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The Effect of Health Care Disparities on Complications and Mortality in Sickle Cell Disease
Discussion:The data indicates that the rate of complications from SCD have risen since 1999. With newer therapies and better understanding, the life expectancy of SCD patients has risen over time, nearly doubling from 1951 to 2018. The increased frequency of complications may be attributed to better survivorship and a rising number of older SCDs patients. However, our data also suggests that insurance status plays a significant role in the complication rate of SCD. The uninsured and patients with Medicaid have significantly increased risk of developing disease complications and resultant mortality. This could be the result...
Source: Blood - November 21, 2018 Category: Hematology Authors: Perimbeti, S. P., Hou, K. Y., Ramanathan, S., Woodard, A., Kyung, D., Wang, Q., Crilley, P. A., Ward, K., Styler, M. Tags: 903. Outcomes Research-Non-Malignant Hematology Source Type: research

Medical Conditions Among Survivors of Adolescent and Young Adult Non-Hodgkin Lymphoma (NHL), Acute Lymphoblastic Leukemia (ALL) and Acute Myeloid Leukemia (AML)
Conclusion: This study found that sociodemographic factors were associated with the risk of developing medical conditions in AYA NHL, ALL and AML survivors. As expected, the risk of medical conditions varied by cancer type and treatment, with those undergoing SCT having a higher risk of medical conditions regardless of cancer type. NHL and ALL survivors who were uninsured or publicly insured were at a consistently higher risk of developing medical conditions, as were Hispanic ALL survivors and Black AML survivors. Our findings highlight the higher burden of medical conditions in subgroups of cancer survivors that may relat...
Source: Blood - November 21, 2018 Category: Hematology Authors: Keegan, T. H. M., Muffly, L. S., Li, Q., Alvarez, E., Brunson, A. M., Malogolowkin, M., Wun, T. Tags: 904. Outcomes Research-Malignant Conditions: Real World Outcomes Source Type: research

Tobacco Product Use Among Adults - United States, 2017.
Abstract Cigarette smoking harms nearly every organ of the body and causes adverse health consequences, including heart disease, stroke, and multiple types of cancer (1). Although cigarette smoking among U.S. adults has declined considerably, tobacco products have evolved in recent years to include various combustible, noncombustible, and electronic products (1,2). To assess recent national estimates of tobacco product use among U.S. adults aged ≥18 years, CDC, the Food and Drug Administration (FDA), and the National Institutes of Health's National Cancer Institute analyzed data from the 2017 National Health Int...
Source: MMWR Morb Mortal Wkl... - November 9, 2018 Category: Epidemiology Authors: Wang TW, Asman K, Gentzke AS, Cullen KA, Holder-Hayes E, Reyes-Guzman C, Jamal A, Neff L, King BA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Identification of reversible causes of minority inequity in stroke: severity related to race and socio-economic status.
CONCLUSIONS: Patients who are uninsured minorities may be at an increased risk for severe strokes. This increase in risk appears to be related to the increased incidence of risk factors and lack of treatment. The lack of funds, care access, and limited education in these patients may be related to their increase in risk factors. This paper identifies potentially reversible environmental and societal factors that can lead to improved outcomes in indigent minority patients. PMID: 30325276 [PubMed - in process]
Source: Brain Injury - October 17, 2018 Category: Neurology Tags: Brain Inj Source Type: research

Medicaid Expansion Curbs Uninsured Hospitalization for CV Events Medicaid Expansion Curbs Uninsured Hospitalization for CV Events
States that expanded Medicaid under the Affordable Care Act saw a decline in the proportion of uninsured hospitalizations for heart attack, stroke, and heart failure, a study shows.Medscape Medical News
Source: Medscape Medical News Headlines - September 6, 2018 Category: Consumer Health News Tags: Cardiology News Source Type: news

Decline in uninsured hospitalizations for cardiovascular events after ACA Medicaid expansion
(JAMA Network) Medicaid expansion under the Affordable Care Act (ACA) was associated with a decline in the proportion of uninsured hospitalizations for major cardiovascular events such as heart attack, stroke and heart failure.
Source: EurekAlert! - Medicine and Health - August 24, 2018 Category: International Medicine & Public Health Source Type: news

Impact of Aura and Status Migrainosus on Readmissions for Vascular Events After Migraine Admission.
CONCLUSIONS: -In this large, nationally representative retrospective cohort study, migraine admission with aura was independently associated with TIA readmission, and status migrainosus was independently associated with subarachnoid hemorrhage. Further research would clarify the role of misdiagnosis and causal relationships underlying these strong associations. PMID: 29933509 [PubMed - as supplied by publisher]
Source: Headache - June 22, 2018 Category: Neurology Authors: Velickovic Ostojic L, Liang JW, Sheikh HU, Dhamoon MS Tags: Headache Source Type: research

Measuring Emergency Care Survival: The Implications of Risk-Adjusting for Race and Poverty.
CONCLUSIONS: Sociodemographic risk-adjustment of emergency care sensitive mortality improves apparent performance of some hospitals treating a large number of non-white, Hispanic, or poor patients. This may help these hospitals avoid financial penalties in pay-for-performance programs. This article is protected by copyright. All rights reserved. PMID: 29851207 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - May 31, 2018 Category: Emergency Medicine Authors: Ioannides KLH, Baehr A, Karp DN, Wiebe DJ, Carr BG, Holena DN, Delgado MK Tags: Acad Emerg Med Source Type: research

Uninsured Heart Patients Often Face Daunting Bills
MONDAY, Nov. 13, 2017 -- A life-threatening heart emergency can spell financial doom for people who don ' t have health insurance, a pair of new studies shows. Around 4 out of 5 uninsured patients hospitalized for a heart attack, stroke or heart...
Source: Drugs.com - Daily MedNews - November 13, 2017 Category: General Medicine Source Type: news

Burden of Catastrophic Health Expenditures for Acute Myocardial Infarction and Stroke Among Uninsured in the United States.
Abstract Acute myocardial infarction (AMI) and stroke are unanticipated major healthcare events that require emergent and expensive care. Given the potential financial implications of AMI and stroke among uninsured patients, we sought to evaluate rates of catastrophic healthcare expenditures (CHEs), defined as expenses beyond financial means, in a period before the implementation of insurance expansion and protections in the Affordable Care Act.(1). PMID: 29133601 [PubMed - as supplied by publisher]
Source: Circulation - November 13, 2017 Category: Cardiology Authors: Khera R, Hong JC, Saxena A, Arrieta A, Virani SS, Blankstein R, de Lemos JA, Krumholz HM, Nasir K Tags: Circulation Source Type: research

Medicaid waiver program helped public hospitals improve care to California ’s most needy
A five-year Medicaid waiver program that infused billions of dollars into public hospitals prompted significant improvements in health care to California ’s neediest population — the poor and uninsured, according to an extensiveevaluation by the UCLA Center for Health Policy Research.Seventeen designated public hospitals participated in the $3.3 billion “pay-for-performance” experiment, including five University of California hospital systems and 12 county‐owned-and‐operated hospital systems. Collectively, these facilities serve more than 2 million patients every year, including most of the state’s Medi-Cal p...
Source: UCLA Newsroom: Health Sciences - June 28, 2017 Category: Universities & Medical Training Source Type: news

Early transition to comfort measures only in acute stroke patients: Analysis from the Get With The Guidelines-Stroke registry
Conclusions: Early CMO was utilized in about 5% of stroke patients, being more common in ICH and SAH than IS. Early CMO use varies widely between hospitals and is influenced by patient and hospital characteristics.
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Prabhakaran, S., Cox, M., Lytle, B., Schulte, P. J., Xian, Y., Zahuranec, D., Smith, E. E., Reeves, M., Fonarow, G. C., Schwamm, L. H. Tags: All Cerebrovascular disease/Stroke, Palliative care Research Source Type: research

Hospitals Vary in Moving Stroke Patients to Comfort or Hospice Care
Study found doctors more apt to suggest it sooner for older, white, female and uninsured patients Source: HealthDay Related MedlinePlus Pages: End of Life Issues, Health Disparities, Stroke
Source: MedlinePlus Health News - May 25, 2017 Category: Consumer Health News Source Type: news

The Patients We Do Not See
This article was originally published on The Conversation. Read the original article. -- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.
Source: Healthy Living - The Huffington Post - April 28, 2017 Category: Consumer Health News Source Type: news

Mental Illness Is On The Rise But Access To Care Keeps Dwindling
More Americans than ever before are experiencing mental health problems, yet access to treatment for those issues is becoming more difficult to receive, a new study has found. A new analysis of data from the Centers for Disease Control and Prevention’s National Health Interview Survey shows that serious psychological distress, or SPD, defined as severe sadness and depressive symptoms that interfere with a person’s physical wellbeing, is on the rise just as resources for mental health treatment are declining.  Researchers from NYU’s Langone Medical Center analyzed almost a decade’s worth of data...
Source: Healthy Living - The Huffington Post - April 17, 2017 Category: Consumer Health News Source Type: news