2025
Gender-Affirming Surgery for Transgender and Gender Diverse Medicare Beneficiaries
Balkan E, Babbs G, Meyers D, Kelly P, Yee K, Pletta D, Shireman T, Alpert A, Baker K, Hughto J. Gender-Affirming Surgery for Transgender and Gender Diverse Medicare Beneficiaries. JAMA Network Open 2025, 8: e258072. PMID: 40310645, PMCID: PMC12046427, DOI: 10.1001/jamanetworkopen.2025.8072.Peer-Reviewed Original ResearchConceptsGender-affirming surgeryTransgender individualsRates of chronic conditionsTransgenderBeneficiaries' useProportion of residentsRegional differencesDual statusBeneficiariesChronic conditionsDiverse beneficiariesBeneficiary characteristicsMedicare beneficiariesGenderCross-sectional studyMedicare entitlementGender-affirming surgical proceduresPropensity score matchingNational Medicare dataMedicare programMedicaidProportion of Medicare beneficiariesSouthSurgical proceduresDescriptive analysisExamining multimorbidity contributors to dementia over time
Klee M, Markwardt S, Elman M, Han L, Leist A, Allore H, Quiñones A. Examining multimorbidity contributors to dementia over time. Alzheimer's & Dementia 2025, 21: e14589. PMID: 39988573, PMCID: PMC11847647, DOI: 10.1002/alz.14589.Peer-Reviewed Original ResearchConceptsAverage attributable fractionDementia incidenceDementia riskAttributable fractionChronic conditionsAssociated with increased risk of dementiaHealth and Retirement Study participantsMedicare fee-for-service beneficiariesAcute myocardial infarctionFee-for-service beneficiariesRetirement Study participantsRisk of dementiaPatterns of comorbiditiesAssociated with increased riskDementia casesMyocardial infarctionClaims algorithmIncident casesADRDStudy participantsIschemic heart diseaseDementiaConfidence intervalsMultimorbidityHeart diseaseCumulative disaster exposure and hypertension among mothers who survived Hurricane Katrina
Meadows M, Desai M, Zacher M, Lowe S. Cumulative disaster exposure and hypertension among mothers who survived Hurricane Katrina. Environmental Research Health 2025, 3: 025005. PMID: 39968533, PMCID: PMC11831098, DOI: 10.1088/2752-5309/adb32c.Peer-Reviewed Original ResearchPsychological distressHurricane exposureAdverse physical health outcomesDisaster exposurePhysical health outcomesLow-income mothersImpact mental healthShort-term health impactsHurricane KatrinaExposure to hypertensionHealth outcomesChronic conditionsPhysical healthMental healthHypertension oddsHypertension riskIncreased oddsVulnerable populationsSurvey wavesLogistic regressionCumulative exposureHealth impactsPotential mediatorsExposure to hurricanesPost-KatrinaP-2008. Chronic Conditions as Risk Factors for COVID-19–Associated Hospitalization Among Adults, 2022-2023
Hamid S, Derado G, Pham H, Woodruff R, Sachdev D, Kawasaki B, Meek J, Witt L, Ryan P, Kim S, Bye E, Akpo J, Rowlands J, Licherdell E, Shiltz E, Sutton M, Talbot K, Price A, Havers F, Taylor C. P-2008. Chronic Conditions as Risk Factors for COVID-19–Associated Hospitalization Among Adults, 2022-2023. Open Forum Infectious Diseases 2025, 12: ofae631.2165. PMCID: PMC11777768, DOI: 10.1093/ofid/ofae631.2165.Peer-Reviewed Original ResearchChronic conditionsHospitalization ratesRisk factorsBehavioral Risk Factor Surveillance SystemRate ratiosRisk Factor Surveillance SystemPopulation-based active surveillance systemCOVID-19-associated hospitalizationSurveillance systemCounty-level population dataOlder ageAge groupsAssociated with increased riskHistory of strokeCouncil of StateCOVID-19-Associated Hospitalization Surveillance NetworkPoisson regressionRate denominatorCatchment areaActive surveillance systemAnalytic populationConfidence intervalsAdult populationHospitalization countsHospitalized adultsMultimorbidity patterns and cognitive change among Mexican older adults: findings from the Mexican Health and Aging Study
Bishop N, Botoseneanu A, Newsom J, Allore H, Nagel C, Markwardt S, Samper-Ternent R, Quiñones A. Multimorbidity patterns and cognitive change among Mexican older adults: findings from the Mexican Health and Aging Study. Journal Of Global Ageing 2025, 1-33. DOI: 10.1332/29767202y2024d000000019.Peer-Reviewed Original ResearchMexican Health and Aging StudyHealth and Aging StudyMultimorbidity patternsMexican adultsChronic conditionsOlder adultsIncreasing burden of chronic conditionsDepressive symptomsBurden of chronic conditionsCo-occurring chronic conditionsCognitive declineCognitive functionAssociated with lower cognitive functionOlder Mexican adultsMexican older adultsRisk of cognitive declineAging StudyLower cognitive functionCognitive changesManagement of diabetesMultimorbidityIncreasing burdenCognitive trajectoriesLatent growth modelingOlder adulthoodSupplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation
Ndumele C, Factor H, Lavallee M, Lollo A, Wallace J. Supplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation. JAMA Internal Medicine 2025, 185: 92-100. PMID: 39495527, PMCID: PMC11536301, DOI: 10.1001/jamainternmed.2024.5932.Peer-Reviewed Original ResearchSupplemental Nutrition Assistance ProgramSNAP work requirementsAble-bodied adultsChronic conditionsCharacteristics of individualsLow-incomeCohort studyMedicaid coverageNutrition Assistance ProgramSocioeconomic characteristics of individualsProportion of enrolleesChronic illnessMain OutcomesProgram enrollmentMedicaid enrolleesYounger beneficiariesSocioeconomic characteristicsMedicaidStatistically significant changesTarget populationEnrolleesAssistance programsCaregiversSafety-net programsBeneficiaries
2024
HEALTH PROMOTION BEHAVIORS AMONG SPOUSAL CAREGIVERS WITH HIGH DAILY MANAGEMENT CHRONIC CONDITIONS
Cho J, Horstman M, Stevens A, Sands L, Allore H. HEALTH PROMOTION BEHAVIORS AMONG SPOUSAL CAREGIVERS WITH HIGH DAILY MANAGEMENT CHRONIC CONDITIONS. Innovation In Aging 2024, 8: 1060-1060. PMCID: PMC11693161, DOI: 10.1093/geroni/igae098.3409.Peer-Reviewed Original ResearchIntensity of caregivingHealth-promoting behaviorsSpousal caregiversPhysical activityChronic conditionsPromoting behaviorsManaging chronic conditionsDaily self-managementICD-10 codesFamily caregiversChronic obstructive pulmonary diseaseCaregiver distressCaregiving intensityCaregiving roleHealth behaviorsSelf-managementObstructive pulmonary diseaseDisease trajectoryCaregiversHealth responseStress managementIschemic heart diseaseICD-10Reduce burdenHealthPain can’t be carved at the joints: defining function-based pain profiles and their relevance to chronic disease management in healthcare delivery design
Barron D, Saltoun K, Kiesow H, Fu M, Cohen-Tanugi J, Geha P, Scheinost D, Isaac Z, Silbersweig D, Bzdok D. Pain can’t be carved at the joints: defining function-based pain profiles and their relevance to chronic disease management in healthcare delivery design. BMC Medicine 2024, 22: 594. PMID: 39696368, PMCID: PMC11656997, DOI: 10.1186/s12916-024-03807-z.Peer-Reviewed Original ResearchConceptsChronic diseasesPain ProfileChronic conditionsPatient functionPain conditionsManagement of chronic diseasesChronic disease managementContinuum of careHealthcare delivery systemImprove quality of lifeQuality of lifePainful body partPain interferenceAssociated with clinical variablesUK BiobankWhole-body perspectiveHealth strategiesTreatment of individual patientsPain intensityClinically relevant differencesPatient wellbeingPain managementTreat painful conditionsICD codesMedical specialtiesSleep Deficiency A Symptoms Perspective: Exemplars from Chronic Heart Failure, Inflammatory Bowel Disease, and Breast Cancer
Redeker N, Conley S, Hwang Y. Sleep Deficiency A Symptoms Perspective: Exemplars from Chronic Heart Failure, Inflammatory Bowel Disease, and Breast Cancer. Sleep Medicine Clinics 2024, 19: 537-548. PMID: 39455175, DOI: 10.1016/j.jsmc.2024.07.003.Peer-Reviewed Original ResearchConceptsExcessive daytime sleepinessChronic heart failureInflammatory bowel diseaseBreast cancerHeart failureBowel diseaseContributions of sleep deficiencySleep disordersSleep deficiencyPrevalence of fatigueDaytime sleepinessDaytime symptomsChronic conditionsBreastCancerDeficiencySymptomsDiseaseSleepDisordersFatigueBridging the gap: strategies for recognizing and managing post-COVID conditions
Khan M, Becker R. Bridging the gap: strategies for recognizing and managing post-COVID conditions. Frontiers In Medicine 2024, 11: 1395420. PMID: 39635598, PMCID: PMC11615723, DOI: 10.3389/fmed.2024.1395420.Peer-Reviewed Original ResearchQuality of lifePost-COVID conditionsTargeted interventionsPrevalence of chronic conditionsStandardized screening toolPatient-centered approachPrevalence of post-COVID conditionImprove quality of lifeHigh-risk individualsPsychosocial healthHealthcare providersChronic conditionsCardiovascular healthEarly diagnosisImprove qualityScreening toolPeripheral vascular diseaseCommunity leadersComorbid conditionsDevelopment of screening strategiesPersistent symptomsCost-effective screening approachHealthAffected individualsInterventionHospital Transfers for Digit Replants as Cost Saving and Safe While Access to Replantation Procedures Remains Limited
Hauc S, Ihnat J, Hu K, Parikh N, Rivera J, Alperovich M. Hospital Transfers for Digit Replants as Cost Saving and Safe While Access to Replantation Procedures Remains Limited. Annals Of Plastic Surgery 2024, 93: 597-600. PMID: 39293070, DOI: 10.1097/sap.0000000000004099.Peer-Reviewed Original ResearchHospital transferTraumatic finger amputationsNational Inpatient SampleIncome quartileReplantation outcomesImprove health equityPatient factorsFinger amputationsHealth equityAmputation patientsChronic conditionsHospital characteristicsInjury characteristicsAttempted replantationHispanic patientsFinger replantationReplantation success rateInpatient SampleLogistic regressionWhite patientsTop income quartileAmputationOlder ageHospitalPatient genderQuality of Care in the Last Two Years of Life for Children With Complex Chronic Conditions
Bogetz J, Strub B, Bradford M, McGalliard J, Shipman K, Jeyte A, Patneaude A, Johnston E, Ananth P, Thienprayoon R, Rosenberg A. Quality of Care in the Last Two Years of Life for Children With Complex Chronic Conditions. Journal Of Pain And Symptom Management 2024, 68: 488-498.e1. PMID: 39097243, DOI: 10.1016/j.jpainsymman.2024.07.034.Peer-Reviewed Original ResearchComplex chronic conditionsEnd-of-life quality measuresEnd-of-lifeChronic conditionsHealthcare servicesQuality EOL careQuality measuresQuality of careICD-10 diagnosis codesEvaluate demographic differencesU.S. children's hospitalsYears of lifeEOL careDied in-hospitalInterprofessional supportSymptom managementHealthcare utilizationHospital performanceMedication intensityNon-HispanicDiagnosis codesDescriptive statisticsCardiopulmonary resuscitationChildren's hospitalPublic insurancePrescription of Nicotine Replacement Therapy for Hospitalized Tobacco Users
Nielsen E, Ware E, Heincelman M, Schreiner A, Lenert L, Toll B. Prescription of Nicotine Replacement Therapy for Hospitalized Tobacco Users. Southern Medical Journal 2024, 117: 517-520. PMID: 39094806, DOI: 10.14423/smj.0000000000001719.Peer-Reviewed Original ResearchConceptsNicotine replacement therapyPrescribed nicotine replacement therapyPrescription of nicotine replacement therapyNicotine replacement therapy prescriptionManagement of chronic conditionsHospitalized tobacco usersInitiate health behavior changeHealth behavior changeEmergency department visitsRate of prescriptionTobacco treatmentIncreased readmission ratesChronic conditionsHealth systemDepartment visitsRetrospective cohort studySmoking cessationTobacco usersInpatient admissionsReplacement therapyOutpatient settingCohort studyReadmission ratesSignificantly lower ratesCigarette smokingMultimorbidity and associated informal care receiving characteristics for US older adults: a latent class analysis
Liu R, Nagel C, Chen S, Newsom J, Allore H, Quiñones A. Multimorbidity and associated informal care receiving characteristics for US older adults: a latent class analysis. BMC Geriatrics 2024, 24: 571. PMID: 38956501, PMCID: PMC11221032, DOI: 10.1186/s12877-024-05158-z.Peer-Reviewed Original ResearchConceptsNational Health and Aging Trends StudyMultimorbidity patternsCare needsOlder adultsSelf-careInformal careLatent class analysisCare receiver characteristicsCombinations of multimorbidityPerson-centered carePatterns of multimorbidityDifferential care needsUS older adultsAssociated with lower oddsAssociated with higher oddsGroup of older adultsMultinomial logistic regression modelModerate cognitive impairmentClass analysisLogistic regression modelsInformal caregiversBackgroundOlder adultsCare recipientsMultimorbidity groupsChronic conditionsAn innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions
Naik A, Shanahan M, Dindo L, Mecca M, Arney J, Amspoker A, Wydermyer S, Banks J, Street R, Kiefer L, Zenoni M, Rosen T, Gonzalez R, Catic A, Fried T. An innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions. Contemporary Clinical Trials 2024, 143: 107613. PMID: 38914308, DOI: 10.1016/j.cct.2024.107613.Peer-Reviewed Original ResearchMultiple chronic conditionsHealth priorityOlder adultsCare approachChronic conditionsTreatment burdenPriorities of older adultsPatient-centered care approachPatient Priorities CarePatients' health prioritiesPrimary care providersVeterans Affairs Medical CenterHealth care decisionsAffairs Medical CenterHigh treatment burdenComplexity of patientsRandomized controlled trialsPrimary careUsual carePriority careCare providersImplementation outcomesCare decisionsCare optionsAssessor-blindedHealthy Lifestyle and the Likelihood of Becoming a Centenarian
Li Y, Wang K, Jigeer G, Jensen G, Tucker K, Lv Y, Shi X, Gao X. Healthy Lifestyle and the Likelihood of Becoming a Centenarian. JAMA Network Open 2024, 7: e2417931. PMID: 38900423, PMCID: PMC11190803, DOI: 10.1001/jamanetworkopen.2024.17931.Peer-Reviewed Original ResearchConceptsHealthy lifestyleCase-control studyLifestyle factorsOlder adultsChinese Longitudinal Healthy Longevity SurveySelf-reported chronic conditionsHealthy lifestyle scoreImprove lifestyle behaviorsChinese older adultsAssociated with life expectancyProspective nested case-control studyNested case-control studyLifestyle scoreLifestyle behaviorsLongevity SurveyOlder age groupsHealth outcomesChronic conditionsSociodemographic characteristicsCommunity-basedMental wellnessYear of entryMain OutcomesOdds ratioMiddle-agedPatient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions
Ouellet J, Samper-Ternent R, Tinetti M, Bonds Johnson K, Mecca M. Patient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions. 2024, 353-358. DOI: 10.1007/978-3-031-56204-4_37.ChaptersMultiple chronic conditionsChronic conditionsOlder adultsHealth outcome goalsSelf-management tasksFragmented careGuideline-recommended treatmentSpecialist visitsDisease-basedCombination of medicationsOutcome goalsSilo approachAdultsDecision-makingDiagnostic testsCareClinical trialsHealthVisitsCliniciansHarmMedicationPersonsRecommendationsEmergency medical services in Armenia: national call trends and future directions
Arzoumanian A, Agopian A, Hovhannisyan M, Chekijian S, Baghdassarian A. Emergency medical services in Armenia: national call trends and future directions. International Journal Of Emergency Medicine 2024, 17: 65. PMID: 38755551, PMCID: PMC11097514, DOI: 10.1186/s12245-024-00644-y.Peer-Reviewed Original ResearchLower-middle income countriesHigh blood pressureMedical servicesEMS systemExacerbation of chronic conditionsPopulation health needsEffectiveness of public health interventionsAcute conditionsPredominant complaintBackgroundEmergency medical servicesEmergency medical servicesBlood pressurePublic health interventionsSystem improvement effortsAcute exacerbations of chronic conditionsEMS utilizationIn-hospital treatmentHealth interventionsHealth needsChronic conditionsImprovement effortsRural provincesIncome countriesAcute exacerbationHealth indexWilson Disease and the COVID-19 pandemic: exploring patients’ mental health and vaccination attitudes in a longitudinal study
Coskun A, Aydin A, Tosun S, To U, Rubman S, Schilsky M, Zimbrean P. Wilson Disease and the COVID-19 pandemic: exploring patients’ mental health and vaccination attitudes in a longitudinal study. Frontiers In Psychology 2024, 15: 1326802. PMID: 38803830, PMCID: PMC11129684, DOI: 10.3389/fpsyg.2024.1326802.Peer-Reviewed Original ResearchMental healthMental health of individualsMental health scalesCognitive functionVaccination ratesHealth of individualsQuality of lifeCOVID-19 pandemicStudy investigated stressLevels of stressHealth scaleChronic conditionsCOVID-19 perceptionsVaccine attitudesIncreased depressionIncome lossCOVID-19Exacerbate anxietyPositive attitudesLongitudinal studyEssential workersActive initiatorsAnxietyWD patientsDepressionLifetime prevalence and correlates of colorectal cancer screening among low-income U.S. Veterans
Beydoun H, Tsai J. Lifetime prevalence and correlates of colorectal cancer screening among low-income U.S. Veterans. Cancer Causes & Control 2024, 35: 1215-1231. PMID: 38714606, DOI: 10.1007/s10552-024-01881-5.Peer-Reviewed Original ResearchVeterans Health AdministrationU.S. veteransCRC screening behaviorsLifetime prevalenceColorectal cancer screeningPreventive healthcare servicesMethodsCross-sectional dataIntegrated healthcare systemMultivariate logistic regression modelTargeted behavioral interventionsLogistic regression modelsCRC screeningAdverse life circumstancesVeteran characteristicsCancer screeningChronic conditionsHealthcare servicesVeteran homelessnessHealth AdministrationMilitary-specificPotential disparitiesHealthcare systemAlcohol-use disordersBehavioral interventionsHealth insurance
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