Peter M Cram

Summary

Affiliation: University of Iowa
Country: USA

Publications

  1. ncbi request reprint Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Dr, 6GH SE, Iowa City, IA 52242, USA
    JAMA 308:1227-36. 2012
  2. pmc Total knee arthroplasty outcomes in top-ranked and non-top-ranked orthopedic hospitals: an analysis of Medicare administrative data
    Peter Cram
    Division of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Mayo Clin Proc 87:341-8. 2012
  3. pmc Percutaneous coronary intervention outcomes in US hospitals with varying structural characteristics: analysis of the NCDR®
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, 52246, USA
    Am Heart J 163:222-9.e1. 2012
  4. pmc Indications for percutaneous coronary interventions performed in US hospitals: a report from the NCDR®
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, USA
    Am Heart J 163:214-21.e1. 2012
  5. pmc The frequency of missed test results and associated treatment delays in a highly computerized health system
    Terry L Wahls
    Iowa City Department of Veterans Affairs VA Medical Center, Iowa City, IA, USA
    BMC Fam Pract 8:32. 2007
  6. ncbi request reprint Patient preference for being informed of their DXA scan results
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA
    J Clin Densitom 7:275-80. 2004
  7. ncbi request reprint A comparison of total hip and knee replacement in specialty and general hospitals
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    J Bone Joint Surg Am 89:1675-84. 2007
  8. pmc Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    BMC Health Serv Res 7:155. 2007
  9. doi request reprint Insurance status of patients admitted to specialty cardiac and competing general hospitals: are accusations of cherry picking justified?
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, USA
    Med Care 46:467-75. 2008
  10. pmc Uncompensated care provided by for-profit, not-for-profit, and government owned hospitals
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    BMC Health Serv Res 10:90. 2010

Detail Information

Publications44

  1. ncbi request reprint Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Dr, 6GH SE, Iowa City, IA 52242, USA
    JAMA 308:1227-36. 2012
    ..Total knee arthroplasty (TKA) is one of the most common and costly surgical procedures performed in the United States...
  2. pmc Total knee arthroplasty outcomes in top-ranked and non-top-ranked orthopedic hospitals: an analysis of Medicare administrative data
    Peter Cram
    Division of General Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    Mayo Clin Proc 87:341-8. 2012
    ..To examine outcomes of Medicare enrollees who underwent primary total knee arthroplasty (TKA) in top-ranked orthopedic hospitals identified through the U.S. News & World Report hospital rankings and 2 comparison groups of hospitals...
  3. pmc Percutaneous coronary intervention outcomes in US hospitals with varying structural characteristics: analysis of the NCDR®
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, 52246, USA
    Am Heart J 163:222-9.e1. 2012
    ..We sought to assess the association between hospital organizational characteristics and in-hospital outcomes for percutaneous coronary intervention (PCI)...
  4. pmc Indications for percutaneous coronary interventions performed in US hospitals: a report from the NCDR®
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, USA
    Am Heart J 163:214-21.e1. 2012
    ..We examined PCI indications in not-for-profit (NFP), major teaching, for-profit (FP), and physician-owned specialty hospitals...
  5. pmc The frequency of missed test results and associated treatment delays in a highly computerized health system
    Terry L Wahls
    Iowa City Department of Veterans Affairs VA Medical Center, Iowa City, IA, USA
    BMC Fam Pract 8:32. 2007
    ..Few data exist concerning the frequency of missed results and associated treatment delays within the Veterans Health Administration (VA)...
  6. ncbi request reprint Patient preference for being informed of their DXA scan results
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA
    J Clin Densitom 7:275-80. 2004
    ..Patients undergoing DXA scanning were interested in receiving their scan results and educational material directly from the testing center. This might represent an effective intervention for improving care of patients with osteoporosis...
  7. ncbi request reprint A comparison of total hip and knee replacement in specialty and general hospitals
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    J Bone Joint Surg Am 89:1675-84. 2007
    ..Our objective was to compare the characteristics and outcomes of patients undergoing major joint replacement in specialty orthopaedic and general hospitals...
  8. pmc Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    BMC Health Serv Res 7:155. 2007
    ..Our objective was to assess whether physician owned specialty orthopedic hospitals and non physician owned specialty orthopedic hospitals differ with respect to hospital characteristics and patient populations served...
  9. doi request reprint Insurance status of patients admitted to specialty cardiac and competing general hospitals: are accusations of cherry picking justified?
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242, USA
    Med Care 46:467-75. 2008
    ..There has been widespread concern that procedurally oriented specialty hospitals select well-insured patients for admission, while avoiding the underinsured, but data are limited...
  10. pmc Uncompensated care provided by for-profit, not-for-profit, and government owned hospitals
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    BMC Health Serv Res 10:90. 2010
    ..Our objective was to compare the amount of uncompensated care provided by not-for-profit (NFP), for-profit (FP) and government owned hospitals...
  11. pmc Acute myocardial infarction and coronary artery bypass grafting outcomes in specialty and general hospitals: analysis of state inpatient data
    Peter Cram
    Division of General Medicine, University of Iowa Carver College of Medicine, Iowa City VA Medical Center, Mail Stop 152, Iowa City, IA, USA
    Health Serv Res 45:62-78. 2010
    ..Compare characteristics and outcomes of patients hospitalized in specialty cardiac and general hospitals for acute myocardial infarction (AMI) and coronary artery bypass grafting (CABG)...
  12. ncbi request reprint A randomized trial to assess the impact of direct reporting of DXA scan results to patients on quality of osteoporosis care
    Peter Cram
    Division of General Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA 52240, USA
    J Clin Densitom 9:393-8. 2006
    ..58). Patients in the intervention group were more likely to report being notified of their DXA results in a timely fashion (p=0.03), but osteoporosis-specific knowledge was similar...
  13. ncbi request reprint Implantable or external defibrillators for individuals at increased risk of cardiac arrest: where cost-effectiveness hits fiscal reality
    Peter Cram
    University of Iowa College of Medicine, Iowa City, IA, USA
    Value Health 9:292-302. 2006
    ..We used decision analysis to evaluate the clinical and economic trade-offs of AEDs, ICDs, and emergency medical services equipped with defibrillators (EMS-D) for reducing cardiac arrest mortality...
  14. pmc Cost-effectiveness of automated external defibrillator deployment in selected public locations
    Peter Cram
    Division of General Medicine, Department of Internal Medicine, University of Iowa College of Medicine, 200 Hawkins Drive, 6SE GH, Iowa City, IA 52242, USA
    J Gen Intern Med 18:745-54. 2003
    ..We sought to evaluate the cost-effectiveness of the AHA recommendation and of AED deployment in selected public locations with known cardiac arrest rates...
  15. pmc Clinical characteristics and outcomes of Medicare patients undergoing total hip arthroplasty, 1991-2008
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    JAMA 305:1560-7. 2011
    ..Total hip arthroplasty is a common surgical procedure but little is known about longitudinal trends...
  16. ncbi request reprint Racial disparities in revascularization rates among patients with similar insurance coverage
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    J Natl Med Assoc 101:1132-9. 2009
    ..Our objective was to assess racial disparities in coronary revascularization among white, black, and Hispanic patients with similar insurance coverage hospitalized with acute myocardial infarction (AMI)...
  17. ncbi request reprint Failure to recognize and act on abnormal test results: the case of screening bone densitometry
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, USA
    Jt Comm J Qual Patient Saf 31:90-7. 2005
    ..Failure to follow up on abnormal test results is common. A model was developed to capture the reasons why providers did not take action on abnormal test results...
  18. ncbi request reprint Cardiac revascularization in specialty and general hospitals
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    N Engl J Med 352:1454-62. 2005
    ..The emergence of specialty hospitals focusing on narrow procedural areas has generated controversy, although little is known about their quality...
  19. pmc Cost-effectiveness of in-home automated external defibrillators for individuals at increased risk of sudden cardiac death
    Peter Cram
    Division of General Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA, USA
    J Gen Intern Med 20:251-8. 2005
    ..The current study was conducted to explore the relationship between individuals' risk of cardiac arrest and cost-effectiveness of in-home AED deployment...
  20. doi request reprint Racial differences in admissions to high-quality hospitals for coronary heart disease
    Ioana Popescu
    Department of Internal Medicine, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52240, USA
    Arch Intern Med 170:1209-15. 2010
    ..Research increasingly shows that blacks with coronary heart disease (CHD) are treated at lower-quality hospitals. Little is known about racial differences in admission to high-quality hospitals...
  21. doi request reprint Simultaneous relationships between procedure volume and mortality: do they bias studies of mortality at specialty hospitals?
    David Barker
    Tippie College of Business, University of Iowa, Iowa City, IA 52240, USA
    Health Econ 20:505-18. 2011
    ..We find evidence of simultaneity in the relationship between volume and mortality...
  22. doi request reprint Trends in echocardiography utilization in the Veterans Administration Healthcare System
    Kingston Okrah
    Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    Am Heart J 159:477-83. 2010
    ..Echocardiography is an important cardiovascular imaging procedure, but little is known about trends in its use or utilization. We examine trends in the utilization of echocardiography in a national health care system...
  23. doi request reprint Characteristics and outcomes of America's lowest-performing hospitals: an analysis of acute myocardial infarction hospital care in the United States
    Ioana Popescu
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Center for Research in the Implementation of Innovative Strategies in Practice, Iowa City VA Medical Center, Iowa City, Iowa, USA
    Circ Cardiovasc Qual Outcomes 2:221-7. 2009
    ..Little is known about hospitals with consistently poor adherence with AMI process measures and whether these hospitals also have increased patient mortality...
  24. pmc Origination of medical advance directives among nursing home residents with and without serious mental illness
    Xueya Cai
    Division of General Internal Medicine, Carver College of Medicine, University of Iowa, 200 Hawkins Dr, C44 N GH, Iowa City, IA 52242, USA
    Psychiatr Serv 62:61-6. 2011
    ..This study tested whether persons with serious mental illness are as likely as other nursing home residents to make informed choices about treatments through medical advance care plans...
  25. pmc The impact of hospital cardiac specialization on outcomes after coronary artery bypass graft surgery: analysis of medicare claims data
    Saket Girotra
    Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, 52242, USA
    Circ Cardiovasc Qual Outcomes 3:607-14. 2010
    ..Studies on the broad relationship between hospital specialization and outcomes after coronary artery bypass grafting (CABG) are limited...
  26. doi request reprint Trends during 1993-2004 in the availability and use of revascularization after acute myocardial infarction in markets affected by certificate of need regulations
    Mary S Vaughan Sarrazin
    Iowa City Veterans Affairs Medical Center, IA University of Iowa, Iowa City, IA 52246, USA
    Med Care Res Rev 67:213-31. 2010
    ..Reimbursement, ease of use, clinician endorsement, and technological advances in PCI may outweigh effects of CON...
  27. pmc Relation between hospital orthopaedic specialisation and outcomes in patients aged 65 and older: retrospective analysis of US Medicare data
    Tyson P Hagen
    Division of Rheumatology, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    BMJ 340:c165. 2010
    ..To explore the relation between hospital orthopaedic specialisation and postoperative outcomes after total hip or knee replacement surgery...
  28. ncbi request reprint The impact of including passive benefits in cost-effectiveness analysis: the case of automated external defibrillators on commercial aircraft
    Peter Cram
    Department of Internal Medicine, University of Iowa School of Medicine, Iowa City, IA, USA
    Value Health 6:466-73. 2003
    ..The objective of this study was to evaluate the impact that varying quantities of passive benefit have on the cost-effectiveness of airline defibrillator programs...
  29. ncbi request reprint Effects of weekend admission and hospital teaching status on in-hospital mortality
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242, USA
    Am J Med 117:151-7. 2004
    ..We compared mortality rates between patients admitted on weekends and weekdays and whether weekend-weekday variation in rates differed between patients admitted to teaching and nonteaching hospitals in California...
  30. pmc Medical tourism services available to residents of the United States
    Brandon W Alleman
    University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA
    J Gen Intern Med 26:492-7. 2011
    ..There are growing reports of United States (US) residents traveling overseas for medical care, but empirical data about medical tourism are limited...
  31. doi request reprint Do specialty cardiac hospitals have greater adherence to acute myocardial infarction and heart failure process measures? An empirical assessment using Medicare quality measures: quality of care in cardiac specialty hospitals
    Ioana Popescu
    The Center for Research in Implementation of Innovative Strategies in Practice, Iowa City VA Medical Center, Iowa City, IA, USA
    Am Heart J 156:155-60. 2008
    ..Supporters of specialty hospitals claim these facilities provide better patient care; however, empirical data on quality of care in specialty hospitals are limited...
  32. doi request reprint Repeated hemoglobin A1C ordering in the VA Health System
    Archana Laxmisan
    Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA
    Am J Med 124:342-9. 2011
    ..Hemoglobin A1c (HbA1c) is used to assess glycemic control in patients with diabetes. While underuse of HbA1c testing has been well studied, potential overuse is poorly characterized...
  33. pmc Are patients with serious mental illness more likely to be admitted to nursing homes with more deficiencies in care?
    Yue Li
    Division of General Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
    Med Care 49:397-405. 2011
    ..However, it is unknown whether they are equally likely to be admitted to nursing homes with adequate quality of care compared with other patients...
  34. doi request reprint Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis
    Lance Brendan Young
    Center for Research in Implementation of Innovative Strategies in Practice, Iowa City Veterans Affairs Medical Center, Iowa City, IA 52242, USA
    Arch Intern Med 171:498-506. 2011
    ..We conducted a meta-analysis to examine the impact of telemedicine ICU (tele-ICU) coverage on mortality and length of stay (LOS)...
  35. pmc The impact of physician-owned specialty orthopaedic hospitals on surgical volume and case complexity in competing hospitals
    Xin Lu
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City VA Medical Center, Iowa City, IA 52242, USA
    Clin Orthop Relat Res 467:2577-86. 2009
    ....
  36. ncbi request reprint Automated external defibrillator deployment in high schools and senior centers
    Elizabeth Jones
    Iowa City Veterans Affairs Medical, Center, Division of General Medicine, Department of Internal, Medicine, University of Iowa College of Medicine, Iowa City, Iowa 52242, USA
    Prehosp Emerg Care 9:382-5. 2005
    ..However, there are limited data on whether such a strategy is being followed. The authors surveyed low-risk (schools) and high-risk (senior centers) venues to assess the availability of AEDs...
  37. pmc The impact of new hospital orthopaedic surgery programs on total joint arthroplasty utilization
    Xin Lu
    University of Iowa Carver College of Medicine, Iowa City, IA 52246, USA
    J Bone Joint Surg Am 92:1353-61. 2010
    ..The objective of this study was to examine the relationship between new programs for arthroplasty of the lower extremity joints and the utilization of arthroplasty...
  38. ncbi request reprint Diagnostic testing or empirical neuraminidase inhibitor therapy for patients with influenza-like illness: what a difference a day makes
    Susan G Blitz
    Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, USA
    Am J Manag Care 8:221-7. 2002
    ..To determine the clinical and economic trade-offs of available diagnostic and treatment options for patients with suspected influenza infection...
  39. pmc The impact of expressions of treatment efficacy and out-of-pocket expenses on patient and physician interest in osteoporosis treatment: implications for pay-for-performance programs
    Christine A Sinsky
    Department of Internal Medicine, Medical Associates Clinic and Health Plans, Dubuque, IA 52001, USA
    J Gen Intern Med 23:164-8. 2008
    ..Clinical practice guidelines (CPGs) are increasingly used as the basis for pay-for-performance (P4P) programs. It is unclear how support for guidelines varies when treatment efficacy is expressed in varying mathematically equivalent ways...
  40. doi request reprint Community public access sites: compliance with American Heart Association recommendations
    Sarah E Haskell
    University of Iowa Children s Hospital, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA
    Resuscitation 80:854-8. 2009
    ..JCEDTF was responsible for initial training but ongoing support was the responsibility of each site...
  41. pmc Direct reporting of laboratory test results to patients by mail to enhance patient safety
    Sharon Sung
    University of Iowa, Carver College of Medicine, Iowa City, IA, USA
    J Gen Intern Med 21:1075-8. 2006
    ..Direct reporting, whereby testing centers systematically notify both patients and providers of important test results, constitutes a potential solution, but provider acceptance is unknown...
  42. ncbi request reprint Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record
    Jennifer R S Gordon
    University of Iowa Carver College of Medicine and Iowa City Veterans Administration Medical Center, Iowa City, Iowa 52242, USA
    Ann Intern Med 151:21-7, W5. 2009
    ..Concern is growing about missed test results, but data assessing their effect on patient safety are limited...
  43. ncbi request reprint The impact of a celebrity promotional campaign on the use of colon cancer screening: the Katie Couric effect
    Peter Cram
    Division of General Medicine, Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, USA
    Arch Intern Med 163:1601-5. 2003
    ..The objective of this study was to assess the impact of Katie Couric's March 2000 Today Show colorectal cancer awareness campaign on colonoscopy rates...
  44. doi request reprint Proposed interventions to decrease the frequency of missed test results
    Terry L Wahls
    Iowa City Department of Veterans Affairs VA Medical Center, Iowa City, IA, USA
    Adv Health Sci Educ Theory Pract 14:51-6. 2009
    ....

Research Grants11

  1. Cardiac care in specialty and general hospitals
    Peter Cram; Fiscal Year: 2009
    ..Together these analyses will provide much needed information on the relative quality of care provided by specialty cardiac hospitals to policy makers, payors, providers and patients. ..
  2. Cardiac care in specialty and general hospitals
    Peter M Cram; Fiscal Year: 2010
    ..Together these analyses will provide much needed information on the relative quality of care provided by specialty cardiac hospitals to policy makers, payors, providers and patients. ..
  3. Improving Treatment of Newly Diagnosed Osteoporosis
    Peter Cram; Fiscal Year: 2009
    ..Finally, this work will serve as a model for examining the barriers to and improving treatment of other chronic diseases identified through screening. ..
  4. Improving Treatment of Newly Diagnosed Osteoporosis
    Peter Cram; Fiscal Year: 2007
    ..Finally, this work will serve as a model for examining the barriers to and improving treatment of other chronic diseases identified through screening. ..
  5. Improving Treatment of Newly Diagnosed Osteoporosis
    Peter Cram; Fiscal Year: 2006
    ..Finally, this work will serve as a model for examining the barriers to and improving treatment of other chronic diseases identified through screening. ..
  6. A Patient Activation Intervention to Enhance Bone Health
    Peter M Cram; Fiscal Year: 2010
    ..Equally important, our intervention could easily be modified to include other patient populations and chronic diseases. ..