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 (417)
- Adverse Drug Events (ADE) (321)
- Adverse Events (737)
- Alcohol Use (61)
- Ambulatory Care and Surgery (204)
- Antibiotics (248)
- Antimicrobial Stewardship (157)
- Anxiety (48)
- Arthritis (130)
- Asthma (122)
- Autism (31)
- Back Health and Pain (58)
- Behavioral Health (699)
- Blood Clots (62)
- Blood Pressure (132)
- Blood Thinners (79)
- Brain Injury (64)
- Breast Feeding (18)
- Burnout (64)
- Cancer (788)
- Cancer: Breast Cancer (197)
- Cancer: Cervical Cancer (21)
- Cancer: Colorectal Cancer (116)
- Cancer: Lung Cancer (83)
- Cancer: Ovarian Cancer (9)
- Cancer: Prostate Cancer (108)
- Cancer: Skin Cancer (15)
- Cardiovascular Conditions (711)
- Care Coordination (104)
- Caregiving (223)
- Care Management (225)
- Case Study (101)
- Catheter-Associated Urinary Tract Infection (CAUTI) (55)
- Centers for Education and Research on Therapeutics (CERTs) (12)
- Central Line-Associated Bloodstream Infections (CLABSI) (61)
- Children's Health Insurance Program (CHIP) (40)
- Children/Adolescents (1542)
- Chronic Conditions (700)
- Clinical Decision Support (CDS) (199)
- Clinician-Patient Communication (281)
- Clostridium difficile Infections (55)
- Colonoscopy (37)
- Communication (383)
- Community-Acquired Infections (59)
- Community-Based Practice (150)
- Community Partnerships (18)
- Comparative Effectiveness (463)
- Complementary and Alternative Medicine (23)
- Comprehensive Unit-based Safety Program (CUSP) (9)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (85)
- COVID-19 (312)
- Critical Care (220)
- Cultural Competence (64)
- Data (174)
- Decision Making (583)
- Dementia (102)
- Dental and Oral Health (66)
- Depression (237)
- Diabetes (369)
- Diagnostic Safety and Quality (545)
- Dialysis (24)
- Digestive Disease and Health (111)
- Disabilities (73)
- Disparities (449)
- Domestic Violence (30)
- Ear Infections (5)
- Education (30)
- Education: Academic (26)
- Education: Continuing Medical Education (159)
- Education: Curriculum (23)
- Education: Patient and Caregiver (231)
- Elderly (944)
- Electronic Health Records (EHRs) (729)
- Electronic Prescribing (E-Prescribing) (26)
- Emergency Department (559)
- Emergency Medical Services (EMS) (163)
- Emergency Preparedness (26)
- Evidence-Based Practice (932)
- Eye Disease and Health (36)
- Falls (85)
- Family Health and History (71)
- Genetics (96)
- Guidelines (364)
- Healthcare-Associated Infections (HAIs) (420)
- Healthcare Cost and Utilization Project (HCUP) (368)
- Healthcare Costs (787)
- Healthcare Delivery (547)
- Healthcare Utilization (384)
- Health Information Exchange (HIE) (51)
- Health Information Technology (HIT) (1425)
- Health Insurance (434)
- Health Literacy (126)
- Health Promotion (78)
- Health Services Research (HSR) (327)
- Health Status (132)
- Health Systems (104)
- Heart Disease and Health (452)
- Hepatitis (41)
- Home Healthcare (141)
- Hospital Discharge (220)
- Hospitalization (534)
- Hospital Readmissions (323)
- Hospitals (757)
- Human Immunodeficiency Virus (HIV) (255)
- Imaging (245)
- Implementation (191)
- Infectious Diseases (260)
- Influenza (41)
- Injuries and Wounds (207)
- Inpatient Care (221)
- Intensive Care Unit (ICU) (267)
- Kidney Disease and Health (199)
- Labor and Delivery (106)
- Learning Health Systems (47)
- Lifestyle Changes (134)
- Long-Term Care (226)
- Low-Income (171)
- Maternal Care (182)
- Medicaid (359)
- Medical Devices (71)
- Medical Errors (205)
- Medical Expenditure Panel Survey (MEPS) (189)
- Medical Liability (26)
- Medicare (573)
- Medication (1681)
- Medication: Safety (231)
- Men's Health (54)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (73)
- Mortality (397)
- Neonatal Intensive Care Unit (NICU) (43)
- Neurological Disorders (197)
- Newborns/Infants (258)
- Nursing (113)
- Nursing Homes (326)
- Nutrition (135)
- Obesity (250)
- Obesity: Weight Management (105)
- Opioids (303)
- Organizational Change (73)
- Orthopedics (106)
- Osteoporosis (30)
- Outcomes (798)
- Pain (208)
- Palliative Care (138)
- Patient-Centered Healthcare (456)
- Patient-Centered Outcomes Research (1033)
- Patient Adherence/Compliance (229)
- Patient and Family Engagement (275)
- Patient Experience (258)
- Patient Safety (1293)
- Patient Self-Management (140)
- Payment (200)
- Pneumonia (82)
- Policy (431)
- Practice-Based Research Network (PBRN) (16)
- Practice Improvement (34)
- Practice Patterns (305)
- Pregnancy (289)
- Pressure Ulcers (28)
- Prevention (794)
- Primary Care (718)
- Primary Care: Models of Care (86)
- Provider (299)
- Provider: Clinician (67)
- Provider: Health Personnel (91)
- Provider: Nurse (112)
- Provider: Pharmacist (98)
- Provider: Physician (237)
- Provider: Physician Assistant (1)
- Provider Performance (199)
- Public Health (182)
- Public Reporting (40)
- Quality Improvement (551)
- Quality Indicators (QIs) (138)
- Quality Measures (227)
- Quality of Care (990)
- Quality of Life (199)
- Racial and Ethnic Minorities (749)
- Registries (146)
- Rehabilitation (61)
- Research Methodologies (418)
- Respiratory Conditions (367)
- Risk (756)
- Rural/Inner-City Residents (23)
- Rural Health (133)
- Screening (457)
- Sepsis (140)
- Sex Factors (67)
- Sexual Health (126)
- Sickle Cell Disease (49)
- Simulation (48)
- Skin Conditions (121)
- Sleep Problems (70)
- Social Determinants of Health (355)
- Social Media (46)
- Social Stigma (52)
- Stress (71)
- Stroke (162)
- Substance Abuse (299)
- Surgery (1110)
- Surveys on Patient Safety Culture (13)
- System Design (15)
- Teams (137)
- TeamSTEPPS (17)
- Telehealth (256)
- Tobacco Use (83)
- Tobacco Use: Smoking Cessation (22)
- Tools & Toolkits (49)
- Training (143)
- Transitions of Care (192)
- Transplantation (141)
- Trauma (104)
- Treatments (185)
- U.S. Preventive Services Task Force (USPSTF) (217)
- Uninsured (80)
- Urban Health (92)
- Urinary Tract Infection (UTI) (70)
- Vaccination (158)
- Vitamins and Supplements (10)
- Vulnerable Populations (229)
- Web-Based (84)
- Women (545)
- Workflow (66)
- Workforce (89)
- Young Adults (85)
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
8051 to 8075 of 12139 Research Studies DisplayedGarcia-Albeniz X, Hsu J, Hernan MA
The value of explicitly emulating a target trial when using real world evidence: an application to colorectal cancer screening.
Researchers reviewed a recent observational analysis that explicitly emulated a target trial of screening colonoscopy using insurance claims from U.S. Medicare. They then compared this explicit emulation with alternative, simpler observational analyses. This empirical comparison suggests that lack of an explicit emulation of the target trial leads to biased estimates, and shows that allowing for repeated eligibility increases the statistical efficiency of the estimates.
AHRQ-funded; HS023128.
Citation: Garcia-Albeniz X, Hsu J, Hernan MA .
The value of explicitly emulating a target trial when using real world evidence: an application to colorectal cancer screening.
Eur J Epidemiol 2017 Jun;32(6):495-500. doi: 10.1007/s10654-017-0287-2.
.
.
Keywords: Cancer: Colorectal Cancer, Colonoscopy, Comparative Effectiveness, Evidence-Based Practice, Research Methodologies
Sommers BD, Maylone B, Blendon RJ
Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults.
Using survey data collected from low-income adults through the end of 2016 in three states: Kentucky, which expanded Medicaid; Arkansas, which expanded private insurance to low-income adults using the federal Marketplace; and Texas, which did not expand coverage, researchers found that by the end of 2016 the uninsurance rate in the two expansion states had dropped by more than 20 percentage points relative to the nonexpansion state.
AHRQ-funded; HS021291.
Citation: Sommers BD, Maylone B, Blendon RJ .
Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults.
Health Aff 2017 Jun;36(6):1119-28. doi: 10.1377/hlthaff.2017.0293.
.
.
Keywords: Policy, Low-Income, Access to Care, Health Insurance, Uninsured
Kamal AH, Bull J, Wolf SP
Unmet needs of African Americans and whites at the time of palliative care consultation.
Researchers aimed to compare characteristics and palliative care needs of African Americans (AAs) and whites during initial palliative care consultation. Nearly two-thirds in both racial groups reported 3 or more symptoms of any severity; one-third reported 3 or more moderate or severe symptoms. A larger proportion of Africans than whites reported pain of any severity.
AHRQ-funded; HS023681; HS022763.
Citation: Kamal AH, Bull J, Wolf SP .
Unmet needs of African Americans and whites at the time of palliative care consultation.
Am J Hosp Palliat Care 2017 Jun;34(5):461-65. doi: 10.1177/1049909116632508.
.
.
Keywords: Disparities, Quality of Care, Palliative Care, Patient-Centered Outcomes Research, Racial and Ethnic Minorities
Cerully JL, Martino SC, Rybowski L
Using "roll-up" measures in healthcare quality reports: perspectives of report sponsors and national alliances.
The objective of this study, which used semi-structured qualitative interview design, was to understand the views of prominent organizations in the field of healthcare quality on the topic of reporting roll-up measures that combine indicators of multiple, often disparate, dimensions of care to consumers. The investigators concluded that the results of the interviews elucidated the need for research focused on construction and reporting of roll-up measures.
AHRQ-funded; HS016980; HS016978.
Citation: Cerully JL, Martino SC, Rybowski L .
Using "roll-up" measures in healthcare quality reports: perspectives of report sponsors and national alliances.
Am J Manag Care 2017 Jun;23(6):e202-e07..
Keywords: Quality of Care, Quality Improvement, Quality Indicators (QIs), Quality Measures
Seidelman J, Dicks KV, Durkin MJ
Using clinical scenarios to understand preventability of Clostridium difficile infections by inpatient antibiotic stewardship programs.
The authors of this research brief designed a 2-phase study (1) to define the types of clostridium difficile infections (CDI) that clinicians consider unlikely preventable by inpatient antibiotic stewardship programs and (2) to estimate the relative proportion of inpatient CDI cases at a tertiary-care hospital that belongs to this category of “nonpreventable” CDI.
AHRQ-funded; HS023866.
Citation: Seidelman J, Dicks KV, Durkin MJ .
Using clinical scenarios to understand preventability of Clostridium difficile infections by inpatient antibiotic stewardship programs.
Infect Control Hosp Epidemiol 2017 Jun;38(6):747-49. doi: 10.1017/ice.2017.32..
Keywords: Antibiotics, Antimicrobial Stewardship, Clostridium difficile Infections, Healthcare-Associated Infections (HAIs), Healthcare-Associated Infections (HAIs), Inpatient Care
Mirel LB, Chowdhury SR
AHRQ Author: Chowdhury SR
Using linked survey paradata to improve sampling strategies in the Medical Expenditure Panel Survey.
The main objective of this article is to examine how paradata from a prior survey can be used in developing a sampling scheme in a subsequent survey. A framework for optimal allocation of the sample in substrata formed for this purpose is presented and evaluated for the relative effectiveness of alternative substratification schemes.
AHRQ-authored.
Citation: Mirel LB, Chowdhury SR .
Using linked survey paradata to improve sampling strategies in the Medical Expenditure Panel Survey.
J Off Stat 2017 Jun;33(2):367–83.
.
.
Keywords: Data, Medical Expenditure Panel Survey (MEPS), Research Methodologies
Gandek B, Ware JE, Jr.
Validity and responsiveness of the knee injury and osteoarthritis outcome score: a comparative study among total knee replacement patients.
The researchers evaluated validity and responsiveness of the Knee Injury and Osteoarthritis Outcome Score (KOOS) in relation to other patient-reported outcome measures before and after total knee replacement (TKR). They concluded that KOOS scales were valid and responsive in a cohort of 1,143 US TKR patients. KOOS QOL performed particularly well in capturing aggregate knee-specific outcomes.
AHRQ-funded; HS018910; HS024632.
Citation: Gandek B, Ware JE, Jr. .
Validity and responsiveness of the knee injury and osteoarthritis outcome score: a comparative study among total knee replacement patients.
Arthritis Care Res 2017 Jun;69(6):817-25. doi: 10.1002/acr.23193.
.
.
Keywords: Arthritis, Surgery, Patient-Centered Outcomes Research, Outcomes, Injuries and Wounds
Jacobs BL, He C, Li BY
Variation in readmission expenditures after high-risk surgery.
The researchers sought to investigate readmission intensity as measured by readmission cost for high-risk surgeries and examine predictors of higher readmission costs. They found that the 30-day readmission rate was 16 percent for major chest and 22 percent for major abdominal surgery. Discharge to a skilled nursing facility was associated with higher readmission costs for both chest and abdominal surgeries.
AHRQ-funded; HS024403; HS023621.
Citation: Jacobs BL, He C, Li BY .
Variation in readmission expenditures after high-risk surgery.
J Surg Res 2017 Jun 1;213:60-68. doi: 10.1016/j.jss.2017.02.017.
.
.
Keywords: Healthcare Cost and Utilization Project (HCUP), Surgery, Hospital Readmissions, Healthcare Costs, Risk
Goodwin JS, Li S, Zhou J
Comparison of methods to identify long term care nursing home residence with administrative data.
Researchers compared different methods for identifying a long term care (LTC) nursing home stay, distinct from stays in skilled nursing facilities (SNFs), to the method currently used by the Center for Medicare and Medicaid Services (CMS). They concluded that using both Medicare and Minimum Data Set (MDS), data to identify LTC stays will lead to more accurate attribution of CMS nursing home quality indicators.
AHRQ-funded; HS022134.
Citation: Goodwin JS, Li S, Zhou J .
Comparison of methods to identify long term care nursing home residence with administrative data.
BMC Health Serv Res 2017 May 30;17(1):376. doi: 10.1186/s12913-017-2318-9.
.
.
Keywords: Data, Long-Term Care, Nursing Homes, Quality Indicators (QIs)
Lee BY, Wedlock PT, Haidari LA
Economic impact of thermostable vaccines.
Using simulation models of the vaccine supply chains for the Republic of Benin, the state of Bihar (India), and Niger, the researchers simulated replacing different existing vaccines with thermostable formulations and determined the resulting clinical and economic impact. They concluded that medical cost and productivity savings could outweigh even significant price premiums charged for thermostable formulations of vaccines, providing support for their use.
AHRQ-funded; HS023317.
Citation: Lee BY, Wedlock PT, Haidari LA .
Economic impact of thermostable vaccines.
Vaccine 2017 May 25;35(23):3135-42. doi: 10.1016/j.vaccine.2017.03.081.
.
.
Keywords: Vaccination, Healthcare Costs
Parikh KS, Lippmann SJ, Greiner M
Scope of sacubitril/valsartan eligibility after heart failure hospitalization: findings from the GWTG-HF Registry (Get With The Guidelines-Heart Failure).
Researchers used the Get With The Guidelines-Heart Failure (GWTG-HF) registry to characterize patients’ eligibility and potential barriers for sacubitril/valsartan initiation. The GWTG-HF registry was established by the American Heart Association to improve adherence to quality of care guidelines for patients hospitalized with heart failure. The FDA has approved sacubitril/valsartan for patients with heart failure with reduced ejection fraction (HFrEF); however, FDA labeling is broader than the trial entry criteria, and the scope of potential sacubitril/valsartan use in HFrEF is not well understood. Findings suggest that discharge from hospitalization from acute heart failure may be an opportunity for re-evaluating medications, including potentially switching the patient from ACEI/ARB, or starting sacubitril/valsartan.
AHRQ-funded; HS021092.
Citation: Parikh KS, Lippmann SJ, Greiner M .
Scope of sacubitril/valsartan eligibility after heart failure hospitalization: findings from the GWTG-HF Registry (Get With The Guidelines-Heart Failure).
Circulation 2017 May 23;135(21):2077-80. doi: 10.1161/circulationaha.117.027773..
Keywords: Cardiovascular Conditions, Guidelines, Heart Disease and Health, Hospitalization, Medication, Registries
Taylor C, Correa C, Duane FK
Estimating the risks of breast cancer radiotherapy: evidence from modern radiation doses to the lungs and heart and from previous randomized trials.
The researchers estimated the absolute long-term risks of modern breast cancer radiotherapy. They concluded that, for long-term smokers, the absolute risks of modern radiotherapy may outweigh the benefits, yet for most nonsmokers (and ex-smokers), the benefits of radiotherapy far outweigh the risks. Hence, smoking can determine the net effect of radiotherapy on mortality, but smoking cessation substantially reduces radiotherapy risk.
AHRQ-funded; HS021681.
Citation: Taylor C, Correa C, Duane FK .
Estimating the risks of breast cancer radiotherapy: evidence from modern radiation doses to the lungs and heart and from previous randomized trials.
J Clin Oncol 2017 May 20;35(15):1641-49. doi: 10.1200/jco.2016.72.0722.
.
.
Keywords: Adverse Events, Cancer: Breast Cancer, Risk, Treatments
Melnick ER, Hess EP, Guo G
Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the emergency department.
The study’s objective was to formatively evaluate an electronic tool that not only helps clinicians at the bedside to determine the need for CT use based on the Canadian CT Head Rule but also promotes evidence-based conversations between patients and clinicians regarding patient-specific risk and patients' specific concerns. It concluded that the Concussion or Brain Bleed app is a useful and usable final product integrating clinical decision support with a patient decision aid.
AHRQ-funded; HS021271.
Citation: Melnick ER, Hess EP, Guo G .
Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the emergency department.
J Med Internet Res 2017 May 19;19(5):e174. doi: 10.2196/jmir.7846.
.
.
Keywords: Brain Injury, Decision Making, Emergency Department, Health Information Technology (HIT), Patient-Centered Healthcare
Regenbogen SE, Cain-Nielsen AH, Norton EC
Costs and consequences of early hospital discharge after major inpatient surgery in older adults.
This study evaluated the association between early postoperative discharge practices and overall surgical episode spending and expenditures for postdischarge care use and readmissions. It concluded that early routine postoperative discharge after major inpatient surgery is associated with lower total surgical episode payments. There is no evidence that savings from shorter postsurgical hospitalization are offset by higher postdischarge care spending.
AHRQ-funded; HS024698.
Citation: Regenbogen SE, Cain-Nielsen AH, Norton EC .
Costs and consequences of early hospital discharge after major inpatient surgery in older adults.
JAMA Surg 2017 May 17;152(5):e170123. doi: 10.1001/jamasurg.2017.0123.
.
.
Keywords: Elderly, Surgery, Hospital Discharge, Healthcare Costs, Outcomes
Hessels AJ, Agarwal M, Saiman L
Measuring patient safety culture in pediatric long-term care.
The purpose of this study was to test the reliability, feasibility and utility of a modified patient safety survey for use in pediatric long term care (pLTC) settings and describe patient safety culture in a sample of providers from pLTC facilities. Highest ratings were given to overall perceptions of safety, feedback and incident communication, supervisors' expectations and actions and management support.
AHRQ-funded; HS021470.
Citation: Hessels AJ, Agarwal M, Saiman L .
Measuring patient safety culture in pediatric long-term care.
J Pediatr Rehabil Med 2017 May 17;10(2):81-87. doi: 10.3233/prm-170432.
.
.
Keywords: Children/Adolescents, Long-Term Care, Patient Safety, Quality of Care
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.
.
.
Keywords: Health Insurance, Tobacco Use
DeLancey JO, Softcheck J, Chung JW
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings.
This study evaluated associations between hospital characteristics, number and types of measures reported, and the star ratings. Of 3,591 hospitals receiving a star rating,4 or 5 stars were awarded to 15.8 percent of major teaching hospitals, 18.8 percent of other teaching hospitals, 30.2 percent of community hospitals, 33.3 percent of critical access hospitals, and 87.3 percent of specialty hospitals.
AHRQ-funded; HS021857.
Citation: DeLancey JO, Softcheck J, Chung JW .
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Ratings.
JAMA 2017 May 16;317(19):2015-17. doi: 10.1001/jama.2017.3148.
.
.
Keywords: Hospitals, Quality of Care, Quality Measures, Provider Performance, Patient Safety
Anderson DJ, Rojas LF, Watson S
Identification of novel risk factors for community-acquired Clostridium difficile infection using spatial statistics and geographic information system analyses.
The rate of community-acquired Clostridium difficile infection (CA-CDI) is increasing. While receipt of antibiotics remains an important risk factor for CDI, studies related to acquisition of C. difficile outside of hospitals are lacking. This study found that proximity to a livestock farm (0.01), proximity to farming raw materials services (0.02), and proximity to a nursing home (0.04) were independently associated with increased rates of CA-CDI.
AHRQ-funded; HS023866.
Citation: Anderson DJ, Rojas LF, Watson S .
Identification of novel risk factors for community-acquired Clostridium difficile infection using spatial statistics and geographic information system analyses.
PLoS One 2017 May 16;12(5):e0176285. doi: 10.1371/journal.pone.0176285.
.
.
Keywords: Clostridium difficile Infections, Community-Acquired Infections, Risk, Patient Safety
Waldfogel JM, Nesbit SA, Dy SM
Pharmacotherapy for diabetic peripheral neuropathy pain and quality of life: a systematic review.
This review systematically assessed the effect of pharmacologic treatments of diabetic peripheral neuropathy (DPN) on pain and quality of life. It concluded that for reducing pain, duloxetine and venlafaxine, pregabalin and oxcarbazepine, tricyclic antidepressants, atypical opioids, and botulinum toxin were more effective than placebo. However, quality of life was poorly reported, studies were short-term, drugs had substantial dropout rates, and opioids have significant risks.
AHRQ-funded; 2902015000061.
Citation: Waldfogel JM, Nesbit SA, Dy SM .
Pharmacotherapy for diabetic peripheral neuropathy pain and quality of life: a systematic review.
Neurology 2017 May 16;88(20):1958-67. doi: 10.1212/wnl.0000000000003882.
.
.
Keywords: Diabetes, Chronic Conditions, Medication, Quality of Life, Patient-Centered Outcomes Research
Lee JS, Hu HM, Brummett CM
Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey.
The researchers sought to evaluate the association between the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) pain measures and postoperative opioid prescribing in surgical patients, which accounts for nearly 40 percent of surgical prescriptions. They found that postoperative opioid prescribing was not correlated with HCAHPS pain measures.
AHRQ-funded; HS023313.
Citation: Lee JS, Hu HM, Brummett CM .
Postoperative opioid prescribing and the pain scores on Hospital Consumer Assessment of Healthcare Providers and Systems Survey.
JAMA 2017 May 16;317(19):2013-15. doi: 10.1001/jama.2017.2827.
.
.
Keywords: Consumer Assessment of Healthcare Providers and Systems (CAHPS), Hospitals, Opioids, Pain, Patient Experience
Shih YT, Chien CR
A review of cost communication in oncology: patient attitude, provider acceptance, and outcome assessment.
This review identified 15 articles that covered 3 topics related to patient-physician cost communication: patient attitude, physician acceptance, and the associated outcomes. The data suggested that cost communication was associated with improved patient satisfaction, lower out-of-pocket expenses, and a higher likelihood of medication nonadherence; none of the studies established causality.
AHRQ-funded; HS020263.
Citation: Shih YT, Chien CR .
A review of cost communication in oncology: patient attitude, provider acceptance, and outcome assessment.
Cancer 2017 May 15;123(6):928-39. doi: 10.1002/cncr.30423.
.
.
Keywords: Cancer, Communication, Healthcare Costs, Outcomes, Clinician-Patient Communication
Meystre S, Gouripeddi R, Tieder J
Enhancing comparative effectiveness research with automated pediatric pneumonia detection in a multi-institutional clinical repository: a PHIS+ pilot study.
The aim of this study was to develop an automated, scalable, and accurate method to determine the presence or absence of pneumonia in children using chest imaging reports. It found that, when compared with each of the domain experts manually annotating these reports, the new Natural Language Processing (NLP) application developed by the researchers allowed for significantly higher sensitivity (.71 vs .527) and similar positive predictive value and specificity.
AHRQ-funded; HS019862.
Citation: Meystre S, Gouripeddi R, Tieder J .
Enhancing comparative effectiveness research with automated pediatric pneumonia detection in a multi-institutional clinical repository: a PHIS+ pilot study.
J Med Internet Res 2017 May 15;19(5):e162. doi: 10.2196/jmir.6887.
.
.
Keywords: Children/Adolescents, Community-Acquired Infections, Comparative Effectiveness, Health Information Technology (HIT), Pneumonia
Ngo-Metzger Q, Rajupet S
AHRQ Author: Ngo-Metzger Q
Screening for colorectal cancer.
This case study involves a 50-year-old woman who presents for a routine visit. She is healthy with no significant medical history, takes no medications, and has no personal or family history of cancer. She asks about colorectal cancer screening. There are three multiple choice questions together with the U.S. Preventive Services Task Force answers, recommendations and related background information.
AHRQ-authored.
Citation: Ngo-Metzger Q, Rajupet S .
Screening for colorectal cancer.
Am Fam Physician 2017 May 15;95(10):653-54.
.
.
Keywords: Cancer: Colorectal Cancer, Case Study, Colonoscopy, Prevention, Screening
Lin JS, Bowles EJA, Williams SB
Screening for thyroid cancer: updated evidence report and systematic review for the US Preventive Services Task Force.
The researchers systematically reviewed the benefits and harms associated with thyroid cancer screening and treatment of early thyroid cancer in asymptomatic adults to inform the US Preventive Services Task Force. They concluded that although ultrasonography of the neck using high-risk sonographic characteristics plus follow-up cytology from fine-needle aspiration can identify thyroid cancers, it is unclear if population-based or targeted screening can decrease mortality rates or improve important patient health outcomes.
AHRQ-funded; 290201200015I.
Citation: Lin JS, Bowles EJA, Williams SB .
Screening for thyroid cancer: updated evidence report and systematic review for the US Preventive Services Task Force.
JAMA 2017 May 9;317(18):1888-903. doi: 10.1001/jama.2017.0562.
.
.
Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Cancer, Evidence-Based Practice, Guidelines
Singh JA, Hossain A, Mudano AS
Biologics or tofacitinib for people with rheumatoid arthritis naive to methotrexate: a systematic review and network meta-analysis.
The researchers performed a systematic review to compare the benefits and harms of biologics and small molecule tofacitinib versus comparator (methotrexate (MTX) and other disease-modifying antirheumatic drugs) in patients with rheumatoid arthritis (RA) who are naive to methotrexate. They concluded that in MTX-naive RA participants, there was moderate-quality evidence that, compared with MTX alone, biologics with MTX were associated with absolute and relative clinically meaningful benefits in three of the efficacy outcomes.
AHRQ-funded; HS021110.
Citation: Singh JA, Hossain A, Mudano AS .
Biologics or tofacitinib for people with rheumatoid arthritis naive to methotrexate: a systematic review and network meta-analysis.
Cochrane Database Syst Rev 2017 May 8;5:CD012657. doi: 10.1002/14651858.cd012657.
.
.
Keywords: Comparative Effectiveness, Medication, Arthritis, Patient-Centered Outcomes Research, Evidence-Based Practice