Long-term risk of adnexal operation after vaginal hysterectomy for pelvic organs prolapse repair
CONCLUSION: In women undergoing vaginal hysterectomy for pelvic organ prolapse without opportunistic adnexectomy, preservation of the adnexa poses only a very low risk for adnexal pathology or need for reoperation later in life.PMID:38163397 | DOI:10.1016/j.ejogrb.2023.12.026 (Source: Reproductive Biology)
Source: Reproductive Biology - January 1, 2024 Category: Reproduction Medicine Authors: Yossi Geron Anat From Ran Matot Yoav Peled Ram Eitan Haim Krissi Source Type: research

Burden with No Benefit: Prior Authorization in Congenital Cardiology
AbstractPrior authorization is a process that health insurance companies use to determine if a patient ’s health insurance will cover certain medical treatments, procedures, or medications. Prior authorization requests are common in adult congenital and pediatric cardiology (ACPC) due to need for advanced diagnostics, complex procedures, disease-specific medications, and the heterogeneity of the AC PC population. Prior authorizations in ACPC are rarely denied, but nonetheless, they are often accompanied by significant administrative burden on clinical care teams and delays in patient care. Prior authorizations have been ...
Source: Mammalian Genome - January 1, 2024 Category: Genetics & Stem Cells Source Type: research

Burden with No Benefit: Prior Authorization in Congenital Cardiology
AbstractPrior authorization is a process that health insurance companies use to determine if a patient ’s health insurance will cover certain medical treatments, procedures, or medications. Prior authorization requests are common in adult congenital and pediatric cardiology (ACPC) due to need for advanced diagnostics, complex procedures, disease-specific medications, and the heterogeneity of the AC PC population. Prior authorizations in ACPC are rarely denied, but nonetheless, they are often accompanied by significant administrative burden on clinical care teams and delays in patient care. Prior authorizations have been ...
Source: Pediatric Cardiology - January 1, 2024 Category: Cardiology Source Type: research

Impact of Receiving Genetic Diagnoses on Parents' Perceptions of Their Children with Autism and Intellectual Disability
J Autism Dev Disord. 2023 Dec 29. doi: 10.1007/s10803-023-06195-0. Online ahead of print.ABSTRACTTo assess whether genetic test results identifying the cause of a child's autism, when accompanied by other neurodevelopmental disorders (NDD), including intellectual disability, alter how parents perceive and treat their child. 28 parents of 22 individuals with autism (mean age: 15 years), usually with other NDDs, were interviewed after receiving genetic diagnoses indicating a de novo mutation through the Simons Foundation Powering Autism Research for Knowledge study. Diagnosis of a de novo genetic variant can alter parental p...
Source: Journal of Autism and Developmental Disorders - December 29, 2023 Category: Psychiatry Authors: Robert Klitzman Ekaterina Bezborodko Wendy K Chung Paul S Appelbaum Source Type: research

Impact of Receiving Genetic Diagnoses on Parents' Perceptions of Their Children with Autism and Intellectual Disability
J Autism Dev Disord. 2023 Dec 29. doi: 10.1007/s10803-023-06195-0. Online ahead of print.ABSTRACTTo assess whether genetic test results identifying the cause of a child's autism, when accompanied by other neurodevelopmental disorders (NDD), including intellectual disability, alter how parents perceive and treat their child. 28 parents of 22 individuals with autism (mean age: 15 years), usually with other NDDs, were interviewed after receiving genetic diagnoses indicating a de novo mutation through the Simons Foundation Powering Autism Research for Knowledge study. Diagnosis of a de novo genetic variant can alter parental p...
Source: Journal of Autism and Developmental Disorders - December 29, 2023 Category: Psychiatry Authors: Robert Klitzman Ekaterina Bezborodko Wendy K Chung Paul S Appelbaum Source Type: research

Knowledge and attitudes towards sharing of health data: Results of a population survey
CONCLUSION: In Germany, as in other European countries, we observe a great willingness of people to release health data for research purposes. However, the propensity to use the electronic health file is comparatively low, as is the acceptance of an opt-out procedure, which in the literature is considered a prerequisite for the successful implementation of electronic health records in other countries. Unsurprisingly, a general trust in research and government agencies that process health data is a key factor.PMID:38142202 | DOI:10.1016/j.zefq.2023.11.001 (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 23, 2023 Category: Health Management Authors: Sonja Haug Rainer Schnell Georgios Raptis Caroline Dotter Karsten Weber Source Type: research

Bibliometric review of telematics-based automobile insurance: Mapping the landscape of research and knowledge
Accid Anal Prev. 2023 Dec 22;196:107428. doi: 10.1016/j.aap.2023.107428. Online ahead of print.ABSTRACTTelematics technology and its implementation in auto insurance have received great interest due to their potential to transform the insurance sector and promote safer driving practices. By implementing telematics technology, insurers may tailor insurance premiums to individual drivers, taking into account their real driving habits and performance, ultimately leading to improved road safety, cost savings, and an empowered driving community. The current study, through bibliometric analysis, carefully identifies and evaluate...
Source: Accident; Analysis and Prevention. - December 23, 2023 Category: Accident Prevention Authors: Vikas Chauhan Jitendra Yadav Source Type: research

Knowledge and attitudes towards sharing of health data: Results of a population survey
CONCLUSION: In Germany, as in other European countries, we observe a great willingness of people to release health data for research purposes. However, the propensity to use the electronic health file is comparatively low, as is the acceptance of an opt-out procedure, which in the literature is considered a prerequisite for the successful implementation of electronic health records in other countries. Unsurprisingly, a general trust in research and government agencies that process health data is a key factor.PMID:38142202 | DOI:10.1016/j.zefq.2023.11.001 (Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen)
Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - December 23, 2023 Category: Health Management Authors: Sonja Haug Rainer Schnell Georgios Raptis Caroline Dotter Karsten Weber Source Type: research

Insurance Coverage Among the Largest Insurers Per State for Laser Hair Removal in the Treatment of Hidradenitis Suppurativa
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - December 19, 2023 Category: Dermatology Authors: Sophia Ly, Priya Manjaly, Kanika Kamal, Nicholas Theodosakis, Alexandra Charrow, Arash Mostaghimi Source Type: research

Vocal therapy changes vocal cords of transgender patients without need for surgery
This study shows there is a proven, objective value of voice therapy.” Dionisio says she’d like future studies in this area to focus not only on physiological changes, but also on whether those changes actually aided the patients’ transitions, such as by whether these women were perceived to be of their desired gender by others. Overall, the authors say they hope their work will play a role in helping trans individuals more easily and cheaply access vocal therapy. “Getting voice therapy covered by the insurance companies for transgender individuals is like pulling teeth sometimes,” Dion says. “For a...
Source: Science of Aging Knowledge Environment - December 18, 2023 Category: Geriatrics Source Type: research

Paying for Over-the-Counter Contraception: The Opill Quandary
On July 13, 2023, the U.S. Food& Drug Administration (FDA) approved Opill (a 75 µg Norgestrel tablet) as the first daily over-the-counter (OTC) oral contraceptive.1 As intimated by the manufacturer (Perrigo Company, PLC), the newly approved OTC oral contraceptive will likely make its commercial debut online and in stores across the U.S. early in the first quarter of 2024.1 How ever, the planned retail price of Opill remains unknown at this time. Similar uncertainty pertains to the prospect that the costs incurred in the purchase of Opill will be covered by commercial health insurers or by federal health insurance programs...
Source: The American Journal of Medicine - December 16, 2023 Category: General Medicine Authors: Eli Y. Adashi, Daniel P. O'Mahony, I. Glenn Cohen Tags: Commentary Source Type: research

The burden of myasthenia gravis – highlighting the impact on family planning and the role of social support
ConclusionThis study shows a significant impact of MG on family planning decisions, affecting both women and men, and often resulting in life-altering decisions such as voluntary childlessness due to MG. The significance of social support becomes evident as a vital factor, especially when navigating through the healthcare system. Tailored healthcare approaches, organized guidance and comprehensive support is needed to enable informed decision-making and offer assistance for MG patients.Clinical trial registrationhttps://clinicaltrials.gov/study/NCT03979521, Registered 7 June 2019 (retrospectively registered). (Source: Frontiers in Neurology)
Source: Frontiers in Neurology - December 14, 2023 Category: Neurology Source Type: research

Medicaid Insurance is Associated With Decreased MRI Use for Ankle Sprains Compared With Private Insurance: A Retrospective Database Analysis
CONCLUSION: Although absolute MRI use was generally low, there was substantial relative variation by insurance type. Given the high incidence of ankle sprains in the general population, these relative differences can translate to tens of thousands of MRIs. Further studies are needed to evaluate the reasons for decreased appropriate MRI use in patients with Medicaid and overuse of MRI in patients with private insurance. The establishment of clinical practice guidelines by orthopaedic professional societies and more stringent gatekeeping for MRI use by health insurers could reduce unwarranted variations in MRI use.LEVEL OF E...
Source: Clinical Orthopaedics and Related Research - December 7, 2023 Category: Orthopaedics Authors: Thompson Zhuang Nicholas Vandal Bijan Dehghani Aymen Alqazzaz Casey Jo Humbyrd Source Type: research

Medicaid Insurance is Associated With Decreased MRI Use for Ankle Sprains Compared With Private Insurance: A Retrospective Database Analysis
CONCLUSION: Although absolute MRI use was generally low, there was substantial relative variation by insurance type. Given the high incidence of ankle sprains in the general population, these relative differences can translate to tens of thousands of MRIs. Further studies are needed to evaluate the reasons for decreased appropriate MRI use in patients with Medicaid and overuse of MRI in patients with private insurance. The establishment of clinical practice guidelines by orthopaedic professional societies and more stringent gatekeeping for MRI use by health insurers could reduce unwarranted variations in MRI use.LEVEL OF E...
Source: Clinical Orthopaedics and Related Research - December 7, 2023 Category: Orthopaedics Authors: Thompson Zhuang Nicholas Vandal Bijan Dehghani Aymen Alqazzaz Casey Jo Humbyrd Source Type: research

RSV vaccination strategies for high-risk patients 2023: a collaborative position paper by leading German medical societies and organizations
AbstractRespiratory syncytial virus (RSV) inflicts severe illness and courses of infections not only in neonates, infants, and young children, but also causes significant morbidity and mortality in older adults and in people with immunosuppression, hemato-oncologic disease, chronic lung disease, or cardiovascular disease. In June and August 2023, effective vaccines against RSV were approved for the first time by the European Medicines Agency (EMA) for the EU. The respective pivotal studies showed a very high efficacy of the vaccine in preventing severe RSV-associated respiratory infections. At this point, use of the respec...
Source: Infection - December 7, 2023 Category: Infectious Diseases Source Type: research