Physical Medicine and Rehabilitation Faculty Diversity Trends by Sex, Race, and Ethnicity, 2007 to 2018 in the United States

PM&R ◽  
2020 ◽  
Author(s):  
Y Zhang ◽  
JK M Silver ◽  
S Tiwana ◽  
M Verduzco‐Gutierrez ◽  
J Siddiqi ◽  
...  
Keyword(s):  
United States ◽  
Race And Ethnicity ◽  
The United States ◽  
Physical Medicine ◽  
Faculty Diversity ◽  
Physical Medicine And Rehabilitation

scholarly journals Academic Physical Medicine and Rehabilitation Acute Care Consultations

2018 ◽  
Vol 45 (4) ◽  
pp. 470-473
Author(s):  
Shannon L. MacDonald ◽  
Lawrence R. Robinson
Keyword(s):  
United States ◽  
Acute Care ◽  
Department Chairs ◽  
The United States ◽  
Physical Medicine ◽  
Consultation Service ◽  
Physical Medicine And Rehabilitation ◽  
National Differences ◽  
Care Consultation ◽  
American Academic

AbstractThe objective of this study was to describe the provision of Physical Medicine and Rehabilitation acute care consultations in the United States and Canada. Physical Medicine and Rehabilitation department chairs/division directors at academic centers in Canada and the United States were mailed an 18-item questionnaire. Seven of 13 (54%) Canadian and 26/78 (33%) American surveys were returned. A majority of Canadian and American academic institutions provide acute care consultations; however, there were some national differences. American institutions see larger volumes of patients, and more American respondents indicated using a dedicated acute care consultation service model compared with Canadians.

Disparities in Health Care for Black Patients in Physical Medicine and Rehabilitation in the United States: A Narrative Review

PM&R ◽  
2020 ◽  
Author(s):  
Charles A. Odonkor ◽  
Rachel Esparza ◽  
Laura E. Flores ◽  
Monica Verduzco‐Gutierrez ◽  
Miguel X. Escalon ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Narrative Review ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Black Patients

Factors Associated with Burnout in Physical Medicine and Rehabilitation Residents in the United States

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Allison C. Bean ◽  
Allison N. Schroeder ◽  
Gina P. McKernan ◽  
Matthew Mesoros ◽  
Julie K. Silver ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Physical Medicine ◽  
Factors Associated ◽  
Physical Medicine And Rehabilitation

scholarly journals Assessment of the Growth of Epidural Injections in the Medicare Population from 2000 to 2011

2013 ◽  
Vol 4;16 (4;7) ◽  
pp. E349-E364
Author(s):  
Laxmaiah Manchikanti
Keyword(s):  
United States ◽  
Outcome Measures ◽  
Present Report ◽  
The United States ◽  
Medicare Beneficiaries ◽  
Physical Medicine ◽  
Epidural Injections ◽  
Physical Medicine And Rehabilitation ◽  
Medicare Population ◽  
Caudal Epidural

Background: Among the many diagnostic and therapeutic interventions available for the management of chronic pain, epidural steroid injections are one of the most commonly used modalities. The explosive growth of this technique is relevant in light of the high cost of health care in the United States and abroad, the previous literature assessing the effectiveness of epidural injections has been sparse with highly variable outcomes based on technique, outcome measures, patient selection, and methodology. However, the recent assessment of fluoroscopically directed epidural injections has shown improved evidence with proper inclusion criteria, methodology, and outcome measures. The exponential growth of epidural injections is illustrated in multiple reports. The present report is an update of the analysis of the growth of epidural injections in the Medicare population from 2000 to 2011 in the United States. Study Design: Analysis of utilization patterns of epidural procedures in the Medicare population in the United States from 2000 to 2011. Objectives: The primary purpose of this assessment was to evaluate the use of all types of epidural injections (i.e., caudal, interlaminar, and transforaminal in the lumbar, cervical, and thoracic regions) with an assessment of specialty and regional characteristics. Methods: This assessment was performed utilizing the Centers for Medicare and Medicaid Services (CMS) Physician/Supplier Procedure Summary (PSPS) Master data from 2000 to 2011. Results: Epidural injections in Medicare beneficiaries increased significantly from 2000 to 2011. Overall, epidural injections increased 130% per 100,000 Medicare beneficiaries with an annual increase of 7.5%. The increases per 100,000 Medicare recipients were 123% for cervical/ thoracic interlaminar epidural injections; 25% for lumbar/sacral interlaminar, or caudal epidural injections; 142% for cervical/thoracic transforaminal epidural injections; and 665% for lumbar/ sacral transforaminal epidural injections. The use of epidurals increased 224% in the radiologic specialties (interventional radiology and diagnostic radiology) and 145% in psychiatric settings, whereas and physical medicine and rehabilitation physicians’ use of epidurals increased 520%. Limitations: Study limitations include lack of inclusion of Medicare Advantage patients. In addition, the statewide data is based on claims which may include the contiguous or other states. Conclusions: Epidural injections in Medicare recipients increased significantly. The growth was significant for some specialties (radiology, physical medicine and rehabilitation, and psychiatry) and for certain procedures (lumbosacral transforaminal epidural injections). Key words: Spinal pain, interventional pain management, epidural injections, caudal epidural, lumbar epidural, cervical epidural, cervical transforaminal, lumbar transforaminal

scholarly journals Trends in Esophageal Cancer Mortality and Stage at Diagnosis by Race and Ethnicity in the United States

2021 ◽  
Author(s):  
Edgar Corona ◽  
Liu Yang ◽  
Eric Esrailian ◽  
Kevin A. Ghassemi ◽  
Jeffrey L. Conklin ◽  
...  
Keyword(s):  
United States ◽  
Esophageal Cancer ◽  
Race And Ethnicity ◽  
The United States ◽  
Disease Stage ◽  
Stage Migration ◽  
Stage At Diagnosis ◽  
Annual Percent Change ◽  
Seer Data ◽  
Race Ethnicity

Abstract Introduction Esophageal cancer (EC) is an aggressive malignancy with poor prognosis. Mortality and disease stage at diagnosis are important indicators of improvements in cancer prevention and control. We examined United States trends in esophageal adenocarcinoma (EAC) and esophageal squamous cell carcinoma (ESCC) mortality and stage at diagnosis by race and ethnicity. Methods We used Surveillance, Epidemiology, and End Results (SEER) data to identify individuals with histologically confirmed EAC and ESCC between 1 January 1992 and 31 December 2016. For both EAC and ESCC, we calculated age-adjusted mortality and the proportion presenting at each stage by race/ethnicity, sex, and year. We then calculated the annual percent change (APC) in each indicator by race/ethnicity and examined changes over time. Results The study included 19,257 EAC cases and 15,162 ESCC cases. EAC mortality increased significantly overall and in non-Hispanic Whites from 1993 to 2012 and from 1993 to 2010, respectively. EAC mortality continued to rise among non-Hispanic Blacks (NHB) (APC = 1.60, p = 0.01). NHB experienced the fastest decline in ESCC mortality (APC = − 4.53, p < 0.001) yet maintained the highest mortality at the end of the study period. Proportions of late stage disease increased overall by 18.5 and 24.5 percentage points for EAC and ESCC respectively; trends varied by race/ethnicity. Conclusion We found notable differences in trends in EAC and ESCC mortality and stage at diagnosis by race/ethnicity. Stage migration resulting from improvements in diagnosis and treatment may partially explain recent trends in disease stage at diagnosis. Future efforts should identify factors driving current esophageal cancer disparities.

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