2023
Healthcare Market-Level and Hospital-Level Disparities in Access to and Utilization of High-Quality Hip and Knee Replacement Hospitals Among Medicare Beneficiaries
Oddleifson D, Xu X, Wiznia D, Gibson D, Spatz E, Desai N. Healthcare Market-Level and Hospital-Level Disparities in Access to and Utilization of High-Quality Hip and Knee Replacement Hospitals Among Medicare Beneficiaries. Journal Of The American Academy Of Orthopaedic Surgeons 2023, 31: e961-e973. PMID: 37543752, DOI: 10.5435/jaaos-d-23-00183.Peer-Reviewed Original ResearchUtilization of hospitalKnee replacementMedicaid ServicesHospital-level disparitiesLow-income patientsCross-sectional studyHospital-level analysisHospital referral regionsHigh-quality hospitalsReplacement hospitalNational averageCare measuresHospital's percentageReferral regionsMedicare beneficiariesHospitalLevel IIIPatient accessHipSocioeconomic disparitiesSurgical processQuartileLogit linkHigh social vulnerabilityAssociation
2019
TRADITIONAL CHINESE MEDICINE FOR HEART FAILURE ADMISSIONS IN WESTERN MEDICINE HOSPITALS IN CHINA: ANALYSIS FROM THE CHINA PEACE RETROSPECTIVE HEART FAILURE STUDY
Yu Y, Spatz E, Krumholz H, Li J. TRADITIONAL CHINESE MEDICINE FOR HEART FAILURE ADMISSIONS IN WESTERN MEDICINE HOSPITALS IN CHINA: ANALYSIS FROM THE CHINA PEACE RETROSPECTIVE HEART FAILURE STUDY. Journal Of The American College Of Cardiology 2019, 73: 796. DOI: 10.1016/s0735-1097(19)31403-2.Peer-Reviewed Original Research
2018
Association of the US Department of Justice Investigation of Implantable Cardioverter-Defibrillators and Devices Not Meeting the Medicare National Coverage Determination, 2007-2015
Desai NR, Bourdillon PM, Parzynski CS, Brindis RG, Spatz ES, Masters C, Minges KE, Peterson P, Masoudi FA, Oetgen WJ, Buxton A, Zipes DP, Curtis JP. Association of the US Department of Justice Investigation of Implantable Cardioverter-Defibrillators and Devices Not Meeting the Medicare National Coverage Determination, 2007-2015. JAMA 2018, 320: 63-71. PMID: 29971398, PMCID: PMC6583049, DOI: 10.1001/jama.2018.8151.Peer-Reviewed Original ResearchConceptsPrimary prevention ICDsNon-Medicare beneficiariesAbsolute decreaseNational Cardiovascular Data Registry ICD RegistrySerial cross-sectional analysisStudy periodImplantable cardioverter defibrillatorRelative decreaseCross-sectional analysisProportion of devicesInitial ICDICD RegistryPrimary preventionCardioverter defibrillatorMAIN OUTCOMEMedicare beneficiariesUS hospitalsHospital groupHospitalICDMore rapid decreasesModest decreaseDepartmentMedicareUS DepartmentTraditional Chinese Medicine for Acute Myocardial Infarction in Western Medicine Hospitals in China
Spatz ES, Wang Y, Beckman AL, Wu X, Lu Y, Du X, Li J, Xu X, Davidson PM, Masoudi FA, Spertus JA, Krumholz HM, Jiang L. Traditional Chinese Medicine for Acute Myocardial Infarction in Western Medicine Hospitals in China. Circulation Cardiovascular Quality And Outcomes 2018, 11: e004190. PMID: 29848478, PMCID: PMC5882246, DOI: 10.1161/circoutcomes.117.004190.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionTraditional Chinese medicineTCM useWestern Medicine HospitalMyocardial infarctionHospital bleedingMedicine HospitalChinese medicineCardiovascular risk factorsHospital-level factorsHours of hospitalizationMultivariable hierarchical modelsQuality of careLack of evidenceChart reviewChina PatientRetrospective studySecondary hospitalsEarly managementRisk factorsIntravenous useCardiovascular diseasePatientsSignificant associationHospital
2017
Age Differences in Hospital Mortality for Acute Myocardial Infarction: Implications for Hospital Profiling.
Dharmarajan K, McNamara RL, Wang Y, Masoudi FA, Ross JS, Spatz EE, Desai NR, de Lemos JA, Fonarow GC, Heidenreich PA, Bhatt DL, Bernheim SM, Slattery LE, Khan YM, Curtis JP. Age Differences in Hospital Mortality for Acute Myocardial Infarction: Implications for Hospital Profiling. Annals Of Internal Medicine 2017, 167: 555-564. PMID: 28973634, PMCID: PMC9359429, DOI: 10.7326/m16-2871.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesAcute myocardial infarctionOlder patientsYounger patientsMyocardial infarctionAge groupsHospital risk-standardized mortality ratesRetrospective cohort studyHospital mortality rankingsNational Quality ForumHospital mortalityMedian hospitalHospital outcomesCohort studyACTION RegistryAMI mortalityAmerican CollegeMedicare beneficiariesAMI hospitalizationPatientsMortality rateHospitalQuality ForumHospital ValueHospital profilingYoung Women With Acute Myocardial Infarction
Dreyer RP, Sciria C, Spatz ES, Safdar B, D'Onofrio G, Krumholz HM. Young Women With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2017, 10: e003480. PMID: 28228455, PMCID: PMC5502480, DOI: 10.1161/circoutcomes.116.003480.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionYoung womenMyocardial infarctionManagement of AMIPost-AMI periodContinuum of careCoronary diseaseAged menHigh riskWorse recoveryWomenInfarctionHighlight gapsRecent studiesDifferent mechanismsMorbidityHospitalMortalityEpidemiologyPublic awarenessDiseaseDiagnosisCare
2015
Trends in Short- and Long-Term Outcomes for Takotsubo Cardiomyopathy Among Medicare Fee-for-Service Beneficiaries, 2007 to 2012
Murugiah K, Wang Y, Desai NR, Spatz ES, Nuti SV, Dreyer RP, Krumholz HM. Trends in Short- and Long-Term Outcomes for Takotsubo Cardiomyopathy Among Medicare Fee-for-Service Beneficiaries, 2007 to 2012. JACC Heart Failure 2015, 4: 197-205. PMID: 26746377, PMCID: PMC5323042, DOI: 10.1016/j.jchf.2015.09.013.Peer-Reviewed Original ResearchConceptsLong-term outcomesReadmission ratesNonwhite patientsHospitalization ratesSecondary diagnosisMedicare feeYears of ageTakotsubo cardiomyopathyWorse outcomesWhite racePatientsService beneficiariesHospitalMortalityTime pointsOutcomesHospitalizationCohortDiagnosisRepresentative dataTakotsuboTTCReadmissionCardiomyopathyYears
2012
Features of High Quality Discharge Planning for Patients Following Acute Myocardial Infarction
Cherlin EJ, Curry LA, Thompson JW, Greysen SR, Spatz E, Krumholz HM, Bradley EH. Features of High Quality Discharge Planning for Patients Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2012, 28: 436-443. PMID: 23263917, PMCID: PMC3579981, DOI: 10.1007/s11606-012-2234-y.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPrimary care physiciansHospital discharge processDischarge planningCare physiciansMyocardial infarctionMedicaid Services Hospital Compare websitePercutaneous coronary interventionPrimary care providersQuality discharge planningHigh quality discharge planningCase management servicesHospital Compare websiteCoronary interventionAMI carePatient hospitalPatient hospitalizationPatient admissionsPatient educationCare plansCare providersMortality ratePatientsEducation sessionsHospitalHospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction.
Bradley EH, Curry LA, Spatz ES, Herrin J, Cherlin EJ, Curtis JP, Thompson JW, Ting HH, Wang Y, Krumholz HM. Hospital strategies for reducing risk-standardized mortality rates in acute myocardial infarction. Annals Of Internal Medicine 2012, 156: 618-26. PMID: 22547471, PMCID: PMC3386642, DOI: 10.7326/0003-4819-156-9-201205010-00003.Peer-Reviewed Original ResearchConceptsRisk-standardized mortality ratesAcute myocardial infarctionLower risk-standardized mortality ratesMyocardial infarctionNurse championsMortality rateHospital strategiesHospital risk-standardized mortality ratesHospital-level factorsIntensive care unitAcute care hospitalsCardiac catheterization laboratoryCross-sectional surveyUnited Health FoundationCare hospitalCare unitCross-sectional designAMI casesAMI volumeCatheterization laboratoryHospital cliniciansHospitalMultivariate analysisPatientsHealth Foundation
2011
Expanding the Safety Net of Specialty Care for the Uninsured: A Case Study
Spatz ES, Phipps MS, Wang OJ, Lagarde S, Lucas GI, Curry LA, Rosenthal MS. Expanding the Safety Net of Specialty Care for the Uninsured: A Case Study. Health Services Research 2011, 47: 344-362. PMID: 22092239, PMCID: PMC3393006, DOI: 10.1111/j.1475-6773.2011.01330.x.Peer-Reviewed Original ResearchConceptsCommunity-based participatory researchSafety net providersSpecialty careSpecialty physiciansSpecialty care needsVulnerable populationsSpecialty care accessPatient navigationCare modelCare accessCare needsCare programHospitalPhysiciansCareCommunity stakeholdersCapacity-building effortsProvidersPopulationParticipatory researchProject Access-New Haven: improving access to specialty care for patients without insurance.
Spatz ES, Phipps MS, Lagarde S, Borgstrom C, Hunter AE, Wang OJ, Rosenthal MS, Lucas G. Project Access-New Haven: improving access to specialty care for patients without insurance. Connecticut Medicine 2011, 75: 349-54. PMID: 21755852.Peer-Reviewed Original ResearchConceptsSpecialty careSpecialty physiciansSpecialty care needsTimely medical careQuality health careHealth care networkPatient navigationPatient navigatorsEmergency departmentUninsured adultsLocal hospitalMedical careMore physiciansPatientsHospitalCareVulnerable populationsHealth carePhysiciansPoor accessFurther data