scholarly journals Crowd-Out, Adverse Selection and Information in Annuity Markets: Evidence from a New Retrospective Data Set in Chile

2006 ◽  
Author(s):  
Alejandra Cox Edwards ◽  
Estelle James
Keyword(s):  
Adverse Selection ◽  
Retrospective Data ◽  
Data Set ◽  
Annuity Markets ◽  
Crowd Out

scholarly journals EP.WE.409Stoma forming surgery – has lockdown changed our operative practice during COVID 19

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Ross Manson ◽  
Tracy Tallo ◽  
Isabell Robertson ◽  
John Anderson ◽  
Praveen Sharma ◽  
...  
Keyword(s):  
Loop Ileostomy ◽  
Retrospective Data ◽  
Curative Intent ◽  
Data Set ◽  
Patients With Cancer ◽  
Local Database ◽  
Stoma Formation ◽  
Retrospective Data Collection ◽  
Emergency Operating ◽  
Comparison Data

Abstract Aims This study aimed to establish whether the initial lockdown resulted in a shift towards emergency surgery, changes in stoma formation and in rate of surgery with curative intent. Methods A retrospective data collection was performed. Patients were identified using a local database of all patients with stomas. Data was collected from 16/03/20 to 16/09/20. A comparison data set was taken (16/03/19 to 16/09/19). Data was collected on whether the case was performed as an emergency; the type of stoma formed and whether the operation was performed with curative intent. Results Seventeen patients were identified in the 2020 cohort (age: 51-84, mean age: 67.6, M:F 10:7). Fourteen cases (82.4%) were performed as emergencies, three electively (17.6%). Six (35.3%) had end colostomies, three (17.6%) had loop colostomies, one (5.9%) had a caecostomy, four (23.5%) had an end ileostomy and three (17.6%) had a loop ileostomy. Ten operations were for patients with cancer, three (30%) were performed with curative intent. 38 patients were identified in the 2019 cohort (age: 28-85, mean age: 63.0, M:F 17:21). 23 (60.5%) were emergencies, fifteen (39.5%) were performed electively. Nine (23.7%) had end colostomies, eight (21.1%) had loop colostomies, three (7.9%) had caecostomies, ten (26.3%) had end ileostomies and nine (23.7%) had loop ileostomies. There were nineteen operations for cancer, eight (42.1%) were with curative intent. Conclusions Cessation of elective activity caused a shift towards emergency operating, with an associated shift towards surgery with non-curative intent. The distribution of stomas formed has not changed.

Validation of the survival benefit from metformin use in patients with type 2 diabetes and colorectal cancer.

2013 ◽  
Vol 31 (4_suppl) ◽  
pp. 462-462
Author(s):  
Ibrahim Halil Sahin ◽  
Hesham Mohamed Hassabo ◽  
Yehua Shen ◽  
Bryan K. Kee ◽  
Manal Hassan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Survival Benefit ◽  
Retrospective Data ◽  
Independent Data ◽  
Stage At Diagnosis ◽  
Data Set ◽  
Type 2 Dm ◽  
Number Of Patients

462 Background: We previously reported improved overall survival (OS) associated with metformin usage in a retrospective study of type 2 diabetes mellitus (DM) patients with colorectal (CRC) (Br J Cancer 2012;106:1374-8). We sought to determine whether this effect could be validated in an independent data set. Methods: Under an IRB-approved protocol, 6,128 patients with CRC based on ICD-9 billing codes diagnosed between 1995-2005 were reviewed; of these 683 were determined to have type 2 DM. Results: Of the 683 diabetic CRC patients, 407 (59.5%) were male. The patient’s stage at diagnosis was: stage I (67, 9.8%), II (162, 23.7%), III (247, 36.1%), IV (166, 24.3%) and unknown stage (41, 6%). The number of patients using metformin at the time of first evaluation was 146 (21.3%). A significantly better median OS was observed in CRC patients with metformin use in both all-stage and stage III groups (p = 0.017, p = 0.029 respectively); median OS results demonstrated in table below. Conclusions: This independent retrospective data set validated the OS benefit associated with metformin use previously reported in patients with type 2 DM and CRC. Future prospective studies will be required to confirm the benefit of metformin in this clinical setting. [Table: see text]

scholarly journals Overview of retrospective data harmonisation in the MINDMAP project: process and results

2020 ◽  
pp. jech-2020-214259
Author(s):  
Tina W Wey ◽  
Dany Doiron ◽  
Rita Wissa ◽  
Guillaume Fabre ◽  
Irina Motoc ◽  
...  
Keyword(s):  
Well Being ◽  
Research Approach ◽  
Data Sets ◽  
Retrospective Data ◽  
Data Set ◽  
Specific Data ◽  
Research Activities ◽  
Individual Determinants ◽  
Mental Well Being ◽  
Data Harmonisation

BackgroundThe MINDMAP project implemented a multinational data infrastructure to investigate the direct and interactive effects of urban environments and individual determinants of mental well-being and cognitive function in ageing populations. Using a rigorous process involving multiple teams of experts, longitudinal data from six cohort studies were harmonised to serve MINDMAP objectives. This article documents the retrospective data harmonisation process achieved based on the Maelstrom Research approach and provides a descriptive analysis of the harmonised data generated.MethodsA list of core variables (the DataSchema) to be generated across cohorts was first defined, and the potential for cohort-specific data sets to generate the DataSchema variables was assessed. Where relevant, algorithms were developed to process cohort-specific data into DataSchema format, and information to be provided to data users was documented. Procedures and harmonisation decisions were thoroughly documented.ResultsThe MINDMAP DataSchema (v2.0, April 2020) comprised a total of 2841 variables (993 on individual determinants and outcomes, 1848 on environmental exposures) distributed across up to seven data collection events. The harmonised data set included 220 621 participants from six cohorts (10 subpopulations). Harmonisation potential, participant distributions and missing values varied across data sets and variable domains.ConclusionThe MINDMAP project implemented a collaborative and transparent process to generate a rich integrated data set for research in ageing, mental well-being and the urban environment. The harmonised data set supports a range of research activities and will continue to be updated to serve ongoing and future MINDMAP research needs.

scholarly journals Characteristics, Symptom Severity, and Experiences of Patients Reporting Chronic Kidney Disease in the PatientsLikeMe Online Health Community: Retrospective and Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Glen James ◽  
Elisabeth Nyman ◽  
Marcy Fitz-Randolph ◽  
Anna Niklasson ◽  
Katarina Hedman ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Qualitative Study ◽  
Clinical Care ◽  
Study Patient ◽  
Retrospective Data ◽  
Data Set ◽  
Patient Reported ◽  
Key Concepts

BACKGROUND Chronic kidney disease (CKD) is a major global health burden, and is associated with increased adverse outcomes, poor quality of life, and substantial health care costs. While there is an increasing need to build patient-centered pathways for improving CKD management in clinical care, data in this field are scarce. OBJECTIVE The aim of this study was to understand patient-reported experiences, symptoms, outcomes, and treatment journeys among patients with CKD through a retrospective and qualitative approach based on data available through PatientsLikeMe (PLM), an online community where patients can connect and share experiences. METHODS Adult members (aged ≥18 years) with self-reported CKD within 30 days of enrollment, who were not on dialysis, and registered between 2011 and 2018 in the PLM community were eligible for the retrospective study. Patient demographics and disease characteristics/symptoms were collected from this retrospective data set. Qualitative data were collected prospectively through semistructured phone interviews in a subset of patients, and questions were oriented to better understand patients’ experiences with CKD and its management. RESULTS The retrospective data set included 1848 eligible patients with CKD, and median age was 56 years. The majority of patients were female (1217/1841, 66.11%) and most were US residents (1450/1661, 87.30%). Of the patients who reported comorbidities (n=1374), the most common were type 2 diabetes (783/1374, 56.99%), hypertension (664/1374, 48.33%), hypercholesterolemia (439/1374, 31.95%), and diabetic neuropathy (376/1374, 27.37%). The most commonly reported severe or moderate symptoms in patients reporting these symptoms were fatigue (347/484, 71.7%) and pain (278/476, 58.4%). In the qualitative study, 18 eligible patients (13 females) with a median age of 60 years and who were mainly US residents were interviewed. Three key concepts were identified by patients to be important to optimal care and management: listening to patient needs, coordinating health care across providers, and managing clinical care. CONCLUSIONS This study provides a unique source of real-world information on the patient experience of CKD and its management by utilizing the PLM network. The results reveal the challenges these patients face living with an array of symptoms, and report key concepts identified by patients that can be used to further improve clinical care and management and inform future CKD studies.

Participation in a Public Insurance Program: Subsidies, Crowd-Out, and Adverse Selection

2002 ◽  
Vol 39 (3) ◽  
pp. 243-257 ◽  
Author(s):  
Stephen H. Long ◽  
M. Susan Marquis
Keyword(s):  
Adverse Selection ◽  
Health Program ◽  
Private Insurance ◽  
Public Insurance ◽  
Public Programs ◽  
Basic Health ◽  
Insurance Program ◽  
Private Market ◽  
Crowd Out ◽  
Design Characteristics

This paper examines how varying the level of subsidies affects participation in a public insurance program, crowd-out of private insurance, and adverse selection. We study the experience in Washington's Basic Health program in 1997. Findings show that adverse selection is not a problem in voluntary public programs. Increasing subsidies have only modest effects on participation in subsidized programs, though the gains are not at the expense of the private market. Overall participation in the subsidized plan is also modest, even though participants benefit from it. The challenge to policymakers is to find program design characteristics, beyond subsidies, that attract the uninsured.

scholarly journals Adverse Selection in Private Annuity Markets and the Role of Mandatory Social Annuitization

De Economist ◽  
2012 ◽  
Vol 160 (3) ◽  
pp. 311-337 ◽  
Author(s):  
Ben J. Heijdra ◽  
Laurie S. M. Reijnders
Keyword(s):  
Adverse Selection ◽  
Annuity Markets
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