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Gastroenteric Diseases

Dissertation
Three Essays in Policy Analysis Among Vulnerable Populations
Three essays that explore policy analysis among vulnerable populations.
Aug 21, 2023
Journal Article
Improving Care for Patients with Clostridioides Difficile Infection: A Clinical Practice and Healthcare Systems Perspective
This paper addresses the paucity of multidisciplinary perspectives that consider clinical practice related and healthcare system-related challenges to optimizing care deliver for C. difficile infection.
Jan 19, 2023
Journal Article
Faecal Microbiota Transplantation for Recurrent C. Difficile Infections: Challenges and Improvement Opportunities for Clinical Practice and Healthcare Systems
This paper aims to identify key components of faecal microbiota transplantation provision relating to the patient care pathway, stool donor pathway and wider healthcare system, and to explore variation in practice.
Dec 13, 2022
Journal Article
Health Shocks and Their Long-Lasting Impact on Health Behaviors: Evidence from the 2009 H1N1 Pandemic in Mexico
Hospitalizations of young children in Mexico continued to decline three years after the 2009 H1N1 flu pandemic, showing that disease outbreaks can act as "natural nudges" that spur long-lasting effects on behavior and health outcomes.
May 19, 2017
Journal Article
Anesthesia Service Use During Outpatient Gastroenterology Procedures Continued to Increase from 2010 to 2013 and Potentially Discretionary Spending Remained High
Previous studies have identified an increasing number of gastroenterology (GI) procedures using anesthesia services to provide sedation, with a majority of these services delivered to low-risk patients. The aim of this study was to update these trends with the most recent years of data.
Jul 19, 2016
Journal Article
Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
This study systematically reviewed the evidence on the effectiveness, diagnostic accuracy, and harms of colonoscopy, flexible sigmoidoscopy, computed tomographic colonography, and stool tests for colorectal cancer screening.
Jun 27, 2016
Journal Article
Association Between Primary Care Visits and Colorectal Cancer Screening Outcomes in the Era of Population Health Outreach
Patients who visited their primary care provider one or more times were almost twice as likely to be screened for colorectal cancer and about 30 percent more likely receive a follow-up colonoscopy after a positive screening result.
Jun 24, 2016
Journal Article
Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies: Modeling Study for the US Preventive Services Task Force
Comparative modeling of colorectal cancer screening methods for previously unscreened adults found that the use of four strategies over different intervals between the ages of 50 and 75 years yielded a comparable balance of benefit and burden.
Jun 21, 2016
Journal Article
Upcoding and Anesthesia Risk in Outpatient Gastrointestinal Endoscopy Procedures
Claims data analysis suggests that physicians may be identifying more patients in the coding system as being at high risk of complications from some outpatient procedures in order to ensure payment for anesthesia services.
May 9, 2016
Journal Article
Risks Associated with Anesthesia Services During Colonoscopy
Risk of complications within 30 days of a colonoscopy increases with the use of anesthesia services.
Apr 22, 2016
Journal Article
Cost Effectiveness of Nonoperative Management Versus Laparoscopic Appendectomy for Acute Uncomplicated Appendicitis
Appendectomy remains the gold standard in the treatment of acute, uncomplicated appendicitis in the United States.
Jul 28, 2015
Journal Article
Outcomes and Costs of Surgical Treatments of Necrotizing Enterocolitis
Despite previous studies demonstrating no difference in mortality or morbidity, the various surgical approaches for necrotizing enterocolitis (NEC) in infants have not been evaluated economically.
Apr 24, 2015
Report
Specialty Payment Model Opportunities and Assessment: Gastroenterology and Cardiology Model Design Report
Describes research related to the design of episode-based payment models for ambulatory gastroenterology and cardiology services for possible testing by the Centers for Medicare and Medicaid Services' Center for Medicare and Medicaid Innovation.
Mar 17, 2015
Journal Article
Hospital Costs by Cost Center of Inpatient Hospitalization for Medicare Patients Undergoing Major Abdominal Surgery
This study aims to describe the magnitude of hospital costs among patients undergoing abdominal surgery, and determine whether hospital costs estimates are consistent with clinical expectations of hospital resource use.
Jan 19, 2015
Report
The Health Risks of Bathing in Recreational Waters
A rapid evidence assessment confirms an association between the quality of recreational bathing waters and the risk of gastrointestinal illness, particularly in fresh water, but there is insufficient evidence to determine whether a revision to the European Bathing Directive is needed.
Aug 14, 2014
Journal Article
Comparative Effectiveness of Fidaxomicin for Treatment of Clostridium Difficile Infection
The authors assess the differential clinical and economic value of fidaxomicin compared with metronidazole and vancomycin in the treatment of Clostridium difficile infection (CDI).
Jul 1, 2014
Journal Article
Probiotics for Diarrhoea
In order to be of informational value, the effectiveness of probiotics needs to be demonstrated in strong research designs, such as randomized controlled trials, that hold up to scientific scrutiny.
Mar 1, 2014
Blog
Small Ideas for Saving Big Health Care Dollars (No. 1-3)
Focusing on smaller, more focused approaches can identify less controversial opportunities for modest health care savings.
Jan 8, 2014
Journal Article
Probiotics Can Reduce Risk of Diarrhea Caused by Antibiotics
Probiotics are believed to improve health by maintaining a normal balance of microorganisms in the human intestines. Evidence shows that they can reduce the risk of developing diarrhea, which is a common side effect of taking antibiotics.
May 1, 2012
Research Brief
Eliminating Discretionary Use of Anesthesia Providers During Gastroenterology Procedures Could Generate $1.1 Billion in Savings per Year
The use of dedicated anesthesia providers for routine gastroenterology (GI) procedures is seen as medically justifiable only for high-risk patients. Eliminating these services for low-risk patients could generate $1.1 billion in savings per year.
Mar 20, 2012

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RAND Topic:
Gastrointestinal Disorders