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 (12)
- Adverse Drug Events (ADE) (9)
- Adverse Events (71)
- Alcohol Use (4)
- Ambulatory Care and Surgery (8)
- Antibiotics (7)
- Antimicrobial Stewardship (2)
- Anxiety (2)
- Arthritis (18)
- Asthma (9)
- Autism (1)
- Back Health and Pain (10)
- Behavioral Health (32)
- Blood Clots (3)
- Blood Pressure (6)
- Blood Thinners (11)
- Brain Injury (10)
- Breast Feeding (2)
- Cancer (67)
- Cancer: Breast Cancer (7)
- Cancer: Colorectal Cancer (4)
- Cancer: Lung Cancer (13)
- Cancer: Prostate Cancer (14)
- Cardiovascular Conditions (111)
- Care Coordination (4)
- Caregiving (2)
- Care Management (22)
- Case Study (4)
- Central Line-Associated Bloodstream Infections (CLABSI) (1)
- Children/Adolescents (71)
- Chronic Conditions (43)
- Clinical Decision Support (CDS) (4)
- Clinician-Patient Communication (2)
- Clostridium difficile Infections (1)
- Communication (7)
- Community-Acquired Infections (5)
- Community-Based Practice (5)
- Comparative Effectiveness (120)
- Complementary and Alternative Medicine (3)
- Comprehensive Unit-based Safety Program (CUSP) (1)
- COVID-19 (12)
- Critical Care (19)
- Cultural Competence (2)
- Data (8)
- Decision Making (14)
- Dementia (2)
- Dental and Oral Health (1)
- Depression (16)
- Diabetes (19)
- Diagnostic Safety and Quality (10)
- Dialysis (6)
- Digestive Disease and Health (14)
- Disabilities (5)
- Disparities (22)
- Education (1)
- Education: Continuing Medical Education (6)
- Education: Patient and Caregiver (3)
- Elderly (78)
- Electronic Health Records (EHRs) (13)
- Emergency Department (30)
- Emergency Medical Services (EMS) (8)
- Evidence-Based Practice (142)
- Eye Disease and Health (1)
- Falls (2)
- Family Health and History (2)
- Guidelines (10)
- Healthcare-Associated Infections (HAIs) (9)
- Healthcare Cost and Utilization Project (HCUP) (32)
- Healthcare Costs (26)
- Healthcare Delivery (18)
- Healthcare Utilization (21)
- Health Information Exchange (HIE) (1)
- Health Information Technology (HIT) (42)
- Health Insurance (14)
- Health Literacy (4)
- Health Services Research (HSR) (11)
- Health Status (10)
- Health Systems (2)
- Heart Disease and Health (66)
- Hepatitis (3)
- Home Healthcare (2)
- Hospital Discharge (14)
- Hospitalization (36)
- Hospital Readmissions (34)
- Hospitals (55)
- Human Immunodeficiency Virus (HIV) (14)
- Imaging (7)
- Implementation (3)
- Infectious Diseases (6)
- Influenza (2)
- Injuries and Wounds (23)
- Inpatient Care (19)
- Intensive Care Unit (ICU) (28)
- Kidney Disease and Health (29)
- Labor and Delivery (18)
- Learning Health Systems (3)
- Lifestyle Changes (4)
- Long-Term Care (7)
- Low-Income (8)
- Maternal Care (15)
- Medicaid (13)
- Medical Devices (10)
- Medicare (44)
- Medication (91)
- Medication: Safety (4)
- Men's Health (5)
- Mortality (91)
- Neonatal Intensive Care Unit (NICU) (1)
- Neurological Disorders (20)
- Newborns/Infants (30)
- Nursing (4)
- Nursing Homes (16)
- Nutrition (9)
- Obesity (24)
- Obesity: Weight Management (14)
- Opioids (9)
- Orthopedics (18)
- Osteoporosis (1)
- (-) Outcomes (798)
- Pain (19)
- Palliative Care (6)
- Patient-Centered Healthcare (14)
- Patient-Centered Outcomes Research (270)
- Patient Adherence/Compliance (5)
- Patient and Family Engagement (2)
- Patient Experience (8)
- Patient Safety (54)
- Patient Self-Management (2)
- Payment (3)
- Pneumonia (8)
- Policy (7)
- Practice Patterns (10)
- Pregnancy (24)
- Pressure Ulcers (1)
- Prevention (19)
- Primary Care (12)
- Primary Care: Models of Care (1)
- Provider (5)
- Provider: Health Personnel (2)
- Provider: Nurse (3)
- Provider: Physician (7)
- Provider Performance (14)
- Public Health (3)
- Public Reporting (7)
- Quality Improvement (44)
- Quality Indicators (QIs) (11)
- Quality Measures (16)
- Quality of Care (71)
- Quality of Life (31)
- Racial and Ethnic Minorities (35)
- Registries (30)
- Rehabilitation (10)
- Research Methodologies (21)
- Respiratory Conditions (39)
- Risk (58)
- Rural Health (7)
- Screening (2)
- Sepsis (26)
- Sex Factors (15)
- Sexual Health (2)
- Sickle Cell Disease (3)
- Simulation (1)
- Skin Conditions (6)
- Sleep Problems (3)
- Social Determinants of Health (16)
- Stress (4)
- Stroke (27)
- Substance Abuse (9)
- Surgery (214)
- Surveys on Patient Safety Culture (2)
- Teams (10)
- TeamSTEPPS (1)
- Telehealth (13)
- Tobacco Use (7)
- Tools & Toolkits (2)
- Training (5)
- Transitions of Care (9)
- Transplantation (23)
- Trauma (12)
- Treatments (35)
- U.S. Preventive Services Task Force (USPSTF) (1)
- Uninsured (2)
- Urban Health (3)
- Urinary Tract Infection (UTI) (2)
- Vaccination (1)
- Vulnerable Populations (4)
- Web-Based (1)
- Women (37)
- Workforce (3)
- Young Adults (2)
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
676 to 700 of 798 Research Studies DisplayedPatel MB, Wilson LD, Bregman JA
Neurologic functional and quality of life outcomes after TBI: clinic attendees versus non-attendees.
This study describes the relationship between TBI patient demographics, quality of life outcome, and functional status outcome among clinic attendees and non-attendees. All participants were telephone surveyed using the Extended-Glasgow Outcome Scale (GOSE), the Quality of Life after Brain Injury (QOLIBRI) scale, and a post-discharge therapy questionnaire. Risk factors for GOSE and QOLIBRI outcomes included age, injury characteristics, clinic attendance, insurance status, post-discharge rehabilitation, and time from injury.
AHRQ-funded; HS013833.
Citation: Patel MB, Wilson LD, Bregman JA .
Neurologic functional and quality of life outcomes after TBI: clinic attendees versus non-attendees.
J Neurotrauma 2015 Jul 1;32(13):984-9. doi: 10.1089/neu.2014.3652..
Keywords: Brain Injury, Registries, Outcomes
Dahabreh IJ, Steele DW, Shah N
Oral mechanical bowel preparation for colorectal surgery: systematic review and meta-analysis.
The purpose of this review was to synthesize the evidence on the comparative effectiveness and safety of oral mechanical bowel preparation versus no preparation or enema. It found weak evidence suggesting that oral mechanical bowel preparation has similar effectiveness compared with no preparation with respect to all-cause mortality, anastomotic leakage, wound infection, and peritonitis for patients undergoing elective surgery for colorectal cancer.
AHRQ-funded; 290201200012I.
Citation: Dahabreh IJ, Steele DW, Shah N .
Oral mechanical bowel preparation for colorectal surgery: systematic review and meta-analysis.
Dis Colon Rectum 2015 Jul;58(7):698-707. doi: 10.1097/dcr.0000000000000375..
Keywords: Comparative Effectiveness, Surgery, Outcomes, Adverse Events
Durkin MJ, Dicks KV, Baker AW
Postoperative infection in spine surgery: does the month matter?
The authors evaluated for seasonal variation of surgical site infection (SSI) following spine surgery in a network of nonteaching community hospitals. They found that the rate of SSI following fusion or spinal laminectomy/laminoplasty was higher during the summer in this network of community hospitals, most likely due to S. aureus rather than the July effect.
AHRQ-funded; HS023866.
Citation: Durkin MJ, Dicks KV, Baker AW .
Postoperative infection in spine surgery: does the month matter?
J Neurosurg Spine 2015 Jul;23(1):128-34. doi: 10.3171/2014.10.spine14559.
.
.
Keywords: Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Adverse Events, Patient Safety, Hospitals, Outcomes, Quality of Care
Abdelsattar ZM, Hendren S, Wong SL
Variation in transfusion practices and the effect on outcomes after noncardiac surgery.
The researchers assessed the hospital-level variation in transfusion practices for packed red blood cells and the patient-level effects on outcomes after noncardiac general or vascular surgery, using population-based prospectively collected data. They found that postoperative transfusions after noncardiac surgery are associated with increased adverse postoperative outcomes, with the exception of postoperative myocardial infarction.
AHRQ-funded; HS000053.
Citation: Abdelsattar ZM, Hendren S, Wong SL .
Variation in transfusion practices and the effect on outcomes after noncardiac surgery.
Ann Surg 2015 Jul;262(1):1-6. doi: 10.1097/sla.0000000000001264..
Keywords: Patient Safety, Surgery, Outcomes, Adverse Events
Yehia BR, Stephens-Shields AJ, Fleishman JA
AHRQ Author: Fleishman JA
The HIV care continuum: changes over time in retention in care and viral suppression.
The researchers followed individual patients over a three-year period to determine how retention in care and viral suppression statuses interact and change over time. Overall, 65.8 percent of patients were retained/suppressed, 17.4 percent retained/not-suppressed, 10.0 percent not-retained/suppressed, and 6.8 percent not-retained/not-suppressed in 2010. 59.5 percent of patients maintained the same status in 2011 and 53.3 percent maintained the same status in 2012.
AHRQ-authored; AHRQ-funded; 290201100007C.
Citation: Yehia BR, Stephens-Shields AJ, Fleishman JA .
The HIV care continuum: changes over time in retention in care and viral suppression.
PLoS One 2015 Jun 18;10(6):e0129376. doi: 10.1371/journal.pone.0129376..
Keywords: Human Immunodeficiency Virus (HIV), Outcomes
Briesacher BA, Madden JM, Zhang F
Did Medicare Part D affect national trends in health outcomes or hospitalizations? A time-series analysis.
The researchers examined changes in health outcomes and medical services in the Medicare population after implementation of Medicare Part D. They found that 5 years after implementation, and contrary to previous reports, there was no evidence of Part D's effect on a range of population-level health indicators among Medicare enrollees. Further, there was no clear evidence of gains in medical care efficiencies.
AHRQ-funded; HS018577
Citation: Briesacher BA, Madden JM, Zhang F .
Did Medicare Part D affect national trends in health outcomes or hospitalizations? A time-series analysis.
Ann Intern Med. 2015 Jun 16;162(12):825-33. doi: 10.7326/m14-0726..
Keywords: Hospitalization, Outcomes, Medicare, Health Status, Elderly
Masoudi FA, Go AS, Magid DJ
Age and sex differences in long-term outcomes following implantable cardioverter-defibrillator placement in contemporary clinical practice: findings from the Cardiovascular Research Network.
The objectives of this study were to characterize the risks of adverse outcomes in women and older patients. following implantable cardioverter-defibrillator placement with a focus on death, hospitalization, and complications. It concluded that the burden of adverse outcomes is substantial and varies according to patient age and sex. These differences in outcome generally do not vary according to baseline heart failure characteristics.
AHRQ-funded; 290050033; HS019814.
Citation: Masoudi FA, Go AS, Magid DJ .
Age and sex differences in long-term outcomes following implantable cardioverter-defibrillator placement in contemporary clinical practice: findings from the Cardiovascular Research Network.
J Am Heart Assoc 2015 Jun 2;4(6):e002005. doi: 10.1161/jaha.115.002005..
Keywords: Medical Devices, Cardiovascular Conditions, Patient-Centered Outcomes Research, Elderly, Outcomes
Borden WB, Chiang YP, Kronick R
AHRQ Author: Kronick, R
Bringing patient-centered outcomes research to life.
Achieving better health outcomes requires both the generation of new patient-centered outcomes research (PCOR) knowledge and the appropriate and timely dissemination of that knowledge into practice. This article highlights the work AHRQ has done, is doing, and will do to improve the uptake of PCOR findings.
AHRQ-authored
Citation: Borden WB, Chiang YP, Kronick R .
Bringing patient-centered outcomes research to life.
Value Health. 2015 Jun;18(4):355-7. doi: 10.1016/j.jval.2015.01.010..
Keywords: Communication, Evidence-Based Practice, Outcomes, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Implementation
Sjoding MW, Prescott HC, Wunsch H
Hospitals with the highest intensive care utilization provide lower quality pneumonia care to the elderly.
The researchers investigate the relationship between a hospital’s ICU admission rate for elderly patients with pneumonia and the quality of care it provided to patients with pneumonia. They found that quality of care was lower among hospitals with the highest rates of ICU admission for elderly patients with pneumonia; such hospitals were less likely to deliver pneumonia processes of care and had worse outcomes for patients with pneumonia.
AHRQ-funded; HS020672.
Citation: Sjoding MW, Prescott HC, Wunsch H .
Hospitals with the highest intensive care utilization provide lower quality pneumonia care to the elderly.
Crit Care Med 2015 Jun;43(6):1178-86. doi: 10.1097/ccm.0000000000000925..
Keywords: Intensive Care Unit (ICU), Elderly, Inpatient Care, Quality of Care, Outcomes
Frasier LL, Leverson G, Gosain A
Laparoscopic versus open Ladd's procedure for intestinal malrotation in adults.
This study was designed to investigate outcomes for adults undergoing laparoscopic surgery vs. open Ladd’s repair for malrotation. It found no significant differences in complication rates, need for re-operation, or symptom resolution. There was a statistically significant decrease in length of stay following laparoscopy compared to open surgery.
AHRQ-funded; HS022403.
Citation: Frasier LL, Leverson G, Gosain A .
Laparoscopic versus open Ladd's procedure for intestinal malrotation in adults.
Surg Endosc 2015 Jun;29(6):1598-604. doi: 10.1007/s00464-014-3849-3..
Keywords: Surgery, Outcomes, Patient-Centered Outcomes Research, Adverse Events, Comparative Effectiveness
Gibbons MB, Thompson SM, Mack RA
The relation of baseline skills to psychotherapy outcome across diverse psychotherapies.
The researchers explored the role of baseline skills deficits in compensatory skills and self-understanding across both cognitive and dynamic treatment modalities. Their results support a capitalization model for cognitive therapy but failed to support either a compensation model or a capitalization model for the short-term dynamic model.
AHRQ-funded; HS022124.
Citation: Gibbons MB, Thompson SM, Mack RA .
The relation of baseline skills to psychotherapy outcome across diverse psychotherapies.
J Clin Psychol 2015 Jun;71(6):491-9. doi: 10.1002/jclp.22165..
Keywords: Comparative Effectiveness, Depression, Behavioral Health, Outcomes, Patient-Centered Outcomes Research
Francis DO, Krishnaswami S, Mcpheeters M
Treatment of ankyloglossia and breastfeeding outcomes: a systematic review.
This systematic review of literature on surgical and nonsurgical treatments for infants with ankyloglossia, a condition restricting tongue mobility in infants, found that frenotomy may be associated with mother-reported improvements in breastfeeding, and potentially in nipple pain. Since the existing studies are small and short-term with inconsistent methodology, the strength of the evidence is low to insufficient.
AHRQ-funded; 290201200009I.
Citation: Francis DO, Krishnaswami S, Mcpheeters M .
Treatment of ankyloglossia and breastfeeding outcomes: a systematic review.
Pediatrics 2015 Jun;135(6):e1458-66. doi: 10.1542/peds.2015-0658..
Keywords: Breast Feeding, Outcomes, Comparative Effectiveness, Evidence-Based Practice, Newborns/Infants
Chinnadurai S, Francis DO, Epstein RA
Treatment of ankyloglossia for reasons other than breastfeeding: a systematic review.
The researchers systematically reviewed literature on feeding, speech, and social outcomes of treatments for infants and children with ankyloglossia. After analyzing two randomized controlled trials, 2 cohort studies, and 11 case series assessing the effects of frenotomy on feeding, speech, and social outcomes, they determined that data are currently insufficient for assessing the effects of frenotomy on nonbreastfeeding outcomes that may be associated with ankyloglossia.
AHRQ-funded; 290201200009I.
Citation: Chinnadurai S, Francis DO, Epstein RA .
Treatment of ankyloglossia for reasons other than breastfeeding: a systematic review.
Pediatrics 2015 Jun;135(6):e1467-74. doi: 10.1542/peds.2015-0660..
Keywords: Breast Feeding, Children/Adolescents, Outcomes, Comparative Effectiveness
Juckett DA, Davis FN, Gostine M
Patient-reported outcomes in a large community-based pain medicine practice: evaluation for use in phenotype modeling.
The researchers aimed to build a phenotype-to-outcome model targeting chronic pain to be used to drive clinical decision support for pain medicine in the community setting. Exploratory factor analysis of the intake Pain Health Assessment revealed 15 orthogonal factors representing pain levels; physical, social, and emotional functions; the effects of pain on these functions; vitality and health; and measures of outcomes and satisfaction.
AHRQ-funded; HS022335.
Citation: Juckett DA, Davis FN, Gostine M .
Patient-reported outcomes in a large community-based pain medicine practice: evaluation for use in phenotype modeling.
BMC Med Inform Decis Mak 2015 May 28;15:41. doi: 10.1186/s12911-015-0164-4..
Keywords: Care Management, Chronic Conditions, Community-Based Practice, Electronic Health Records (EHRs), Health Information Technology (HIT), Outcomes, Pain
Jules-Elysee KM, Goon AK, Westrich GH
Patient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study.
This randomized, double-blind, placebo-controlled study compared the use of patient-controlled epidural analgesia (PCEA) with use of a multimodal pain regimen including periarticular injection (PAI). It found that PAI did not decrease the time to discharge and was associated with higher pain scores and greater opioid consumption but lower ORSDS scores compared with PCEA.
AHRQ-funded; HS021734.
Citation: Jules-Elysee KM, Goon AK, Westrich GH .
Patient-controlled epidural analgesia or multimodal pain regimen with periarticular injection after total hip arthroplasty: a randomized, double-blind, placebo-controlled study.
J Bone Joint Surg Am 2015 May 20;97(10):789-98. doi: 10.2106/jbjs.n.00698..
Keywords: Medication, Opioids, Outcomes, Pain, Surgery
Walker J, Tucker LY, Goodney P
Adherence to endovascular aortic aneurysm repair device instructions for use guidelines has no impact on outcomes.
The authors reported on their long-term endovascular aortic aneurysm repair (EVAR) experience in a large multicenter registry with regard to adherence to instructions for use (IFU) guidelines. They found that overall mortality and aneurysm-related mortality were unaffected by IFU adherence, and that rates of endoleak and reintervention after initial EVAR were similar, suggesting that lack of IFU-based anatomic suitability was not a driver of outcomes.
AHRQ-funded; HS021581.
Citation: Walker J, Tucker LY, Goodney P .
Adherence to endovascular aortic aneurysm repair device instructions for use guidelines has no impact on outcomes.
J Vasc Surg 2015 May;61(5):1151-9. doi: 10.1016/j.jvs.2014.12.053.
.
.
Keywords: Adverse Events, Guidelines, Medical Devices, Outcomes
Camelo Castillo W, Boggess K, Sturmer T
Association of adverse pregnancy outcomes with glyburide vs insulin in women with gestational diabetes.
The purpose of this study was to estimate the risks of adverse pregnancy outcomes among women receiving glyburide compared with insulin for the treatment of gestational diabetes mellitus (GDM) in a US population-based cohort. It found an association between glyburide (compared with insulin) and elevated risk of NICU admission, neonatal hypoglycemia, respiratory distress, birth injury, and large for gestational age in women with GDM.
AHRQ-funded; HS017950.
Citation: Camelo Castillo W, Boggess K, Sturmer T .
Association of adverse pregnancy outcomes with glyburide vs insulin in women with gestational diabetes.
JAMA Pediatr 2015 May;169(5):452-8. doi: 10.1001/jamapediatrics.2015.74..
Keywords: Adverse Drug Events (ADE), Adverse Events, Comparative Effectiveness, Diabetes, Labor and Delivery, Maternal Care, Medication, Newborns/Infants, Outcomes, Pregnancy, Women
Santos CA, Brennan DC, Chapman WC
Delayed-onset cytomegalovirus disease coded during hospital readmission in a multicenter, retrospective cohort of liver transplant recipients.
The researchers sought to determine the risk factors and outcomes associated with delayed-onset cytomegalovirus (CMV) disease among liver transplant recipients. Data from a group of 7,229 adult liver transplant recipients showed that delayed onset CMV disease was twice as likely as early onset CMV disease, with transplant failure or rejection being a risk factor.
AHRQ-funded; HS019455
Citation: Santos CA, Brennan DC, Chapman WC .
Delayed-onset cytomegalovirus disease coded during hospital readmission in a multicenter, retrospective cohort of liver transplant recipients.
Liver Transpl. 2015 May;21(5):581-90. doi: 10.1002/lt.24089..
Keywords: Outcomes, Transplantation, Quality of Care, Chronic Conditions
Santos CA, Brennan DC, Chapman WC
Delayed-onset cytomegalovirus disease coded during hospital readmission in a multicenter, retrospective cohort of liver transplant recipients.
The researchers sought to determine the risk factors and outcomes of delayed-onset CMV disease among a representative cohort of liver transplant recipients from multiple centers. They found that delayed-onset CMV disease coded during hospital readmission occurred more commonly than early-onset CMV disease and that prior transplant failure or rejection was a risk factor for delayed-onset CMV disease.
AHRQ-funded; HS019455.
Citation: Santos CA, Brennan DC, Chapman WC .
Delayed-onset cytomegalovirus disease coded during hospital readmission in a multicenter, retrospective cohort of liver transplant recipients.
Liver Transpl 2015 May;21(5):581-90. doi: 10.1002/lt.24089..
Keywords: Healthcare Cost and Utilization Project (HCUP), Risk, Transplantation, Outcomes
Kenzik KM, Martin MY, Fouad MN
Health-related quality of life in lung cancer survivors: Latent class and latent transition analysis.
The authors determined the HRQOL classes that exist among lung cancer survivors, examined transitions among those classes over time, and compared survival outcomes of patients according to the classes present in the initial phase of care. Lung cancer survivors were characterized into 4 different classes based on HRQOL responses, and few survivors transitioned to better HRQOL classes.
AHRQ-funded; HS013852.
Citation: Kenzik KM, Martin MY, Fouad MN .
Health-related quality of life in lung cancer survivors: Latent class and latent transition analysis.
Cancer 2015 May 1;121(9):1520-8. doi: 10.1002/cncr.29232..
Keywords: Cancer, Cancer: Lung Cancer, Outcomes, Quality of Life, Health Status
Smith-Ray RL, Hughes SL, Prohaska TR
Impact of cognitive training on balance and gait in older adults.
The researchers assessed whether a commercially available computer-based cognitive training program delivered in a classroom format over a 10-week period improved physical performance outcomes related to walking and balance in older adults. They found that the time to complete the Timed Up and Go increased less for the intervention group; however, there were no significant differences by group on gait speed or gait speed while distracted.
AHRQ-funded; HS018295.
Citation: Smith-Ray RL, Hughes SL, Prohaska TR .
Impact of cognitive training on balance and gait in older adults.
J Gerontol B Psychol Sci Soc Sci 2015 May;70(3):357-66. doi: 10.1093/geronb/gbt097..
Keywords: Elderly, Health Information Technology (HIT), Comparative Effectiveness, Outcomes
Cauley RP, Potanos K, Fullington N
Pulmonary support on day of life 30 is a strong predictor of increased 1 and 5-year morbidity in survivors of congenital diaphragmatic hernia.
The researchers aimed to determine if the degree of pulmonary support (PS) on day of life 30 (DOL-30) could be a simple cross-institutional tool for identifying those patients with a higher risk of long-term morbidity. They found that PS on DOL-30 is a strong independent predictor of morbidity at 1 and 5-years and may be used as a simple prognostic tool to identify high-risk infants.
AHRQ-funded; HS019485.
Citation: Cauley RP, Potanos K, Fullington N .
Pulmonary support on day of life 30 is a strong predictor of increased 1 and 5-year morbidity in survivors of congenital diaphragmatic hernia.
J Pediatr Surg 2015 May;50(5):849-55. doi: 10.1016/j.jpedsurg.2014.12.007..
Keywords: Children/Adolescents, Mortality, Outcomes
Gilbert SM, Dunn RL, Wittmann D
Quality of life and satisfaction among prostate cancer patients followed in a dedicated survivorship clinic.
The researchers integrated quality of lifer (QOL) assessments into a prostate cancer survivorship clinic and compared recovery and satisfaction among men managed in the survivorship clinic with those followed with more routine care. They concluded that patient QOL and satisfaction were higher among men managed in a survivorship program.
AHRQ-funded; HS020927.
Citation: Gilbert SM, Dunn RL, Wittmann D .
Quality of life and satisfaction among prostate cancer patients followed in a dedicated survivorship clinic.
Cancer 2015 May 1;121(9):1484-91. doi: 10.1002/cncr.29215..
Keywords: Cancer: Prostate Cancer, Quality of Life, Outcomes, Cancer
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
Hinami K, Smith J, Deamant CD
When do patient-reported outcome measures inform readmission risk?
The study sought was to characterize changes in patient-reported outcome measures from hospital discharge to assess when they best inform risk of utilization as defined by readmissions or emergency department use. It concluded that routine measurement of patient-reported outcomes can help identify patients at higher risk for utilizations. For example, in-hospital assessments revealing high symptom burden and poor health status predicted 14-day reutilization.
AHRQ-funded; HS019481.
Citation: Hinami K, Smith J, Deamant CD .
When do patient-reported outcome measures inform readmission risk?
J Hosp Med 2015 May;10(5):294-300. doi: 10.1002/jhm.2366..
Keywords: Emergency Department, Healthcare Utilization, Hospital Discharge, Hospital Readmissions, Outcomes