The prevalence of Medicare beneficiaries aged 65 years or older with 6 or more concurrent chronic conditions (MCC6+) varies geographically (1). Preventing chronic disease costs less than treating it. Chronic diseases that are well managed progress slower than those that are untreated (2). Thus, understanding how Medicare spending is distributed across the United States among older adults with t...

There has been a striking resurgence of interest in surgery for Parkinson's disease (PD) with new targets identified and new procedures developed. This systematic review identified over 500 studies of surgery for PD published since 1990, including over 10 000 patients. However, the authors were unable to assess the value of PD surgery reliably because only seven randomised trials were identifie...

 Limitations and uncertainties of the model findings are around (1) the correlation between albuminuria and outcomes; this correlation has been shown in retrospect but not in prospective studies; (2) outcome predictors, due to the absence of phase 3 data on finerenone‟s clinical effectiveness to change clinical outcomes; (3) availability of data for progression to macroalbuminuria, due to low ...

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OBJECTIVE Estimating the cost of chicken pox in a Colombian pediatric population. METHODOLOGY This was a retrospective case study which searched for all diagnosed chicken pox cases in the Napoleón Franco Pareja children's hospital (Cartagena, Colombia), during 2005-2008. The hospital's records/perspective was used. Cost related to health personnel, lab, diagnostic images and drugs were search...

Stepped care is an increasingly popular treatment model for common mental health disorders, given the large discrepancy between the demand and supply of healthcare service available. In this review, we aim to compare the efficacy and cost-effectiveness of stepped care prevention and treatment with care-as-usual (CAU) or waiting-list control for depressive and/or anxiety disorders. 5 databases w...

http://ebn.bmj.com/content/early/2013/09/19/eb-2013-101505.full.html Updated information and services can be found at: These include: References http://ebn.bmj.com/content/early/2013/09/19/eb-2013-101505.full.html#ref-list-1 This article cites 5 articles, 3 of which can be accessed free at: P<P Published online September 19, 2013 in advance of the print journal. service Email alerting the box a...

1. Detect the pathophysiologic cause(s) of anemia in critically ill patients and assess the risks associated with its development. 2. Assess for the presence of anemia of critical illness in patients using clinical and laboratory indicators. 3. Assess the risks and benefits associated with the various treatment strategies for anemia of critical illness. 4. Develop patient-specific therapeutic p...

In patients receiving long-term therapeutic or replacement corticosteroids, delayed or inappropriate adjustment of steroid dosage during intercurrent illness may be fatal. We used a questionnaire to assess current levels of patient knowledge, awareness of the need for action during intercurrent illness and the frequency with which steroid warning cards and Medic Alert pendants were carried, in ...