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Total 74 results found since Jan 2013.

BMI and Coronary Heart Disease Risk Among Low-Income and Underinsured Diabetic Patients.
CONCLUSIONS: Our study suggests that there is a positive association between BMI at baseline and during follow-up with the risk of CHD among patients with type 2 diabetes. We indicate a U-shaped association between BMI at the last visit and the risk of CHD among women with type 2 diabetes. PMID: 25249653 [PubMed - as supplied by publisher]
Source: Diabetes Care - September 23, 2014 Category: Endocrinology Authors: Li N, Katzmarzyk PT, Horswell R, Zhang Y, Li W, Zhao W, Wang Y, Johnson J, Hu G Tags: Diabetes Care Source Type: research

UCLA volunteers at free clinic solve small problems for poor that could become catastrophic
It was a typical misunderstanding that could have led to disastrous consequences. The man had run out of medication to control his hypertension. But he couldn’t afford to get it refilled, or so he thought. So instead of picking up a simple, generic medication at Wal-Mart or Target for $4, the man decided to go without it and unknowingly put himself at risk for a stroke. All because he didn’t realize he could obtain the medication cheaply. Fortunately, he was one of hundreds who were treated by UCLA health care workers volunteering at the Care Harbor’s annual health clinic held Sept. 11-14 at the Los Angeles Sports Ar...
Source: UCLA Newsroom: Health Sciences - September 18, 2014 Category: Universities & Medical Training Source Type: news

Health Insurance and Chronic Conditions in Low-Income Urban Whites
This study uses cross-sectional data on 491 low-income urban non-elderly non-Hispanic whites from the Exploring Health Disparities in Integrated Communities—Southwest Baltimore (EHDIC-SWB) study to examine the relationship between insurance status and chronic conditions (defined as participant report of ever being told by a doctor they had hypertension, diabetes, stroke, heart attack, anxiety or depression, asthma or emphysema, or cancer). In this sample, 45.8 % were uninsured, 28.3 % were publicly insured, and 25.9 % had private insurance. Insured participants had similar odds of having any chronic condition (odds ra...
Source: Journal of Urban Health - August 1, 2014 Category: Health Management Source Type: research

Identifying Barriers in Acute Stroke Therapy in Argentina. ARENAS Registry (P2.014)
CONCLUSIONS: Only 47% of patients were admitted to an Intensive Care Unit, rt-PA was underused and initial evaluation was not performed by a neurologist in most of cases. The gap between clinical practice guidelines and real world is wide in Argentina and interventions to improve acute stroke care are mandatory.Disclosure: Dr. Atallah has nothing to disclose. Dr. Fustinoni has nothing to disclose. Dr. Zurru has nothing to disclose. Dr. Beigelman has nothing to disclose. Dr. Cirio has nothing to disclose. Dr. Ameriso has nothing to disclose. Dr. Burry has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Atallah, A., Fustinoni, O., Zurru, M., Beigelman, R., Cirio, J., Ameriso, S., Burry, G. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

Medicare Coverage Increases Odds of In-Hospital Mortality but Lack of Insurance Increases Odds of Poor Functional Outcome by Modified Rankin Score (mRS) (P2.138)
CONCLUSIONS:Medicare patients have greater odds of in-hospital mortality compared to uninsured, private, and VA patients, though uninsured patients had the highest odds of poor functional outcome on discharge. Further studies are needed to determine whether coverage is a stronger predictor of admission or in-hospital variables to determine if the observed outcome differences are more associated with variance in admission or in-hospital care.Disclosure: Dr. Friedant has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Baranwal has nothing to disclose. Dr. Valmoria has nothing to disclose. Dr. Shaban has no...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Friedant, A., Monlezun, D., Baranwal, P., Valmoria, M., Shaban, A., George, A., El Khoury, R., Martin-Schild, S. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Medicare and VA Patients Have More Inpatient Complications and Less Neuroimaging Than Uninsured Patients (P2.139)
CONCLUSIONS:Our results indicate that uninsured patients receive more neuroimaging and experience fewer inpatient complications than patients with other insurance types. Further studies are warranted to explain why these differences in coverage impact clinical care to maintain equitable care appropriate for the degree of clinical severity for stroke patients.Disclosure: Dr. Baranwal has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Ryan has nothing to disclose. Dr. Pineda has nothing to disclose. Dr. Shaban has nothing to disclose. Dr. George has received research support from Tulane University School ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Baranwal, P., Monlezun, D., Ryan, M., Pineda, D., Shaban, A., George, A., El Khoury, R., Martin-Schild, S. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Uninsured Patients May Lack Diagnoses for Chronic Diseases That Are Known Stroke Risk Predictors (P2.140)
CONCLUSIONS:In our population, uninsured patients were significantly less likely to have risk factors for stroke based on past medical history. However, the same population had the higher prevalence of systolic hypertension and elevated LDL on admission and were not taking medications at home. Together, this suggests that uninsured patients may lack access to resources needed to diagnose and treat known chronic risk factors for stroke.Disclosure: Dr. Baranwal has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Lanceta has nothing to disclose. Dr. Shaban has nothing to disclose. Dr. George has received re...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Baranwal, P., Monlezun, D., Lanceta, J., Shaban, A., George, A., Martin-Schild, S., El Khoury, R. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Socioeconomic Disparities in the Utilization of Mechanical Thrombectomy for Acute Ischemic Stroke in US Hospitals INTERVENTIONAL
CONCLUSIONS: Significant socioeconomic disparities exist in the utilization of mechanical thrombectomy in the United States.
Source: American Journal of Neuroradiology - March 13, 2014 Category: Radiology Authors: Brinjikji, W., Rabinstein, A. A., McDonald, J. S., Cloft, H. J. Tags: INTERVENTIONAL Source Type: research

Does Socioeconomic Status or Acculturation Modify the Association Between Ethnicity and Hypertension Treatment Before Stroke? Brief Reports
Conclusions— We found no evidence that socioeconomic status or acculturation modifies the association between ethnicity and hypertension treatment before stroke.
Source: Stroke - October 21, 2013 Category: Neurology Authors: Levine, D. A., Morgenstern, L. B., Langa, K. M., Skolarus, L. E., Smith, M. A., Lisabeth, L. D. Tags: Health policy and outcome research, Primary prevention, Acute Cerebral Infarction Brief Reports Source Type: research

Disparities in Acute Stroke Severity, Outcomes, and Care Relative to Health Insurance Status
Background: To examine the differences in risk factors and length of hospital stay (LOS) between the insured and uninsured stroke patients, identifying the root causes of increasing hospital stay.Methods: Retrospective analysis of stroke registry data of acute stroke patients (N = 19,255) was analyzed to compare risk factors, severity, outcome, and LOS by insurance status. Chart review of patients from a comprehensive stroke center (N = 3290) was studied in greater detail for causes of extended length of stay.Results: The uninsured patients had poorer control of risk factors and statistically significantly (P 
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Tefera Gezmu, Martin S. Gizzi, Jawad F. Kirmani, Dona Schneider, Mohammad Moussavi Tags: Original Articles Source Type: research

California Health Interview Survey releases new 2011-12 data on health of Californians
The California Health Interview Survey (CHIS) today released new data based on interviews with more than 44,000 households in California. The survey, conducted by the UCLA Center for Health Policy Research, covered hundreds of topics affecting state residents' health and well-being. (See a complete list of topics here.)   Data on nearly 200 of these topics were released today on AskCHIS, the center's award-winning, free, easy-to-use Web tool that provides data by state, region, county and some service-planning areas in Los Angeles and San Diego counties. Even more data were released through free, downloadable pub...
Source: UCLA Newsroom: Health Sciences - August 8, 2013 Category: Universities & Medical Training Source Type: news

Safety-Net Clinics Face Challenges Controlling Hypertension In Their Patients
Federally funded safety-net clinics for the uninsured lag behind other health care providers in controlling blood pressure among the low-income patients who rely on them for care, a new Michigan State University analysis suggests. High blood pressure, or hypertension, is a major risk factor for cardiovascular complications including heart disease and stroke, and is especially common and dangerous for patients with diabetes, said lead researcher Adesuwa Olomu, associate professor in the MSU College of Human Medicine's Department of Medicine...
Source: Health News from Medical News Today - April 19, 2013 Category: Consumer Health News Tags: Hypertension Source Type: news

Recent trends in cost‐related medication nonadherence among US stroke survivors
ObjectiveRecent economic and health policy changes may have affected the ability of chronically ill patients to afford their medications. We assessed changes in cost‐related nonadherence to medication (CRN) before and after the implementation of Medicare Part D in 2006. MethodsWe used data from the National Health Interview Survey, an annual, population‐based survey of community‐dwelling, noninstitutionalized US adults, to estimate CRN in 8,673 stroke survivors aged 45 years or older, representing 4.8 million survivors, for the years 1999 to 2010. The main outcome measure was CRN, defined as self‐reported inability...
Source: Annals of Neurology - February 22, 2013 Category: Neurology Authors: Deborah A. Levine, Lewis B. Morgenstern, Kenneth M. Langa, John D. Piette, Mary A. M. Rogers, Sudeep J. Karve Tags: Original Article Source Type: research

Recent trends in cost‐related medication nonadherence among stroke survivors in the United States
ObjectiveRecent economic and health policy changes may have affected the ability of chronically ill patients to afford their medications. We assessed changes in cost‐related nonadherence to medication (CRN) before and after the implementation of Medicare Part D in 2006. MethodsWe used data from the National Health Interview Survey, an annual, population‐based survey of community‐dwelling, noninstitutionalized US adults, to estimate CRN in 8,673 stroke survivors aged 45 years or older, representing 4.8 million survivors, for the years 1999 to 2010. The main outcome measure was CRN, defined as self‐reported inability...
Source: Annals of Neurology - February 22, 2013 Category: Neurology Authors: Deborah A. Levine, Lewis B. Morgenstern, Kenneth M. Langa, John D. Piette, Mary A. M. Rogers, Sudeep J. Karve Tags: Original Article Source Type: research