Report and National Healthcare Quality Report.
  • Other research using AHRQ data or products.

AHRQ-Funded/Authored Articles

Electronic Data Methods Forum
AcademyHealth. Getting answers we can believe in: methodological considerations when using electronic clinical data for CER and PCOR. EDM Forum 2012 Dec; (Issue Brief):Online. [Supported by grant U13 HS19564-01 (to the EDM Forum, through the American Recovery & Reinvestment Act of 2009); gives a brief description of the AHRQ-funded EDM Forum; mentions AHRQ's mission statement and cites the AHRQ Web site; summarizes studies reviewed in AHRQ Evidence Report/Technology Assessment, Pharmacological and Surgical Treatment of Obesity, 2004, and lists the "proposed set of nine criteria for distinguishing effectiveness trials from efficacy trials" from AHRQ technical review, Criteria for Distinguishing Effectiveness From Efficacy Trials in Systematic Reviews, 2006, both published on the National Library of Medicine's NCBI Bookshelf Web site; gives definition of "risk of bias" from AHRQ Methods Guide for Comparative Effectiveness Reviews Assessing the Risk of Bias of Individual Studies in Systematic Reviews of Health Care Interventions, 2012, as published on AHRQ's Effective Health Care Program Web site; describes USPSTF methodologies and criteria used to create guidelines, citing various sections of U.S. Preventive Services Task Force Procedure Manual, 2011 (as published on the USPSTF Web site), and USPSTF-sponsored article by Sawaya et al. (Ann Intern Med, 2007) on USPSTF methodologies; describes in Appendix I: Sources of Electronic Clinical Data some of the eleven projects funded through AHRQ between which the EDM Forum facilitates exchange and collaboration.]

Health Economics
Meyerhoefer CD, Zuvekas SH, Manski R. The demand for preventive and restorative dental services. Health Econ 2013 Jan 24. [Epub ahead of print. Second and third authors are researchers in AHRQ's Center for Financing, Access, and Cost Trends; uses 2001-2006 Medical Expenditure Panel Survey (MEPS) data; cites AHRQ publications, Dental Use, Expenses, Dental Coverage, and Changes, 1996 and 2004, MEPS Chartbook 17, 2007 (as published on AHRQ's MEPS Web site), and Dental Services: Use, Expenses, and Sources of Payment, 1996-2000, MEPS Research Findings 20, 2004; cites USPSTF recommendations in Guide to Clinical Preventive Services, 1996.] Select to access the abstract.

JAMA
Vashi AA, Fox JP, Carr BG, et al. Use of hospital-based acute care among patients recently discharged from the hospital. JAMA 2013 Jan 23-30; 309(4):364-71. [Supported in part by Career Development Award grant K08 AG32886 (attributed to AHRQ, to third author); uses 2008-2009 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) and State Emergency Department Databases (SEDD) data, and bases diagnosis categories on the HCUP Clinical Classifications Software (CCS), citing Overview of the Nationwide Inpatient Sample (NIS), as published on AHRQ's HCUP Web site; also uses AHRQ's Elixhauser comorbidity measures (Elixhauser et al., Med Care, 1998); cites AHRQ publication, Hospital Readmissions and Multiple Emergency Department Visits, in Selected States, 2006-2007, HCUP Statistical Brief 90, 2010; see comments by Williams (JAMA, 2013), cited in AHRQ-Related Articles.] Select to access the abstract.

Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY, Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission prevalence and variability across hospitals. JAMA 2013 Jan 23-30; 309(4):372-80. [Supported in part by grant U18 HS20513 (last author is principal investigator); uses 2009 HCUP Kids' Inpatient Database (KID) data, citing Introduction to the HCUP KIDS' Inpatient Database (KID), 2009, 2011, as published on AHRQ's HCUP Web site; also uses HCUP Chronic Condition Indicator (CCI) and the 3M™ All Patient Refined Diagnosis Related Groups (APR-DRG), Version 25, citing, respectively, Chronic Condition Indicator (CCI) for ICD-9-CM (as published on AHRQ's HCUP Web site), AHRQ-authored article by Friedman, Jiang, Elixhauser (first author is former and other authors are current researchers in AHRQ's Center for Delivery, Organization, and Markets) et al. (Med Care Res Rev, 2006), All-Patient Refined Diagnosis-Related Groups (APR-DRGs): Methodology Overview, Version 25.0, 2008 (as published on AHRQ's HCUP Web site), and article by Chi, Lee, and Wu (Arch Gerontol Geriatr, 2011); mentions AHRQ's Pediatric Quality Measures Program and AHRQ-sponsored Partnership for Patients initiative, citing CHIPRA Measures by CHIPRA Categories: Initial Core Set and PQMP CoE Measure Assignments, 2012 (as published on the AHRQ Web site; mentions AHRQ's Ambulatory Care Sensitive Conditions, citing AHRQ publication, Tools for Monitoring the Health Care Safety Net, Part 2. Understanding and Using the Information, 2003 (as published on the AHRQ Archive Web site); cites AHRQ publication, All-Cause Hospital Readmissions among Non-Elderly Medicaid Patients, 2007, HCUP Statistical Brief 89, 2010; see comments by Srivastava and Keren (JAMA, 2013) cited in AHRQ-Related Articles.] Select to access the abstract.

Journal of the American Geriatrics Society
D'Arcy LP, Stearns SC, Domino ME, et al. Is geriatric care associated with less emergency department use? J Am Geriatr Soc 2013 Jan; 61(1):4-11. [Supported in part by 5 T32 HS03222; uses AHRQ's Elixhauser comorbidity measures (Elixhauser et al., Med Care, 1998), citing article by Klabunde et al. (J Clin Epidemiol, 2000).] Select to access the abstract.

Jung HY, Meucci M, Unruh MA, et al. Antipsychotic use in nursing home residents admitted with hip fracture. J Am Geriatr Soc 2013 Jan; 61(1):101-6. [Supported in part by AHRQ Health Services Research Dissertation Award to first author; grant number not given, but is possibly PAR 09-212.] Select to access the abstract.

Journal of the American Medical Informatics Association
McDonald MV, Peng TR, Sridharan S, et al. Automating the medication regimen complexity index. J Am Med Inform Assoc 2012 Dec 25. [Epub ahead of print. Supported by grant R18 HS17837.] Select to access the abstract.

Journal of Family Practice
An PG, Manwell LB, Williams ES, et al. Does a higher frequency of difficult patient encounters lead to lower quality care? J Fam Pract 2013 Jan; 62(1):24-9. [Supported in part by grant R01 HS11955; cites AHRQ publication, Advances in Patient Safety: From Research to Implementation, Volume 1: Research Findings, 2005.]

Journal of General Internal Medicine
Haggstrom DA, Klabunde CN, Smith JL, et al. Variation in primary care physicians' colorectal cancer screening recommendations by patient age and comorbidity. J Gen Intern Med 2013 Jan; 28(1):18-24. [Supported in part by inter-agency agreement numbers Y3-PC-5019-01 and Y3-PC-5019-02 (in partnership with the National Cancer Institute and CDC); uses USPSTF recommendations on colorectal cancer screening (Ann Intern Med, 2008) to assess the influence of physician attitudes and sociodemographic characteristics as measured by physician self-report; mentions possible study limitations due to fielding of the physician survey prior to release of updated USPSTF recommendations; cites AHRQ-funded/authored article by Klabunde, Lanier (former AHRQ researcher) et al. (Am J Prev Med, 2009); see comments by Robertson (J Gen Intern Med, 2013) cited in U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles.] Select to access the abstract.

Crowley MJ, Grubber JM, Olsen MK, et al. Factors associated with non-adherence to three hypertension self-management behaviors: preliminary data for a new instrument. J Gen Intern Med 2013 Jan; 28(1):99-106. [Supported in part by contract HHSA 290-2007-10066-I-TO6 (to first author).] Select to access the abstract.

Journal of Orthopaedic Research
Spindler KP, Parker RD, Andrish JT, Kaeding CC, Wright RW, Marx RG, et al. Prognosis and predictors of ACL reconstructions using the MOON cohort: a model for comparative effectiveness studies. J Orthop Res 2013 Jan; 31(1):2-9. [Supported in part by Center for Education and Research on Therapeutics (CERTs) grant 5 U18 HS16075 (to sixth author). Also refer to AHRQ-funded article by Brasure et al. (Arch Phys Med Rehabil, 2013) cited in Evidence-based Practice Centers-Related Articles.] Select to access the abstract.

AHRQ-Related Articles

Academic Pediatrics
Toomey SL, Cheng TL, for the APA-AAP Workgroup on the Family-Centered Medical Home. Home visiting and the family-centered medical home: synergistic services to promote child health. Acad Pediatr 2013 Jan; 13(1):3-5. [Mentions AHRQ's Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician & Group Patient-Centered Medical Home (PCMH) Survey item set.]

Bradley CK, Fischer MA, Walsh KE. Trends in medical error education: are we failing our residents? Acad Pediatr 2013 Jan; 13(1):59-64. [Cites AHRQ publications, Advances in Patient Safety: From Research to Implementation, Volume 1: Research Findings, 2005, Advances in Patient Safety: New Directions and Alternative Approaches, Volume 1: Assessment and Volume 4: Technology and Medication Safety, 2008; cites AHRQ-funded articles by Bundy et al. (Vaccine, 2009), Walsh et al. (Pediatrics, 2008 and 2006), Kaushal et al. (Ambul Pediatr, 2007, and JAMA, 2001), and Bates et al. (JAMA, 1995).] Select to access the abstract.

American Journal of Managed Care
Sharp A, Fendrick AM. Inside out: reversing the focus on emergency departments to enhance efficiency. Am J Manag Care 2013 Jan; 19(1):33-5. [Cites MEPS data on annual emergency department visits in the United States and contribution to the total national healthcare expenditures, citing AHRQ publication, National Health Care Expenses in the U.S. Civilian Noninstitutionalized Population, 2008, MEPS Statistical Brief 301, 2010; cites AHRQ-funded article by Tang et al. (JAMA, 2010).]

Uscher-Pines L, Pines J, Kellermann A, et al. Emergency department visits for nonurgent conditions: systematic literature review. Am J Manag Care 2013 Jan; 19(1):47-59. [Cites AHRQ-authored article by Cunningham, Clancy, Cohen, and Wilets (second author is AHRQ director, third author is current researcher in AHRQ's Center for Financing, Access, and Cost Trends, and last author is former AHRQ researcher) (Med Care Res Rev, 1995); cites AHRQ-funded articles by Wharam et al. (JAMA, 2007) and Butler (Med Care Res Rev, 1998); cites article by Mortensen (Health Aff, 2010), which uses MEPS data.] Select to access the abstract.

Hoff T. Embracing a diversified future for US primary care. Am J Manag Care 2013 Jan 1; 19(1):e9-e13. [Cites Closing the Quality Gap: Revisiting the State of the Science Series: The Patient-Centered Medical Home, 2012, as published on the AHRQ Web site; cites AHRQ-authored article by Peikes, Zutshi, Genevro, Parchman, and Meyers (third, fourth, and last authors are, respectively, current researcher, former researcher, and director in AHRQ's Center for Primary Care, Prevention, and Clinical Partnerships) (Am J Manag Care, 2012).] Select to access the abstract.

Jalili M, Shirani F, Hosseininejad M, et al. Emergency department nonurgent visits in Iran: prevalence and associated factors. Am J Manag Care 2013 Jan; 19(1):e1-e8. [Cites AHRQ-authored article by Cunningham, Clancy, Cohen, and Wilets (Med Care Res Rev, 1995) and AHRQ-funded article by Weissman et al. (Ann Intern Med, 1991).] Select to access the abstract.

BMJ Quality and Safety
Singer SJ, Vogus TJ. Safety climate research: taking stock and looking forward. BMJ Qual Saf 2013 Jan; 22(1):1-4. [Cites AHRQ publication, Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, 2013; cites AHRQ-authored article by Leape, Berwick, Clancy (AHRQ director) et al. (Qual Saf Health Care, 2009); cites AHRQ-funded articles by Singer et al. (Health Serv Res, 2009, and Med Care, 2009 and 2008), Pronovost et al. (Health Serv Res, 2006, and Qual Saf Health Care, 2003), Thomas et al. (BMC Health Serv Res, 2005), and others.]

Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and between US and Swiss hospital units: an exploratory study. BMJ Qual Saf 2013 Jan; 22(1):32-41. [Mentions AHRQ's TeamSTEPPS®, citing articles by Capella et al. (J Surg Educ, 2010), Stead et al. (Med J Aust, 2009), and Hudson et al. (Contemp Crit Care, 2009); cites AHRQ-funded articles by Sexton et al. (Crit Care Med, 2011, J Perinatol, 2006, and BMC Health Serv Res, 2006), Singer et al. (Health Serv Res, 2009, and Health Care Manage Rev, 2009), Pronovost et al. (J Crit Care, 2008, Health Serv Res, 2006, Jt Comm J Qual Patient Saf, 2006, and J Patient Saf, 2005), and others; cites article by Timmel et al. (Jt Comm J Qual Patient Saf, 2010), which discusses use of the AHRQ-sponsored CUSP initiative.] Select to access the abstract.

Kontopantelis E, Reeves D, Valderas JM, et al. Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme: a longitudinal observational study. BMJ Qual Saf 2013 Jan; 22(1):53-64. [Cites AHRQ-funded article by Trivedi et al. (N Engl J Med, 2005).] Select to access the abstract.

JAMA
Jha AK. Time to get serious about pay for performance. JAMA 2013 Jan 23-30; 309(4):347-8. [Cites AHRQ-funded articles by Lee et al. (N Engl J Med, 2012) and Werner and Dudley (Health Aff, 2012); cites article by Chatterjee et al. (Arch Intern Med, 2012), which uses 2007 and 2010 Hospital CAHPS (HCAHPS) survey data.]

Farmer SA, Black B, Bonow RO. Tension between quality measurement, public quality reporting, and pay for performance. JAMA 2013 Jan 23-30; 309(4):349-50. [Mentions HCUP NIS data on rates for Patient Safety Indicator (PSI) 5, leaving a foreign object in the body during surgery, and PSI 7, central-line associated bloodstream infection, unless present on admission, from 1998 through most of 2008, and compares these findings to those in AHRQ-funded article by Lee et al. (N Engl J Med, 2012); also cites AHRQ-funded article by Dismuke (Med Care, 2005).]

Dharmarajan K, Hsieh AF, Lin Z, et al. Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. JAMA 2013 Jan 23-30; 309(4):355-63. [Cites AHRQ publication, Medicare Hospital Stays: Comparisons between the Fee-for-Service Plan and Alternative Plans, 2006, HCUP Statistical Brief 66, 2009, as published on AHRQ's HCUP Web site; cites AHRQ-funded articles by Krumholz et al. (Circ Cardiovasc Qual Outcomes, 2011), Yoder et al. (Arch Intern Med, 2010), Covinsky et al. (J Am Geriatr Soc, 2003), and others.] Select to access the abstract.

Williams MV. A requirement to reduce readmissions: take care of the patient, not just the disease. JAMA 2013 Jan 23-30; 309(4):394-6. [Comments on AHRQ-funded article by Vashi et al. (JAMA, 2013) cited in AHRQ-Funded/Authored Articles, article by Dharmarajan et al. cited above in this section, and article by Brock et al. (JAMA, 2013) cited in Research by Others Using AHRQ Data or Products; cites AHRQ-funded articles by Maynard et al. (Jt Comm J Qual Patient Saf, 2012), which was a recipient of the John M. Eisenberg Patient Safety and Quality Award, and Hansen et al. (Ann Intern Med, 2011).]

Srivastava R, Keren R. Pediatric readmissions as a hospital quality measure. JAMA 2013 Jan 23-30; 309(4):396-8. [Comments on and cites AHRQ-funded article by Berry et al. (JAMA, 2013) cited in AHRQ-Funded/Authored Articles; cites articles by Berry et al. (PLoS Med, 2012) and Simon et al. (Pediatrics, 2010), both of which use various HCUP KID datasets, and article by Thorpe and Howard (Health Aff, 2006), which uses 1987 National Medical Expenditure Survey (NMES) and 2002 MEPS data.]

Fontanarosa PB, McNutt RA. Revisiting hospital readmissions. JAMA 2013 Jan 23-30; 309(4):398-400. [Comments on AHRQ-funded articles by Vashi et al. (JAMA, 2013) and Berry et al. (JAMA, 2013) cited in AHRQ-Funded/Authored Articles, and article by Brock et al. (JAMA, 2013) cited in Research by Others Using AHRQ Data or Products.]

Goodman DM, Burke AE, Livingston EH. JAMA Patient Page. Discharge planning. JAMA 2013 Jan 23-30; 309(4):406. [Lists under "For More Information" AHRQ service delivery innovation profile Standardized Discharge Planning Focusing on Patient Education and Care Coordination Increases Understanding of Postdischarge Needs and Likelihood of Followup Care, 2008, as published on the AHRQ Innovations Exchange Web site.]

JAMA Pediatrics
Opel DJ, Marcuse EK. The enigma of alternative childhood immunization schedules: what are the questions? JAMA Pediatr 2013 Jan 21. [Epub ahead of print. Comments on article by Glanz et al. (JAMA Pediatr, 2013) cited in National Healthcare Quality Report (NHQR)/National Healthcare Disparities Report (NHDR)-Related Articles.]

Journal of the American Geriatrics Society
Wajnberg A, Ornstein K, Zhang M, et al. Symptom burden in chronically ill homebound individuals. J Am Geriatr Soc 2013 Jan; 61(1):126-31. [Cites AHRQ-authored article by Zuvekas and Cohen (authors are researchers in AHRQ's Center for Financing, Access, and Cost Trends) (Health Aff, 2007).] Select to access the abstract.

Park HK, Branch LG, Bulat T, et al. Influence of a transitional care clinic on subsequent 30-day hospitalizations and emergency department visits in individuals discharged from a skilled nursing facility. J Am Geriatr Soc 2013 Jan; 61(1):137-42. [Cites AHRQ-funded articles by Hansen et al. (Ann Intern Med, 2011) and Jack et al. (Ann Intern Med, 2009); cites article by Snow et al. (J Gen Intern Med, 2009), which acknowledges AHRQ support of and participation in the Transitions of Care Consensus Conference.] Select to access the abstract.

Journal of General Internal Medicine
Srinivasan M. Innovation and inauguration. J Gen Intern Med 2013 Jan; 28(1):1-2. [Comments on articles by Wynia and Sabin, Mitchell et al., Schnurr et al., Braddock et al., and Alexander et al. cited below in this section, editorial by Bleich and Herring (J Gen Intern Med, 2013) cited in U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles, and article by Howard et al. (J Gen Intern Med, 2013) cited in Evidence-based Practice Centers-Related Articles.]

Wynia MK, Sabin JE. Ethical challenges come home. J Gen Intern Med 2013 Jan; 28(1):9-11. [Comments on and cites article by articles by Braddock et al., cited below in this section; cites AHRQ-funded article by Bitton, Martin, and Landon (J Gen Intern Med, 2010).]

Mitchell NS, Ellison MC, Hill JO, et al. Evaluation of the effectiveness of making Weight Watchers available to Tennessee Medicaid (TennCare) recipients. J Gen Intern Med 2013 Jan; 28(1):12-17. [Cites AHRQ-authored articles by Finkelstein EA, Trogdon, Cohen (researcher in AHRQ's Center for Financing, Access, and Cost Trends) et al. (Health Aff, 2009), which uses MEPS data; cites AHRQ-funded article by Dansinger et al. (JAMA, 2005).] Select to access the abstract.

Schnurr PP, Friedman MJ, Oxman TE, et al. RESPECT-PTSD: Re-Engineering Systems for the Primary Care Treatment of PTSD, a randomized controlled trial. J Gen Intern Med 2013 Jan; 28(1):32-40. [Cites AHRQ-funded article by Zatzick et al. (Arch Gen Psychiatry, 2004).] Select to access the abstract.

Wenger NS, Citko J, O'Malley K, et al. Implementation of physician orders for life sustaining treatment in nursing homes in California: evaluation of a novel statewide dissemination mechanism. J Gen Intern Med 2013 Jan; 28(1):51-7. [Cites AHRQ-funded article by Yung et al. (J Palliat Med, 2010).] Select to access the abstract.

Sofianou A, Martynenko M, Wolf MS, et al. Asthma beliefs are associated with medication adherence in older asthmatics. J Gen Intern Med 2013 Jan; 28(1):67-73. [Cites AHRQ-funded articles by Cohen et al. (Ann Allergy Asthma Immunol, 2009) and Halm, Mora, and Leventhal (Chest, 2006).] Select to access the abstract.

Omachi TA, Sarkar U, Yelin EH, et al. Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease. J Gen Intern Med 2013 Jan; 28(1):74-81. [Cites AHRQ-funded articles by Press et al. (J Gen Intern Med, 2011), Sarkar et al. (J Gen Intern Med, 2011), and Tisnado et al. (Med Care, 2006).] Select to access the abstract.

Edelman EJ, Gordon K, Becker WC, et al. Receipt of opioid analgesics by HIV-infected and uninfected patients. J Gen Intern Med 2013 Jan; 28(1):82-90. [Cites AHRQ-funded articles by Solomon et al. (Arch Intern Med, 2010), Pletcher et al. (JAMA, 2008), Tsao, Stein, and Dobalian (Pain, 2007), and Curtis et al. (Health Serv Res, 2006).] Select to access the abstract.

Weiser SD, Hatcher A, Frongillo EA, et al. Food insecurity is associated with greater acute care utilization among HIV-infected homeless and marginally housed individuals in San Francisco. J Gen Intern Med 2013 Jan; 28(1):91-8. [Cites AHRQ-funded/authored articles by Yehia, Fleishman et al. (researcher in AHRQ's Center for Financing, Access, and Cost Trends) (J Acquir Immune Defic Syndr, 2010), Hellinger (Center for Delivery, Organization, and Markets) (J Acquir Immune Defic Syndr, 2007), Gebo, Fleishman, Conviser, Reilly, Korthuis, Moore, Hellinger, Keiser, Rubin, Crane, Hellinger et al. (J Acquir Immune Defic Syndr, 2005), Fleishman et al. (Med Care, 2005), Katz, Cunningham, Fleishman, et al. (Ann Intern Med, 2001), Shapiro, Morton, McCaffrey, Senterfitt, Fleishman et al. (JAMA, 1999), and Arno, Bonuck, Green, Fleishman et al. (J Health Care Poor Underserved, 1996); cites AHRQ-funded articles by Losina et al. (Clin Infect Dis, 2009), Seligman et al. (J Gen Intern Med, 2007), Kushel et al. (J Gen Intern Med, 2006), and others.] Select to access the abstract.

Pasricha A, Deinstadt RT, Moher D, et al. Chronic care model decision support and clinical information systems interventions for people living with HIV: a systematic review. J Gen Intern Med 2013 Jan; 28(1):127-35. [Cites AHRQ-authored article by Coleman, Austin, Brach (researcher in AHRQ's Center for Delivery, Organization, and Markets) et al. (Health Aff, 2009); cites AHRQ-funded articles by Atlas et al. (Ann Intern Med, 2009), Tsai et al. (Am J Manag Care, 2005), Landon et al. (Ann Intern Med, 2004), and others.] Select to access the abstract.

Alexander JA, Cohen GR, Wise CG, et al. The policy context of patient centered medical homes: perspectives of primary care providers. J Gen Intern Med 2013 Jan; 28(1):147-53. [Cites AHRQ-funded articles by Bitton, Martin, and Landon (J Gen Intern Med, 2010) and Landon et al. (Health Aff, 2010); cites article by Abrams, Schor, and Schoenbaum (Health Aff, 2010), which discusses AHRQ's mandate to establish the Primary Care Extension Program and development of a medical home program by AHRQ and other organizations.] Select to access the abstract.

Journal of Rural Health
Azor Hui SK, Nazir N, Faseru B, et al. Ongoing self-engagement in quit attempts and cessation outcomes among rural smokers who were unable to quit after 2 years of repeated interventions. J Rural Health 2013 Jan; 29(1):106-12. [Cites AHRQ-sponsored guideline Treating Tobacco Use and Dependence: 2008 Update, 2008.] Select to access the abstract.

Lander L, Klepser DG, Cochran GL, et al. Barriers to electronic prescribing: Nebraska pharmacists' perspective. J Rural Health 2013 Jan; 29(1):119-24. [Cites AHRQ-funded article by Abramson et al. (Jt Comm J Qual Patient Saf, 2011), Kaushal et al. (J Gen Intern Med, 2010), and Devine et al. (J Am Med Inform Assoc, 2010).] Select to access the abstract.

U.S. Preventive Services Task Force (USPSTF)/Put Prevention Into Practice (PPIP)-Related Articles

Annals of Internal Medicine
Moyer VA. Screening for intimate partner violence and abuse of elderly and vulnerable adults: a U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2013 Jan 22. [Epub ahead of print. Updates USPSTF 2004 recommendations on screening for family and intimate partner violence, citing USPSTF-sponsored evidence syntheses, Screening Women for Intimate Partner Violence and Elderly and Vulnerable Adults for Abuse: Systematic Review to Update the 2004 U.S. Preventive Services Task Force Recommendation, 2012; cites USPSTF recommendations on screening for depression in adults (Ann Intern Med, 2009); cites USPSTF recommendation statement, Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse, 2004.] Select to access the abstract.

Summaries for Patients. Screening for intimate partner violence and abuse of vulnerable adults: U.S. Preventive Services Task Force recommendation. Ann Intern Med 2013 Jan 22. [Epub ahead of print. Summarizes updated USPSTF recommendations cited above in this section.]

Internal Medicine News Supplement
Ryan DH. Behavioral approaches to weight loss. Intern Med News 2013 Jan (Suppl):5-7. [Mentions and cites USPSTF-sponsored evidence review on the effectiveness of primary care-relevant treatments for obesity in adults (Ann Intern Med, 2011); discusses CMS' decision to cover the treatments under Medicare and Medicaid as a result of the USPSTF recommendations.]

Journal of the American Geriatrics Society
Sekaran NK, Choi H, Hayward RA, et al. Fall-associated difficulty with activities of daily living in functionally independent individuals aged 65 to 69 in the United States: a cohort study. J Am Geriatr Soc 2013 Jan; 61(1):96-100. [Cites USPSTF-sponsored systematic evidence review by Michael et al. (Ann Intern Med, 2010) on primary care relevant interventions to prevent falling in older adults.] Select to access the abstract.

Journal of General Internal Medicine
Bleich SN, Herring BJ. Medicaid coverage for weight loss counseling may make 'cents'. J Gen Intern Med 2013 Jan; 28(1):3-5. [Mentions 2010 Affordable Care Act provisions providing increased federal funding to states which cover USPSTF-recommended preventive services without patient cost and notes the recent update of USPSTF recommendations on obesity screening in adults, citing USPSTF recommendations on screening for and management of obesity in adults (Ann Intern Med, 2012); cites AHRQ-authored article by Finkelstein, Trogdon, Cohen (researcher in AHRQ's Center for Financing, Access, and Cost Trends) et al. (Health Aff, 2009); comments on article by Mitchell et al. (J Gen Intern Med, 2013) cited in AHRQ-Related Articles.]

Robertson DJ. Too much of a good thing: cancer screening in the old and infirm. J Gen Intern Med 2013 Jan; 28(1):6-8. [Comments on findings in article by Haggstrom et al. (J Gen Intern Med, 2013) cited in AHRQ-Funded/Authored Articles and notes possible study limitations resulting from the study survey's administration prior to release of updated 2008 USPSTF recommendations on colorectal cancer screening (Ann Intern Med, 2008).]

Journal of Rural Health
Jilcott Pitts SB, Lea CS, May CL, et al. "Fault-line of an earthquake": a qualitative examination of barriers and facilitators to colorectal cancer screening in rural, eastern North Carolina. J Rural Health 2013 Jan; 29(1):78-87. [Mentions and cites USPSTF recommendations and patient summary on colorectal cancer screening (Ann Intern Med, 2002); cites articles by Jones et al. (Am J Prev Med, 2010) and Katz et al. (BMC Public Health, 2004), both of which use USPSTF recommendations on screening for colorectal cancer screening.] Select to access the abstract.

Mayo Clinic Proceedings
Raghavan D. PSA: Please stop agonizing (over prostate-specific antigen interpretation). Mayo Clin Proc 2013 Jan; 88(1):1-3. [Discusses updated 2012 USPSTF prostate cancer screening recommendations, citing USPSTF-sponsored evidence review on screening for prostate cancer by Chou et al. (Ann Intern Med, 2011); cites articles by Catalona et al. (Ann Intern Med, 2012) and Messing et al. (Urol Oncol, 2012) which discuss these recommendations.]

Loprinzi PD, Kohli M. Effect of physical activity and sedentary behavior on serum prostate-specific antigen concentrations: results From the National Health and Nutrition Examination Survey (NHANES), 2003-2006. Mayo Clin Proc 2013 Jan; 88(1):11-21. [Cites USPSTF-sponsored evidence review on screening for prostate cancer by Chou et al. (Ann Intern Med, 2011).] Select to access the abstract.

Medical Clinics of North America
Bowman BT, Kleiner A, Bolton WK. Comanagement of diabetic kidney disease by the primary care provider and nephrologist. Med Clin North Am 2013 Jan; 97(1):157-73. [Cites USPSTF recommendations on screening for chronic kidney disease (Ann Intern Med, 2012); cites AHRQ-authored article by Clancy (AHRQ director) (J Am Soc Nephrol, 2011) on AHRQ's kidney-related projects.] Select to access the abstract.

New England Journal of Medicine
Friedmann PD. Alcohol use in adults. N Engl J Med 2013 Jan 24; 368(4):365-73. [Cites USPSTF-sponsored systematic review and meta-analysis on behavioral counseling after screening for alcohol misuse in primary care (Ann Intern Med, 2012); cites USPSTF recommendations on screening and brief interventions for high-risk alcohol use in adult primary care settings in Guide to Clinical Preventive Services, 2010-2011, 2010. Also refer to AHRQ-funded AcademyHealth EDM Forum report, 2012, AHRQ-funded/authored articles by Meyerhoefer, Zuvekas, and Manski (Health Econ, 2013) and by Haggstrom et al. (J Gen Intern Med, 2013) cited in AHRQ-Funded/Authored Articles, and article by Shi et al. (J Health Care Poor Underserved, 2013).]

Evidence-based Practice Centers-Related Articles

Archives of Physical Medicine and Rehabilitation
Brasure M, Lamberty GJ, Sayer NA, et al. Participation after multidisciplinary rehabilitation for moderate to severe traumatic brain injury in adults: a systematic review. Arch Phys Med Rehabil 2013 Jan 21. [Epub ahead of print. Supported by contract HHSA 290-2007-10064-I (to the Minnesota EPC); summarizes "results of select key questions" from AHRQ comparative effectiveness review, Multidisciplinary Postacute Rehabilitation for Moderate to Severe Traumatic Brain Injury in Adults, 2012, prepared by the same EPC and under the same contract (as published on AHRQ's Effective Health Care Program Web site), and acknowledges that these findings were also presented as a poster at the 2012 AcademyHealth Annual Research Meeting; uses AHRQ's strength of evidence criteria, citing AHRQ publication, Methods Guide for Comparative Effectiveness Reviews, 2010, and AHRQ-authored article by Owens, Lohr, Atkins, Treadwell, Reston, Bass, Chang (third and seventh authors are, respectively, former AHRQ researcher and current AHRQ researcher in AHRQ's Center for Outcomes and Evidence) (J Clin Epidemiol, 2010); also uses items from the RTI Observational Studies Risk of Bias and Precision Item Bank to develop the study's risk of bias assessment instrument for observational studies, citing article by Viswanathan and Berkman (J Clin Epidemiol, 2012), which uses over 90 AHRQ-sponsored systematic reviews, evidence reports, comparative effectiveness reviews, and methodology publications to compile a validated item bank for evaluating the risk of bias and precision of observational studies; mentions a forthcoming AHRQ future research needs report on this topic, referring to AHRQ future research needs paper, Multidisciplinary Rehabilitation Programs for Moderate to Severe Traumatic Brain Injury in Adults: Future Research Needs, 2013.] Select to access the abstract.

BMJ Quality and Safety
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf 2013 Jan; 22(1):11-18. [Mentions findings from article by Shojania et al. (JAMA, 2002), which is based on AHRQ Evidence Report/Technology Assessment Making Healthcare Safer: A Critical Appraisal of Patient Safety Practices, 2001, performed by the UCSF-Stanford University Evidence-based Practice Center (EPC) under contract 290-97-0013; discusses the use of AHRQ's Hospital Survey on Patient Safety Culture and TeamSTEPPS in selected studies, citing articles by Weaver et al. (Jt Comm J Qual Patient Saf, 2010), Blegen et al. (Qual Saf Health Care, 2010), Hellings et al. (Int J Health Care Qual Assur, 2010), and Stead et al. (Med J Aust, 2009); cites AHRQ-funded articles by Pronovost et al. (Circulation, 2009, J Crit Care, 2008, and Qual Saf Health Care, 2003), Singer et al. (Health Care Manage Rev, 2009, Health Serv Res, 2009, and Qual Saf Health Care, 2003), Sexton et al. (BMC Health Serv Res, 2006), and others; cites article by Timmel et al. (Jt Comm J Qual Patient Saf, 2010), which discusses use of AHRQ-sponsored Comprehensive Unit-based Safety Program (CUSP) initiative.] Select to access the abstract.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. BMJ Qual Saf 2013 Jan; 22(1):42-52. [Cites AHRQ-funded systematic review by Kaushal et al. (Arch Intern Med, 2003) on the effects of computerized physician order entry and clinical decision support systems on medication safety, prepared by the University of California San Francisco-Stanford EPC; cites AHRQ-authored article by Battles and Keyes (current researcher in AHRQ's Center for Quality Improvement and Patient Safety and former AHRQ researcher, respectively) (Biomed Instrum Technol, 2002); cites AHRQ-funded articles by McDonald et al. (J Am Med Inform Assoc, 2004) and Bates et al. (J Gen Intern Med, 1995).] Select to access the abstract.

Journal of the American Geriatrics Society
Goldstein FC, Levey AI, Steenland NK. High blood pressure and cognitive decline in mild cognitive impairment. J Am Geriatr Soc 2013 Jan; 61(1):67-73. [Cites AHRQ Evidence Report/Technology Assessment, Preventing Alzheimer's Disease and Cognitive Decline, 2010.] Select to access the abstract.

Verghese J. Slaying dementia dragons with blood, lungs, and guts. J Am Geriatr Soc 2013 Jan; 61(1):155-7. [Comments on and cites article by Goldstein, Levey, and Steenland cited above in this section.]

Journal of General Internal Medicine
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two department of Veterans Affairs outpatient settings. J Gen Intern Med 2013 Jan; 28(1):41-50. [Cites AHRQ technical review, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies: Volume 7—Care Coordination, 2007.] Select to access the abstract.

Howard J, Clark EC, Friedman A, et al. Electronic health record impact on work burden in small, unaffiliated, community-based primary care practices. J Gen Intern Med 2013 Jan; 28(1):107-13. [Cites AHRQ-funded systematic review by Chaudhry et al. (Ann Intern Med, 2006) on the impact of health information technology on quality, efficiency, and costs of medical care, prepared by the Southern California-University of California at San Francisco EPC; cites AHRQ publication, Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support, 2009, and AHRQ-funded article by Crosson et al. (Ann Fam Med, 2011); cites AHRQ-sponsored Institute of Medicine publication, Crossing the Quality Chasm: A New Health System for the 21st Century, 2001; cites AHRQ-authored articles by El-Kareh et al. (J Gen Intern Med, 2009), Koppel et al. (JAMA, 2005), Bates and Gawande (N Engl J Med, 2003), and others.] Select to access the abstract.

Tamariz L, Palacio A, Robert M, et al. Improving the informed consent process for research subjects with low literacy: a systematic review. J Gen Intern Med 2013 Jan; 28(1):121-6. [Cites AHRQ-funded systematic review by DeWalt et al. (J Gen Intern Med, 2004) on literacy and health outcomes, prepared by the RTI International-University of North Carolina EPC under contract 290-02-0016.] Select to access the abstract.

Journal of Rural Health
Miyamoto S, Henderson S, Young H, et al. Recruiting rural participants for a telehealth intervention on diabetes self-management. J Rural Health 2013 Jan; 29(1):69-77. [Cites AHRQ Evidence Report/Technology Assessment, Community-based Participatory Research: Assessing the Evidence, 2004; cites AHRQ publication, The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk Research, 2009; cites AHRQ-authored article by Lanier (former AHRQ researcher) (Med Care, 2008).] Select to access the abstract.

Medical Clinics of North America
Garg R, Williams ME. Diabetes management in the kidney patient. Med Clin North Am. 2013 Jan; 97(1):135-56. [Cites AHRQ-funded systematic review by Bennett et al. (Ann Intern Med, 2012) on the evaluation of guideline recommendations on oral medications for type 2 diabetes mellitus, prepared by the John Hopkins University EPC under contract 290-02-0018. Also refer to AHRQ-funded AcademyHealth EDM Forum report, 2012, cited in AHRQ-Funded/Authored Articles.] Select to access the abstract.

National Healthcare Quality Report (NHQR)/National Healthcare Disparities Report (NHDR)-Related Articles

JAMA Pediatrics
Glanz JM, Newcomer SR, Narwaney KJ, et al. A population-based cohort study of undervaccination in 8 managed care organizations across the United States. JAMA Pediatr 2013 Jan 21. [Epub ahead of print. Cites AHRQ's NHDR, 2009; cites article by Herrod and Chang (Clin Pediatr, 2007), which uses pediatric discharge monitors from AHRQs Pediatric Quality Indicators to evaluate state-level data for disparities.] Select to access the abstract.

Journal of General Internal Medicine
Braddock CH 3rd, Snyder L, Neubauer RL, et al. The patient-centered medical home: an ethical analysis of principles and practice. J Gen Intern Med 2013 Jan; 28(1):141-6. [Cites recommendations for the development of AHRQ's NHQR in Institute of Medicine (IOM) publication, Envisioning the National Healthcare Quality Report: Designing the National Healthcare Quality Report, 2001; also cites IOM publications, Health Professions Education: A Bridge To Quality, 2003, and Crossing the Quality Chasm: A New Health System for the 21st Century, 2001; cites AHRQ-funded articles by Atlas et al. (Ann Intern Med, 2009) and Carter et al. (Arch Intern Med, 2009). Also refer to article by Shi et al. (J Health Care Poor Underserved, 2013) cited in Research by Others Using AHRQ Data or Products.] Select to access the abstract.

Research by Others Using AHRQ Data or Products

American Journal of Managed Care
Stanford RH, Shah MB, D'Souza AO, et al. Predicting asthma outcomes in commercially insured and Medicaid populations. Am J Manag Care 2013 Jan; 19(1):60-7. [Uses the AHRQ-funded adaptation of the Charlson comorbidity index as described in AHRQ-funded article by Deyo, Cherkin, and Ciol (J Clin Epidemiol, 1992).] Select to access the abstract.

Lin CJ, Zimmerman RK, Smith KJ. Cost-effectiveness of pneumococcal and influenza vaccination standing order programs. Am J Manag Care 2013 Jan; 19(1):e30-e37. [Uses 2006 HCUP NIS data and HCUP Cost-to-Charge Ratio Files, citing Cost-to-Charge Ratio Files, as published on AHRQ's HCUP Web site; cites Uses of Quality Measures, as published on AHRQ's National Quality Measures Clearinghouse™.] Select to access the abstract.

Clinical Toxicology
Brown SA, Seifert SA, Rayburn WF. Management of envenomations during pregnancy. Clin Toxicol 2013 Jan; 51(1):3-15. [Uses AHRQ's National Guideline Clearinghouse™ as a data source and USPSTF levels of evidence criteria and grade definitions to rate the quality of selected publications, citing article by Shekelle et al. (West J Med, 1999).] Select to access the abstract.

JAMA
Brock J, Mitchell J, Irby K, et al. Association between quality improvement for care transitions in communities and rehospitalizations among Medicare beneficiaries. JAMA 2013 Jan 23-30; 309(4):381-91. [Uses HCAHPS survey data items, citing HCAHPS: Patients' Perspectives of Care Survey, as published on the CMS Web site; includes the AHRQ-funded Project RED (Re-Engineered Discharge) Training Program in the list of communities' main interventions given in Table 2, Interventions and Special-Cause Reduction Evidence on Process Control Charts, citing AHRQ-funded article by Jack et al. (Ann Intern Med, 2009).] Select to access the abstract.

Jimenez DE, Cook B, Bartels SJ, et al. Disparities in mental health service use of racial and ethnic minority elderly adults. J Am Geriatr Soc 2013 Jan; 61(1):18-25. [Uses 2004-2009 MEPS Household Component (MEPS HC) and Medical Provider Component (MEPS MPC) data, citing AHRQ publication, Design, Methods, and Field Results of the Medical Expenditure Panel Survey Medical Provider Component (MEPS MPC)—2006 Calendar Year Data, MEPS Methodology Report 23, 2008 (as published on AHRQ's MEPS Web site); uses MEPS-related methodologies described in AHRQ-authored articles by Machlin, Cohen, Elixhauser, Beauregard, and Steiner (first and second authors are researchers in AHRQ's Center for Financing, Access, and Cost Trends, third and last authors are researchers in AHRQ's Center for Delivery, Organization, and Markets, and fourth author is former AHRQ researcher) (Med Care, 2009), Fleishman and Zuvekas (researchers in AHRQ's Center for Financing, Access, and Cost Trends) (Med Care, 2007), and Zuvekas (Health Aff, 2001); describes the four scales used to measure mental health need in MEPS.] Select to access the abstract.

Saczynski JS, Go AS, Magid DJ, et al. Patterns of comorbidity in older adults with heart failure: the Cardiovascular Research Network PRESERVE study. J Am Geriatr Soc 2013 Jan; 61(1):26-33. [Uses the AHRQ-funded adaptation of the Charlson comorbidity index as described in AHRQ-funded article by Deyo, Cherkin, and Ciol (J Clin Epidemiol, 1992).] Select to access the abstract.

Rochon PA, Gruneir A, Gill SS, et al. Older men with dementia are at greater risk than women of serious events after initiating antipsychotic therapy. J Am Geriatr Soc 2013 Jan; 61(1):55-61. [Uses AHRQ-funded adaptation of the Charlson comorbidity index as described in AHRQ-funded article by Deyo, Cherkin, and Ciol (J Clin Epidemiol, 1992); cites AHRQ-funded article by Schneeweiss et al. (Am J Epidemiol, 2001).] Select to access the abstract.

Journal of Health Care for the Poor and Underserved
Shi L, Lebrun-Harris LA, Daly CA, et al. Reducing disparities in access to primary care and patient satisfaction with care: the role of health centers. J Health Care Poor Underserved 2013; 24(1):56-66. [Uses 2009 MEPS data, citing 2009 Medical Expenditure panel Survey: Household Component, 2010, as published on AHRQ's MEPS Web site; cites AHRQ's NHDR, 2009, and Guide to Clinical Preventive Services, 2010-2011: Recommendations of the U.S. Preventive Services Task Force, 2010, both published on the AHRQ Web site.] Select to access the abstract.

Chen J, Rizzo JA, Parasuraman S, et al. Racial disparities in receiving total hip/knee replacement surgery: the effect of hospital admission sources. J Health Care Poor Underserved 2013; 24(1):135-51. [uses 2002-2007 HCUP NIS data, citing Introduction to the HCUP Nationwide Inpatient Sample, 2009, as published on AHRQ's HCUP Web site; cites AHRQ-authored article by Basu (researcher in AHRQ's Center for Primary Care, Prevention, and Clinical Partnerships) and Mobley (Med Care Res Rev, 2008).] Select to access the abstract.

Mayo Clinic Proceedings
St Sauver JL, Warner DO, Yawn BP, et al. Why patients visit their doctors: assessing the most prevalent conditions in a defined American population. Mayo Clin Proc 2013 Jan; 88(1):56-67. [Uses HCUP Clinical Classifications Codes, citing Clinical Classifications Software (CCS) for ICD-9-CM (as published on AHRQ's HCUP Web site) and "Appendix A—Clinical Classification Software-DIAGNOSES (January 1980 through September 2008)" from MEPS HC-120: 2008 Medical Conditions, 2010, as published on AHRQ's MEPS Web site. Also refer to AHRQ-funded/authored article by Meyerhoefer, Zuvekas, and Manski (Health Econ, 2013), Vashi et al. (JAMA, 2013), Berry et al. (JAMA, 2013), and D'Arcy et al. (J Am Geriatr Soc, 2013) cited in AHRQ-Funded/Authored Articles.] Select to access the abstract.

Page last reviewed January 2013
Internet Citation: Getting Answers We Can Believe In: Methodological Considerations When Using Electronic Clinical Data for CER and PCOR: Articles of Interest, January 25, 2013. January 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsroom/articles-of-interest/20130125.html