Research Topics
| Mary Beth HamelSummaryAffiliation: Harvard University Country: USA Publications
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Detail Information
Publications
Decision-making and outcomes in severe symptomatic aortic stenosisErik Charlson
Mayo Clinic College of Medicine, Boston, USA
J Heart Valve Dis 15:312-21. 2006..Nevertheless, these findings suggest that surgery may not always be offered to elderly patients who might benefit from it...
Surgical outcomes for patients aged 80 and older: morbidity and mortality from major noncardiac surgeryMary Beth Hamel
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
J Am Geriatr Soc 53:424-9. 2005..To gather information about surgical outcomes for patients in their 80s and 90s...
Joint replacement surgery in elderly patients with severe osteoarthritis of the hip or knee: decision making, postoperative recovery, and clinical outcomesMary Beth Hamel
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 1309 Beacon St, Second Floor, Boston, MA 02446, USA
Arch Intern Med 168:1430-40. 2008..Osteoarthritis (OA) of the hip and knee is a common cause of pain and disability in elderly patients. Joint replacement surgery can alleviate pain and restore function but is associated with risks and discomfort...
Tube-feeding versus hand-feeding nursing home residents with advanced dementia: a cost comparisonSusan L Mitchell
Hebrew Rehabilitation Center for Aged Research and Training Institute, Department of Medicine of Beth Israel Deaconess Medical Center, Division on Aging, Harvard Medical School, Boston, MA 02131, USA
J Am Med Dir Assoc 5:S22-9. 2004..To compare the costs associated with caring for severely demented residents nursing homes with and without feeding tubes...
The clinical course of advanced dementiaSusan L Mitchell
Hebrew SeniorLife Institute for Aging Research, Boston, MA 02131, USA
N Engl J Med 361:1529-38. 2009..Dementia is a leading cause of death in the United States but is underrecognized as a terminal illness. The clinical course of nursing home residents with advanced dementia has not been well described...
Estimating prognosis for nursing home residents with advanced dementiaSusan L Mitchell
Hebrew Rehabilitation Center for Aged Research and Training Institute, The Harvard Medical School, Boston, Mass 02131, USA
JAMA 291:2734-40. 2004..Survival varies for patients with advanced dementia, and accurate prognostic tools have not been developed. A small proportion of patients admitted to hospice have dementia, in part because of the difficulty in predicting survival...
Obesity and undiagnosed diabetes in the U.SChristina C Wee
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 31:1813-5. 2008..To study whether obese individuals, who are at higher risk for diabetes and disparities in care than nonobese individuals, are more likely to have undiagnosed diabetes...
Dying with advanced dementia in the nursing homeSusan L Mitchell
Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA 02131, USA
Arch Intern Med 164:321-6. 2004..Nursing homes are important providers of end-of-life care to persons with advanced dementia...
Comparing the SF-12 and SF-36 health status questionnaires in patients with and without obesityChristina C Wee
Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
Health Qual Life Outcomes 6:11. 2008..To assess how well the SF-36, a well-validated generic quality of life (QOL) instrument, compares with its shorter adaptation, the SF-12, in capturing differences in QOL among patients with and without obesity...
Health care expenditures associated with overweight and obesity among US adults: importance of age and raceChristina C Wee
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA
Am J Public Health 95:159-65. 2005..We estimated health care expenditures associated with overweight and obesity and examined the influence of age, race, and gender...
Medicare expenditures among nursing home residents with advanced dementiaKeith S Goldfeld
Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, New York, USA
Arch Intern Med 171:824-30. 2011..To our knowledge, Medicare expenditures have not been extensively described in this population...
Health care costs and mortality associated with nosocomial diarrhea due to Clostridium difficileLorraine Kyne
Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, 02215, USA
Clin Infect Dis 34:346-53. 2002..On the basis of the findings of this study, a conservative estimate of the cost of this disease in the United States exceeds $1.1 billion per year...
Length of stay in home care before and after the 1997 Balanced Budget ActRachel L Murkofsky
Gerontology Division and Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass 02215, USA
JAMA 289:2841-8. 2003..Prior to 1997, home health agencies (HHAs) were reimbursed on a fee-for-service basis and had incentives to provide more services. The 1997 Balanced Budget Act (BBA) reduced payments for home care services to help control Medicare spending...
Perceptions of physician recommendations for joint replacement surgery in older patients with severe hip or knee osteoarthritisMara A Schonberg
Division of General Medicine and Primary Care, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Masschussetts, USA
J Am Geriatr Soc 57:82-8. 2009..To exfamine patient perceptions of physician discussions and recommendations about total joint arthroplasty (TJA)...
Tube-feeding versus hand-feeding nursing home residents with advanced dementia: a cost comparisonSusan L Mitchell
Hebrew Rehabilitation Center for Aged Research and Training Institute, the Department of Medicine of Beth Israel Deaconess Medical Center, and the Division on Aging, Harvard Medical School, Boston, MA 02131, USA
J Am Med Dir Assoc 4:27-33. 2003..To compare the costs associated with caring for severely demented residents nursing homes with and without feeding tubes...
Cost effectiveness of aggressive care for patients with nontraumatic comaMary Beth Hamel
Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
Crit Care Med 30:1191-6. 2002..Earlier decisions to withhold life-sustaining treatments for patients with very poor prognoses may yield considerable cost savings...
Understanding patients' value of weight loss and expectations for bariatric surgeryChristina C Wee
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Rose 115, Boston, MA 02215, USA
Obes Surg 16:496-500. 2006..Few studies examine patients' expectations for bariatric surgery or the value patients place on weight loss...
Electronic medical record reminders and panel management to improve primary care of elderly patientsTimothy S Loo
Department of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215, USA
Arch Intern Med 171:1552-8. 2011..Most elderly patients do not receive recommended preventive care, acute care, and care for chronic conditions...
Discrepancies between explicit and implicit review: physician and nurse assessments of complications and qualitySaul N Weingart
Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Health Serv Res 37:483-98. 2002..CONCLUSIONS: We identified many discrepancies between explicit and implicit review of complications and quality. Physician reviewers may not consider process problems that are ubiquitous in hospitals to represent substandard quality...
Perspectives, preferences, care practices, and outcomes among older and middle-aged patients with late-stage cancerJulia Hannum Rose
Department of Medicine Geriatrics, Case Western Reserve University, 2500 MetroHealth Drive, Cleveland, OH 44109, USA
J Clin Oncol 22:4907-17. 2004..To evaluate relationships among physician and cancer patient survival estimates, patients' perceived quality of life, care preferences, and outcomes, and how they vary across middle-aged and older patient groups...
Preferences for cardiopulmonary resuscitation among patients 80 years or older: the views of patients and their physiciansRussell S Phillips
Washington University School of Medicine, USA
J Am Med Dir Assoc 4:139-44. 2003....
The use of life-sustaining treatments in hospitalized persons aged 80 and olderEmese Somogyi-Zalud
Department of Geriatric Medicine, John A Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96817, USA
J Am Geriatr Soc 50:930-4. 2002..To characterize the use of life-sustaining treatments in hospitalized patients aged 80 and older...
Medical care inconsistent with patients' treatment goals: association with 1-year Medicare resource use and survivalJoan M Teno
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island, USA
J Am Geriatr Soc 50:496-500. 2002..Such discord was associated with higher 1-year healthcare costs and increased survival...
Cost-effectiveness of full medicare coverage of angiotensin-converting enzyme inhibitors for beneficiaries with diabetesAllison B Rosen
Division of General Medicine, University of Michigan Health Systems, 300 North Ingalls, Suite 7E10, Ann Arbor, MI 48109, USA
Ann Intern Med 143:89-99. 2005..Angiotensin-converting enzyme (ACE) inhibitors slow renal disease progression and reduce cardiac morbidity and mortality in patients with diabetes. Patients' out-of-pocket costs pose a barrier to using this effective therapy...
Diagnosis and management of adults with pharyngitis. A cost-effectiveness analysisJoan M Neuner
Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Ann Intern Med 139:113-22. 2003....
Prior-authorization programs for controlling drug spendingMary Beth Hamel
N Engl J Med 351:2156-8. 2004
