Research Topics
| A R LevySummaryAffiliation: University of British Columbia Country: Canada Publications
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Detail Information
Publications
Getting the cat back in the bag: reforming the way provinces manage drug expenditures to make them manageableAdrian R Levy
Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Department of Health Care and Epidemiology, University of British Columbia, Vancouver
Healthc Pap 3:32-7; discussion 87-94. 2002..The question of how to implement the recommendations remains to be elucidated, as does an evaluation of the trade-offs between costs and benefits of obtaining better information on cost-effectiveness...
Survival benefit of coronary-artery bypass grafting accounted for deaths in those who remained untreatedBoris G Sobolev
Department of Health Care and Epidemiology, The University of British Columbia, Canada
J Cardiothorac Surg 3:47. 2008..The objective of this analysis was to compare survival after the treatment decision between patients who underwent CABG and those who remained untreated...
Cumulative incidence for wait-list death in relation to length of queue for coronary-artery bypass grafting: a cohort studyBoris G Sobolev
Department of Health Care and Epidemiology, University of British Columbia, Canada
J Cardiothorac Surg 1:21. 2006..Our objective was to compare the cumulative incidence for death on the wait list according to the length of wait lists at the time of registration for the operation...
Chances of late surgery in relation to length of wait listsBoris G Sobolev
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada
BMC Health Serv Res 5:63. 2005..We sought to determine what proportion of patients have had late coronary bypass surgery after registration on wait lists of different size in a network of hospitals with uniform standards for timing of surgery...
Delay in admission for elective coronary-artery bypass grafting is associated with increased in-hospital mortalityBoris G Sobolev
Department of Health Care and Epidemiology, The University of British Columbia, Vancouver, BC, Canada
BMC Health Serv Res 8:185. 2008....
The risk of death associated with delayed coronary artery bypass surgeryBoris G Sobolev
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada
BMC Health Serv Res 6:85. 2006..Therefore, we sought to improve the estimates of the risk of death associated with delayed surgical treatment of coronary artery disease...
Using and interpreting cost-effectiveness acceptability curves: an example using data from a trial of management strategies for atrial fibrillationElisabeth Fenwick
Public Health and Health Policy, University of Glasgow, Glasgow, UK
BMC Health Serv Res 6:52. 2006..The objective of the paper is to illustrate how to construct and interpret a CEAC...
Cost-effectiveness of beta-blocker therapy with metoprolol or with carvedilol for treatment of heart failure in CanadaA R Levy
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, BC, Canada
Am Heart J 142:537-43. 2001..The purpose of this study was to estimate the cost-effectiveness of beta-blocker therapy with either metoprolol or carvedilol in addition to conventional therapy for patients with heart failure (HF) in Canada...
Use of time-dependent measures to estimate benefits of beta-blockers after myocardial infarctionAdrian R Levy
Department of Health Care and Epidemiology, University of British Columbia, Canada
Pharmacoepidemiol Drug Saf 13:623-31. 2004..To estimate the reduction in all-cause mortality conferred by beta-blockers in a population-based cohort of elderly survivors of myocardial infarction during the year following hospital discharge...
Coding accuracy of administrative drug claims in the Ontario Drug Benefit databaseAdrian R Levy
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, Canada
Can J Clin Pharmacol 10:67-71. 2003....
Rapid increase in statins newly dispensed to Ontario seniors between 1994 and 2000Adrian R Levy
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, British Columbia, Canada
Can J Cardiol 19:665-9. 2003..There is scant population-based information on the age and sex distributions of patients receiving these medications...
Do women spend longer on wait lists for coronary bypass surgery? Analysis of a population-based registry in British Columbia, CanadaAdrian R Levy
Department of Health Care and Epidemiology, University of British Columbia BC, Vancouver, Canada
BMC Cardiovasc Disord 7:24. 2007..It is therefore difficult to ascertain whether higher operative mortality among women is due to biological differences or to delayed access to elective CABG...
Time on wait lists for coronary bypass surgery in British Columbia, Canada, 1991-2000Adrian R Levy
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada
BMC Health Serv Res 5:22. 2005..We sought to determine whether the period of registration on wait lists had an effect on time to isolated CABG and whether the period effect was similar across priority groups...
Economic impact of healthcare resource utilisation patterns among patients diagnosed with advanced melanoma in the United Kingdom, Italy, and France: results from a retrospective, longitudinal survey (MELODY study)K Johnston
Oxford Outcomes, Vancouver, Canada
Eur J Cancer 48:2175-82. 2012..To describe patterns of healthcare resource utilisation and associated costs for patients with advanced melanoma in the United Kingdom (UK), Italy, and France...
Do longer delays for coronary artery bypass surgery contribute to preoperative mortality in less urgent patients?Boris G Sobolev
Department of Health Care and Epidemiology, The University of British Columbia, 828 West 10th Avenue, Vancouver, BC, Canada
Med Care 44:680-6. 2006..We evaluated whether longer delays contribute to the probability of death before surgery among patients prioritized into the less urgent category...
The effect of compensation status on waiting time for elective surgical lumbar discectomyJeffrey A Quon
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, British Columbia, Canada
Spine (Phila Pa 1976) 34:2052-9. 2009..Prospective cohort study of patients registered for elective surgical lumbar discectomy (ESLD) between November 1999 and December 2003 at a major tertiary care center in Vancouver...
A Canadian cohort study of cognitive impairment and related dementias (ACCORD): study methods and baseline resultsH Feldman
Department of Medicine Neurology, Vancouver Hospital and Health Sciences Center, University of British Columbia, S192 2211 Wesbrook Mall, Vancouver, British Columbia V6T 2B5, Canada
Neuroepidemiology 22:265-74. 2003..4%, dementia with Lewy bodies 2.5%, and unclassifiable 1.8%. The ACCORD cohort will allow a detailed study of the longitudinal course of CIND, and the longer-term outcomes of both treated and untreated dementia subjects...
Economic evaluation of treating chronic obstructive pulmonary disease with inhaled corticosteroids and long-acting beta2-agonists in a health maintenance organizationYves M Gagnon
Oxford Outcomes Ltd, 450-688 West Hastings Street, Vancouver, BC, Canada
Respir Med 99:1534-45. 2005..If the impact on survival seen in these trials compares to that seen in observational studies, LABA and the combination treatment are likely to be cost-effective in the United States...
The effect of physicians' training on prescribing beta-blockers for secondary prevention of myocardial infarction in the elderlyAdrian R Levy
Department of Health Care and Epidemiology, University of British Columbia and Centre for Health Evaluation and Outcome Sciences, St. Paul's Hospital, Vancouver, BC, Canada
Ann Epidemiol 12:86-9. 2002..However, prescribing differed by training characteristics such as medical specialty and year and medical school of graduation...
Use of instrumental variables in the analysis of generalized linear models in the presence of unmeasured confounding with applications to epidemiological researchK M Johnston
Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada V6T 1Z3
Stat Med 27:1539-56. 2008..We estimate the effects of beta-blocker therapy on one-year all-cause mortality after an incident hospitalization for heart failure, in the absence of data describing disease severity, which is believed to be a confounder...
Cost-effectiveness in Canada of intravenous proton pump inhibitors for all patients presenting with acute upper gastrointestinal bleedingR A Enns
Department of Medicine, St Paul s Hospital, University of British Columbia, Vancouver, Canada
Aliment Pharmacol Ther 17:225-33. 2003..The administration of proton pump inhibitors intravenously after endoscopic treatment of peptic ulcers significantly reduces the recurrence of bleeding...
Simplified Bayesian sensitivity analysis for mismeasured and unobserved confoundersP Gustafson
Department of Statistics, University of British Columbia, Vancouver, British Columbia, Canada
Biometrics 66:1129-37. 2010..Moreover, a particular computational approach for posterior inference is developed, because application of MCMC in a standard manner is seen to be ineffective in this problem...
The costs of change: direct medical costs of solid organ transplantation in British Columbia, Canada, 1995-2003Adrian R Levy
British Columbia Transplant Society, Vancouver, BC, Canada
Value Health 12:282-92. 2009..The objective here was to compare the direct medical costs of kidney, liver, heart, and lung transplantations in British Columbia (BC), Canada...
Self-reported Morisky score for identifying nonadherence with cardiovascular medicationsStephen J Shalansky
Pharmacy Department, St Paul s Hospital, University of British Columbia, Vancouver, British Columbia, Canada
Ann Pharmacother 38:1363-8. 2004..The Morisky medication adherence scale is a commonly used adherence screening tool. It is composed of 4 yes/no questions about past medication use patterns and is thus quick and simple to use during drug history interviews...
Expanded access to highly active antiretroviral therapy: a potentially powerful strategy to curb the growth of the HIV epidemicViviane D Lima
British Columbia Centre for Excellence in HIV AIDS, British Columbia, Canada
J Infect Dis 198:59-67. 2008..These results provide powerful additional motivation to accelerate the roll out of HAART programs aggressively targeting those in medical need, both for their own benefit and as a means of decreasing new HIV infections...
Effect of number of medications on cardiovascular therapy adherenceStephen J Shalansky
Pharmacy Department, St Paul s Hospital, Vancouver, British Columbia, Canada
Ann Pharmacother 36:1532-9. 2002..This study determined the relationship between the number of medications dispensed and adherence with chronic cardiovascular regimens...
Nonadherence increases the risk of hospitalization among HIV-infected antiretroviral naive patients started on HAARTSarah J Fielden
B C Centre for Excellence in HIV AIDS, Vancouver, British Columbia, Canada, Department of Interdisciplinary Studies, University of British Columbia, Vancouver, British Columbia, Canada
J Int Assoc Physicians AIDS Care (Chic) 7:238-44. 2008..Methods: Analysis was based on a cohort of individuals initiating HAART between 1996 and 2001. The primary outcome was hospitalization for one or more days. Survival methods were used to assess the impact of adherence on hospitalization...
Interventional cardiovascular procedures among HIV-infected individuals on antiretroviral therapy 1995-2000Paula Braitstein
British Columbia Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, British Columbia, Canada
AIDS 17:2071-5. 2003..CONCLUSIONS: The rate of ICP among HIV-positive individuals on ART appears to be increasing; in addition, the duration of time on ART is independently associated with ICP after adjustment for patient demographic characteristics...
Predicting hospitalization among HIV-infected antiretroviral naïve patients starting HAART: determining clinical markers and exploring social pathwaysSarah J Fielden
BC Centre for Excellence in HIV AIDS, Vancouver, BC, US
AIDS Care 20:297-303. 2008..These findings highlight the importance of closely monitoring patients starting therapy with low CD4 cell counts in order to mediate or prevent outcomes requiring hospitalization...
A sensitivity analysis using information about measured confounders yielded improved uncertainty assessments for unmeasured confoundingLawrence C McCandless
Department of Statistics, University of British Columbia, Vancouver BC, V6T 1Z2, Canada
J Clin Epidemiol 61:247-55. 2008..Our objective is to investigate the performance of the method compared to sensitivity analysis, which assumes that there is no relationship between measured and unmeasured confounders...
Adverse drug events associated with the antidotes for methanol and ethylene glycol poisoning: a comparison of ethanol and fomepizoleKatherine J Lepik
British Columbia Drug and Poison Information Centre, Vancouver, British Columbia, Canada
Ann Emerg Med 53:439-450.e10. 2009..We describe type, frequency, severity, seriousness, and onset time of adverse drug events and test the hypothesis that fomepizole results in fewer adverse drug events than ethanol...
A multinational study of health state preference values associated with chronic myelogenous leukemiaShelagh M Szabo
Oxford Outcomes Ltd, Vancouver, BC, Canada
Value Health 13:103-11. 2010..The purpose was to estimate preference weights from the general population in four developed countries for standardized health states experienced by persons with CML...
Is health-related quality of life improving after stroke? A comparison of health utilities indices among Canadians with stroke between 1996 and 2005Jodi D Edwards
School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada
Stroke 41:996-1000. 2010..Using 2 Canadian population surveys, the purpose of this study was to identify changes in health-related quality of life in individuals with stroke from 1996 to 2005...
The case for expanding access to highly active antiretroviral therapy to curb the growth of the HIV epidemicJulio S G Montaner
British Columbia Centre for Excellence in HIV/AIDS, Providence Health Care, University of British Columbia, Vancouver, Canada
Lancet 368:531-6. 2006
The cost-effectiveness of screening for colorectal cancerJennifer J Telford
University of British Columbia, Vancouver, BC, Canada
CMAJ 182:1307-13. 2010..We estimated the incremental cost-effectiveness of 10 strategies for colorectal cancer screening, as well as no screening, incorporating quality of life, noncompliance and data on the costs and benefits of chemotherapy...
A simple approach to fitting Bayesian survival modelsPaul Gustafson
Department of Statistics, University of British Columbia, Vancouver, BC, Canada
Lifetime Data Anal 9:5-19. 2003..While the basic method applies to piecewise-constant hazards and covariate effects, it is easy to apply importance sampling to consider smoother functions...
Do specialist transport personnel improve hospital outcome in critically ill patients transferred to higher centers? A systematic reviewDean Belway
Centre for Health Evaluation and Outcome Sciences, St Paul s Hospital, Vancouver, British Columbia, Canada V6Z 1Y6
J Crit Care 21:8-17; discussion 17-8. 2006..The aim of the study was to determine whether the use of specialist transport personnel improves patient outcome at the receiving hospital for critically ill patients transferred to higher centers...
Determinants of hospital length of stay among patients with pneumonia admitted to a large Canadian hospital from 1991 to 2001Margaret J McGregor
Centre for Clinical Epidemiology and Evaluation, Vancouver, British Columbia
Can Respir J 12:365-70. 2005..Pneumonia is a common reason for hospital admission, and the cost of treatment is primarily determined by length of stay (LOS)...
Antiretroviral resistance among HIV-infected persons who have died in British Columbia, in the era of modern antiretroviral therapyMagdalena A Recsky
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, British Columbia, Canada
J Infect Dis 190:285-92. 2004..001). CONCLUSION: Only a relatively low prevalence of multidrug resistance was observed in this cohort, indicating that the exhaustion of treatment options because of drug resistance was not a significant contributor to mortality...
Socioeconomic status and hospital utilization among younger adult pneumonia admissions at a Canadian hospitalMargaret J McGregor
Centre for Clinical Epidemiology and Evaluation, Family Practice Research Office, 828 West 10th Avenue, Vancouver, BC, Canada
BMC Health Serv Res 6:152. 2006..The primary objective of this study therefore, was to examine the relationship of SES to LOS and early re-admission among adult patients hospitalized with community-acquired pneumonia in a setting with universal health insurance...
Impact of reference-based pricing for histamine-2 receptor antagonists and restricted access for proton pump inhibitors in British ColumbiaJohn K Marshall
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 166:1655-62. 2002..We evaluated the effect of reference-based pricing for H2RAs and special authority for PPIs on dispensing and reimbursement for senior citizen beneficiaries of BC Pharmacare...
Assessing the impact of censoring of costs and effects on health-care decision-making: an example using the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) studyElisabeth Fenwick
University of Glasgow, Glasgow, UK
Value Health 11:365-75. 2008....
The impact of reference pricing of nonsteroidal anti-inflammatory agents on the use and costs of analgesic drugsPaul V Grootendorst
Faculty of Pharmacy, University of Toronto, ON, Canada
Health Serv Res 40:1297-317. 2005..CONCLUSIONS: Type 2 RP of NSAIDs achieved its goal of reducing drug expenditures and was more effective than Type 1 RP. The effects of RP on patient health and associated health care costs remain to be investigated...
Psychological distress and cancer survival: a follow-up 10 years after diagnosisKirk W Brown
Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, New York 14627 0266, USA
Psychosom Med 65:636-43. 2003..This study tested the predictive role of psychological distress in cancer survival, while attempting to overcome several important methodological and statistical limitations that have clouded the issue...
Cost-effectiveness of rhythm versus rate control in atrial fibrillationDeborah A Marshall
Center for Evaluation of Medicine, McMaster University and St Joseph s Hospital, Hamilton, Ontario, Canada
Ann Intern Med 141:653-61. 2004..Consequently, economic factors often play a role in guiding treatment selection...
