Research Roundup: Benefits of hip surgery; prevention of surgical infections; assess the predecessors of OCA -
Each week, KHN compiles a selection of studies and health policy briefs published recently
Clinical Orthopaedics and related research :. Surgery For Hip fracture yields benefits to society beyond the direct medical costs
Surgical treatment of hip fractures can achieve better survival and functional outcomes than non-surgical treatment, but less is known about its economic benefits. ... We felt the effects of surgical treatment of hip fractures displaced through a cohort of Markov analysis of patients 65 years and older. ... Average life social benefits estimated per patient exceeded the direct medical costs of hip fracture surgery by $ 65,000 to $ 68,000 for displaced fractures of the hip. Except for the management of nursing household care, sensitivity analyzes show that surgery produces positive net social savings (Gu, Koenig, Mather and tongue, 8/5)
JAMA Surgery :. Preventive surgical site infections Bundle In colorectal surgery
surgical site infections (ISO) are associated with increased morbidity, length of hospital stay, readmission rates and costs of health care. They represent a particularly important issue in colorectal surgery, for which SSI rates are abnormally high, ranging from 15% to 30%. ... To a large extent, up to the point [of reducing SSIs] has been on improving adherence to evidence-based practices ... The SSI preventive [systemic, evidence-based measures called] beam has been associated with a substantial reduction of SSIs after colorectal surgery. The increase in costs of supporting SSIs that the beam is an effective approach to reducing the costs of health care (Keenan et al, 8/27.)
Medicare and Medicaid review of research :. financial impact and quality of the Medicare physician group practice demonstration of
[The health law's Accountable Care Organization program] was built directly on its predecessor, the Medicare Physician Group Practice (PGP) Demonstration .... This paper presents the results of the overall evaluation funded by CMS PGP demonstration ... all ... the impact was a saving of $ 171 per year attributed person beneficiary during the demonstration performance period .... This represents a saving of 2.0 per cent of expenditure affected beneficiaries. CMS has paid performance bonuses to PGPs participants on average $ 102 per year assigned beneficiary within five years of demonstration
Medical Care (Pope et al, 8/28.). The intended and unintended consequences of the quality improvement interventions for small practices in a community project Electronic Health Record implementation
despite the rapid increase in the implementation of electronic health records (EHRs) , commensurate improvements in the quality of health care is not always respected. ... The study included 143 practices implemented EHR .... 71 practices were randomized to receive financial incentives and quality assessments and 72 were randomized to one feedback. ... The incentives- technical and financial assistance, alongside implementation- EHR can improve the quality of care. Financial incentives for quality may not result in similar improvements for measurements and incentives unincentivized (Ryan et al., 8/27).
Infection Control and Hospital Epidemiology / Rand Corp. Association of State legal mandates for Central submitting data related to intravascular catheters infections in neonatal intensive care units with the process and outcome measures
[This cross sectional study was designed] to determine the association between the state legal mandates for the presentation of the central line infections associated with blood circulation (CLABSIs) in neonatal intensive care units (NICU) with process measures and results. ... Of the 10 NICU study, 107 (56.3%) were located in states with mandates, mandates up> 3 years in 52 (49%). ... Mandates were predictors of compliance with all practices ≥95% of
This is a selection of news coverage of other recent research (Zachariah et al, 8/22.) :.
MedPage Today: Surgery No Help for Mild osteoarthritis
arthroscopic surgery for degenerative meniscal tears in patients with osteoarthritis of the knee slightly was no benefit for the function or pain, a meta-analysis determined. In randomized trials included 805 patients, the standardized mean difference for the function at 6 months was 0.25, which was converted to a knee injury and Osteoarthritis Outcome Score of 5.6. It has not reached the minimum important difference of 10 (Walsh, 8/27)
Fox News :. Teens With Depression Benefit From 'Collaborative Care
For adolescents with depression, find and stick with a treatment strategy can be an uphill battle. Their families often struggle to find a professional who can treat depression in adolescents, is accepting new patients and is covered by their insurance. ... But an idea called "collaborative care" -; increasing the communication between families and doctors -; can help fill this gap, said [Dr. Laura Richardson, a professor of pediatrics at Seattle Children's Hospital and the University of Washington in Seattle], who co-authored a new study detailing the findings, published today (26 August) in the journal JAMA (Geggel, 8/26)
MinnPost :. Study Links Early-To-Midlife obesity to increased risk of dementia
people who are obese in their early adulthood to midlife years have an increased risk of developing dementia, and the risk is especially high for people who are obese in their 30s, according to a study [last] week. The study also found that people who become obese later in life have a lower risk of developing dementia, particularly Alzheimer's disease (Perry, 8/22)
Reuters :. More parents think their overweight children is "About Right '
Between 1988 and 2010, the number of parents who could correctly identify their children are overweight or obese has fallen, according to a new study. ... In 1988-1994 data set, 78 percent of parents of overweight boys and 61 percent of parents of an overweight girl, identified the child as "about the right weight." This number rose to 83 percent for boys and 78 percent for girls in the 05-2010 period (Doyle, 8/26)
Reuters :. Medicaid payouts for office visits may influence cancer screening: study
in states where Medicaid pays doctors higher fees for office visits, Medicaid beneficiaries are more likely to undergo breast cancer screening, cervical or colorectal neck, according to a new study. "States tend to vary their reimbursement rates for different types of medical care, some states may have lower reimbursement for certain services and higher reimbursements for others," said lead author Dr. Michael T. Halpern health services Division and social policy research at RTI International (Doyle, 8/26)
Medscape :. Delays futile treatment Care For Others Waiting For ICU beds
patients in intensive care units (ICU) receiving a delayed unnecessary treatment or treatment of ICU prevented others who need intensive care, a study published in the September issue of Critical Care Medicine found (Laidman, 8/28).
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