Publications | UCSF Department of Medicine at VA

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International journal of epidemiology

Excessive daytime sleepiness, objective napping and 11-year risk of Parkinson's disease in older men.

2018

Authors: Leng Y, Goldman SM, Cawthon PM, Stone KL, Ancoli-Israel S, Yaffe K

The American journal of cardiology

Heart Failure Severity and Quality of Warfarin Anticoagulation Control (From the WARCEF Trial).

2018

Authors: Lee TC, Qian M, Lip GYH, Di Tullio MR, Graham S, Mann DL, Nakanishi K, Teerlink JR, Freudenberger RS, Sacco RL, Mohr JP, Labovitz AJ, Ponikowski P, Lok DJ, Estol C, Anker SD, Pullicino PM, Buchsbaum R, Levin B, Thompson JLP, Homma S, Ye S

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association

Frailty, body composition and the risk of mortality in incident hemodialysis patients: the Predictors of Arrhythmic and Cardiovascular Risk in End Stage Renal Disease study.

2018

Authors: Fitzpatrick J, Sozio SM, Jaar BG, Estrella MM, Segev DL, Parekh RS, McAdams-DeMarco MA

Health services research | Volume 53 of Issue 5

Persistence of High Health Care Costs among VA Patients.

2018

Authors: Yoon J, Chee CP, Su P, Almenoff P, Zulman DM, Wagner TH

View Abstract

OBJECTIVES

To examine high-cost patients in VA and factors associated with persistence in high costs over time.

DATA SOURCES

Secondary data for FY2008-2012.

DATA EXTRACTION

We obtained VA and Medicare utilization and cost records for VA enrollees and drew a 20 percent random sample (N = 1,028,568).

STUDY DESIGN

We identified high-cost patients, defined as those in the top 10 percent of combined VA and Medicare costs, and determined the number of years they remained high cost over 4 years. We compared sociodemographics, clinical characteristics, and baseline utilization by number of high-cost years and conducted a discrete time survival analysis to predict high-cost persistence.

PRINCIPAL FINDINGS

Among 105,703 patients with the highest 10 percent of costs at baseline, 68 percent did not remain high cost in subsequent years, 32 percent had high costs after 1 year, and 7 percent had high costs in all four follow-up years. Mortality, which was 47 percent by end of follow-up, largely explained low persistence. The largest percentage of patients who persisted as high cost until end of follow-up was for spinal cord injury (16 percent).

CONCLUSION

Most high-cost patients did not remain high cost in subsequent years, which poses challenges to providers and payers to manage utilization of these patients.

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Annals of the rheumatic diseases

OP0198 Combined effects of tumour necrosis factor inhibitors and nsaids on radiographic progression in ankylosing spondylitis.

2018

Authors: L.S. Gensler, M. Gianfrancesco, M.H. Weisman, M.A. Brown, M. Lee, T. Learch, M. Rahbar, J.D. Reveille, M.M. Ward

Annals of the rheumatic diseases

LB0001 Dual neutralisation of il-17a and il-17f with bimekizumab in patients with active ankylosing spondylitis (AS): 12-week results from a phase 2b, randomised, double-blind, placebo-controlled, dose-ranging study.

2018

Authors: D. van der Heijde, L.S. Gensler, A. Deodhar, X. Baraliakos, D. Poddubnyy, M.K. Farmer, D. Baeten, T. Kumke, M. Oortgiesen, M. Dougados

Genetics in medicine : official journal of the American College of Medical Genetics

Pharmacogenetic testing in the Veterans Health Administration (VHA): policy recommendations from the VHA Clinical Pharmacogenetics Subcommittee.

2018

Authors: Vassy JL, Stone A, Callaghan JT, Mendes M, Meyer LJ, Pratt VM, Przygodzki RM, Scheuner MT, Wang-Rodriguez J, Schichman SA, VHA Clinical Pharmacogenetics Subcommittee

Annals of the rheumatic diseases

THU0242 Pregnancy outcomes and disease activity in women with axial spondyloarthritis: a systematic literature review.

2018

Authors: A. Moltó, L. Gensler, M.E.B. Clowse, H. Marzo-Ortega, A. Artignan, D. Goff-Leggett, S. Leonard, H.K. Resemann, E. Thurtle, N. de Peyrecave, C. Ecoffet, F. Förger

Annals of the rheumatic diseases

Measurement properties of the ASAS Health Index: results of a global study in patients with axial and peripheral spondyloarthritis.

2018

Authors: Kiltz U, van der Heijde D, Boonen A, Akkoc N, Bautista-Molano W, Burgos-Vargas R, Wei JC, Chiowchanwisawakit P, Dougados M, Duruoz MT, Elzorkany BK, Gaydukova I, Gensler LS, Gilio M, Grazio S, Gu J, Inman RD, Kim TJ, Navarro-Compan V, Marzo-Ortega H, Ozgocmen S, Pimentel Dos Santos F, Schirmer M, Stebbings S, Van den Bosch FE, van Tubergen A, Braun J

Journal of general internal medicine

Right Care in Hospital Medicine: Co-creation of Ten Opportunities in Overuse and Underuse for Improving Value in Hospital Medicine.

2018

Authors: Cho HJ, Wray CM, Maione S, Macharet F, Bansal A, Lacy ME, Tsega S