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Gastrointestinal Disorders

Journal Article

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

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

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

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

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

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

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

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

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

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

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

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

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
News Release

News Release

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 8, 2012
Journal Article

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
Content

How Do Anesthesia Providers Affect the Cost of Outpatient GI Procedures?

For most of the 20 million endoscopies and colonoscopies performed each year, the type of clinician who administers the sedation may have more of an impact on the procedure’s cost than on clinical care outcomes. Allowing GI procedure teams to administer anesthesia could save $1.1 billion in health spending each year.

Apr 15, 2012
News Release

Use of Anesthesia Providers During Gastroenterology Procedures Has Increased Rapidly, but May Be Unneeded

Use of anesthesia providers to monitor sedation during screening colonoscopies and other outpatient gastroenterology procedures more than doubled from 2003 to 2009 in the United States, with most of the increase among low-risk patients who may not need this service.

Mar 20, 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