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Residents of disadvantaged neighborhoods who are discharged from safety-net hospitals have high hospital readmission...

...tes After Medicare’s Hospital Readmissions Reduction Program Within Safety-Net and Non–Safety-Net Hospitals In-Depth [retrospective cohort]: The authors conducted a retrospective observational study utilizing Maryland’s data during the 2015 fiscal year (1 July 2014 to 30 June 2015). They assessed two main risk factors, hospital safety-net, which was defined as the mean disadvantage (mean ADI) of the hospital’s discharged patients, as well as the a...

Internet-based cognitive behavioral therapy effective for body dysmorphic disorder

...ificantly higher number of patients that responded to treatment in the BDD-NET group compared to online supportive therapy. Patients who received BDD-NET demonstrated significant improvement in BDD symptom severity compared to patients who received supportive therapy. Additionally, patients randomized to BDD-NET demonstrated decreased depressive symptoms as well as a significant increase in global functioning. These effects persisted six months af...

Insecticidal bed nets linked with reduced transmission of lymphatic filariasis

...medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.  ...

#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program

...admission risk among similar patients. Further, a greater association was found with the hospital’s safety-net index compared to the patient’s neighborhood disadvantage status. Since this study took place in Maryland, and involved residents discharged from a Maryland hospital in 2015, a main limitation of this study is its generalizability.. Click to read the study in Annals of Internal Medicine ©2019 2 Minute Medicine, Inc. All rights reserved. N...

Rivaroxaban has no net clinical benefit over enoxaparin for thromboprophylaxis in acutely ill patients

...95% CI, 1.85 to 3.25, P<0.001). Combining efficacy and safety, the study found no net clinical benefit of rivaroxaban over enoxaparin. In sum: Preventing thromboembolism in acutely ill hospitalized patients is a balancing act between reducing clot formation and the increasing bleeding risk. As some studies have shown the risk of thromboembolism persists after discharge from the hospital, this study compared thromboprophylaxis with standard-durati...

USPSTF Update: Screening adults for unhealthy drug use has moderate net benefit

...ources can be offered. Image: PD ©2020 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc....

Neuroendocrine tumor marker pancreastatin may be predictive of survival

...udy Rundown: Tumor resection remains the first-line therapy for pancreatic NETs (PNETs) or small bowel NETs (SBNETs), though recurrence rates are high. The ability to predict the response and survival of patients after tumor resection may aid clinicians in determining subsequent treatment courses (e.g. more or less aggressive therapies). This study examined the potential of NET biomarkers to predict patient outcomes after surgery. They found that...

Daily aspirin may benefit some patients without existing cardiovascular disease

...searchers conducted a risk-benefit analysis of aspirin use in patients without CVD. The net effect of aspirin was calculated by subtracting the number of prevented CVD events from the number of major bleeds likely to be caused over 5 years. CVD and bleeding risk were calculated using models validated in PREDICT cohort data, a web-based program integrated with New Zealand’s electronic primary care practice systems. Patients were excluded if they we...

[Physician Comment] Low dose aspirin shows net clinical benefit in patients with first unprovoked...

...d Reading: Prandoni P, Lensing AWA, Cogo A, et al. The long term clinical course of acute deep venous thrombosis. Ann Intern Med 1996.125:1-7 Becattini C, Agnelli GA, Schenone A, et al. Aspirin for preventing the recurrence of venous thromboembolism. N Engl J Med 2012. 366:1959-1967 This [prospective cohort] study: A total of 822 patients were recruited for this Aspirin to Prevent Recurrent Venous Thromboembolism (ASPIRE) study. The study was doub...

Modelling study suggests that statins may be overprescribed

...ular disease. The population cohort consisted of adults aged 40 to 75, without a previous history of cardiovascular events. A network meta-analysis of primary prevention trials was completed, looking at a treatment group with low to moderate-dose statin compared to no statin. The authors found that among men aged 45 to 49 a net benefit were achieved at a 10-year cardiovascular risk of 15% for atorvastatin. This number was 18% for rosuvastatin, 19%...

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