Research Topics
| A M GarberSummaryAffiliation: Stanford University Country: USA Publications
Research Grants
| Collaborators
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Detail Information
Publications
To use technology betterAlan M Garber
Veterans Affairs Palo Alto Health Care System
Health Aff (Millwood) 25:w51-3. 2006..Improvements in health care depend not only on producing better technologies, but also on using technology better...- Cost-effectiveness and evidence evaluation as criteria for coverage policyAlan M Garber
Veterans Affairs Palo Alto Health Care System, USA
Health Aff (Millwood) . 2004..Finally, I discuss options for incorporating considerations of cost-effectiveness into coverage policy and other aspects of benefit design... 
The role of costs in comparative effectiveness researchAlan M Garber
Veterans Affairs, Palo Alto Healthcare System, USA
Health Aff (Millwood) 29:1805-11. 2010..This information will enable others to investigate the comparative value of these interventions. We argue that doing so is necessary to decision makers who are attempting to raise the quality of care while reining in health spending...
Commentary: the impact of Medicare coverage policies on health care utilizationAlan M Garber
VA Palo Alto Health Care System, Palo Alto, CA, USA
Health Serv Res 43:1302-7. 2008- Evidence-based guidelines as a foundation for performance incentivesAlan M Garber
Department of Veterans Affairs VA Palo Alto Health Care System, USA
Health Aff (Millwood) 24:174-9. 2005..I discuss the problems in implementing evidence-based guidelines and steps that could be taken to make them more useful as a basis for performance measurement... - Future costs and the future of cost-effectiveness analysisAlan M Garber
Center for Primary Care and Outcomes Research, Center for Health Policy, VA Palo Alto Health Care System and Stanford University, Stanford, CA 94305, United States
J Health Econ 27:819-21. 2008 - Is having more preapproval data the best way to assure drug safety?Alan M Garber
Veterans Affairs VA Palo Alto Health Care System
Health Aff (Millwood) 27:w371-3. 2008..The consequences of alternative strategies are complex and not always immediately apparent, so formal modeling offers the best approach to determine which strategy is optimal in each case... - Economic foundations of cost-effectiveness analysisA M Garber
Veterans Affairs Palo Alto Health Care System, CA, USA
J Health Econ 16:1-31. 1997.... - Low-molecular-weight heparins compared with unfractionated heparin for treatment of acute deep venous thrombosis. A meta-analysis of randomized, controlled trialsM K Gould
Pulmonary and Critical Care Medicine Section, Veterans Affairs Palo Alto Health Care System, California 94304, USA
Ann Intern Med 130:800-9. 1999..Low-molecular-weight heparins may simplify the management of deep venous thrombosis. A critical clinical issue is whether this more convenient therapy is as safe and effective as treatment with unfractionated heparin... - Evidence-based coverage policyA M Garber
Center for Health Policy, Stanford University in Palo Alto, California, USA
Health Aff (Millwood) 20:62-82. 2001..Although such policies likely have limited effects on spending, they can help to direct medical resources toward effective care... - Cost-effectiveness of bypass surgery versus stenting in patients with multivessel coronary artery diseaseCynthia A Yock
Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California 94305, USA
Am J Med 115:382-9. 2003..CONCLUSION: Bypass surgery results in better outcomes than angioplasty in patients with multivessel disease, and at a lower cost... - Low-molecular-weight heparins compared with unfractionated heparin for treatment of acute deep venous thrombosis. A cost-effectiveness analysisM K Gould
Pulmonary and Critical Care Section, Veterans Affairs Palo Alto Health Care System, California 94304, USA
Ann Intern Med 130:789-99. 1999..Low-molecular-weight heparins are effective for treating venous thrombosis, but their cost-effectiveness has not been rigorously assessed... - The cost of VA-sponsored researchP G Barnett
Center for Health Care Evaluation, Veterans Affairs Medical Center, Menlo Park, CA 94025, USA
Acad Med 71:1074-8. 1996..VA research is particularly vulnerable because medical care appropriations constitute a large, though unknown, source of support. This study measures the medical care component and the total of VA research funds... - The cost-effectiveness of therapy with teriparatide and alendronate in women with severe osteoporosisHau Liu
Division of Endocrinology and Metabolism, Stanford University, Stanford, Calif, USA
Arch Intern Med 166:1209-17. 2006..Teriparatide is a promising new agent for the treatment of osteoporosis... - Systematic review: the safety and efficacy of growth hormone in the healthy elderlyHau Liu
Stanford University, Stanford, California 94305 6019, USA
Ann Intern Med 146:104-15. 2007..Human growth hormone (GH) is widely used as an antiaging therapy, although its use for this purpose has not been approved by the U.S. Food and Drug Administration and its distribution as an antiaging agent is illegal in the United States... - The effect of geriatrics evaluation and management on nursing home use and health care costs: results from a randomized trialCiaran S Phibbs
Health Economics Resource Center, VA Palo Alto Health Care System, Palo Alto, and Department of Pediatrics, Stanford University School of Medicine, Stanford, California, USA
Med Care 44:91-5. 2006..The Geriatric Evaluation and Management study was developed to assess the impact of a comprehensive geriatric assessment service on the care of the elderly... - A cost-effectiveness analysis of adjuvant trastuzumab regimens in early HER2/neu-positive breast cancerAllison W Kurian
Department of Medicine, Division of Oncology, and the Veterans Affairs Palo Alto Health Care System and Center for Primary Care and Outcomes Research, Stanford University, Stanford, CA, USA
J Clin Oncol 25:634-41. 2007..We sought to evaluate the cost effectiveness of these regimens, which are expensive and potentially toxic... - Cost effectiveness of alternative imaging strategies for the diagnosis of small-bowel Crohn's diseaseBarrett G Levesque
Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, California, USA
Clin Gastroenterol Hepatol 8:261-7, 267.e1-4. 2010.... - Systematic review: the effects of growth hormone on athletic performanceHau Liu
Santa Clara Valley Medical Center, San Jose, California 95128, USA
Ann Intern Med 148:747-58. 2008..Human growth hormone is reportedly used to enhance athletic performance, although its safety and efficacy for this purpose are poorly understood... - Simple counts of ADL dependencies do not adequately reflect older adults' preferences toward states of functional impairmentTamara Sims
Center for Primary Care and Outcomes Research, 117 Encina Commons, Stanford University, Stanford, CA 94305 6019, United States
J Clin Epidemiol 61:1261-70. 2008..To test this assumption, we analyzed standard gamble (SG) utilities of single and combination ADL dependencies among older adults... - Effectiveness and cost-effectiveness of expanded antiviral prophylaxis and adjuvanted vaccination strategies for an influenza A (H5N1) pandemicNayer Khazeni
Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, 300 Pasteur Drive, H3143, Stanford, CA 94305, USA
Ann Intern Med 151:840-53. 2009..The pandemic potential of influenza A (H5N1) virus is a prominent public health concern of the 21st century... - Invariance and inconsistency in utility ratingsDena M Bravata
Center for Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305 6019, USA
Med Decis Making 25:158-67. 2005..e., when subjects order their utilities such that their utility for a combination of ADL dependencies is greater than their utility for any subset of the combination)... - Cost-effectiveness of screening BRCA1/2 mutation carriers with breast magnetic resonance imagingSylvia K Plevritis
Department of Radiology, Division of Oncology, Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, Calif 94305, USA
JAMA 295:2374-84. 2006..Screening with contrast-enhanced breast magnetic resonance imaging (MRI) detects cancer earlier but increases costs and results in more false-positive scans... - Trends in hospital treatment of ventricular arrhythmias among Medicare beneficiaries, 1985 to 1995Kathryn M McDonald
Health Research and Policy, and the Department of Medicine, Stanford University School of Medicine, Stanford, Calif, USA
Am Heart J 144:413-21. 2002..Treatment options for patients with ventricular arrhythmias have undergone major changes in the last 2 decades. Trends in use of invasive procedures, clinical outcomes, and expenditures have not been well documented... - Utilization and outcomes of the implantable cardioverter defibrillator, 1987 to 1995Mark A Hlatky
Department of Health Research and Policy, School of Medicine, Stanford University, Stanford 94305 5405, USA
Am Heart J 144:397-403. 2002..The purpose of this study was to document the impact of the ICD in widespread clinical practice... - Population strategies to decrease sodium intake and the burden of cardiovascular disease: a cost-effectiveness analysisCrystal M Smith-Spangler
Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA
Ann Intern Med 152:481-7, W170-3. 2010..Sodium consumption raises blood pressure, increasing the risk for heart attack and stroke. Several countries, including the United States, are considering strategies to decrease population sodium intake... - Perinatal screening for group B streptococci: cost-benefit analysis of rapid polymerase chain reactionCorinna A Haberland
Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California 94305, USA
Pediatrics 110:471-80. 2002..To evaluate the costs and benefits of a group B streptococci screening strategy using a new, rapid polymerase chain reaction test in a hypothetical cohort of expectant mothers in the United States... - The potential impact of comparative effectiveness research on U.S. health care expendituresDaniella J Perlroth
Stanford Health Policy, Stanford University, 105 Encina Commons, Stanford, CA 94305 6019, USA
Demography 47:S173-90. 2010..These results imply that if patient management strategies were shifted to those supported by CER-based criteria, an estimated $1.7 to $3.0 billion (2009 present value) could be saved each year... - Health outcomes and costs of community mitigation strategies for an influenza pandemic in the United StatesDaniella J Perlroth
Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
Clin Infect Dis 50:165-74. 2010..The optimal community-level approach to control pandemic influenza is unknown... - Racial disparity in cardiac procedures and mortality among long-term survivors of cardiac arrestPeter W Groeneveld
Center for Primary Care and Outcomes Research, University, 117 Encina Commons, Stanford, Calif 94305 6019, USA
Circulation 108:286-91. 2003..It is unknown whether white and black Medicare beneficiaries have different rates of cardiac procedure utilization or long-term survival after cardiac arrest... - Effectiveness and cost-effectiveness of vaccination against pandemic influenza (H1N1) 2009Nayer Khazeni
Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, 300 Pasteur Drive, H3143, Stanford, CA 94305, USA
Ann Intern Med 151:829-39. 2009..Decisions on the timing and extent of vaccination against pandemic (H1N1) 2009 virus are complex... - Cost-effectiveness of automated external defibrillators on airlinesP W Groeneveld
Center for Primary Care and Outcomes Research, 179 Encina Commons, MC 6019, Stanford, CA 94305, USA
JAMA 286:1482-9. 2001..Installation of automated external defibrillators (AEDs) on passenger aircraft has been shown to improve survival of cardiac arrest in that setting, but the cost-effectiveness of such measures has not been proven... - Satisfaction guaranteed--"payment by results" for biologic agentsAlan M Garber
Center for Health Care Evaluation at the Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
N Engl J Med 357:1575-7. 2007 - Management of acute kidney injury in the intensive care unit: a cost-effectiveness analysis of daily vs alternate-day hemodialysisAmar A Desai
Division of Nephrology, Stanford University School of Medicine, 780 Welch Rd, Ste 106, Palo Alto, California 94304, USA
Arch Intern Med 168:1761-7. 2008.... - Laparoscopy in women with unexplained infertility: a cost-effectiveness analysisSharon E Moayeri
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Stanford University, Stanford, California, USA
Fertil Steril 92:471-80. 2009..To evaluate the cost effectiveness of laparoscopy for unexplained infertility... - Incidental extracardiac findings at coronary CT: clinical and economic impactChristoph I Lee
Department of Radiology, Stanford University Medical Center, Stanford, CA 94305 5105, USA
AJR Am J Roentgenol 194:1531-8. 2010.... - Corporate treatment for the ills of academic medicineAlan M Garber
Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif, USA
N Engl J Med 351:1601-3. 2004 - Consequences of health trends and medical innovation for the future elderlyDana P Goldman
RAND, Santa Monica, CA, USA
Health Aff (Millwood) 24:W5R5-17. 2005..On the other hand, ten of the most promising medical technologies are forecast to increase spending greatly. It is unlikely that a "silver bullet" will emerge to both improve health and dramatically reduce medical spending... - A cost-benefit analysis of preimplantation genetic diagnosis for carrier couples of cystic fibrosisLynn B Davis
Department of Obstetrics and Gynecology, Reproductive Endocrinology and Infertility, Stanford University Medical Center, Palo Alto, California, USA
Fertil Steril 93:1793-804. 2010.... - Rise of pay for performance: implications for care of people with chronic kidney diseaseAmar A Desai
Center for Health Policy and Primary Care and Outcomes Research, Stanford University, Stanford, USA
Clin J Am Soc Nephrol 2:1087-95. 2007..Well-designed payment systems will reward quality care for patients while maintaining appropriate accountability and fairness for health care providers... - Cost-effectiveness of recombinant human activated protein C and the influence of severity of illness in the treatment of patients with severe sepsisRobert A Fowler
Division of General Medicine and Critical Care Medicine, Department of Medicine, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario, Canada
J Crit Care 18:181-91; discussion 191-4. 2003..To evaluate the cost-effectiveness of recombinant human activated protein C (rhAPC) compared with usual therapy for patients with severe sepsis, and also to determine the influence that severity of illness exerts on cost-effectiveness... - A menu without pricesAlan M Garber
Ann Intern Med 148:964-6. 2008 - Technology diffusion, hospital variation, and racial disparities among elderly Medicare beneficiaries: 1989-2000Peter W Groeneveld
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
Med Care 43:320-9. 2005..Low rates of technology utilization in hospitals with high proportions of black inpatients may be a remediable cause of healthcare disparities... - Trends in implantable cardioverter-defibrillator racial disparity: the importance of geographyPeter W Groeneveld
Center for Health Equity Research and Promotion, Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104 6021, USA
J Am Coll Cardiol 45:72-8. 2005.... - Trends in inpatient treatment intensity among Medicare beneficiaries at the end of lifeAmber E Barnato
Medicine and Health Policy and Management, University of Pittsburgh, Pittsburgh, PA 15213, USA
Health Serv Res 39:363-75. 2004..This could imply that net hospital expenditures for the dying might have been even higher over this time period if the shift toward hospice had not occurred... - The U.S. physician workforce: serious questions raised, answers neededAlan M Garber
Ann Intern Med 141:732-4. 2004 - Impacts of informal caregiver availability on long-term care expenditures in OECD countriesByung-Kwang Yoo
Health Serv Res 39:1971-92. 2004..Long-term care policies should take into account behavioral responses: decreased public funding in LTC may lead working women to leave the labor force to provide more informal care... - Cost-effectiveness of defending against bioterrorism: a comparison of vaccination and antibiotic prophylaxis against anthraxRobert A Fowler
Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Ann Intern Med 142:601-10. 2005..Weaponized Bacillus anthracis is one of the few biological agents that can cause death and disease in sufficient numbers to devastate an urban setting... - Influence of race on inpatient treatment intensity at the end of lifeAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
J Gen Intern Med 22:338-45. 2007..To examine inpatient intensive care unit (ICU) and intensive procedure use by race among Medicare decedents, using utilization among survivors for comparison... - Essential elements of a technology and outcomes assessment initiativeEzekiel J Emanuel
Department of Bioethics, Clinical Center, National Institutes of Health, Bethesda, Maryland 20892, USA
JAMA 298:1323-5. 2007 - Extracting subject demographic information from abstracts of randomized clinical trial reportsRong Xu
Biomedical Informatics Training Program, Stanford University School of Medicine, USA
Stud Health Technol Inform 129:550-4. 2007..Our results show accuracy levels of 82.5%, 92.5%, and 92.0% for extraction of subject descriptors, trial sizes, and diseases/symptoms descriptors respectively... - Training synergies between medical informatics and health services research: successes and challengesEdward H Shortliffe
Department of Medical Informatics, Columbia University, New York, New York 10032 3720, USA
J Am Med Inform Assoc 9:133-9. 2002....
Research Grants
- POSTDOCTORAL TRAINING IN HEALTH SERVICES RESEARCHAlan Garber; Fiscal Year: 2007..Program faculty are drawn from throughout Stanford University and represent a wide range of disciplines and research interests. ..
- Center on Advancing Decision Making in Aging (CADMA)Alan Garber; Fiscal Year: 2007..Each project builds upon multidisciplinary collaboration and has the potential to contribute to a growing body of research that will translate into useful decision making tools. ..