Research Topics
| Michael B RothbergSummaryAffiliation: Baystate Medical Center Country: USA Publications
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Publications
Management of influenza in adults older than 65 years of age: cost-effectiveness of rapid testing and antiviral therapyMichael B Rothberg
Division of General Medicine and Geriatrics, Baystate Medical Center, Springfield, MA 01199, USA
Ann Intern Med 139:321-9. 2003..Although antiviral therapy is cost-effective in adults, its cost-effectiveness in older adults has not been studied...
Comparative effectiveness of low-molecular-weight heparin versus unfractionated heparin for thromboembolism prophylaxis for medical patientsMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Hosp Med 7:457-63. 2012..Both unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) are approved for venous thromboembolism (VTE) prophylaxis. Which agent is superior remains controversial...
Association between statins given in hospital and mortality in pneumonia patientsMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
J Gen Intern Med 27:280-6. 2012..Statins are prescribed to lower cholesterol, but also have anti-inflammatory properties. Some observational studies suggest that statins may reduce mortality from sepsis...- Four years' experience with a hospitalist-led medical emergency team: an interrupted time seriesMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA, USA
J Hosp Med 7:98-103. 2012..The effect of Medical Emergency Teams (METs) on cardiopulmonary arrests (codes) and fatal codes remains unclear and widely debated... - The relationship between time spent communicating and communication outcomes on a hospital medicine serviceMichael B Rothberg
Center for Quality of Care Research, Springfield, MA, USA
J Gen Intern Med 27:185-9. 2012..Quality care depends on effective communication between caregivers, but it is unknown whether time spent communicating is associated with communication outcomes... - Survey of physician knowledge regarding antiretroviral medications in hospitalized HIV-infected patientsSaarah Arshad
Infectious Disease Division, Baystate Medical Center Tufts University School of Medicine, Springfield, Massachusetts, USA
J Int AIDS Soc 12:1. 2009..abstract:.. - Recognition and management of chronic kidney disease in an elderly ambulatory populationMichael B Rothberg
Division of General Medicine and Geriatrics, Baystate Medical Center, Springfield, MA 01199, USA
J Gen Intern Med 23:1125-30. 2008..We hypothesized that most cases of CKD in the elderly would go undetected, resulting in inappropriate prescribing... - Choosing the best hospital: the limitations of public quality reportingMichael B Rothberg
Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts, USA
Health Aff (Millwood) 27:1680-7. 2008..Consequently, they failed to agree on hospital rankings within any diagnosis, even when using the same metric (such as mortality). In their current state, rating services appear likely to confuse, rather than inform, consumers... - Public reporting of hospital quality: recommendations to benefit patients and hospitalsMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Hosp Med 4:541-5. 2009..We also review 3 leading performance reporting programs to evaluate how well they adhere to these recommendations... - Venous thromboembolism prophylaxis among medical patients at US hospitalsMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
J Gen Intern Med 25:489-94. 2010..To see who receives prophylaxis and how far hospitals will need to go to meet this requirement, we examined VTE prophylaxis patterns at US hospitals... - Antibiotic therapy and treatment failure in patients hospitalized for acute exacerbations of chronic obstructive pulmonary diseaseMichael B Rothberg
Division of General Medicine and Geriatrics, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA
JAMA 303:2035-42. 2010..Guidelines recommend antibiotic therapy for acute exacerbations of chronic obstructive pulmonary disease (COPD), but the evidence is based on small, heterogeneous trials, few of which include hospitalized patients... - Comparative effectiveness of macrolides and quinolones for patients hospitalized with acute exacerbations of chronic obstructive pulmonary disease (AECOPD)Michael B Rothberg
Division of General Medicine, Department of Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Hosp Med 5:261-7. 2010..Current guidelines offer conflicting recommendations... - Complications of seasonal and pandemic influenzaMichael B Rothberg
Division of General Medicine, Department of Medicine, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 38:e91-7. 2010..Treatment of pneumonia should include empirical coverage for this pathogen. Neuromuscular and cardiac complications are unusual but may occur... - Little evidence of correlation between growth in health care spending and reduced mortalityMichael B Rothberg
Tufts University School of Medicine, in Boston, Massachusetts, Baystate Medical Center, Springfield, Massachusetts, USA
Health Aff (Millwood) 29:1523-31. 2010..The message to be underscored once again for policy makers is that health care dollars provide inconsistent value, and future spending increases should be targeted to care that improves outcomes... - Patients' and cardiologists' perceptions of the benefits of percutaneous coronary intervention for stable coronary diseaseMichael B Rothberg
Baystate Medical Center, Springfield, Massachusetts 01199, USA
Ann Intern Med 153:307-13. 2010..It is unclear whether patients understand that percutaneous coronary intervention (PCI) reduces only chronic stable angina and not myocardial infarction (MI) or associated mortality... - Phantom vibration syndrome among medical staff: a cross sectional surveyMichael B Rothberg
Division of General Medicine, Baystate Medical Center, Springfield, MA 01199, USA
BMJ 341:c6914. 2010..To describe the prevalence of and risk factors for experiencing "phantom vibrations," the sensory hallucination sometimes experienced by people carrying pagers or cell phones when the device is not vibrating... - Risk factor model to predict venous thromboembolism in hospitalized medical patientsMichael B Rothberg
Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts, USA
J Hosp Med 6:202-9. 2011..The Joint Commission requires that all medical inpatients be assessed for venous thromboembolism (VTE) risk, but available risk stratification tools have never been validated... - Potentially inappropriate medication use in hospitalized eldersMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Hosp Med 3:91-102. 2008..Prescribing of potentially harmful medications has not been well documented in hospitals... - Do pediatricians manage influenza differently than internists?Michael B Rothberg
Department of Medicine, Baystate Medical Center, Springfield, MA, USA
BMC Pediatr 8:15. 2008..Our objective was to describe how pediatricians in two large academic medical institutions manage influenza and compare them to internists... - Cost-effectiveness of a vaccine to prevent herpes zoster and postherpetic neuralgia in older adultsMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Clin Infect Dis 44:1280-8. 2007..A vaccine to prevent herpes zoster was recently approved by the United States Food and Drug Administration. We sought to determine the cost-effectiveness of this vaccine for different age groups... - Vaccination versus treatment of influenza in working adults: a cost-effectiveness analysisMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, Massachusetts 01199, USA
Am J Med 118:68-77. 2005..To determine the cost-effectiveness of influenza vaccination, antiviral therapy, or no intervention for healthy working adults, accounting for annual variation in vaccine efficacy... - Management of influenza symptoms in healthy adultsMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Springfield, MA 01199, USA
J Gen Intern Med 18:808-15. 2003..To determine the cost-effectiveness of rapid diagnostic testing and empiric antiviral therapy for healthy adults with symptoms of influenza... - Improving nurse-to-patient staffing ratios as a cost-effective safety interventionMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Springfield, Massachusetts 01199, USA
Med Care 43:785-91. 2005..Responding to research confirming the link between nurse staffing and patient outcomes, 14 states have introduced legislation to limit patient-to-nurse ratios. However, increased staffing places a considerable financial burden on hospitals... - Warfarin plus aspirin after myocardial infarction or the acute coronary syndrome: meta-analysis with estimates of risk and benefitMichael B Rothberg
Division of General Medicine and Geriatrics, Baystate Medical Center, Springfield, Massachusetts 01199, USA
Ann Intern Med 143:241-50. 2005..After the acute coronary syndrome, adding warfarin to standard aspirin therapy decreases myocardial infarction and stroke but increases major bleeding... - Management of influenza symptoms in healthy children: cost-effectiveness of rapid testing and antiviral therapyMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA
Arch Pediatr Adolesc Med 159:1055-62. 2005..To determine the cost-effectiveness of rapid testing and antiviral therapy for children of different ages with symptoms of influenza... - Effects of local variation, specialty, and beliefs on antiviral prescribing for influenzaMichael B Rothberg
Division of General Medicine and Geriatrics, Department of Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Clin Infect Dis 42:95-9. 2006..Sixty-one percent of the respondents prescribed antivirals, and 62% used rapid testing. Prescribing practices were associated with location, practice size, use of rapid testing, and belief in the efficacy of antivirals... - All dysuria is local. A cost-effectiveness model for designing site-specific management algorithmsMichael B Rothberg
Division of Clinical Decision Making, Tufts New England Medical Center and Tufts University School of Medicine, Boston, MA 01199, USA
J Gen Intern Med 19:433-43. 2004..To determine the cost-effectiveness of management strategies for dysuria in different office settings... - Complications of viral influenzaMichael B Rothberg
Division of General Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Am J Med 121:258-64. 2008..During influenza season, treatment of pneumonia should include empiric coverage for this pathogen. Neuromuscular and cardiac complications are unusual but may manifest in persons of any age... - Variation in the care of septic shock: the impact of patient and hospital characteristicsTara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
J Crit Care 27:329-36. 2012..The aim of this study was to examine treatments of septic shock in a sample of US hospitals and to assess whether patient and hospital characteristics are associated with use of sepsis therapies... - What is the best method for estimating the burden of severe sepsis in the United States?Tara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
J Crit Care 27:414.e1-9. 2012..The aim of the study was to compare estimates of hospitalizations, outcomes, and costs produced by 2 approaches for defining severe sepsis... - Development and validation of a model that uses enhanced administrative data to predict mortality in patients with sepsisTara Lagu
Center for Quality of Care Research, Division of General Internal Medicine and Geriatrics, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 39:2425-30. 2011..We aimed to determine whether a sepsis risk-adjustment model that uses only administrative data could be used when other intensive care unit risk-adjustment methods are unavailable... - Association between β-blocker therapy and outcomes in patients hospitalised with acute exacerbations of chronic obstructive lung disease with underlying ischaemic heart disease, heart failure or hypertensionMihaela S Stefan
Baystate Medical Center, 756 Chestnut Street, Springfield, MA 01199, USA
Thorax 67:977-84. 2012..Evidence regarding the optimal use of β-blocker therapy during an acute exacerbation of COPD is particularly weak... - Association between antibiotic treatment and outcomes in patients hospitalized with acute exacerbation of COPD treated with systemic steroidsMihaela S Stefan
Division of General Medicine, Department of Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Chest 143:82-90. 2013..We evaluated the association between antibiotic therapy and outcomes among a large cohort of patients treated with steroids who were hospitalized with AE-COPD and compared the effectiveness of three commonly used antibiotic regimens... - Association of corticosteroid dose and route of administration with risk of treatment failure in acute exacerbation of chronic obstructive pulmonary diseasePeter K Lindenauer
Center for Quality of Care Research, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199, USA
JAMA 303:2359-67. 2010..Systemic corticosteroids are beneficial for patients hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD); however, their optimal dose and route of administration are uncertain... - Outcomes of care by hospitalists, general internists, and family physiciansPeter K Lindenauer
Center for Quality and Safety Research, Baystate Medical Center, Springfield, MA 01199, USA
N Engl J Med 357:2589-600. 2007.... - Income inequality and 30 day outcomes after acute myocardial infarction, heart failure, and pneumonia: retrospective cohort studyPeter K Lindenauer
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
BMJ 346:f521. 2013..To examine the association between income inequality and the risk of mortality and readmission within 30 days of hospitalization... - Outcomes of patients admitted for observation of chest painSrikanth C Penumetsa
Divisions of Cardiology, Baystate Medical Center, Springfield, MA 01199, USA
Arch Intern Med 172:873-7. 2012..Low-risk chest pain is a common cause of hospital admission; however, to our knowledge, there are no guidelines regarding the appropriate use of stress testing in such cases... - Incorporating initial treatments improves performance of a mortality prediction model for patients with sepsisTara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA, USA
Pharmacoepidemiol Drug Saf 21:44-52. 2012..We aimed to determine the incremental benefit of adding information about critical care services to a sepsis mortality prediction model... - Association of diagnostic coding with trends in hospitalizations and mortality of patients with pneumonia, 2003-2009Peter K Lindenauer
Baystate Medical Center, 280 Chestnut St, Springfield, MA 01199, USA
JAMA 307:1405-13. 2012..While this may be the result of advances in clinical care or improvements in quality, it may also represent an artifact of changes in diagnostic coding... - Activated protein C and hospital mortality in septic shock: a propensity-matched analysisPeter K Lindenauer
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 38:1101-7. 2010..We sought to compare the outcomes of patients with septic shock who received early treatment with activated protein C to those who did not... - A simulation-based program to train medical residents to lead and perform advanced cardiovascular life supportMihaela S Stefan
Division of General Medicine, Baystate Medical Center, Springfield, MA, USA
Hosp Pract (1995) 39:63-9. 2011..001; mean difference, 1.2; 95% confidence interval, 0.7-1.7). There was a uniform increase in the residents' self-confidence in their role as effective leaders of ACLS teams, and residents valued this simulation-based training program... - Public reporting and pay for performance in hospital quality improvementPeter K Lindenauer
Division of Healthcare Quality, Baystate Medical Center, Springfield, MA 01199, USA
N Engl J Med 356:486-96. 2007..Public reporting and pay for performance are intended to accelerate improvements in hospital care, yet little is known about the benefits of these methods of providing incentives for improving care... - Hospitalizations, costs, and outcomes of severe sepsis in the United States 2003 to 2007Tara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA, USA
Crit Care Med 40:754-61. 2012..To assess trends in number of hospitalizations, outcomes, and costs of severe sepsis in the United States... - Ethnic differences in the self-recognition of obesity and obesity-related comorbidities: a cross-sectional analysisSenthil K Sivalingam
Division of Cardiology, Baystate Medical Center, Springfield, MA, USA
J Gen Intern Med 26:616-20. 2011..Patients who know they are obese may better control their weight or seek medical attention. Self-recognition may be affected by race/ethnicity, but little is known about racial/ethnic differences in knowledge of obesity's health risks... - Shop for quality or volume? Volume, quality, and outcomes of coronary artery bypass surgeryAndrew D Auerbach
Department of Medicine, Division of Hospital Medicine, University of California, San Francisco, San Francisco, California 94143 0131, USA
Ann Intern Med 150:696-704. 2009..Care from high-volume centers or surgeons has been associated with lower mortality rates in coronary artery bypass surgery, but how volume and quality of care relate to each other is not well understood... - Epidemiology and outcomes of acute respiratory failure in the United States, 2001 to 2009: A national surveyMihaela S Stefan
Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts Division of General Medicine, Baystate Medical Center, Springfield, Massachusetts Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts Program in Clinical and Translational Research, Sackler School of Graduate Biomedical Sciences, Tufts University, Boston, Massachusetts
J Hosp Med 8:76-82. 2013..The objective of this study was to evaluate trends in hospitalization, cost, and short-term outcomes in acute respiratory failure (ARF) between 2001 and 2009 in the United States... - Patient satisfaction with hospital care provided by hospitalists and primary care physiciansAdrianne Seiler
Division of Healthcare Quality, Baystate Medical Center, Springfield, MA 01199, USA
J Hosp Med 7:131-6. 2012..Compared to hospital care provided by primary care physicians (PCPs), the hospitalist model provides equal-to-superior efficiency and outcomes; however, little is known about how the model affects patient satisfaction... - Hospital performance measures and 30-day readmission ratesMihaela S Stefan
Division of General Internal Medicine, Baystate Medical Center, Springfield, MA, USA
J Gen Intern Med 28:377-85. 2013.... - Patients' knowledge of risk and protective factors for cardiovascular diseaseSiddharth A Wartak
Division of General Medicine, Baystate Medical Center, Springfield, Massachusetts, USA
Am J Cardiol 107:1480-8. 2011..Although patients with diabetes were more likely than those without diabetes to recognize their risk, 1 in 5 were not aware that diabetes is a risk factor for cardiovascular disease... - The relationship between hospital spending and mortality in patients with sepsisTara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, MA 01199, USA
Arch Intern Med 171:292-9. 2011..We sought to characterize variations in hospital spending and mortality rates and to determine whether higher levels of spending are associated with better hospital survival... - Primary care physicians' use of publicly reported quality data in hospital referral decisionsElizabeth Morsi
Department of Nursing, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Hosp Med 7:370-5. 2012..Despite government investment in public reporting of hospital quality data, patients still rely on recommendations from their primary care physicians (PCPs). Little is known about how physicians make hospital referrals... - Overtreatment and undertreatment of hyperlipidemia in the outpatient settingAshish Verma
Division of General Medicine and the Department of Statistics and Epidemiology, Baystate Medical Center, Springfield, Boston, MA, USA
South Med J 105:329-33. 2012..Overtreatment of patients at low risk of CHD remains relatively unexplored. Our study aimed to determine patient characteristics associated with under- and overtreatment of hyperlipidemia... - Access to subspecialty care for patients with mobility impairment: a surveyTara Lagu
Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts 01199, USA
Ann Intern Med 158:441-6. 2013..Adults who use wheelchairs have difficulty accessing physicians and receive less preventive care than their able-bodied counterparts... - Residents-as-teachers: implementing a toolkit in morning report to redefine resident rolesGina L Luciano
Division of General Medicine and Geriatrics, Baystate Medical Center, Springfield, Massachusetts 01199, USA
Teach Learn Med 23:316-23. 2011..Morning report was initially created to meet service needs... - International outsourcing of medical research by high-income countries: changes from 1995 to 2005Raquel K Belforti
Department of General Medicine and Geriatrics, Baystate Medical Center, Springfield, MA 01199, USA
J Investig Med 58:287-94. 2010..Little is known about how frequently outsourcing occurs or the type of research that is outsourced... - Patients' evaluations of health care providers in the era of social networking: an analysis of physician-rating websitesTara Lagu
Center for Quality of Care Research, Baystate Medical Center, 280 Chestnut Street, 3rd Floor, Springfield, MA 01199, USA
J Gen Intern Med 25:942-6. 2010..Internet-based social networking tools that allow users to share content have enabled a new form of public reporting of physician performance: the physician-rating website... - Inappropriate medication use in older adults undergoing surgery: a national studyEmily Finlayson
Department of Surgery, University of California, San Francisco, CA, USA
J Am Geriatr Soc 59:2139-44. 2011..To determine the prevalence and factors associated with use of potentially inappropriate medications (PIMs) in older adults undergoing surgery... - "Shotgun" versus sequential testing. Cost-effectiveness of diagnostic strategies for vaginitisPhyllis L Carr
Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA
J Gen Intern Med 20:793-9. 2005.... - Effectiveness of varenicline for smoking cessation at 2 urban academic health centersRanjit K Dhelaria
Division of General Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Eur J Intern Med 23:461-4. 2012..Smoking is a major cause of morbidity in lower socioeconomic groups. In randomized trials, varenicline improves long term quit rates, but effectiveness in a clinic setting is unknown... - Effect of a clinical pharmacist's interventions on duration of antiretroviral-related errors in hospitalized patientsMark Heelon
Baystate Medical Center BMC, Springfield, MA 01199, USA
Am J Health Syst Pharm 64:2064-8. 2007..The effect of a clinical pharmacist's interventions on the duration of antiretroviral-related errors in hospitalized patients was studied... - Clinical utility of folic acid testing for patients with anemia or dementiaM Javed Ashraf
Division of Cardiology, Baystate Medical Center, Springfield, MA 01199, USA
J Gen Intern Med 23:824-6. 2008..Serum folic acid tests are routinely ordered by physicians for evaluating anemia and sometimes ordered for evaluating dementia and altered mental status... - Postprandial hypotensionGina L Luciano
Baystate Medical Center, Springfield, MA 01199, USA
Am J Med 123:281.e1-6. 2010..However, data from randomized, controlled trials are limited. Increased awareness of this disease may lead to improved quality of life, decreased falls and injuries, and the avoidance of unnecessary testing... - Patient knowledge and attitudes about antiviral medication and vaccination for influenza in an internal medicine clinicMichael A Gaglia
Division of General Internal Medicine, University of Pittsburgh, PA, USA
Clin Infect Dis 45:1182-8. 2007..Our objective in this study was to describe beliefs, attitudes, and knowledge regarding antiviral medication and vaccination for influenza among patients in an internal medicine clinic... - Patient knowledge and attitudes about avian influenza in an internal medicine clinicMichael A Gaglia
Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, USA
Public Health 122:462-70. 2008..The objective of this study was to describe beliefs, attitudes and knowledge regarding avian influenza among patients in an internal medicine clinic...
Research Grants
- Quality of Care and Outcomes of Healthcare-Associated PneumoniaMichael B Rothberg; Fiscal Year: 2010..If recommended therapy is beneficial but underutilized, these results will alert quality improvement officers and policy makers to an important opportunity to improve patient care for a common and deadly illness. ..