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Costs Associated with Nontuberculous Mycobacteria Infection, Ontario, Canada, 2001–2012

Abstract Objective To determine incidence-based healthcare costs attributable to nontuberculous mycobacterial (NTM) pulmonary disease (PD) and NTM pulmonary isolation (PI), from the healthcare payer perspective […]

Frailty as a predictor of outcomes in patients undergoing head and neck cancer surgery

Abstract Objectives To evaluate whether frailty and functional measures are predictors of perioperative complications and length of hospital stay (LOS) in patients undergoing head and […]

Kidney Function and Potassium Monitoring After Initiation of Renin-Angiotensin-Aldosterone System Blockade Therapy and Outcomes in 2 North American Populations

Abstract Background Clinical practice guidelines recommend routine kidney function and serum potassium testing within 30 days of initiating ACE (angiotensin-converting enzyme) inhibitor or angiotensin II […]

Impact of High Deductible Health Plans on Diabetes Care Quality and Outcomes: Systematic Review

Abstract Objective High deductible health plans (HDHPs) were introduced as a mechanism to reduce healthcare spending by incentivizing patients to be more cost-conscious while making […]

Improving medication adherence and effective prescribing through a patient-centered prescription model in patients with multimorbidity

Abstract Purpose This study aimed to assess the impact of the patient-centered prescription (PCP) model in medication adherence and effective prescribing in patients with multimorbidity. […]

Indicators of publicly funded prescription opioid use among persons with traumatic spinal cord injury in Ontario, Canada

Abstract Objective To describe the proportion and identify predictors of community-dwelling individuals with traumatic spinal cord injury (TSCI) who were dispensed ≥1 publicly funded opioid […]

Analysis of Platelet Count and New Cancer Diagnosis Over a 10-Year Period

Abstract Importance Individuals with cancer often have an elevated platelet count at the time of diagnosis. The extent to which an elevated platelet count is […]

High-Deductible Health Plans Paired With Health Savings Accounts Increased Medication Cost Burden Among Individuals With Bipolar Disorder

ABSTRACT Objective High-deductible health plans paired with health savings accounts (HSA-HDHPs) require substantial out-of-pocket spending for most services, including medications. We examined effects of HSA-HDHPs […]

Social Determinants of Health Influence Future Health Care Costs in the Medicaid Cohort of the District of Columbia Study

Abstract Context Social determinants of health are an important predictor of future health care costs but little is known about their impact on Medicaid spending. […]

Validity of the Johns Hopkins Adjusted Clinical Groups system on the utilisation of healthcare services in Norway: a retrospective crosssectional study

Abstract Background The Adjusted Clinical Groups (ACG) System is a validated electronic risk stratification system. However, there is a lack of studies on the association […]

Rate of incident dementia and care needs among older adults with new traumatic brain injury: a population-based cohort study

Abstract Background: The long-term impacts of traumatic brain injury (TBI) in older adults are not well known. Our objective was to describe the association between […]

Healthcare use in individuals with and without attention-deficit/hyperactivity disorder: A population-based longitudinal matched cohort study

Abstract Individuals with Attention-Deficit/Hyperactivity Disorder (ADHD) experienced worsening symptoms during the COVID-19 pandemic resulting in increased demand for healthcare services. However, it is unclear how […]

Access to care and outcomes for neuroendocrine tumours: does socioeconomic status matter?

ABSTRACT Introduction Neuroendocrine tumours (nets) are a poorly understood malignancy lacking standardized care. Differences in socioeconomic status (ses) might worsen the effect of non-standardized care. […]

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Analyzing Care Needs for Your Medicare Advantage Enrollees – White Paper

For health plans in the Medicare Advantage space, a strategy for effectively managing the care, quality and risk of members is crucial. This includes understanding […]

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Patient selection based on segmentation and predictive modeling

Patient selection based on segmentation and predictive modeling in the Comprehensive Care for Multimorbid Adults Program (CC-MAP)Presented by:Efrat Shadmi, PhD, RN, Associate Professor at the […]

Similar multimorbidity patterns in primary care patients from two European regions: results of a factor analysis

PLoS One 9:e100375. Aragón Health Sciences Institute, Zaragoza, Spain; Maastricht University, Maastricht, The Netherlands; Department of General Practice, KU Leuven, Belgium. OBJECTIVE: To compare the […]

A retrospective evaluation of the behaviour of groups under out-patient care at a health center

Aten Primaria 21:36-42. Published in Spanish. Escuela Andaluza de Salud Pública de Granada, Granada, Spain OBJECTIVES: To study and analyse the Out-Patient Care Groups (OCGs), […]

Physical health and gender as risk factors for usage of services for mental illness

J Epidemiol Community Health 68:971-978. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; St. Michael’s Hospital, Toronto, ON, Canada; […]

Health-related quality of life and multimorbidity in community-dwelling telecare-assisted elders in the Basque Country

Eur J Intern Med 26:169-175. Basque Institute for Healthcare Innovation, Barakaldo, Spain; Osakidetza, Basque Health Service, Erandio, Spain; Osatek S.A., Public Society of the Basque […]

The association between diabetes and breast cancer stage at diagnosis: a population-based study

Breast Cancer ResTreat 150:613-620. Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada Women with diabetes have higher breast cancer incidence and mortality. The […]

Cost-minimizing risk adjustment

J Health Econ 21:515-530. Center for Health Quality, Outcomes and Economic Research, Boston University School of Public Health, Bedford, MA, USA Conventional risk adjustment, which […]

Association of frailty and 1-year postoperative mortality following major elective noncardiac surgery: a population-based cohort study

JAMA Surg. University of Ottawa, Ottawa, ON, Canada; Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada; Ottawa Hospital, Ottawa, ON, Canada; Ottawa Hospital Research Institute, […]

Utilization of clinical tools to understand health-care differences of the Discovery Health population

BMC Health Serv Res 10:A18. Discovery Health, Johannesburg, Gauteng, South Africa INTRODUCTION: Various clinical tools exist that categorize health-care data into homogenous cohorts. The tools […]

Patient-mix differences among ambulatory providers and their effects on utilization and payments for Maryland Medicaid users

Med Care 31:1119-1137. Policy and Health Statistics Administration, Maryland Department of Health and Mental Hygiene, Baltimore, MD, USA Characteristics of the usual source of care […]

Clinical features of high-risk older persons identified by predictive modeling

Dis Manag 9:56-62. Johns Hopkins HealthCare, Glen Burnie, MD, USA The objective of this study was to describe the clinical features of older persons identified […]

Validation of ACG Case-mix for equitable resource allocation in Swedish primary health care

BMC Public Health 9:347. Blekinge Centre of Competence, Karlskrona, Sweden BACKGROUND: Adequate resource allocation is an important factor to ensure equity in health care. Previous […]

Review: health care utilization and costs of elderly persons with multiple chronic conditions

Med Care Res Rev 68:387-420. University Medical Center, Hamburg-Eppendorf, Germany This systematic literature review identified and summarized 35 studies that investigated the relationship between multiple […]

How health status affects progress and performance in school: a population-based study

Can J Public Health 99:344-349. Manitoba Centre for Health Policy and Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada […]

Are cervical cancer screening rates different for women with schizophrenia? A Manitoba population-based study

Schizophr Res 113:101-106. Department of Community Health Sciences, University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, MB, Canada CONTEXT: Barriers to cervical cancer screening […]

Clinical categories of patients and encounter rates in primary health care – a three-year study in defined populations

BMC Public Health 6:35. Center for Family and Community Medicine, Neurotec Department, Karolinska Institute, Stockholm, Sweden BACKGROUND: The objective was to estimate the proportion of […]

Developing and evaluating performance measures for ambulatory care quality: a preliminary report of the DEMPAQ project

Jt Comm J Qual Improv 19:552-565. Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA Because of the focus on […]

Adjusting for risk selection in state health insurance exchanges will be critically important and feasible, but not easy

Health Aff 31:306-315. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA The Affordable Care Act calls for the establishment of state-level health insurance […]

Abdominal fat from spine dual-energy x-ray absorptiometry and risk for subsequent diabetes

J Clin Endocrinol Metab 95:3272-3276. University of Manitoba, Winnipeg, MB, Canada CONTEXT: Abdominal obesity is a major risk factor for diabetes. Dual-energy x-ray absorptiometry (DXA) […]

Reducing the burden of morbidity and medical utilization of older patients by outpatient geriatric services: Implications to primary health-care settings

Geriatr Gerontol Int 12:612-621. Department of Medical Affairs and Planning, National Yang Ming University, Taipei, Taiwan. AIM: That geriatric evaluation and management (GEM) is associated […]

Predicting resource utilization in a Veterans Health Administration primary care population: comparison of methods based on diagnoses and medications

Med Care 42:123-128. Medical Service, Iowa City VA Medical Center, Iowa City, IA, USA BACKGROUND: Valid methods of predicting resource utilization in primary care populations […]

Predictors of children’s healthcare use: the value of child versus parental perspectives on healthcare needs

Med Care 42:232-238. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: The objective of this study […]

Comparing self-reported health status and diagnosis-based risk adjustment to predict 1- and 2 to 5-year mortality

Health Serv Res 42:629-643. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey VA Medical Center, […]

Does the pharmacy expenditure of patients always correspond with their morbidity burden? Exploring new approaches in the interpretation of pharmacy expenditure

BMC Public Health 10:244. Aragon Health Sciences Institute, Zaragoza, Spain BACKGROUND: The computerisation of primary health care (PHC) records offers the opportunity to focus on […]

Influenza vaccination and all-cause mortality in community-dwelling elderly in Ontario, Canada, a cohort study

Vaccine 29:240-246. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada The objective of this study was to evaluate the effectiveness of influenza vaccines in reducing […]

Estimating influenza vaccine effectiveness in community-dwelling elderly patients using the instrumental variable analysis method

Arch Intern Med 172:484-491. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Estimates of influenza vaccine effectiveness in elderly individuals are largely from observational […]

Short-run associations between medical care expenditures and adherence to clinical practice guideline-based measures for diabetes

Value Health 3 Suppl 1:29-38. MEDSTAT Group, Inc., Ann Arbor, MI, USA OBJECTIVES: To estimate relationships between medical care expenditures in 1996 and adherence to […]

Prospects of Adjusted Clinical Groups (ACG’s) in capitated payment risk adjustment

Rev Esp Salud Publica 80:55-65. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo, Badalona, Serveis Assistencials, Badalona, Barcelona, Spain BACKGROUND: Most patient classification systems […]

Trend and variation of prescription drug cost in the veterans health-care system

Health Serv Manage Res 21:14-22. Department of Veterans Affairs Healthcare Network Upstate New York, Albany, NY, USA Using descriptive statistics, this paper revealed that the […]

Validating the Adjusted Clinical Groups [ACG] case-mix system in a Spanish population setting: a multicenter study

Gac Sanit 23:228-231. Published in Spanish. Dirección de Planificación, Badalona Servicios Asistenciales, S.A., Badalona, Barcelona, España. PURPOSE: To validate the Johns Hopkins ACG case-mix system […]

Co-morbidity and health care utilisation five years prior to diagnosis for depression

A register-based study in a Swedish population. BMC Public Health 11:552. Department of Medical and Health Sciences, Family Medicine, Linköping University, Linköping, Sweden BACKGROUND: Depressive […]

Modeling factors influencing the demand for emergency department services in Ontario: a comparison of methods

BMC Emerg Med 11:13. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada BACKGROUND: Emergency departments are medical treatment facilities, designed to […]

Clinical outcomes after bariatric surgery: a five-year matched cohort analysis in seven US states

Obes Surg 22:749-763. Center for Health Care Research and Policy, MetroHealth Medical Center/Case Western Reserve University, Cleveland, OH, USA BACKGROUND: Bariatric surgery is the most […]

Treatment profiles and costs of patients with chronic pain in the population setting

Clinicoecon Outcomes Res 4:39-47. Dirección de Planificación, Badalona Serveis Assistencials, Barcelona, Spain BACKGROUND: The purpose of this study was to gather information about analgesic drug […]

Multi-institutional sharing of electronic health record data to assess childhood obesity

PLoS One 8:e66192. Children’s Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA OBJECTIVE: To evaluate the validity […]

Comorbidity in patients with chronic obstructive pulmonary disease in family practice: a cross sectional study

BMC Fam Pract 14:11. Multiprofessional Education Unit for Family and Community Care (South-east), Madrid, Spain BACKGROUND: Chronic obstructive pulmonary disease (COPD) is frequent and often […]

The contributions of First Nations ethnicity, income, and delays in surgery on mortality post-fracture: a population-based analysis

Osteoporos Int 24:1247-1256. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada We examined the independent contributions of First Nations ethnicity and lower income to […]

My dad was not a prepaid group practice patient

Health Aff W4:70-72. Project Hope, Millwood, VA, USA The author’s father was a psychiatrist, a concerned citizen, and a Medicare patient. He died recently after […]

Keep it simple? Predicting primary health care costs with clinical morbidity measures

J Health Econ 35C:109-122. University of Bristol, Bristol, UK; University of York, York, UK Models of the determinants of individuals’ primary care costs can be […]

Impact of a high-deductible health plan on outpatient visits and associated diagnostic tests

Med Care 52:86-92. Harvard University; Harvard Medical School; Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, MA, USA BACKGROUND: By shifting a greater share of […]

Vitamin D, asthma prevalence and asthma exacerbations: a large adult population-based study

Allergy. Allergy and Clinical Immunology Unit, Meir Medical Center, Kfar Saba, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel. BACKGROUND: The impact of low […]

Assessing Markers From Ambulatory Laboratory Tests for Predicting High-Risk Patients

ABSTRACT Objectives: This exploratory study used outpatient laboratory test results from electronic health records (EHRs) for patient risk assessment and evaluated whether risk markers based on […]

Profils de multimorbidite et caracteristiques demographiques – patients inscrits dans les groupes de medecine de famille de Montreal (GMF)

Montreal, QC, Canada: Montreal Health and Social Services Agency. Montreal Health and Social Services Agency, Montreal, QC, Canada La coexistence de plusieurs maladies chroniques est […]

Metformin use is associated with lower cervical cancer specific mortality

Radiation Oncology 93:S10. University of Toronto, Toronto, ON, Canada; Women’s College Hospital, Toronto, ON, Canada Purpose/Objective(s): While meta-analysis has shown metformin use in diabetic patients […]

Impact of physician and center case volume on the adequacy of cardiac monitoring during adjuvant trastuzumab in breast cancer

2013 Breast Cancer Symposium. Abstract 128. J Clin Oncol 31 (suppl 26; abstr 128). University of Toronto, Toronto, ON, Canada; St. Michael’s Hospital, Toronto, ON, […]

Ambulatory Care Groups as a primary care patient classification system

Cuadernos de Gestión 6:19-24. Published in Spanish. Fundació Jordi Gol i Gurina, Barcelona, Spain No abstract

Adjusted Clinical Groups – an instrument to predict resource use: a population-based healthcare management tool

Gesundheits- und Sozialpolitik 1-2:8-15. Published in German. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Advances in information technology, electronic billing, and diagnostic […]

Applicability of predictive risk groupers to MHS data model. Deliverable 8: interim analysis of results

Reston, VA, USA: AdvanceMed Corp. AdvanceMed Corp., Reston, VA, USA AdvanceMed Corporation, a DynCorp company, is supporting the TRICARE Management Activity (TMA) and its health […]

Risk adjustment for asthma: variations by methodology and implications for providers

Working paper: Informed Purchasing Series. Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Programs Development and Management, University of Maryland, Baltimore County, […]

From theory to application: the implementation of risk adjustment for Minnesota Medicaid

Minneapolis, MN, USA: Park Nicollet Institute, Minnesota Department of Health, Minnesota Department of Human Services. Park Nicollet Institute and Minnesota Department of Health, Minneapolis, MN, […]

Impact of continuity of care and provider factors on medication adherence in patients with hypertension

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA STATEMENT OF THE PROBLEM: Hypertension is one of the most common […]

Understanding approaches to case-mix assessment and case-mix adjustment

JHQ Online :W5-24 – W5-29. McKesson Medical Management Group, Newton, MA. Rising healthcare costs coupled with diminishing financial  resources are stimulating changes in the organization […]

Diabetes, gender and neighbourhood ethnicity: inequalities in healthcare resource utilization

Canadian Journal of Diabetes 33:281. Provincial Health Services Authority, Vancouver, BC, Canada AIMS: Lower utilization of medical resources by immigrants are often observed in self-reported […]

Mortalidad por cualquier causa e incidencia de enfermedad cardiovascular en hipertensos con perfil tipo Anglo-Scandinavian Cardiac Outcomes Trial en un ambito poblacional espanol

Aten Primaria 42:420-430. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials S.A., Badalona, Barcelona, Spain OBJECTIVES: Mediterranean populations are traditionally considered to be associated […]

Development of a Medical Productivity Index for health insurance beneficiaries

Insurance Markets and Companies: Analyses and Actuarial Computations 2:7-15. University of Minnesota, Minneapolis, MN, USA In this paper, a Medical Productivity Index (MPI) is proposed […]

Des indicateurs de qualité à l’intention des professionnels et des gestionnaires des services de première ligne

Institut national d’excellence en santé et en services sociaux (INESSS). Rapport rédigé par Marie-Dominique Beaulieu, Marie‐Pascale Pomey, Brigitte Côté, Claudio Del Grande, Monia Ghorbel, Phuong […]

Social Housing in Manitoba

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada The Manitoba Centre for Health Policy (MCHP) in conjunction […]

Clinical integration of the chronic patient

Enfermeria Clnica 24:35-43. Published in Spanish. Gerencia del Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain Castilla-La Mancha Health Service is developing the integration […]

Risk Stratification – An introduction to the basics

This document provides a high-level overview of what risk stratification is its relevance to the health service and some things to consider when using risk […]

Thai Health Financing Arrangements

Naresuan University Ambulatory casemix systems and Thai health financing arrangements Supasit Pannarunothai Faculty of Medicine

Tuesday-Utilization-Borgquist

BMC Public Health Co-morbidity and Health Care Utilisation Five Years Prior to Diagnosis for Depression: A Register-Based Study in a Swedish Population David Andersson Henrik […]

Monday-Care Coordination I-Muniz

Johns Hopkins ACG System The Development of a Coordination Risk Measure Patricio Muñiz

Improving Patient Care

Cricket Green Medical Practice, Mitcham, Surrey Improving Patient Care Using Risk Profiling in Primary Care Dr Simon Gilbert, GP

Tuesday(C6)-Bridging the Gap Between Payer Data and EHR Data —Rohan D’Souza

Bridging the Gap Between Payer Data and EHR Data —Rohan D’Souza, eClinicalWorks

Sunday-Overview of Version 11: Enhancements and Features-Salls

OVERVIEW OF VERSION 11: ENHANCEMENTS AND FEATURES  Overview of Version 11: Enhancements and Features —Amy Salls, DST Health Solutions

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Overview of the Johns Hopkins ACG System

Karen Kinder, PhD, MBA, Executive Director, ACG System, gives an overview of the ACG System and its various applications to solve health care challenges worldwide. Dr. Kinder highlights how the different users including health organizations, national and regional health authorities, clinic directors, and practitioners use the ACG System to improve accuracy and fairness in evaluating performance, identifying individuals at high risk, forecasting health care utilization, or setting equitable payment rates.

The uptake of active surveillance for the management of prostate cancer: A population-based analysis

Introduction: Active surveillance (AS) is a strategy for the management of low-risk prostate cancer (PCa). However, few studies have assessed the uptake of AS at […]

Apples and Oranges: Four Definitions of Multiple Chronic Conditions and their Relationship to 30-Day Hospital Readmission

Health Innovation Program, the University of Wisconsin School of Medicine and Public Health from The Wisconsin Partnership Program, and the Community–Academic Partnerships core of the […]

Primary care utilization in people who experience imprisonment in Ontario, Canada: a retrospective cohort study

Abstract Background Access to primary care is an important determinant of health, and data are sparse on primary care utilization for people who experience imprisonment. […]

Vulnerable And Less Vulnerable Women In High-Deductible Health Plans Experienced Delayed Breast Cancer Care

ABSTRACT The effects of high-deductible health plans (HDHPs) on breast cancer diagnosis and treatment among vulnerable populations are unknown. We examined time to first breast […]

Patient-reported symptoms after breast cancer diagnosis and treatment: A retrospective cohort study

Abstract Aim Breast cancer and its treatment are associated with varying symptoms. The province of Ontario (13.6 million) has implemented a provincial programme to screen for symptoms among […]

Performance on the Operant Test Battery in young children exposed to procedures requiring general anaesthesia: the MASK study

Abstract Background It is not known whether the neurotoxicity produced by anaesthetics administered to young animals can also occur in children. Exposure of infant macaques […]

Prevalence of intellectual and developmental disabilities among first generation adult newcomers, and the health and health service use of this group: A retrospective cohort study

Abstract Background Attention to research and planning are increasingly being devoted to newcomer health, but the needs of newcomers with disabilities remain largely unknown. This […]

Multimorbidity Patterns in Patients with Back Pain: A Study of Patient Records at a Primary Health Care Centre in Sweden

Abstract In Primary Care, multimorbidity is the norm in most patients. A large part of these have pain disorders, very often related to the spine. […]

Changes in primary care provider utilization by phase of care for women diagnosed with breast cancer: a CanIMPACT longitudinal cohort study

Abstract Background Primary care providers (PCPs) have always played an important role in cancer diagnosis. There is increasing awareness of the importance of their role […]

Does early palliative identification improve the use of palliative care services?

Abstract Purpose To evaluate whether the early identification of patients who may benefit from palliative care impacts on the use of palliative, community and acute-based […]

Predicting the Cost of Health Care Services : A Comparison of Case-mix Systems and Comorbidity Indices That Use Administrative Data

Abstract Background: Case-mix systems and comorbidity indices aggregate clinical information about patients over time and are used to characterize need for health care services. These […]

Use of administrative record linkage to measure medical and social risk factors for early developmental vulnerability in Ontario, Canada

Abstract Background Linkage of demographic, health, and developmental administrative data can enrich population-based surveillance and research on developmental and educational outcomes. Transparency of the record […]

Analysis of the relationship between surgeon procedure volume and complications after total knee arthroplasty using a propensity-matched cohort study

Abstract Objectives This study aimed to identify a threshold in annual surgeon volume associated with increased risk of revision (for any cause) and deep infection […]

Determinants of vaccination uptake, and influenza vaccine effectiveness in preventing deaths and hospital admissions in the elderly population; Treviso, Italy, 2014/2015-2016/2017 seasons

ABSTRACT Objective Seasonal influenza is an important cause of morbidity and mortality, particularly among the elderly population. Determinants of vaccination uptake and its impact on […]

Frailty impact on postoperative complications and early mortality rates in patients undergoing radical cystectomy for bladder cancer: a systematic review

Abstract Objective To assess the prevalence of frailty, a status of vulnerability to stressors leading to adverse health events, in bladder cancer patients undergoing radical […]

Medical use of cocaine and perioperative morbidity following sinonasal surgery—A population study

Abstract Background Topical cocaine is favoured by many surgeons for sinonasal surgery due to its superior vasoconstrictive and anesthetic properties. However, historical reports suggesting cocaine […]