Short-Term Absenteeism and Health Care Utilization Due to Lower Extremity Injuries Among Novice Runners

Abstract Objective The aim of this study was to examine the association of preexisting opioid use disorder and postoperative outcomes in patients undergoing total hip or knee arthroplasty (THA and TKA, respectively) in the overall population and in the Medicare-only population. Methods This retrospective cohort study examined data from the State Inpatient Databases of the Healthcare Cost and Utilization Project for the years 2007–2014 from California, Florida, New York, Maryland, and Kentucky. We compared patients with and without opioid use disorders on unadjusted rates and calculated adjusted odds ratios (aORs) of in-hospital mortality, postoperative complications, length of stay, and 30-day and 90-day readmission status; analyses were repeated in a subgroup of Medicare insurance patients only. Subjects After applying our exclusion criteria, our study included 1,422,210 adult patients undergoing lower extremity arthroplasties, including 818,931 Medicare insurance patients. In our study, 0.4% of THA patients and 0.3% of TKA patients had present-on-admission opioid use disorder. Results Opioid use disorder patients were at higher risk for in-hospital mortality (aOR = 3.10), 30- and 90-day readmissions (aORs = 1.81, 1.81), and pulmonary and infectious complications (aORs = 1.25, 1.96). Conclusions Present-on-admission opioid use disorder was a risk factor for worse postoperative outcomes and increased health care utilization in the lower extremity arthroplasty population. Opioid use disorder is a potentially modifiable risk factor for mortality, postoperative complications, and health care utilization, especially in the at-risk Medicare population.

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Trends in health care utilization and costs attributable to hepatocellular carcinoma, 2002–2009: a population-based cohort study

Current Oncology ◽

10.3747/co.23.2956 ◽

2016 ◽

Vol 23 (3) ◽

pp. 196 ◽

Cited By ~ 7

Author(s):

H.H. Thein ◽

Y. Qiao ◽

S.K. Young ◽

W. Zarin ◽

E.M. Yoshida ◽

...

Keyword(s):

Health Care ◽

Health Care Utilization ◽

End Of Life ◽

Population Based ◽

Care Utilization ◽

Short Term ◽

Control Subjects ◽

Costs Of Care ◽

Life Phase ◽

Rate Ratios

Background The incidence of hepatocellular carcinoma (HCC) and the complexity of its diagnosis and treatment are increasing. We estimated trends in net health care utilization, costs of care attributable to hcc in Ontario, and rate ratios of resource use at various stages of care.Methods This population-based retrospective cohort study identified HCC patients and non-cancer control subjects, and health care resource utilization between 2002 and 2009. Generalized estimating equations were then used to estimate net health care utilization (HCC patients vs. the matched control subjects) and net costs of care attributable to HCC. Generalized linear models were used to analyze rate ratios of resource use.Results We identified 2832 HCC patients and 2808 matched control subjects. In comparison with the control subjects, HCC patients generally used a greater number of health care services. Overall, the mean net cost of care per 30 patient–days (2013 Canadian dollars) attributable to outpatient visits and hospitalizations was highest in the pre-diagnosis (1 year before diagnosis), initial (1st year after diagnosis), and end-of-life (last 6 months before death, short-term survivors) phases. Mean net homecare costs were highest in the end-of-life phase (long-term survivors). In the end-of-life phase (short-term survivors), mean net costs attributable to outpatient visits and total services significantly increased to $14,220 from $1,547 and to $33,121 from $14,450 (2008–2009 and 2002–2003 respectively).Conclusions In HCC, our study found increasing resource use and net costs of care, particularly in the end-of-life phase among short-term survivors. Our findings offer a basis for resource allocation decisions in the area of cancer prevention and control.

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Association of dyskalemias with short-term health care utilization in patients with advanced CKD

Journal of Managed Care & Specialty Pharmacy ◽

10.18553/jmcp.2021.27.10.1403 ◽

2021 ◽

Vol 27 (10) ◽

pp. 1403-1415

Author(s):

Ankur A Dashputre ◽

Justin Gatwood ◽

Keiichi Sumida ◽

Fridtjof Thomas ◽

Oguz Akbilgic ◽

...

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Care Utilization ◽

Short Term

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Long-term Effects of Disasters on Health Care Utilization: Hurricane Katrina and Older Individuals with Diabetes

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2018.128 ◽

2019 ◽

Vol 13 (4) ◽

pp. 724-731 ◽

Cited By ~ 3

Author(s):

Troy Quast ◽

Lijuan Feng

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Hurricane Katrina ◽

Fixed Effects ◽

Care Utilization ◽

Older Individuals ◽

Control Groups ◽

Short Term ◽

Age Cohorts

ABSTRACTObjectiveWhile the short-term effects of disasters on health care utilization are well documented, less is known regarding potential longer-term effects. This study investigates the effects of Hurricane Katrina on the health care utilization of older individuals with diabetes.MethodsWe examined Medicare claims and enrollment data for the 2002-2004 and 2006-2008 time periods for older individuals with diabetes. Our quasi-experimental design analyzed utilization across 2 treated and 3 control groups. We compared the proportion of individuals who received a screen related to diabetes before and after Katrina in the treated groups to the proportions in the control groups. Our regression analysis employs individual and year fixed effects to control for factors specific to a given individual or to a given year.ResultsWe found that utilization rates in the 2002-2004 period exhibited roughly parallel trends for the treated and control groups, which provides support for our research design. The 2006-2008 utilization rates were generally lower for the treated groups than they were for the control groups. The differences were especially pronounced for older age cohorts.ConclusionsOur study suggests that the effects of disasters on health care utilization may persist for years after the event. Recovery efforts may be improved by addressing both short-term and long-term health care interruptions. (Disaster Med Public Health Preparedness. 2019;13:724–731)

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