National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (7)
- Adverse Drug Events (ADE) (20)
- Adverse Events (60)
- Alcohol Use (6)
- Ambulatory Care and Surgery (7)
- Antibiotics (10)
- Antimicrobial Stewardship (2)
- Anxiety (8)
- Arthritis (39)
- Asthma (16)
- Autism (3)
- Back Health and Pain (15)
- Behavioral Health (59)
- Blood Clots (4)
- Blood Pressure (7)
- Blood Thinners (14)
- Brain Injury (8)
- Cancer (101)
- Cancer: Breast Cancer (24)
- Cancer: Colorectal Cancer (17)
- Cancer: Lung Cancer (11)
- Cancer: Prostate Cancer (30)
- Cancer: Skin Cancer (5)
- Cardiovascular Conditions (127)
- Care Coordination (2)
- Caregiving (9)
- Care Management (26)
- Case Study (3)
- Catheter-Associated Urinary Tract Infection (CAUTI) (5)
- Centers for Education and Research on Therapeutics (CERTs) (3)
- Central Line-Associated Bloodstream Infections (CLABSI) (2)
- Children's Health Insurance Program (CHIP) (1)
- Children/Adolescents (108)
- Chronic Conditions (53)
- Clinical Decision Support (CDS) (16)
- Clinician-Patient Communication (13)
- Colonoscopy (4)
- Communication (17)
- Community-Acquired Infections (4)
- Community-Based Practice (6)
- Community Partnerships (1)
- Comparative Effectiveness (210)
- Complementary and Alternative Medicine (4)
- Comprehensive Unit-based Safety Program (CUSP) (1)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- COVID-19 (3)
- Critical Care (17)
- Cultural Competence (2)
- Data (14)
- Dementia (6)
- Dental and Oral Health (1)
- Depression (31)
- Diabetes (40)
- Diagnostic Safety and Quality (27)
- Dialysis (3)
- Digestive Disease and Health (12)
- Disabilities (6)
- Disparities (24)
- Domestic Violence (1)
- Education (1)
- Education: Continuing Medical Education (1)
- Education: Patient and Caregiver (9)
- Elderly (81)
- Electronic Health Records (EHRs) (26)
- Emergency Department (21)
- Emergency Medical Services (EMS) (7)
- Evidence-Based Practice (322)
- Falls (4)
- Family Health and History (5)
- Guidelines (30)
- Healthcare-Associated Infections (HAIs) (17)
- Healthcare Cost and Utilization Project (HCUP) (13)
- Healthcare Costs (31)
- Healthcare Delivery (37)
- Healthcare Utilization (22)
- Health Information Exchange (HIE) (1)
- Health Information Technology (HIT) (66)
- Health Insurance (5)
- Health Literacy (6)
- Health Services Research (HSR) (26)
- Health Status (8)
- Health Systems (4)
- Heart Disease and Health (85)
- Hepatitis (2)
- Home Healthcare (3)
- Hospital Discharge (11)
- Hospitalization (36)
- Hospital Readmissions (22)
- Hospitals (27)
- Human Immunodeficiency Virus (HIV) (13)
- Imaging (11)
- Implementation (20)
- Infectious Diseases (4)
- Injuries and Wounds (22)
- Inpatient Care (20)
- Intensive Care Unit (ICU) (16)
- Kidney Disease and Health (17)
- Labor and Delivery (6)
- Learning Health Systems (8)
- Lifestyle Changes (14)
- Long-Term Care (9)
- Low-Income (6)
- Maternal Care (8)
- Medicaid (7)
- Medical Devices (9)
- Medical Errors (1)
- Medical Expenditure Panel Survey (MEPS) (3)
- Medicare (25)
- Medication (155)
- Medication: Safety (4)
- Men's Health (11)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (2)
- Mortality (51)
- Neurological Disorders (25)
- Newborns/Infants (16)
- Nursing (3)
- Nursing Homes (16)
- Nutrition (9)
- Obesity (19)
- Obesity: Weight Management (7)
- Opioids (17)
- Organizational Change (2)
- Orthopedics (22)
- Osteoporosis (4)
- Outcomes (272)
- Pain (30)
- Palliative Care (25)
- Patient-Centered Healthcare (86)
- (-) Patient-Centered Outcomes Research (1035)
- Patient Adherence/Compliance (16)
- Patient and Family Engagement (27)
- Patient Experience (18)
- Patient Safety (46)
- Patient Self-Management (14)
- Payment (2)
- Pneumonia (5)
- Policy (8)
- Practice-Based Research Network (PBRN) (1)
- Practice Improvement (4)
- Practice Patterns (17)
- Pregnancy (8)
- Pressure Ulcers (1)
- Prevention (49)
- Primary Care (52)
- Primary Care: Models of Care (7)
- Provider (8)
- Provider: Clinician (1)
- Provider: Health Personnel (1)
- Provider: Pharmacist (5)
- Provider: Physician (4)
- Provider Performance (4)
- Public Health (3)
- Public Reporting (1)
- Quality Improvement (67)
- Quality Indicators (QIs) (12)
- Quality Measures (18)
- Quality of Care (72)
- Quality of Life (52)
- Racial and Ethnic Minorities (34)
- Registries (46)
- Rehabilitation (15)
- Research Methodologies (76)
- Respiratory Conditions (32)
- Risk (54)
- Rural Health (2)
- Screening (12)
- Sepsis (7)
- Sex Factors (12)
- Sexual Health (6)
- Shared Decision Making (53)
- Sickle Cell Disease (6)
- Skin Conditions (16)
- Sleep Problems (6)
- Social Determinants of Health (18)
- Social Media (2)
- Social Stigma (2)
- Stress (3)
- Stroke (22)
- Substance Abuse (14)
- Surgery (171)
- Teams (5)
- Telehealth (10)
- Tobacco Use (6)
- Tools & Toolkits (1)
- Training (6)
- Transitions of Care (10)
- Transplantation (20)
- Trauma (6)
- Treatments (48)
- U.S. Preventive Services Task Force (USPSTF) (1)
- Urban Health (4)
- Urinary Tract Infection (UTI) (5)
- Vaccination (2)
- Vulnerable Populations (6)
- Women (33)
- Workforce (1)
- Young Adults (5)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
926 to 950 of 1035 Research Studies DisplayedGoldberger ZD, Nallamothu BK, Nichol G
Policies allowing family presence during resuscitation and patterns of care during in-hospital cardiac arrest.
A growing number of hospitals have begun to implement policies allowing for family presence during resuscitation (FPDR). However, the overall safety of these policies and their effect on resuscitation care is unknown. This study suggests that hospitals with an FPDR policy generally have no statistically significant differences in outcomes and processes of care as hospitals without this policy.
AHRQ-funded; HS020672.
Citation: Goldberger ZD, Nallamothu BK, Nichol G .
Policies allowing family presence during resuscitation and patterns of care during in-hospital cardiac arrest.
Circ Cardiovasc Qual Outcomes 2015 May;8(3):226-34. doi: 10.1161/circoutcomes.114.001272..
Keywords: Cardiovascular Conditions, Patient Safety, Patient-Centered Outcomes Research, Inpatient Care
Vazquez-Benitez G, Desai JR, Xu S
Preventable major cardiovascular events associated with uncontrolled glucose, blood pressure, and lipids and active smoking in adults with diabetes with and without cardiovascular disease: a contemporary analysis.
The objective of this study was to assess the incidence of major cardiovascular (CV) hospitalization events and all-cause deaths among adults with diabetes with or without CV disease (CVD) associated with inadequately controlled glycated hemoglobin, high LDL cholesterol, high blood pressure, and current smoking. It found that the percentages of CV events associated with inadequate risk factor control were 11 percent for those with CVD and 34 percent for those without CVD.
AHRQ-funded; HS019859.
Citation: Vazquez-Benitez G, Desai JR, Xu S .
Preventable major cardiovascular events associated with uncontrolled glucose, blood pressure, and lipids and active smoking in adults with diabetes with and without cardiovascular disease: a contemporary analysis.
Diabetes Care 2015 May;38(5):905-12. doi: 10.2337/dc14-1877..
Keywords: Diabetes, Cardiovascular Conditions, Risk, Patient-Centered Outcomes Research
Scheck McAlearney A, Hefner J, Robbins J
AHRQ Author: Harrison MI
Preventing central line-associated bloodstream infections: a qualitative study of management practices.
This study identified factors that may explain hospital-level differences in outcomes of programs to prevent central line–associated bloodstream infections. A main theme that differentiated higher- from lower-performing hospitals was a distinctive framing of the goal of “getting to zero” infections. Five additional management practices were nearly exclusively present in the higher-performing hospitals: (1) top-level commitment, (2) physician-nurse alignment, (3) systematic education, (4) meaningful use of data, and (5) rewards and recognition.
AHRQ-authored; AHRQ-funded; 290200600022.
Citation: Scheck McAlearney A, Hefner J, Robbins J .
Preventing central line-associated bloodstream infections: a qualitative study of management practices.
Infect Control Hosp Epidemiol 2015 May;36(5):557-63. doi: 10.1017/ice.2015.27..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Comprehensive Unit-based Safety Program (CUSP), Healthcare-Associated Infections (HAIs), Patient-Centered Outcomes Research, Prevention
Yun H, Xie F, Delzell E
Risks of herpes zoster in patients with rheumatoid arthritis according to biologic disease-modifying therapy.
This study evaluated whether the risks of herpes zoster (HZ) differed by biologic agents with different mechanisms of action (MOAs) in older rheumatoid arthritis (RA) patients. Using Medicare data from 2006–2011, the researchers found that among RA patients, the rate and adjusted hazard ratios of HZ were similar among biologic agents, including those with non–tumor necrosis factor mechanisms of action.
AHRQ-funded; HS021694; HS018517.
Citation: Yun H, Xie F, Delzell E .
Risks of herpes zoster in patients with rheumatoid arthritis according to biologic disease-modifying therapy.
Arthritis Care Res 2015 May;67(5):731-6. doi: 10.1002/acr.22470..
Keywords: Arthritis, Risk, Patient Safety, Patient-Centered Outcomes Research
Wang X, Du XL
Socio-demographic and geographic variations in the utilization of hormone therapy in older women with breast cancer after Medicare Part-D coverage.
The researchers assessed socio-demographic, geographic, and other variations in the receipt of hormone therapy among patients with hormone receptor-positive breast cancer as well as adherence to hormone therapy within 1-year follow-up. They found that found that increasing age was significantly associated with a decreased receipt of hormone therapy and aromatase inhibitors in all hormone receptor-positive breast cancer patients after adjusting for other factors regardless of whether chemotherapy was received.
AHRQ-funded; HS018956.
Citation: Wang X, Du XL .
Socio-demographic and geographic variations in the utilization of hormone therapy in older women with breast cancer after Medicare Part-D coverage.
Med Oncol 2015 May;32(5):154. doi: 10.1007/s12032-015-0599-6..
Keywords: Cancer: Breast Cancer, Healthcare Utilization, Patient Adherence/Compliance, Patient-Centered Outcomes Research, Social Determinants of Health
Kumamaru H, Jalbert JJ, Nguyen LL
Surgeon case volume and 30-day mortality after carotid endarterectomy among contemporary medicare beneficiaries: before and after national coverage determination for carotid artery stenting.
The objective of this study is to examine the decline in past-year case-volumes of surgeons performing carotid endarterectomy (CEA) before and after the National Coverage Determination (NCD) for carotid artery stenting (CAS) and to assess its effect on 30-day post-CEA mortality. It found that the rate of CEA procedures decreased substantially during 2001 to 2008. The postprocedural mortality in Medicare beneficiaries was high compared with trial patients.
AHRQ-funded; 29020050016I.
Citation: Kumamaru H, Jalbert JJ, Nguyen LL .
Surgeon case volume and 30-day mortality after carotid endarterectomy among contemporary medicare beneficiaries: before and after national coverage determination for carotid artery stenting.
Stroke 2015 May;46(5):1288-94. doi: 10.1161/strokeaha.114.006276..
Keywords: Surgery, Mortality, Patient-Centered Outcomes Research, Outcomes, Elderly
Cross RK, Jambaulikar G, Langenberg P
TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD): design and implementation of randomized clinical trial.
This study compares disease activity and quality of life over 1 year in a randomized trial of IBD patients receiving standard care versus telemedicine. If effective, telemedicine should decrease symptoms, improve quality of life, and decrease health care utilization. The burden associated with use of telemedicine for patients and providers needs to be assessed. This trial is ongoing and will be completed in July 2016.
AHRQ-funded; HS018975.
Citation: Cross RK, Jambaulikar G, Langenberg P .
TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD): design and implementation of randomized clinical trial.
Contemp Clin Trials 2015 May;42:132-44. doi: 10.1016/j.cct.2015.03.006..
Keywords: Comparative Effectiveness, Digestive Disease and Health, Health Information Technology (HIT), Patient-Centered Outcomes Research, Telehealth
Eapen ZJ, McCoy LA, Fonarow CG
Utility of socioeconomic status in predicting 30-day outcomes after heart failure hospitalization.
The researchers investigated whether accounting for socioeconomic status (SES) can improve risk-adjusted models for 30-day outcomes among CMS beneficiaries hospitalized with heart failure. They found that county-level SES data are modestly associated with 30-day outcomes but do not improve risk adjustment models based on patient characteristics alone.
AHRQ-funded; HS021092.
Citation: Eapen ZJ, McCoy LA, Fonarow CG .
Utility of socioeconomic status in predicting 30-day outcomes after heart failure hospitalization.
Circ Heart Fail 2015 May;8(3):473-80. doi: 10.1161/circheartfailure.114.001879.
.
.
Keywords: Shared Decision Making, Heart Disease and Health, Hospitalization, Patient-Centered Outcomes Research, Social Determinants of Health
Pisu M, Kenzik KM, Oster RA
Economic hardship of minority and non-minority cancer survivors 1 year after diagnosis: another long-term effect of cancer?
The authors investigated economic hardships experienced by racial/ethnic minority cancer survivors compared to whites. They found that economic hardship was evident in almost 1 in 2 cancer survivors 1 year after diagnosis, especially African Americans. They recommended that future research evaluate and address risk factors and their impact on survival and survivorship outcomes.
AHRQ-funded; HS013852.
Citation: Pisu M, Kenzik KM, Oster RA .
Economic hardship of minority and non-minority cancer survivors 1 year after diagnosis: another long-term effect of cancer?
Cancer 2015 Apr 15;121(8):1257-64. doi: 10.1002/cncr.29206.
.
.
Keywords: Cancer, Disparities, Healthcare Costs, Patient-Centered Outcomes Research, Racial and Ethnic Minorities
D'Onofrio G, Safdar B, Lichtman JH
Sex differences in reperfusion in young patients with ST-segment-elevation myocardial infarction: results from the VIRGO study.
Sex disparities in reperfusion therapy for patients with acute ST-segment-elevation myocardial infarction have been documented. The authors tested these patterns in the comparison of young women with men.They found that young women with ST-segment-elevation myocardial infarction are less likely to receive reperfusion therapy and more likely to have reperfusion delays than similarly aged men.
AHRQ-funded; HS023000.
Citation: D'Onofrio G, Safdar B, Lichtman JH .
Sex differences in reperfusion in young patients with ST-segment-elevation myocardial infarction: results from the VIRGO study.
Circulation 2015 Apr 14;131(15):1324-32. doi: 10.1161/circulationaha.114.012293.
.
.
Keywords: Cardiovascular Conditions, Disparities, Heart Disease and Health, Patient-Centered Outcomes Research, Sex Factors
Lauffenburger JC, Farley JF, Gehi AK
Effectiveness and safety of dabigatran and warfarin in real-world US patients with non-valvular atrial fibrillation: a retrospective cohort study.
The researchers compared the effectiveness and safety of the new oral anticoagulant, dabigatran, with warfarin in clinical practice among a large nationally representative retrospective cohort of commercially insured patients in the United States. They found that compared with warfarin, dabigatran was associated with a lower risk of ischemic stroke or systemic embolism, hemorrhagic stroke, and acute myocardial infarction.
AHRQ-funded; HS023099.
Citation: Lauffenburger JC, Farley JF, Gehi AK .
Effectiveness and safety of dabigatran and warfarin in real-world US patients with non-valvular atrial fibrillation: a retrospective cohort study.
J Am Heart Assoc 2015 Apr 10;4(4):e001798. doi: 10.1161/jaha.115.001798..
Keywords: Comparative Effectiveness, Blood Thinners, Patient-Centered Outcomes Research, Stroke, Heart Disease and Health
Cottrell EK, Whitlock EP, Kato E
AHRQ Author: Kato E
Defining the benefits and challenges of stakeholder engagement in systematic reviews.
The researchers examined the following questions: 1) what are the expected benefits of involving stakeholders in systematic reviews, and 2) what are the perceived challenges of involving stakeholders in systematic reviews? Using a literature scan and series of key informant interviews, they identified expected benefits such as establishing credibility and anticipating controversy. Challenges included time, training, resources and finding the right people.
AHRQ-authored; AHRQ-funded; 290201200004C
Citation: Cottrell EK, Whitlock EP, Kato E .
Defining the benefits and challenges of stakeholder engagement in systematic reviews.
Comp Eff Rev. 2015 Apr;5:13-19..
Keywords: Comparative Effectiveness, Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies
Newman ED, Lerch V, Billet J
Improving the quality of care of patients with rheumatic disease using patient-centric electronic redesign software.
To improve the quality of care for patients with rheumatic disease, the researchers developed electronic data capture, aggregation, display, and documentation software. They found that their software was adopted for use by 86% of patients and rheumatologists. They concluded that the software was well-adopted by patients and providers. Post-implementation, significant improvements in quality of care, efficiency of care, and productivity were demonstrated.
AHRQ-funded; 290200600019I.
Citation: Newman ED, Lerch V, Billet J .
Improving the quality of care of patients with rheumatic disease using patient-centric electronic redesign software.
Arthritis Care Res 2015 Apr;67(4):546-53. doi: 10.1002/acr.22479..
Keywords: Health Information Technology (HIT), Quality of Care, Arthritis, Patient-Centered Outcomes Research
Vogel JA, Haukoos JS, Erickson CL
Is long-axis view superior to short-axis view in ultrasound-guided central venous catheterization?
The authors evaluated whether using long-axis or short-axis view during ultrasound-guided internal jugular and subclavian central venous catheterization results in fewer skin breaks, decreased time to cannulation, and fewer posterior wall penetrations. They found the long-axis view for the internal jugular more efficient than the short-axis view with fewer redirections; the long-axis view for subclavian central venous catheterization more efficient with decreased time to cannulation and fewer redirections; the long-axis approach to subclavian central venous catheterization associated with fewer posterior wall penetrations; and the long-axis view for subclavian central venous catheterization and avoiding posterior wall penetrations resulting in fewer central venous catheter-related complications.
AHRQ-funded; HS017526.
Citation: Vogel JA, Haukoos JS, Erickson CL .
Is long-axis view superior to short-axis view in ultrasound-guided central venous catheterization?
Crit Care Med 2015 Apr;43(4):832-9. doi: 10.1097/ccm.0000000000000823.
.
.
Keywords: Adverse Events, Comparative Effectiveness, Evidence-Based Practice, Healthcare-Associated Infections (HAIs), Patient-Centered Outcomes Research
De Martino RR, Hoel AW, Beck AW
Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival.
The researchers analyzed the effect of Vascular Quality Initiative (VQI) participation on perioperative (preoperative and postoperative) medical management (MM) use over time and the effect of discharge MM on patient survival. They demonstrated that MM is associated with improved survival after a number of vascular procedures, and that VQI participation improves the use of MM, demonstrating that involvement in an organized quality effort can affect patient outcomes.
AHRQ-funded; HS021581.
Citation: De Martino RR, Hoel AW, Beck AW .
Participation in the Vascular Quality Initiative is associated with improved perioperative medication use, which is associated with longer patient survival.
J Vasc Surg 2015 Apr;61(4):1010-9. doi: 10.1016/j.jvs.2014.11.073.
.
.
Keywords: Medication, Quality Improvement, Patient-Centered Outcomes Research, Practice Patterns
Okuda M, Picazo J, Olfson M
Prevalence and correlates of anger in the community: results from a national survey.
This study assessed the prevalence, as well as the sociodemographic and clinical correlates of anger, in the general population and characterize adults that report inappropriate, intense, or poorly controlled anger. It found the overall prevalence of inappropriate, intense, or poorly controlled anger in the U.S. population was 7.8 percent. Anger was especially common among men and younger adults, and was associated with decreased psychosocial functioning.
AHRQ-funded; HS021112.
Citation: Okuda M, Picazo J, Olfson M .
Prevalence and correlates of anger in the community: results from a national survey.
CNS Spectr 2015 Apr;20(2):130-9. doi: 10.1017/s1092852914000182..
Keywords: Patient-Centered Outcomes Research, Behavioral Health, Substance Abuse, Social Determinants of Health
Desai AD, Popalisky J, Simon TD
The effectiveness of family-centered transition processes from hospital settings to home: a review of the literature.
The objective of this study was to conduct a targeted literature review of studies examining the effectiveness of family-centered transition processes from hospital-and emergency department (ED)-to-home for improving patient health outcomes and health care utilization. It determined that patient-tailored discharge education is associated with improved patient health outcomes in pediatric ED patients.
AHRQ-funded; HS020506.
Citation: Desai AD, Popalisky J, Simon TD .
The effectiveness of family-centered transition processes from hospital settings to home: a review of the literature.
Hosp Pediatr 2015 Apr;5(4):219-31. doi: 10.1542/hpeds.2014-0097..
Keywords: Patient-Centered Outcomes Research, Hospital Discharge, Emergency Department, Emergency Medical Services (EMS), Transitions of Care
Martin BI, Lurie JD, Tosteson AN
Use of bone morphogenetic protein among patients undergoing fusion for degenerative diagnoses in the United States, 2002 to 2012.
The authors examined whether published concerns about the safety of bone morphogenetic protein (BMP) altered clinical practice. They found that use of BMP in spinal fusion surgery declined subsequent to published safety concerns and revelations of financial conflicts of interest for investigators involved in the pivotal clinical trials.
AHRQ-funded; HS021695.
Citation: Martin BI, Lurie JD, Tosteson AN .
Use of bone morphogenetic protein among patients undergoing fusion for degenerative diagnoses in the United States, 2002 to 2012.
Spine J 2015 Apr;15(4):692-9. doi: 10.1016/j.spinee.2014.12.010.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Patient Safety, Patient-Centered Outcomes Research, Practice Patterns, Surgery
Trick WE, Deamant C, Smith J
Implementation of an audio computer-assisted self-interview (ACASI) system in a general medicine clinic: patient response burden.
The objective of this study was to evaluate time burden for patients, and factors associated with response times for an audio computer-assisted self-interview (ACASI) system integrated into the clinical workflow. It found that an ACASI software system can be included in a patient visit and adds minimal time burden. The burden was greatest for older patients, interviews in Spanish, and for those with less computer exposure.
AHRQ-funded; HS019481.
Citation: Trick WE, Deamant C, Smith J .
Implementation of an audio computer-assisted self-interview (ACASI) system in a general medicine clinic: patient response burden.
Appl Clin Inform 2015 Mar 18;6(1):148-62. doi: 10.4338/aci-2014-09-ra-0073..
Keywords: Health Information Technology (HIT), Patient-Centered Outcomes Research
Hartzler AL, Chaudhuri S
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
The researchers share lessons learned from engaging health care professionals to inform design of visual dashboards, an emerging type of health information technology (HIT). Their work illustrates a range of engagement methods guided by human-centered principles and design recommendations for optimizing PRO Dashboards for patient care and quality improvement.
AHRQ-funded; HS020025.
Citation: Hartzler AL, Chaudhuri S .
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
eGEMS 2015 Mar 13;3(2):1133. doi: 10.13063/2327-9214.1133..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Surgery, Patient-Centered Outcomes Research
Friedant AJ, Gouse BM, Boehme AK
A simple prediction score for developing a hospital-acquired infection after acute ischemic stroke.
The authors sought to develop a simple scoring system for any hospital-acquired infection (HAI). Ranging from 0 to 7, the overall infection score consists of age 70 years or more, history of diabetes, and National Institutes of Health Stroke Scale score. Patients with an infection score of 4 or more were at 5 times greater odds of developing an infection. They concluded that, if validated in other populations, this score could assist providers in predicting infections after ischemic stroke.
AHRQ-funded; HS013852.
Citation: Friedant AJ, Gouse BM, Boehme AK .
A simple prediction score for developing a hospital-acquired infection after acute ischemic stroke.
J Stroke Cerebrovasc Dis 2015 Mar;24(3):680-6. doi: 10.1016/j.jstrokecerebrovasdis.2014.11.014.
.
.
Keywords: Shared Decision Making, Healthcare-Associated Infections (HAIs), Patient-Centered Outcomes Research, Risk, Stroke
Gidengil CA, Predmore Z, Mattke S
Breast implant-associated anaplastic large cell lymphoma: a systematic review.
The purpose of this study was to identify and analyze recently published cases of breast implant-associated anaplastic large cell lymphoma (ALCL), with an emphasis on diagnosis, staging, treatment, and outcomes. The researchers found that, of 54 cases, most patients presented with a seroma, approximately half were associated with the capsule, most presented as stage IE, and all but one case were ALK-negative. Most patients received chemotherapy and radiation therapy, and 11 percent received stem cell transplants. Approximately one-quarter recurred, and 9 percent died.
AHRQ-funded; HS000029.
Citation: Gidengil CA, Predmore Z, Mattke S .
Breast implant-associated anaplastic large cell lymphoma: a systematic review.
Plast Reconstr Surg 2015 Mar;135(3):713-20. doi: 10.1097/prs.0000000000001037.
.
.
Keywords: Adverse Events, Cancer: Breast Cancer, Diagnostic Safety and Quality, Patient-Centered Outcomes Research, Surgery
Ott BR, Daiello LA, Dahabreh IJ
Do statins impair cognition? A systematic review and meta-analysis of randomized controlled trials.
The researchers aimed to synthesize randomized clinical trial (RCTs) evidence on the association between statin therapy and cognitive outcomes. Their meta-analysis of cognitive test data from 14 studies failed to show significant adverse effects of statins on all tests of cognition in either cognitively normal subjects or Alzheimer’s disease subjects.
AHRQ-funded; HS017735.
Citation: Ott BR, Daiello LA, Dahabreh IJ .
Do statins impair cognition? A systematic review and meta-analysis of randomized controlled trials.
J Gen Intern Med 2015 Mar;30(3):348-58. doi: 10.1007/s11606-014-3115-3..
Keywords: Adverse Drug Events (ADE), Adverse Events, Medication, Neurological Disorders, Patient-Centered Outcomes Research
Sylvia LG, Shelton RC, Kemp DE
Medical burden in bipolar disorder: findings from the Clinical and Health Outcomes Initiative in Comparative Effectiveness for Bipolar Disorder study (Bipolar CHOICE).
The present study examined common predictors of medical comorbidity for Individuals with bipolar disorder. It found that predictors of medical comorbidities in bipolar disorder included older age, early age of onset, more time spent depressed, less time spent manic/hypomanic, and longer duration of illness.
AHRQ-funded; HS019371.
Citation: Sylvia LG, Shelton RC, Kemp DE .
Medical burden in bipolar disorder: findings from the Clinical and Health Outcomes Initiative in Comparative Effectiveness for Bipolar Disorder study (Bipolar CHOICE).
Bipolar Disord 2015 Mar;17(2):212-23. doi: 10.1111/bdi.12243..
Keywords: Behavioral Health, Comparative Effectiveness, Patient-Centered Outcomes Research
Rashid N, Coburn BW, Wu YL
Modifiable factors associated with allopurinol adherence and outcomes among patients with gout in an integrated healthcare system.
The investigators identified modifiable patient and provider factors associated with allopurinol adherence and the achievement of a serum urate acid (SUA) goal in gout. They found that among patients with gout initiating allopurinol in their study, 68% did not reach the SUA goal and 57% were nonadherent. They concluded that modifiable factors, including allopurinol dose escalation, treatment adherence, rheumatology referral, and concomitant medication use, could be important factors to consider in efforts aimed at optimizing gout treatment outcomes.
AHRQ-funded; HS018517.
Citation: Rashid N, Coburn BW, Wu YL .
Modifiable factors associated with allopurinol adherence and outcomes among patients with gout in an integrated healthcare system.
J Rheumatol 2015 Mar;42(3):504-12. doi: 10.3899/jrheum.140588.
.
.
Keywords: Healthcare Delivery, Healthcare Utilization, Medication, Patient Adherence/Compliance, Patient-Centered Outcomes Research