Association of Interhospital Transfer With Outcomes of Extracorporeal Membrane Oxygenation: A Contemporary Analysis
CONCLUSION: Despite increasing transfer volume and utilization of ECMO, IHT was associated with significant mortality and hospital complication risks. Further work to reduce adverse outcomes, resource burden, and socioeconomic differences within IHT may improve accessibility to this life-saving modality.PMID:38634485 | DOI:10.1177/00031348241248699 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Jeffrey Balian Saad Mallick Nguyen Le Giselle Porter Amulya Vadlakonda Konmal Ali Elsa Kronen Peyman Benharash Source Type: research

The association of socioeconomic status on kidney transplant access and outcomes: a nationwide cohort study in Taiwan
CONCLUSION: A relevant disparity exists in accessing kidney transplantation in Taiwan, depending on individual and neighborhood socioeconomic status. However, results post transplantation were not different after five years. Improved access to waitlisting, education, and welfare support may reduce disparities.PMID:38635122 | DOI:10.1007/s40620-024-01928-5 (Source: Journal of Nephrology)
Source: Journal of Nephrology - April 18, 2024 Category: Urology & Nephrology Authors: Tung-Ling Chung Nai-Ching Chen Chun-Hao Yin Ching-Chih Lee Chien-Liang Chen Source Type: research

Impact of an expanded reimbursement policy on utilization of implantable loop recorders in patients with cryptogenic stroke in Korea
CONCLUSIONS: The expanded coverage policy for CS had a significant impact on the number of ILR implantation for CS indication. The diagnostic yield of ILR for AF/AFL detection seems better when ILR is implanted within 2 months than later. Further investigation is needed to demonstrate other clinical benefits and the optimal ILR implantation timing.PMID:38632895 | DOI:10.3904/kjim.2023.479 (Source: The Korean Journal of Internal Medicine)
Source: The Korean Journal of Internal Medicine - April 18, 2024 Category: Internal Medicine Authors: Hye Bin Gwag Nak Gyeong Ko Mihyeon Jin Source Type: research

Risk of road traffic injury in Norway 1970-2022
Accid Anal Prev. 2024 Apr 17;202:107587. doi: 10.1016/j.aap.2024.107587. Online ahead of print.ABSTRACTThis paper describes changes in the risk of road traffic injury in Norway during the period from 1970 to 2022. During this period, the risk of fatal and personal injury declined by more than 70 % for most groups of road users. There are five main potential explanations of a decline in the risk of injury: (1) a reduced probability of accidents that have the potential for causing injury; (2) an improved protection against injury given that an accident has occurred; (3) improved medical care increasing the survival rate, giv...
Source: Accident; Analysis and Prevention. - April 18, 2024 Category: Accident Prevention Authors: Rune Elvik Source Type: research

Demographics and clinical characteristics of patients of prescribing psychologists, psychiatrists, and primary care physicians
Am Psychol. 2024 Apr 18. doi: 10.1037/amp0001352. Online ahead of print.ABSTRACTTo describe the characteristics of patients receiving psychotropic medication from prescribing psychologists, psychiatrists, and primary care physicians. This descriptive study was conducted using private insurance claims of patients from New Mexico and Louisiana receiving psychotropic medications (anticonvulsants, antidepressants, antipsychotics, hypotensive agents, anxiolytics/sedatives/hypnotics, and stimulants) from 2004 to 2021 (N = 307,478). Patient characteristics were captured during the 6 months prior to their first psychotropic medica...
Source: The American Psychologist - April 18, 2024 Category: Psychiatry & Psychology Authors: Phillip M Hughes Joshua D Niznik Robert E McGrath Casey R Tak Robert B Christian Betsy L Sleath Kathleen C Thomas Source Type: research

High Financial Hardship among Patients with Advanced Ovarian Cancer
This study evaluated financial toxicity in patients with advanced ovarian cancer. Using secondary data from a study of barriers to palliative care, financial toxicity (FT) was measured through the Comprehensive Score for Financial Toxicity scale. Univariate and bivariate analyses were used to assess the relationship between selected demographic (i.e., age, race, ethnicity, education, place of birth, insurance type, yearly household income, employment status) and treatment-specific variables (i.e., years since diagnosis, surgery, chemotherapy, radiation, hormonal and targeted therapy) with clinically relevant financial toxi...
Source: Journal of Social Work in End-of-Life and Palliative Care - April 18, 2024 Category: Palliative Care Authors: Elsa Maria Vasquez-Trespalacios Jessica N Rivera Rivera McKenzie McIntyre Waleska Santiago-Datil Robert M Wenham Susan T Vadaparampil Andrea L Buras Claire C Conley Source Type: research

Effectiveness of Antidepressants in Combination with Psychotherapy
This study reports the remission rates for the 14 most commonly prescribed single antidepressants (amitriptyline, bupropion, citalopram, desvenlafaxine, doxepin, duloxetine, escitalopram, fluoxetine, mirtazapine, nortriptyline, paroxetine, sertraline, trazodone, and venlafaxine) and a category named "Other" (other antidepressants/combination of antidepressants). The study used robust LASSO regressions to identify factors that affected remission rate and clinicians' selection of antidepressants. The selection bias in observational data was removed through stratification. We organized the data into 16,770 subgroups, of at le...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Farrokh Alemi Tulay G Soylu Mary Cannon Conor McCandless Source Type: research

PERSPECTIVE: A Path to Value-Based Insurance Design for Mental Health Services
DISCUSSION: The inability to afford mental health care is a top barrier to treatment seeking. People who do elect to spend time and money on mental health care are further disadvantaged by accessing care that is not well regulated and the quality at best is questionable. VBID could be an important lever for increasing access to and use of high value mental health care. Partnerships among the research, practice, and policy communities can help ensure research solutions meet needs of these two communities.IMPLICATIONS FOR HEALTH CARE: VBID holds promise to make high value mental health care more affordable while discouraging...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Michael C Freed Jennifer L Humensky Patricia A Arean Source Type: research

PERSPECTIVE: Health Economic Interests at NIMH and NIDA to Improve Delivery of Behavioral Health Services
This article highlights key areas of the interest of the National Institute of Mental Health (NIMH) and the National Institute on Drug Abuse (NIDA) in supporting applied health economics and health care financing research. Specifically, this article discusses the long-range impact of NIH's earlier investments in applied health economics research, and NIH's ongoing efforts to communicate its interests in health economics research. We discuss the 2023 NIMH-NIDA-sponsored health economics conference, and the ideas presented there for developing and assessing innovative behavioral health care financing models; three of the pre...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Jennifer L Humensky Sarah Q Duffy Leonardo Cubillos Michael C Freed Agnes Rupp Source Type: research

Effectiveness of Antidepressants in Combination with Psychotherapy
This study reports the remission rates for the 14 most commonly prescribed single antidepressants (amitriptyline, bupropion, citalopram, desvenlafaxine, doxepin, duloxetine, escitalopram, fluoxetine, mirtazapine, nortriptyline, paroxetine, sertraline, trazodone, and venlafaxine) and a category named "Other" (other antidepressants/combination of antidepressants). The study used robust LASSO regressions to identify factors that affected remission rate and clinicians' selection of antidepressants. The selection bias in observational data was removed through stratification. We organized the data into 16,770 subgroups, of at le...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Farrokh Alemi Tulay G Soylu Mary Cannon Conor McCandless Source Type: research

PERSPECTIVE: A Path to Value-Based Insurance Design for Mental Health Services
DISCUSSION: The inability to afford mental health care is a top barrier to treatment seeking. People who do elect to spend time and money on mental health care are further disadvantaged by accessing care that is not well regulated and the quality at best is questionable. VBID could be an important lever for increasing access to and use of high value mental health care. Partnerships among the research, practice, and policy communities can help ensure research solutions meet needs of these two communities.IMPLICATIONS FOR HEALTH CARE: VBID holds promise to make high value mental health care more affordable while discouraging...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Michael C Freed Jennifer L Humensky Patricia A Arean Source Type: research

PERSPECTIVE: Health Economic Interests at NIMH and NIDA to Improve Delivery of Behavioral Health Services
This article highlights key areas of the interest of the National Institute of Mental Health (NIMH) and the National Institute on Drug Abuse (NIDA) in supporting applied health economics and health care financing research. Specifically, this article discusses the long-range impact of NIH's earlier investments in applied health economics research, and NIH's ongoing efforts to communicate its interests in health economics research. We discuss the 2023 NIMH-NIDA-sponsored health economics conference, and the ideas presented there for developing and assessing innovative behavioral health care financing models; three of the pre...
Source: Journal of Mental Health Policy and Economics - April 18, 2024 Category: Psychiatry Authors: Jennifer L Humensky Sarah Q Duffy Leonardo Cubillos Michael C Freed Agnes Rupp Source Type: research

High Financial Hardship among Patients with Advanced Ovarian Cancer
This study evaluated financial toxicity in patients with advanced ovarian cancer. Using secondary data from a study of barriers to palliative care, financial toxicity (FT) was measured through the Comprehensive Score for Financial Toxicity scale. Univariate and bivariate analyses were used to assess the relationship between selected demographic (i.e., age, race, ethnicity, education, place of birth, insurance type, yearly household income, employment status) and treatment-specific variables (i.e., years since diagnosis, surgery, chemotherapy, radiation, hormonal and targeted therapy) with clinically relevant financial toxi...
Source: Journal of Social Work in End-of-Life and Palliative Care - April 18, 2024 Category: Palliative Care Authors: Elsa Maria Vasquez-Trespalacios Jessica N Rivera Rivera McKenzie McIntyre Waleska Santiago-Datil Robert M Wenham Susan T Vadaparampil Andrea L Buras Claire C Conley Source Type: research

Association of Interhospital Transfer With Outcomes of Extracorporeal Membrane Oxygenation: A Contemporary Analysis
CONCLUSION: Despite increasing transfer volume and utilization of ECMO, IHT was associated with significant mortality and hospital complication risks. Further work to reduce adverse outcomes, resource burden, and socioeconomic differences within IHT may improve accessibility to this life-saving modality.PMID:38634485 | DOI:10.1177/00031348241248699 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Jeffrey Balian Saad Mallick Nguyen Le Giselle Porter Amulya Vadlakonda Konmal Ali Elsa Kronen Peyman Benharash Source Type: research

Identifying Pregnant Patients With Suspected Intimate Partner Violence
CONCLUSIONS: Our results suggest that there are significant racial and socioeconomic disparities in potential risk for IPV during pregnancy.PMID:38634425 | DOI:10.1177/00031348241248799 (Source: The American Surgeon)
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Maggie McGing Matthew Ashbrook Vincent Cheng Koji Matsuo Morgan Schellenberg Matthew Martin Kenji Inaba Kazuhide Matsushima Source Type: research