Nilay D Shah

..However, little is known about translating the findings from CER into routine practice such that it provides value to the patients, clinicians, and the healthcare system...

..Adherence to evidence-based medications after myocardial infarction is associated with improved outcomes. However, long-term data on factors affecting medication adherence after myocardial infarction are lacking...

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..Several guidelines to reduce cardiovascular risk in diabetes patients exist in North America, Europe, and Australia. Their ability to achieve this goal efficiently is unclear...

..Beneficiaries decreased visits to specialists but did not make greater use of primary care services. These results suggest that implementing relatively low levels of cost sharing can lead to a long-term decrease in utilization...

..We judged it unlikely that patient preferences were driving the decision to obtain stress testing...

..Poor adherence to therapy, perhaps related to unaddressed patient preferences, limits the effectiveness of osteoporosis treatment in at-risk women. A parallel patient-level randomized trial in primary care practices was performed...

..The aims of this study are (1) to develop a decision aid (CHEST PAIN CHOICE) that communicates the short-term risk of ACS and (2) to evaluate the impact of the decision aid on patient participation in decision-making and resource use...

..Patient involvement in the choice of antihyperglycemic agents could improve adherence and optimize glycemic control in patients with type 2 diabetes mellitus...

..To describe how the types of healthcare expenditures for patients with asthma have changed over the past decade...

..The relationship between asthma controller medication use and exacerbation rates over time is unclear at the population level...

..Specifically, do patients prefer trials to focus on patient-important outcomes (vs. surrogate outcomes) and provide practical/pragmatic answers (vs. mechanistic/explanatory answers)?..

..About 29% and 2% of patients undergoing RC will experience a postoperative complication or die during hospitalisation, respectively...

..To provide the simultaneous 7-year estimates of incremental costs of smoking and obesity among employees and dependents in a large health care system...

..This study sought to assess differences in hospitalizations and emergency department (ED) visits among older adults using telemonitoring vs usual care...

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..We described population level trends in radical prostatectomy for patients with prostate cancer by hospitals with robotic surgery, and assessed whether socioeconomic disparities exist in access to such hospitals...

..Existing literature on patient complexity has mainly identified its components descriptively and in isolation, lacking clarity as to their combined functions in disrupting care or to how complexity changes over time...

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..To determine the longitudinal effect on healthcare costs of multiple chronic conditions among adults aged 18 to 64 years...

..Using telemedicine for older adults with multiple comorbid conditions is a potential area for growth in health care. Given this older, ailing population, providers should discuss end-of-life care with patients...

..However, there are limited data on the lifetime health care costs for individuals with HF after initial diagnosis...

..Moreover, while there is some evidence that the practice increases response rates, it is of limited generalizability...

..This study was a retrospective data-based analysis of health care utilization and costs for patients diagnosed as having bipolar disorder compared with patients with diagnoses of depression, diabetes, coronary artery disease, or asthma...

..Nonetheless as the threat of nonresponse bias can never be completely assuaged, we believe that it should be monitored as a matter of course in physician surveys and offer a new dimension by which it can be evaluated...

..To determine whether higher intensity of prostate-specific antigen (PSA) surveillance was associated with earlier detection of biochemical recurrence (BCR) or survival...

..However, little is known regarding the factors associated with 30-day readmission after PCI...

..Explore effects of comorbidity and prior health care utilization on choice of employee health plans with different levels of cost sharing...

..e., absence of contamination) of patient-level randomization (vs. cluster randomization) in pilot trials of decision aid efficacy...

..Economic evaluation remains an understudied aspect of lower extremity vascular reconstructions. This study reviewed the economic-based literature with respect to open and endovascular treatment of peripheral arterial disease...

..This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes...

..In addition, we propose to identify, describe, and explain factors that promote or inhibit the routine embedding of decision aids in practice...

..We describe the incidence of hospital acquired adverse events in radical cystectomy, and characterize its relationship with in-hospital mortality, length of stay and hospitalization costs...

..Self-report is the most commonly used method for collecting information regarding asthma medication possession and adherence in clinical practice...

..Our aim was to estimate the incremental direct medical costs and types of health care use associated with constipation from childhood to early adulthood...

..It is our expectation that better evidence, better policy and better decisions will eventually become routine in the care of patients with diabetes...

..We conducted a retrospective study to determine whether patient self-report of severe hypoglycemia is associated with increased mortality...

..The QDID estimates suggest HDHP introduction generally impacted subjects in upper percentiles (50th, 75th and 90th)...

..To determine medication use and adherence among community-dwelling patients with heart failure (HF)...

..Our objective is to validate natural language processing (NLP) of the electronic medical record (EMR) for extracting medication exposure and contraindication information...

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..The purpose of this study was to determine the lifetime burden and risk factors for hospitalization after heart failure (HF) diagnosis in the community...

..The impact of collaborative care (CC) on depression and work productivity in routine, nonresearch primary care settings remains unclear due to limited evidence...

..Underage drinking is common in the United States. This article presents nationally representative data on hospitalizations for alcohol use disorder (AUD) in youth...

..This study sought to describe the incidence of transitions into and out of Medicaid, characterize the populations that transition and determine if health insurance instability is associated with changes in healthcare utilization...

..To compare medical expenditures of patients receiving old and new colorectal cancer (CRC) regimens...

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..To assess the effect of a specialist telemedicine intervention for improving diabetes care using the chronic care model (CCM)...

..To determine whether prostate-specific antigen velocity (PSA-V), PSA doubling time (PSA-DT), or PSA percentage change (PSA-PC) add incremental information to PSA alone for community-based men undergoing prostate cancer (PCa) screening...

..We describe national trends in partial and radical nephrectomy using a contemporary, population based cohort...

..In order to examine longitudinal changes in the ambulatory care that occur in constipation evaluation and management, we examined national trends in physician office visits associated with constipation between 1993 and 2004...