MEDICAL TOURISM AND DIABETES CARE: EXPERIENCE FROM A TERTIARY REFERRAL CENTER

Objective: Medical tourism, a form of patient mobility across international borders to seek medical services, has gained significant momentum. We aimed to assess the outcomes of medical tourism consultations on chronic diseases, more specifically diabetes mellitus, amongst a cohort of international patients, originating from different healthcare systems, and referred to the United States for medical care. Methods: We identified international adults with established diabetes mellitus, referred globally from 6 countries to the United States between 2010 and 2016 for medical care, and were seen at the Cleveland Clinic Foundation (CCF). Group 1 included adults seen by an endocrinology provider during their CCF medical stay, whilst group 2 included those not seen by an endocrinology provider. To assess the impact of our consultations, changes in hemoglobin A1c (HbA1c) were assessed between visit(s). Results: Our study included 1,108 subjects (771 in group 1, 337 in group 2), with a mean age (± SD) of 61.3 ± 12.7 years, 62% male, and a median medical stay of 136 days (interquartile range: 57, 660). Compared to group 2, group 1 had a higher baseline mean HbA1c (8.0 ± 1.8% [63.9 mmol/mol] vs. 7.1 ± 1.4% [54.1 mmol/mol]; P<.001). After 1 visit with endocrinology, there was a significant decrease in mean HbA1c from 8.44 ± 1.98% (68.3 mmol/mol) to 7.51 ± 1.57% (58.5 mmol/mol) ( P<.001). Greatest reductions in mean HbA1c were −1.47% (95% CI: −2.21, −0.74) and −1.27% (95% CI: −1.89, −0.66) after 3 and 4 visits, respectively ( P<.001). Conclusion: Short-term diabetes mellitus consultations, in the context of medical tourism, are effective. Abbreviations: CCF = Cleveland Clinic Foundation; GCC = Gulf Cooperation Council; HbA1c = hemoglobin A1c; IQR = interquartile range; U.S. = United States

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Clinical Roentgenology. Volume IV. The Digestive Tract, the Gall Bladder, Liver and Pancreas, the Excretory Tract and Special Studies Emphasizing Differential ConsiderationsClinical Roentgenology. Volume IV. The Digestive Tract, the Gall Bladder, Liver and Pancreas, the Excretory Tract and Special Studies Emphasizing Differential Considerations. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, California; Consultant in Radiology for the United States Army, at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco; Former Commandant, The Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic, Duluth, Minnesota; Former Director, The Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio, and Lake County Memorial Hospital, Painesville, Ohio; Former Director, The Army School of Roentgenology; Associate Professor of Diagnostic Roentgenology, the Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Department of Roentgenology, Cleveland Clinic Foundation. A volume of 700 pages, with 1,112 illustrations. Published by Charles C Thomas, Springfield, Ill., 1956. Price $24.50.

Radiology ◽

10.1148/68.3.429a ◽

1957 ◽

Vol 68 (3) ◽

pp. 429-429

Keyword(s):

United States ◽

Gall Bladder ◽

Digestive Tract ◽

San Francisco ◽

Cleveland Clinic ◽

The United States ◽

Cleveland Clinic Foundation ◽

Clinic Foundation ◽

Liver And Pancreas ◽

Special Studies

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Clinical Roentgenology. Volume I. Developmental and Systemic Conditions and Local Lesions in the ExtremitiesClinical Roentgenology. Volume I. Developmental and Systemic Conditions and Local Lesions in the Extremities. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, Calif.; Consultant in Radiology for the United States Army at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco, Calif.; Formerly, Commandant, the Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic Duluth, Minn.; Formerly, Director, the Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio; Radiologist, Lake County Memorial Hospital, Painesville, Ohio; Formerly, Director, the Army School of Roentgenology; Associate Professor, Diagnostic Roentgenology, the Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Staff, Department of Roentgenology, Cleveland Clinic Foundation. A volume of 492 pages, with 782 illustrations. Published by Charles C Thomas, Springfield, Ill., 1953. Price $18.50.

Radiology ◽

10.1148/62.4.597c ◽

1954 ◽

Vol 62 (4) ◽

pp. 597-598

Keyword(s):

United States ◽

San Francisco ◽

Cleveland Clinic ◽

United States Public Health ◽

The United States ◽

Cleveland Clinic Foundation ◽

Memorial Hospital ◽

Army Hospital ◽

Clinic Foundation ◽

Local Lesions

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Clinical Roentgenology. Volume III. The Lungs and the Cardiovascular System, Emphasizing Differential ConsiderationsClinical Roentgenology. Volume III. The Lungs and the Cardiovascular System, Emphasizing Differential Considerations. By de LorimierAlfred A., M.D., Radiologist, Saint Francis Memorial Hospital, San Francisco, Calif.; Consultant in Radiology for the United States Army at the Letterman Army Hospital; Consultant in Radiation Therapy for the United States Public Health Service at the U. S. Marine Hospital, San Francisco, Calif.; formerly, Commandant, The Army School of Roentgenology; MoehringHenry G., M.D., Radiologist, Duluth Clinic, Duluth, Minn.; formerly Director, The Army School of Roentgenology; and HannanJohn R., M.D., Radiologist, Cleveland, Ohio; Radiologist, Lake County Memorial Hospital, Painesville, Ohio; formerly Director, Medical Training, The Army School of Roentgenology; Associate Professor of Diagnostic Roentgenology, The Frank E. Bunts Educational Institute, Cleveland Clinic Foundation; Staff, Department of Roentgenology, Cleveland Clinic Foundation. A volume of 508 pages, with numerous roentgenograms and 2 color plates. Published by Charles C Thomas, Springfield, Ill., 1955. Price $20.50.

Radiology ◽

10.1148/66.2.281b ◽

1956 ◽

Vol 66 (2) ◽

pp. 281-282

Keyword(s):

United States ◽

Cardiovascular System ◽

San Francisco ◽

Medical Training ◽

Cleveland Clinic ◽

United States Public Health ◽

The United States ◽

Cleveland Clinic Foundation ◽

Memorial Hospital ◽

Clinic Foundation

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Research in Pediatric Residency Programs

PEDIATRICS ◽

10.1542/peds.97.1.71 ◽

1996 ◽

Vol 97 (1) ◽

pp. 71-73 ◽

Cited By ~ 1

Author(s):

Ben H. Brouhard ◽

Wilma Doylel ◽

José Aceves ◽

Michael J. McHugh

Keyword(s):

United States ◽

Cleveland Clinic ◽

Residency Review Committee ◽

The United States ◽

Cleveland Clinic Foundation ◽

Faculty Members ◽

Review Committee ◽

Residency Programs ◽

Clinic Foundation ◽

Pediatric Residency

Background and Objectives. We have required residents in pediatrics at the Cleveland Clinic Foundation to give research presentations since 1989; this article reviews our experience with this program. Additionally, we sought to determine how many other accredited ted pediatric programs in the United States also require this. Methods. Retrospective review of the Cleveland Clinic program; descriptive statistics of other United States residency programs, obtained by questionnaire. Results. Pediatric residents at the Cleveland Clinic have given 108 research presentations since 1989, and have developed 33 (30.5%) of them into manuscripts or abstracts. We mailed questionnaires to 215 pediatric recidency program directors and received responses from 177 (82%). Of these, 48 (27%) indicated their programs had a research requirement; residents could present their findings in departmental meetings or submit an abstract or manuscript to a professional society or journal. Respondents cited several barriers to research: residents are too busy, there are too few faculty members to mentor them, financial resources are limited, and there is no residency review committee requirement. Conclusions. Even though only approximately one fourth of the pediatric residency programs in the United States require research, we feel it is worthwhile experience. Despite barriers, residents can and do perform research and publish their findings.

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Coagulase negative staphylococcal (CNS) surgical site infections in patients following median sternotomy associated with insulin dependent diabetes mellitus (IDDM) J. Serkey, RN, JD, CIC,* S. Gordon, MD. The Cleveland Clinic Foundation, Cleveland, OH

American Journal of Infection Control ◽

10.1016/0196-6553(95)90130-2 ◽

1995 ◽

Vol 23 (2) ◽

pp. 103

Keyword(s):

Diabetes Mellitus ◽

Cleveland Clinic ◽

Median Sternotomy ◽

Surgical Site Infections ◽

Insulin Dependent Diabetes Mellitus ◽

Cleveland Clinic Foundation ◽

Insulin Dependent Diabetes ◽

Dependent Diabetes Mellitus ◽

Clinic Foundation ◽

Insulin Dependent

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Abstract # P-18: Economic Burden of Type 2 Diabetes Mellitus in Patients with Cardiovascular Disease in Commercially-Insured Patients in the United States

Endocrine Practice ◽

10.1016/s1530-891x(20)43831-5 ◽

2016 ◽

Vol 22 ◽

pp. 21-22

Author(s):

Weijia Wang ◽

Eileen M. Farrelly ◽

Sharash Shetty ◽

Dana Stafkey-Mailey ◽

Stephen D. Sander ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Type 2 Diabetes ◽

Cardiovascular Disease ◽

Type 2 Diabetes Mellitus ◽

Economic Burden ◽

The United States ◽

Insured Patients

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Prevalence and Trends in Gestational Diabetes Mellitus among Women in the United States, 2006–2016

Diabetes ◽

10.2337/db18-121-or ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 121-OR ◽

Cited By ~ 5

Author(s):

TAO ZHOU ◽

DIANJIANYI SUN ◽

XIANG LI ◽

YORIKO HEIANZA ◽

HOIRUN NISA ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

The United States

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Burden of non-alcoholic steatohepatitis among children with type 2 diabetes mellitus

Diabetology & Metabolic Syndrome ◽

10.1186/s13098-021-00665-0 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Lauren Parlett ◽

Qinli Ma ◽

Qian Shi ◽

Geoffrey Crawford ◽

Laura Herrera Scott ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Cohort Study ◽

Retrospective Cohort ◽

The United States ◽

Alcoholic Steatohepatitis ◽

Diabetic Children

AbstractThis claims-based retrospective cohort study examined the prevalence and incremental impact of non-alcoholic steatohepatitis among children with type 2 diabetes mellitus in the United States. Although diagnoses of non-alcoholic steatohepatitis were not common among diabetic children, it was associated with significantly higher incremental healthcare cost and risk of hospitalization.

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