This study assessed the association of antidepressant prescription at hospital discharge with the one -
year outcomes of patients with acute myocardial infarction (heart attack).
Not exact matches
Novartis (nvs) chief Joe Jiminez has been touting a pricing model that incorporates drugs» real - world
outcomes for
years, stressing the importance
of placing
patients before profits; Regeneron (regn) head honcho Len Schliefer had some tough words for fellow panelists from Eli Lilly (lly) and Pfizer (pfe)(who argued that media reports about their own continued reliance on price increases to drive revenues is misleading) during Forbes» event.
To illustrate the issue, over the past 20
years, the cost
of a new drug per
year of a
patient's life has risen from $ 50,000 to $ 250,000 after adjusting for inflation, according to Peter Bach, director
of the Center for Health Policy and
Outcomes at Memorial Sloan Kettering, who also spoke at the conference.
Top - ranked for both orthopedics and rheumatology for 26 consecutive
years, HSS is an engine
of research and innovation (112 inventions in 2016 alone), medical education (serving physicians in more than 150 countries) and better
patient outcomes (Net Promoter Score
of 92).
Jain elaborated on those successes in an article in the Journal
of the American Medical Association last
year, noting the efficiencies lead to better
outcomes for
patients, who can more reliably receive routine medical care and stay out
of emergency rooms; doctors, who can more easily manage
patients» chronic conditions; and cost - savings for the broader medical system, as managing chronic disease is substantially cheaper than repeated ER visits.
9:45 AM — 10:05 AM Discover Why Fast Company Named Omada the Most Innovative Company
of the
Year Meet Omada Health: With 87M consumers at risk
of diabetes, 75,000
patients treated, 3
years of outcomes data, NetPromoter scores in the 90's, 70 + clients, and looming reimbursement by Medicare for its diabetes prevention online social network, -LSB-...]
Meet Omada Health: With 87M consumers at risk
of diabetes, 75,000
patients treated, 3
years of outcomes data, NetPromoter scores in the 90's, 70 + clients, and looming reimbursement by Medicare for its diabetes prevention online social network, Omada has «cracked the code» on integrating consumer technology, medical coaching and big data at scale.
The National Confidential Enquiry into
Patient Outcome and Death (NCEPOD) investigated the care given to 820
patients over 80
years of age, who died within 30 days
of surgery being performed on them.
Let me point to 10 things that I sketched out this morning: too much money spent on administration and bureaucracy and not enough on front - line
patient care; too little
patient - centric information to inform decision making; too little innovation; too little clinical input into decision making; too much inertia and hostility to reform, as we have seen today; too much process - driven target culture distorting clinical decision making; falling productivity; poor
outcomes across a range
of clinical indicators; too often, weak commissioning
of servicing; and widening health inequalities in the past 10
years, in addition to the scandals that occurred in Staffordshire and Kent.
Dr. Oktay noted that «the
outcome for
patients with metastatic breast cancer hasn't improved in the past 30
years despite the development
of targeted therapies.
The study, entitled COMET (Comparison
of Operative to Medical Endocrine Therapy) for low - risk ductal carcinoma in situ, received funding through a $ 13.4 million, five -
year award from the
Patient - Centered
Outcomes Research Institute (PCORI), an independent, nonprofit organization authorized by Congress in 2010 to support research that enlightens health care decisions.
In contrast to previous studies
of access to care in Massachusetts that have relied on
patient surveys, which the authors say may be subject to potential biases due to
patient recall or other factors, the new study is one
of the few to rely on objectively measured
outcomes and was based on nearly every hospital admission occurring in Massachusetts and the comparison states for nearly two
years before and two
years after the reform was implemented.
The UB researchers are conducting a longitudinal, five -
year study
of these
patients focused on the relationship between cerebral microbleeds, advances in magnetic resonance imaging and clinical
outcomes.
«By reducing bleeding with comparable rates
of MACCE and stent thrombosis, bivalirudin significantly improved overall 30 - day and one
year outcomes, compared with both heparin alone and heparin plus tirofiban in
patients with AMI undergoing primary PCI,» said Gregg W. Stone, MD, the study's senior author.
Averaged over a four -
year follow - up period, operatively treated
patients at least 80
years of age, had significantly greater improvement in all primary and secondary
outcome measures compared with
patients at least 80
years of age who received nonsurgical treatment.
Analysis
of data from nine randomised trials involving 6756
patients (1729 older than 80
years of age) showed that alteplase treatment significantly increased the odds
of a good stroke
outcome (no significant disability 3 - 6 months after stroke), with faster treatment offering the best chance
of recovery.
After both groups were re-examined at intervals
of six months, one
year and two
years, the
patient outcomes appeared to be equal.
The benefits
of surgery in
patients at least 80
years of age were similar to those in younger
patients, except for the
outcome measures
of pain and physical function, which were higher in the under age 80 group.
Although some research has suggested that the use
of the anticoagulant warfarin for atrial fibrillation among
patients with chronic kidney disease would increase the risk
of death or stroke, a study that included more than 24,000
patients found a lower l -
year risk
of the combined
outcomes of death, heart attack or stroke without a higher risk
of bleeding, according to a study in the March 5 issue
of JAMA.
In a new study, a hospital surveillance program focusing on reducing the risks
of sepsis, known as the two - stage Clinical Decision Support (CDS) system, was found to reduce the risk
of adverse
outcomes, such as death and hospice discharge for sepsis
patients, by 30 % over the course
of one
year.
The researchers compared hemoglobin levels
of these
patients and their
outcomes within one
year of surgery.
«Fifty per cent
of the
patients in our study have survived two
years since their diagnosis — this is very encouraging and we are very positive about the
outcome,» says Dr. Shenouda.
Patients who underwent open - heart surgery in the afternoon experienced better health outcomes compared to those who got operated on in the morning, study authors found after six years of observing nearly 600 patients who underwent heart valve repl
Patients who underwent open - heart surgery in the afternoon experienced better health
outcomes compared to those who got operated on in the morning, study authors found after six
years of observing nearly 600
patients who underwent heart valve repl
patients who underwent heart valve replacement.
Steve: You — in the cystic fibrosis section
of the book — you profile a doctor who is explaining to one
of his
patients that the difference between feeling good 99.5 and 99.95 percent
of the time on any given day, works out to completely different
outcomes over the course
of a
year.
The one -
year outcome of in - hospital morbidity and mortality was similar between diastolic and systolic heart failure
patients.
Writing in a linked Comment, Professor Philip Cowen, MRC Clinical Scientist, University
of Oxford, Oxford, UK, says: «The key observation that might eventually justify the use
of a drug like psilocybin in treatment - resistant depression is demonstration
of sustained benefit in
patients who previously have experienced
years of symptoms despite conventional treatments, which makes longer - term
outcomes particularly important.
Both one and two
year rates
of adverse
outcomes compared favorably with historical performance criteria established among medically managed
patients with aortic stenosis.
With the exception
of a slight difference in bowel function, investigators found that HRQoL
outcomes for
patients on AS were no different than those in men without prostate cancer during the three
years of followup.
TORONTO, May 12, 2016 — A new Canadian study focusing on caregiver
outcomes of critically ill
patients reveals that caregivers
of intensive care unit (ICU) survivors, who have received mechanical ventilation for a minimum
of seven days, are at a high risk
of developing clinical depression persisting up to one
year after discharge.
In the $ 1.47 million, four -
year grant called â $ œBiomarkers
of Ischemic
Outcomes in Intracranial Stenosisâ $ (BIOSIS), Emory researchers are analyzing blood samples from 451
patients from around the country who were enrolled in a study known as SAMMPRIS (Stenting and Aggressive Medical Management for Preventing Recurrent stroke in Intracranial Stenosis), the first randomized, multicenter clinical trial designed to test whether stenting intracranial arteries would prevent recurrent stroke.
We also performed subgroup meta - analyses by type
of prevention (primary v secondary: in this study, trials involving healthy populations or
patients with any specific disease except for cardiovascular disease were classified as primary prevention trials, and trials involving
patients with cardiovascular disease were classified as secondary prevention trials), type
of supplement by quality and dose (each supplement, vitamins only, antioxidants only, or antioxidants excluding vitamins), type
of outcome (cardiovascular death, angina, fatal or non-fatal myocardial infarction, stroke, or transient ischaemic attack), type
of outcome in each supplement, type
of study design (randomised, double blind, placebo controlled trial v open label, randomised controlled trial), methodological quality (high v low), duration
of treatment (< 5
years v ≥ 5
years), funding source (pharmaceutical industry v independent organisation), provider
of supplements (pharmaceutical industry v not pharmaceutical industry), type
of control (placebo v no placebo), number
of participants (≥ 10000 v < 10000), and supplements given singly or in combination with other vitamin or antioxidant supplements by quality.
Immunochemotherapy and rituximab maintenance have improved
patient outcomes in recent
years, but 20 %
of patients will see disease progression within 2
years of their initial treatment, according to the data.
There were also no clear differences in the association between statin use and
outcomes in analyses stratified by age older or younger than 55, 60, 65, or 70
years, with very similar estimates from 7 trials (eTable 6 in the Supplement).14, 19,20,26,29,31,35 None
of the trials that enrolled
patients older than 75
years18, 20,22,23,27,29 reported results in this subgroup.
In terms
of long - ranging undesired
outcomes, Dr. Lee says a
patient should still be aware
of leaking, capsular contracture and ALCL — all
of which can develop in 5 or 10
years after surgery.
In
patients with a prior heart attack and diabetes, chelation therapy reduced bad
outcomes in the five
years of follow - up by nearly 40 %.
Although it is often suggested that children with epilepsy who are benefiting from ketogenic dietary therapy continue this for at least two
years, duration
of treatment could be shorter in
patients with infantile spasms who become seizure - free; one study reported no adverse effect on seizure
outcomes and less risk
of growth disturbances when treatment was tapered down after 8 months (15).
One study has assessed long term
outcomes of 68 LGS
patients over a mean follow up period
of 19
years:
of the 19 who tried diet therapy, 5 maintained seizure freedom on the traditional ketogenic diet and one on MAD (13).
This
year, Australian psychologist Dr Michael De Manincor, shared
outcomes of a study he conducted to test the effects
of yoga practice on
patients suffering from depression and anxiety.
Dietary guidelines for
patients with diabetes mellitus were revised by the American Diabetes Association (ADA) earlier this
year.1 The ADA recommends that the composition
of the diet be individualized on the basis
of a nutritional assessment and the
outcomes desired.
JAMA even recently published an article discussing its utility in weight loss and type 2 diabetes, both closely related to several common cancers like breast and prostate cancer.9 This effect, in itself, may improve cancer
outcomes since weight gain is associated with an increased risk
of recurrence and death, thus the mediccal should seriously consider the ketogenic diet, periodic ketosis, or simply low - carb to help
patients achieve and maintain a healthy weight and healthy metabolic status.10 After
years of taking continuous shots for their views, the modern day pioneers like Jeff Volek are finally receiving some vindication.
This
year, the Florida Veterinary Medical Association (FVMA) is launching an affiliate entity, the Florida Association
of Veterinary Practice Managers (FAVPM), to recognize the outstanding contributions veterinary practice managers (VPMs) make to the veterinary profession and to ensure that these integral members
of the veterinary team are given the resources they need to excel in their field, provide the best possible
outcomes for their
patients, and maintain a healthy, productive, and profitable environment in their practice.
More recently, he has worked as a staff surgeon at Veterinary Emergency + Referral Center
of Hawaii in Honolulu and Gallatin Veterinary Hospital in Bozeman, MT. Dr. Rohn has learned over the
years that a team approach and 24 - hour care provide the best
patient outcomes, and he is very excited to join this level
of care and bring his expertise to the pets
of southern Arizona.
I believe my expertise and
years of management would prove me to be an asset to any hospital or homecare agency as well as any insurance company looking to contain cost while providing quality care to
patients with improved
outcomes.
Accomplishments Project Management * Initiated and executed several Hospital Engagement Network Projects which resulted in Improved
Patient *
Outcomes including decrease in Early Expected Delivery by 15 % and Improvement in Early Recognition
of Sepsis * by 32 % in one
year * Trained Hospital Staff in Team STEPPS concepts resulting in 40 % decrease in adverse event over two
years * Implemented successful
Patient Satisfaction In...
Greenlight Photoselective Vaporisation
of the Prostate in 133 High Surgical Risk
Patients: A 5 -
Year Outcome Study
Low self - esteem also seems predictive
of the poor
outcome of treatment in such disorders, as has been found in a recent 4 -
year prospective follow - up study among adolescent in -
patients with bulimic characteristics (van der Ham et al., 1998).
Summary: (To include comparison groups,
outcomes, measures, notable limitations) A one -
year follow - up was conducted on
patients who received amitriptyline hydrochloride and / or Interpersonal Psychotherapy (IPT), each alone and in combination, as part
of a four - month clinical trial.
In addition, OPA has funded a three -
year project to develop a
patient - reported
outcome performance measure, which will focus on filling another critical gap in performance measures (that is, the need for validated measures
of client experience with contraceptive services).
A study
of individual cognitive therapy for bipolar disorder showed positive
outcomes at 1 -
year follow - up, but the benefits were reduced over time, suggesting the need for booster sessions to sustain the gains.19 As with many forms
of therapy, CBT has been found to be more successful in reducing relapse in the depressive pole compared with the manic pole.30 A large randomised trial
of CBT showed no difference between CBT and treatment as usual, when all participants were included in the analyses.31 However, results
of a post-hoc analysis suggested that CBT was effective for participants who reported fewer than 12 prior episodes
of illness and were not acutely unwell when therapy began; numbers
of episodes
of mania rather than depression seemed to predict treatment response.32 Such data can help guide the clinical application
of CBT for bipolar
patients.
2 Due largely to
patient death, sample attrition at the one -
year follow - up was higher for two
of the other
outcomes —
patient functional status and satisfaction with care.