National Healthcare Quality and Disparities Report
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Topics
- Adverse Events (1)
- Behavioral Health (2)
- Blood Pressure (1)
- Cardiovascular Conditions (2)
- Chronic Conditions (2)
- Clinical Decision Support (CDS) (1)
- Diabetes (1)
- Disparities (1)
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- Electronic Health Records (EHRs) (1)
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- Eye Disease and Health (1)
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- Human Immunodeficiency Virus (HIV) (2)
- Low-Income (1)
- Obesity (1)
- Outcomes (1)
- Patient Adherence/Compliance (1)
- Pneumonia (1)
- Prevention (1)
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- Provider: Health Personnel (1)
- Quality Improvement (1)
- Racial and Ethnic Minorities (1)
- Respiratory Conditions (1)
- Risk (1)
- Sleep Problems (1)
- Surgery (1)
- (-) Tobacco Use (14)
- Tobacco Use: Smoking Cessation (2)
- Vulnerable Populations (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 14 of 14 Research Studies DisplayedCartujano-Barrera F, Mejia RM, Radusky PD
Prevalence and correlates of current cigarette smoking among transgender women in Argentina.
AHRQ-funded; HS000011.
Citation: Cartujano-Barrera F, Mejia RM, Radusky PD .
Prevalence and correlates of current cigarette smoking among transgender women in Argentina.
Front Public Health 2023 Dec 5; 11:1279969. doi: 10.3389/fpubh.2023.1279969..
Keywords: Tobacco Use, Tobacco Use: Smoking Cessation
Ruderman SA, Odden MC, Webel AR
Tobacco smoking and pack-years are associated with frailty among people with HIV.
This study examines the association of frailty with tobacco smoking and pack-years among people with HIV (PWH). The authors identified 8,608 PWH across 6 Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) sites who completed ≥2 patient-reported outcome assessments, including a frailty phenotype measuring unintentional weight loss, poor mobility, fatigue, and inactivity, scored 0-4. The authors measured smoking as baseline pack-years and time-updated never, former, or current use with cigarettes/day. They used Cox models to associate smoking with risk of incident frailty (score ≥3) and deterioration (frailty score increase by ≥2 points), adjusted for demographics, antiretroviral medication, and time-updated CD4 count. Mean follow-up period of PWH was 5.3 years, the mean age at baseline was 45 years, 15% were female, and 52% were non-White. At baseline, 60% reported current or former smoking and both were associated with higher incident frailty risk, as was higher pack-years. Current smoking (among younger PWH) and pack-years were associated with higher risk of deterioration, but not former smoking.
AHRQ-funded; HS026154.
Citation: Ruderman SA, Odden MC, Webel AR .
Tobacco smoking and pack-years are associated with frailty among people with HIV.
J Acquir Immune Defic Syndr 2023 Oct 1; 94(2):135-42. doi: 10.1097/qai.0000000000003242..
Keywords: Tobacco Use, Human Immunodeficiency Virus (HIV), Chronic Conditions, Health Status
Roberts MM, Marino M, Wells R
Differences in use of clinical decision support tools and implementation of aspirin, blood pressure control, cholesterol management, and smoking cessation quality metrics in small practices by race and sex.
The objective of this cross-sectional study was to evaluate the association between population-based clinical decision support (CDS) tools and racial and sex disparities in the aspirin use, blood pressure control, cholesterol management, and smoking cessation (ABCS) care quality metrics among smaller primary care practices. Researchers used practice-level data from the EvidenceNOW initiative, from practices that submitted both survey data and electronic health record (EHR)-derived ABCS data stratified by race and sex. Their findings suggested that practices using CDS tools had small disparities but were not statistically significant; however, CDS tools were not associated with reductions in disparities. They concluded that more research was needed on effective practice-level interventions to mitigate disparities.
AHRQ-funded; HS023940.
Citation: Roberts MM, Marino M, Wells R .
Differences in use of clinical decision support tools and implementation of aspirin, blood pressure control, cholesterol management, and smoking cessation quality metrics in small practices by race and sex.
JAMA Netw Open 2023 Aug; 6(8):e2326905. doi: 10.1001/jamanetworkopen.2023.26905..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Cardiovascular Conditions, Tobacco Use, Tobacco Use: Smoking Cessation, Primary Care, Evidence-Based Practice, Prevention
Sun CJ, Doran KM, Sevelius JM
A qualitative examination of tobacco use and smoking cessation among gender minority adults.
Researchers conducted qualitative, semi-structured in-depth interviews to identify and examine factors that influence tobacco use and cessation for gender minority adults. Participants were recruited from the Portland, OR metropolitan area. The researchers then used a conceptual framework based on the Model of Gender Affirmation and Gender Minority Stress Model. Four main themes were generated: general and gender minority-specific stressors; social behavior influenced and sustained by community and interpersonal relationships; health concerns; and conducive life circumstances. Participants expressed a strong desire for gender minority-specific tobacco cessation programs. The researchers concluded that interventions are urgently needed for this population and should be tailored to address the unique factors that impact tobacco use and cessation among gender minority people to increase the possibility of success.
AHRQ-funded; HS022981.
Citation: Sun CJ, Doran KM, Sevelius JM .
A qualitative examination of tobacco use and smoking cessation among gender minority adults.
Ann Behav Med 2023 Jun 30; 57(7):530-40. doi: 10.1093/abm/kaac072..
Keywords: Tobacco Use, Vulnerable Populations
Oke I, Reshef ER, Elze T
Smoking is associated with a higher risk of surgical intervention for thyroid eye disease in the IRIS registry.
This study’s purpose was to describe the association of smoking status with surgical intervention for thyroid eye disease (TED) at the population-level. This retrospective cohort study included all adults (aged ≥18 years) with Graves disease (87,774 total) in the Intelligent Research in Sight (IRIS) Registry (January 1, 2013, to December 31, 2020). Primary outcomes were surgical intervention for TED, stratified into orbital decompression, strabismus surgery, and eyelid recession surgery. The median age was 59 years, and 81% were female. Current smokers had a greater 5-year cumulative probability of orbital decompression (3.7% vs 1.9%), strabismus surgery (4.6% vs 2.2%), and eyelid recession (4.1% vs 2.6%) compared to never smokers. After adjusting for demographic factors, current smokers were at greater risk for orbital decompression, strabismus surgery, and eyelid recession than never smokers. Former smokers were at higher risk for each type of surgery for TED, although at lower levels than current smokers.
AHRQ-funded; HS000063.
Citation: Oke I, Reshef ER, Elze T .
Smoking is associated with a higher risk of surgical intervention for thyroid eye disease in the IRIS registry.
Am J Ophthalmol 2023 May; 249:174-82. doi: 10.1016/j.ajo.2023.01.020..
Keywords: Tobacco Use, Eye Disease and Health
Ho V, Ross JS, Steiner CA
AHRQ Author: Steiner CA
A nationwide assessment of the association of smoking bans and cigarette taxes with hospitalizations for acute myocardial infarction, heart failure, and pneumonia.
No national study using complete hospitalization counts by area that accounts for contemporaneous controls including state cigarette taxes has been conducted. This study in 28 states found that smoking bans lowered pneumonia hospitalization rates for persons ages 60 to 74 years and higher cigarette taxes were associated with lower heart failure hospitalizations for all ages and fewer pneumonia hospitalizations for adults aged 60 to 74.
AHRQ-authored.
Citation: Ho V, Ross JS, Steiner CA .
A nationwide assessment of the association of smoking bans and cigarette taxes with hospitalizations for acute myocardial infarction, heart failure, and pneumonia.
Med Care Res Rev 2017 Dec;74(6):687-704. doi: 10.1177/1077558716668646.
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Keywords: Healthcare Cost and Utilization Project (HCUP), Heart Disease and Health, Hospitalization, Pneumonia, Tobacco Use
Donovan LM, Rise PJ, Carson SS
Sleep disturbance in smokers with preserved pulmonary function and chronic obstructive pulmonary disease.
This study compared the magnitude and correlates of sleep disturbance between smokers with preserved pulmonary function and those with airflow obstruction. It found that among smokers with clinically identified chronic obstructive pulmonary disease (COPD), the severity of sleep disturbance is greater among those with preserved pulmonary function compared to those with airflow obstruction. Non-respiratory symptoms, such as depression, were associated with sleep disturbance in both groups.
AHRQ-funded; HS017894.
Citation: Donovan LM, Rise PJ, Carson SS .
Sleep disturbance in smokers with preserved pulmonary function and chronic obstructive pulmonary disease.
Ann Am Thorac Soc 2017 Dec;14(12):1836-43. doi: 10.1513/AnnalsATS.201706-453OC.
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Keywords: Respiratory Conditions, Sleep Problems, Tobacco Use, Chronic Conditions
Nahhas GJ, Wilson D, Talbot V
Feasibility of implementing a hospital-based "opt-out" tobacco-cessation service.
This study assessed the feasibility and outcomes of implementing a hospital-based "opt-out" tobacco-cessation service. The service consisted of a bedside consult and phone follow-up 3, 14, and 30 days after hospital discharge using interactive-voice-response. Findings from this study suggest that an inpatient smoking-cessation service with an "opt-out" approach can positively impact short-term cessation outcomes.
AHRQ-funded; HS023863.
Citation: Nahhas GJ, Wilson D, Talbot V .
Feasibility of implementing a hospital-based "opt-out" tobacco-cessation service.
Nicotine Tob Res 2017 Aug;19(8):937-43. doi: 10.1093/ntr/ntw312.
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Keywords: Health Information Technology (HIT), Hospitalization, Tobacco Use, Outcomes
Bailey SR, Heintzman JD, Marino M
Smoking-cessation assistance: before and after stage 1 meaningful use implementation.
This study examined whether smoking status assessment, cessation assistance, and odds of being a current smoker changed after Stage 1 Meaningful Use (MU) implementation. Its findings suggest that incentives for MU of electronic health records increase the odds of smoking assessment and cessation assistance, which could lead to decreased smoking rates among vulnerable populations.
AHRQ-funded; HS021522.
Citation: Bailey SR, Heintzman JD, Marino M .
Smoking-cessation assistance: before and after stage 1 meaningful use implementation.
Am J Prev Med 2017 Aug;53(2):192-200. doi: 10.1016/j.amepre.2017.02.006.
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Keywords: Behavioral Health, Electronic Health Records (EHRs), Health Information Technology (HIT), Healthcare Delivery, Primary Care, Tobacco Use
Gaskill CE, Kling CE, Varghese TK, Jr.
Financial benefit of a smoking cessation program prior to elective colorectal surgery.
This study aimed to create an economic evaluation framework to estimate the potential value of preoperative smoking cessation programs for patients undergoing elective colorectal surgery. It concluded that a preoperative smoking cessation program is predicted to be cost-saving over the global postoperative period if the cost of the intervention is below $304 per patient.
AHRQ-funded; HS020025; HS022959.
Citation: Gaskill CE, Kling CE, Varghese TK, Jr. .
Financial benefit of a smoking cessation program prior to elective colorectal surgery.
J Surg Res 2017 Jul;215:183-89. doi: 10.1016/j.jss.2017.03.067.
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Keywords: Tobacco Use, Surgery, Healthcare Costs, Adverse Events
Beckman AL, Herrin J, Nasir K
Trends in cardiovascular health of US adults by income, 2005-2014.
This research letter discusses the trends in cardiovascular health of US adults by income from 2005-2014. The investigators assessed national trends in cardiovascular risk factors by income level among adults aged 25 years and older using data from the National Health and Nutrition Examination Surveys, a nationally representative, multistage probability sample of the US population, across 5 periods: 2005 to 2006, 2007 to 2008, 2009 to 2010, 2011 to 2012, and 2013 to 2014.
AHRQ-funded; HS023000.
Citation: Beckman AL, Herrin J, Nasir K .
Trends in cardiovascular health of US adults by income, 2005-2014.
JAMA Cardiol 2017 Jul;2(7):814-16. doi: 10.1001/jamacardio.2017.1654..
Keywords: Cardiovascular Conditions, Risk, Disparities, Health Status, Blood Pressure, Obesity, Diabetes, Low-Income, Tobacco Use
Pesko MF, Maclean JC, Kaplan CM
AHRQ Author: Hill SC
Trends over time in enrollment in non-group health insurance plans by tobacco use in the United States.
The researchers tabulated enrollment information for 35 states offering insurance plans through Healthcare.gov in both 2014 and 2016. They found that non-tobacco user enrollment rose faster than reported tobacco user enrollment in 30 out of 35 states. Reported tobacco users are enrolling in marketplace plans at a lower rate and are more likely to enroll in less generous plans.
AHRQ-authored.
Citation: Pesko MF, Maclean JC, Kaplan CM .
Trends over time in enrollment in non-group health insurance plans by tobacco use in the United States.
Prev Med Rep 2017 May 17;7:46-49. doi: 10.1016/j.pmedr.2017.05.010.
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Keywords: Health Insurance, Tobacco Use
Tucker JS, Shadel WG, Galvan FH
Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.
This article presents results from a pilot evaluation of a brief smoking cessation treatment to improve adherence to the nicotine patch among Latino smokers living with HIV/AIDS. Although this small pilot was conducted to estimate effect sizes and was not powered to detect group differences, results were promising and suggested that adding a 10-min module focused on nicotine patch adherence to a standard 5 As protocol could increase abstinence rates.
AHRQ-funded; HS000062.
Citation: Tucker JS, Shadel WG, Galvan FH .
Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.
Psychol Addict Behav 2017 Mar;31(2):148-53. doi: 10.1037/adb0000221.
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Keywords: Human Immunodeficiency Virus (HIV), Patient Adherence/Compliance, Racial and Ethnic Minorities, Tobacco Use
Ford JH, 2nd, Oliver KA, Giles M
Maintenance of certification: how performance in practice changes improve tobacco cessation in addiction psychiatrists' practice.
This study reports on findings from a Maintenance of Certification (MOC) Performance in Practice (PIP) module designed and evaluated by addiction psychiatrists who are members of the American Academy of Addiction Psychiatry. It found that simple change projects designed to improve clinical practice led to substantial changes in self-reported chart documentation for the selected measure.
AHRQ-funded; HS021962.
Citation: Ford JH, 2nd, Oliver KA, Giles M .
Maintenance of certification: how performance in practice changes improve tobacco cessation in addiction psychiatrists' practice.
Am J Addict 2017 Jan;26(1):34-41. doi: 10.1111/ajad.12480.
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Keywords: Behavioral Health, Education: Continuing Medical Education, Provider: Health Personnel, Quality Improvement, Tobacco Use