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LACE+ Index as a Predictor of 90-Day Plastic Surgery OutcomesPatients with higher LACE+ index scores have significantly greater risk of unplanned readmission, emergency department visits, and reoperation after plastic surgery.
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Antibiotic Use for Viral Acute Respiratory Tract Infections Remains CommonAntibiotic use for acute respiratory tract infections that are largely viral remains common. Macrolide use has increased since 2007, and 9% of patients received a second antibiotic within 30 days.
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Implications of Evolving Delivery System Reforms for Prostate Cancer CareHealthcare integration was associated with small declines in treatment, but no change in overtreatment of prostate cancer. Integrated care delivery alone may be insufficient to curtail overtreatment.
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Cost Analysis of COPD Exacerbations and Cardiovascular Events in SUMMITThis cost analysis using data from the Study to Understand Mortality and Morbidity in COPD (SUMMIT) trial found that fluticasone furoate/vilanterol reduced the rates and costs of combined chronic obstructive pulmonary disease (COPD) exacerbations and revascularization/cardiovascular events versus placebo.
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Comparative Effectiveness Research: Challenges for Medical JournalsIn order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
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Development and Implementation of an Academic Cancer Therapy Stewardship ProgramA cancer therapy stewardship program can be used to improve clinical quality and patient care by emphasizing the importance of value and evidence in oncology.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial FibrillationThe risk of discontinuation of oral anticoagulant therapy (both warfarin and direct oral anticoagulant therapies [DOACs]) among nonvalvular atrial fibrillation patients was high. Although the hazard ratio for discontinuation favors DOACs, it is unlikely that the small difference in discontinuation relative to warfarin is clinically meaningful.
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In-Gap Discounts in Medicare Part D and Specialty Drug UseThis study examined the early impacts of closing the donut hole in Medicare Part D.
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Dental Care Coverage TransitionsThis study examines dental insurance transition dynamics in the context of changing employment and retirement status.
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Population Health Screenings for the Prevention of Chronic Disease ProgressionIdentification of chronic diseases in their early stages enables prompt treatment that can slow or prevent disease development and debilitating and costly health outcomes.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Postdischarge Telephone Calls by Hospitalists as a Transitional Care StrategyTreating hospitalists effectively identify and efficiently address early postdischarge problems through a single, brief telephone encounter.
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Early Changes in VA Medical Home Components and UtilizationSignificant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.
