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Condition: Stroke
Management: Medicare

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Total 992 results found since Jan 2013.

Medicare Bundled Payment Policy on Anemia Care, Major Adverse Cardiovascular Events, and Mortality among Adults Undergoing Hemodialysis
CONCLUSIONS: The Medicare reimbursement policy and Food and Drug Administration-recommended erythropoietin-stimulating agent dosing changes were associated with lower erythropoietin-stimulating agent use and lower hemoglobin levels. These changes in anemia care were associated with lower risks of major adverse cardiovascular event, stroke, mortality, and heart failure but higher risk of acute myocardial infarction among adults receiving hemodialysis.PMID:35589388 | DOI:10.2215/CJN.14361121
Source: Clinical Journal of the American Society of Nephrology : CJASN - May 19, 2022 Category: Urology & Nephrology Authors: Haesuk Park Raj Desai Xinyue Liu Steven M Smith Juan Hincapie-Castillo Linda Henry Amie Goodin Saraswathi Gopal Carl J Pepine Raj Mohandas Source Type: research

One-Year Outcomes of Transcarotid Artery Revascularization Versus Transfemoral Carotid Artery Stenting in a Medicare Database
Transfemoral carotid artery stenting (TFCAS) was introduced as a minimally invasive option for high-risk patients not eligible for carotid endarterectomy. However, TFCAS was found to be associated with higher rates of perioperative stroke. This was attributed to the unprotected manipulation of the aortic arch and carotid atherosclerotic lesion. Therefore, transcarotid artery revascularization (TCAR) was introduced as a hybrid alternative to TFCAS. Prior studies have shown a significantly lower risk of perioperative stroke and death compared with TFCAS.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nadin Elsayed, Kevin Yei, Marc L. Schermerhorn, Philip P. Goodney, Mahmoud B. Malas Tags: IP: Interactive Poster Session Source Type: research

A Comparative Analysis of Outcomes After Carotid Artery Stenting in the Vascular Quality Initiative Versus Medicare Using the Vascular Quality Initiative –Medicare-Matched Dataset
Current evidence suggests a lower risk of perioperative stroke or death after transcarotid artery revascularization (TCAR) compared with transfemoral carotid artery stenting (tfCAS); however, data on longer term outcomes are limited. Clinical registries linked with administrative data such as Medicare offer opportunities for the assessment of long-term outcomes. We used the Vascular Quality Initiative (VQI) –Medicare-matched dataset to compare the postoperative outcomes identified in the VQI vs Medicare for patients who underwent TCAR or tfCAS.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Christina L. Marcaccio, Kayla Isbell, Priya Patel, Art Sedrakyan, Philip P. Goodney, Mahmoud B. Malas, Marc L. Schermerhorn Tags: IP: Interactive Poster Session Source Type: research

One-year Outcomes of Transcarotid Artery Revascularization vs Carotid Endarterectomy in Medicare Database
Carotid endarterectomy (CEA) has played a major part in reducing stroke in patients with significant carotid artery stenosis. Transcarotid artery revascularization (TCAR) was introduced as a minimally invasive hybrid procedure to treat patients who are considered anatomically and/or medically high risk for CEA. Prior studies reported no differences in perioperative stroke/death between TCAR and CEA. However, data regarding 1-year outcomes of TCAR vs CEA are scarce, and all prior studies had only about 50% follow up at 1  year.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nadin Elsayed, Kevin Yei, Raghu L. Motaganahalli, Marc L. Schermerhorn, Mahmoud B. Malas Tags: IYSC: International Young Surgeons Competition Source Type: research

Tofacitinib and risk of cardiovascular outcomes: results from the Safety of TofAcitinib in Routine care patients with Rheumatoid Arthritis (STAR-RA) study
Conclusions We did not find evidence for an increased risk of cardiovascular outcomes with tofacitinib in patients with RA treated in the real-world setting; however, tofacitinib was associated with an increased risk of cardiovascular outcomes, although statistically non-significant, in patients with RA with cardiovascular risk factors. Trial registration number NCT04772248.
Source: Annals of the Rheumatic Diseases - May 16, 2022 Category: Rheumatology Authors: Khosrow-Khavar, F., Kim, S. C., Lee, H., Lee, S. B., Desai, R. J. Tags: ARD, Rheumatoid arthritis Source Type: research

Norepinephrine reuptake inhibitors and risk of antihypertensive treatment intensification and major adverse cardiovascular events in patients with stable hypertension and depression
ConclusionsAmong patients with stable hypertension and depression, initiation of serotonin norepinephrine reuptake inhibitors had a similar risk of antihypertensive TI and MACE compared to initiation of SSRIs. Future study with a larger sample size is needed to confirm our findings.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - May 9, 2022 Category: Drugs & Pharmacology Authors: Raj Desai, Haesuk Park, Joshua D. Brown, Rajesh Mohandas, Steven M. Smith Tags: RESEARCH ARTICLE Source Type: research

Use of oral anticoagulants among individuals with cancer and atrial fibrillation in the United States, 2010 –2016
ConclusionsNearly 7 out of 10 patients with cancer and NVAF did not receive anticoagulation. Use of DOACs increased from 2010 to 2016, with a corresponding decline in warfarin use. DOACs are used less than warfarin among those at higher risk of stroke.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - May 6, 2022 Category: Drugs & Pharmacology Authors: Shirin Ardeshirrouhanifard, Huijun An, Ravi K. Goyal, Mukaila A. Raji, Jodi B. Segal, G. Caleb Alexander, Hemalkumar B. Mehta Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

Decreasing rates of cost-related medication non-adherence by age advancement among American generational cohorts 2004-2014: a longitudinal study
Conclusion The paradox of decreasing CRN rates, independent of disease burden, income and insurance status, suggests populations’ CRN behaviours change as Americans age, bearing implications to social policy.
Source: BMJ Open - May 6, 2022 Category: General Medicine Authors: Zhang, J., Bhaumik, D., Meltzer, D. Tags: Open access, Health economics Source Type: research

Neuroimaging Use in Ischemic Stroke Examined for Medicare Patients
MONDAY, May 2, 2022 -- From 2012 to 2019, there were considerable increases in utilization of computed tomography (CT) angiography (CTA) and CT perfusion (CTP) among ischemic stroke patients, according to a study published online April 25 in the...
Source: Drugs.com - Pharma News - May 2, 2022 Category: Pharmaceuticals Source Type: news

Why Acupuncture Is Going Mainstream in Medicine
When the opioid addiction crisis began to surge in the U.S. about a decade ago, Dr. Medhat Mikhael spent a lot of time talking to his patients about other ways to heal pain besides opioids, from other types of medications to alternative treatments. As a pain management specialist at MemorialCare Orange Coast Medical Center in Fountain Valley, Calif., he didn’t anticipate leaving behind the short-term use of opioids altogether, since they work so well for post-surgical pain. But he wanted to recommend a remedy that was safer and still effective. That turned out to be acupuncture. “Like any treatment, acupuncture...
Source: TIME: Health - April 29, 2022 Category: Consumer Health News Authors: Elizabeth Millard Tags: Uncategorized healthscienceclimate medicine Source Type: news

Norepinephrine reuptake inhibitors and risk of antihypertensive treatment intensification and major adverse cardiovascular events in patients with stable hypertension and depression
ConclusionsAmong patients with stable hypertension and depression, initiation of serotonin norepinephrine reuptake inhibitors had a similar risk of antihypertensive TI and MACE compared to initiation of SSRIs. Future study with a larger sample size is needed to confirm our findings.
Source: Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy - April 28, 2022 Category: Drugs & Pharmacology Authors: Raj Desai, Haesuk Park, Joshua D. Brown, Raj Mohandas, Steven M. Smith Tags: RESEARCH ARTICLE Source Type: research

Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019
The purpose of this study was to update trends, investigate sociodemographic disparities, and evaluate the impact on mortality of stroke neuroimaging across the United States from 2012 to  2019.
Source: Journal of the American College of Radiology : JACR - April 25, 2022 Category: Radiology Authors: Jason J. Wang, Casey E. Pelzl, Artem Boltyenkov, Jeffrey M. Katz, Jennifer Hemingway, Eric W. Christensen, Elizabeth Rula, Pina C. Sanelli Tags: Original Article Source Type: research

Hospice Composition Based on Diagnosis is Associated with Caregiver-Reported Quality Measures
Conclusion: Hospices that cared for a greater proportion of dementia and stroke patients had poorer scores on caregiver-reported quality measures. These findings support efforts to identify mechanisms underlying these differences and to design strategies to ensure optimal outcomes for hospice patients regardless of diagnosis.PMID:35442840 | DOI:10.1177/10499091221088497
Source: The American Journal of Hospice and Palliative Care - April 20, 2022 Category: Palliative Care Authors: Sulaiman Alshakhs Elisabeth Sweet Elizabeth Luth M C Reid Charles R Henderson Veerawat Phongtankuel Source Type: research