2017
Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association With Long-Term Use
Jeffery MM, Hooten WM, Hess EP, Meara ER, Ross JS, Henk HJ, Borgundvaag B, Shah ND, Bellolio MF. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristics of Prescriptions and Association With Long-Term Use. Annals Of Emergency Medicine 2017, 71: 326-336.e19. PMID: 28967517, PMCID: PMC6295192, DOI: 10.1016/j.annemergmed.2017.08.042.Peer-Reviewed Original ResearchConceptsLong-term opioid useNon-ED settingsOpioid-naive patientsLong-term useOpioid prescriptionsOpioid useCharacteristics of prescriptionsPrescription opioid useLow daily dosesAdministrative claims dataRate of progressionDisabled Medicare beneficiariesMedicare Advantage beneficiariesED prescriptionGuideline concordancePatients 56Patients 58Opioid prescribingCDC guidelinesPrevention guidelinesDaily dosesEmergency departmentCDC recommendationsDays' supplyInclusion criteriaFactors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut
Semere W, Agrawal P, Yun K, Di Bartolo I, Annamalai A, Ross JS. Factors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut. Journal Of Immigrant And Minority Health 2017, 20: 327-333. PMID: 28382427, DOI: 10.1007/s10903-017-0574-8.Peer-Reviewed Original ResearchConceptsAcute care useAcute care visitsCare useMonths of arrivalCare visitsMedical evaluationDay of arrivalAcute healthcare utilizationRetrospective cohort studyAcute care utilizationCohort studyCare utilizationHealthcare utilizationMale sexHospital visitsEmergency roomPrior historyHealth characteristicsLower likelihoodSouthern ConnecticutGreater likelihoodVisitsTimely evaluationAdult refugeesMonths
2016
Accounting For Patients’ Socioeconomic Status Does Not Change Hospital Readmission Rates
Bernheim SM, Parzynski CS, Horwitz L, Lin Z, Araas MJ, Ross JS, Drye EE, Suter LG, Normand SL, Krumholz HM. Accounting For Patients’ Socioeconomic Status Does Not Change Hospital Readmission Rates. Health Affairs 2016, 35: 1461-1470. PMID: 27503972, PMCID: PMC7664840, DOI: 10.1377/hlthaff.2015.0394.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramPatients' socioeconomic statusMedicare's Hospital Readmissions Reduction ProgramLow socioeconomic statusReadmission ratesSocioeconomic statusRisk-standardized readmission ratesHospital readmission ratesReadmissions Reduction ProgramMedicaid Services methodologyReadmission measuresHospital resultsPatientsHospitalSuch hospitalsPayment penaltiesReduction programsStatusCurrent CentersLower proportionLarge proportionPercentAdjustmentProportion
2015
Variation in US Hospital Emergency Department Admission Rates by Clinical Condition
Venkatesh AK, Dai Y, Ross JS, Schuur JD, Capp R, Krumholz HM. Variation in US Hospital Emergency Department Admission Rates by Clinical Condition. Medical Care 2015, 53: 237-244. PMID: 25397965, PMCID: PMC4858175, DOI: 10.1097/mlr.0000000000000261.Peer-Reviewed Original ResearchConceptsEmergency Department Admission RatesED admission ratesAdmission ratesClinical conditionsMood disordersChronic obstructive pulmonary diseaseNational Emergency Department SampleAdult ED visitsNonspecific chest painObstructive pulmonary diseaseSoft tissue infectionsUrinary tract infectionEmergency Department SampleClinical Classification SoftwareCross-sectional analysisChest painED visitsTract infectionsPulmonary diseaseSpearman correlation coefficientTissue infectionsHospitalization ratesUS hospitalsCondition-specific variationsHospital correlation
2014
Hospital variation in risk-standardized hospital admission rates from US EDs among adults
Capp R, Ross JS, Fox JP, Wang Y, Desai MM, Venkatesh AK, Krumholz HM. Hospital variation in risk-standardized hospital admission rates from US EDs among adults. The American Journal Of Emergency Medicine 2014, 32: 837-843. PMID: 24881514, DOI: 10.1016/j.ajem.2014.03.033.Peer-Reviewed Original ResearchConceptsHospital admission ratesEmergency departmentAdmission ratesClinical characteristicsED visitsHospital factorsClinical factorsAdult ED visitsUS emergency departmentsHospital teaching statusCross-sectional analysisPatient characteristicsHospital admissionHospital variationPatientsTeaching statusHospitalED dataVisitsRepresentative sampleAdultsRural locationsAdmissionFactorsNational variationsUsual Source of Care and Outcomes Following Acute Myocardial Infarction
Spatz ES, Sheth SD, Gosch KL, Desai MM, Spertus JA, Krumholz HM, Ross JS. Usual Source of Care and Outcomes Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2014, 29: 862-869. PMID: 24553957, PMCID: PMC4026492, DOI: 10.1007/s11606-014-2794-0.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionUsual sourceMyocardial infarctionMortality rateBaseline risk factorsAcute clinical eventsMain outcome measuresAMI severityAMI patientsMultivariable analysisKey ResultsAmongClinical eventsSocio-demographic characteristicsRisk factorsOutcome measuresReadmissionHigh mortalityPatientsMortalityCareMonthsInfarctionAdultsOutcomesAssociation
2013
Trends and clinical implications of preoperative breast MRI in Medicare beneficiaries with breast cancer
Killelea BK, Long JB, Chagpar AB, Ma X, Soulos PR, Ross JS, Gross CP. Trends and clinical implications of preoperative breast MRI in Medicare beneficiaries with breast cancer. Breast Cancer Research And Treatment 2013, 141: 155-163. PMID: 23942872, PMCID: PMC3893026, DOI: 10.1007/s10549-013-2656-1.Peer-Reviewed Original ResearchConceptsPreoperative breast magnetic resonance imagingBreast magnetic resonance imagingBreast-conserving surgeryMagnetic resonance imagingBreast cancerSurgical approachBilateral cancerMRI useOlder womenAssociation of MRIEnd Results-Medicare databasePreoperative MRI useContralateral prophylactic mastectomyType of surgeryCohort of womenBilateral mastectomyUnilateral mastectomyProphylactic mastectomyMastectomyMedicare beneficiariesSurgeryResonance imagingClinical implicationsCancerInvasive surgery
2012
Association of Chronic Diseases and Impairments With Disability in Older Adults
Hung WW, Ross JS, Boockvar KS, Siu AL. Association of Chronic Diseases and Impairments With Disability in Older Adults. Medical Care 2012, 50: 501-507. PMID: 22584885, PMCID: PMC3353149, DOI: 10.1097/mlr.0b013e318245a0e0.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAgingCardiovascular DiseasesChronic DiseaseCognition DisordersCross-Sectional StudiesDiabetes MellitusDisabled PersonsFemaleHealth SurveysHearing LossHumansHypertensionMaleMobility LimitationResidence CharacteristicsRespiratory Tract DiseasesSelf CareSocioeconomic FactorsUnited StatesVision DisordersConceptsSelf-care disabilityChronic diseasesLung diseaseOlder adultsSelf-care ADLChronic lung diseaseCommunity-dwelling adultsCross-sectional analysisADL disabilityHeart failureHeart diseaseDaily livingHypertensionDiseaseDiabetesImpairmentDisabilityAdultsRetirement StudySpecific disabilitiesAssociationArthritisStrokeCancerADLThe Use and Misuse of Thrombolytic Therapy Within the Veterans Health Administration
Keyhani S, Arling G, Williams LS, Ross JS, Ordin DL, Myers J, Tyndall G, Vogel B, Bravata DM. The Use and Misuse of Thrombolytic Therapy Within the Veterans Health Administration. Medical Care 2012, 50: 66-73. PMID: 22182924, DOI: 10.1097/mlr.0b013e3182294092.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAgedAged, 80 and overBrain IschemiaFemaleFibrinolytic AgentsHealth Services MisuseHealth Status IndicatorsHumansMaleMiddle AgedRetrospective StudiesSocioeconomic FactorsStrokeThrombolytic TherapyTime FactorsTissue Plasminogen ActivatorUnited StatesUnited States Department of Veterans AffairsConceptsVHA medical centersTissue plasminogen activatorVeterans Health AdministrationAcute ischemic strokeEligible patientsStroke patientsIschemic strokeSymptom onsetThrombolytic therapyHealth AdministrationStroke symptom onsetAcute stroke patientsIschemic stroke patientsEligible stroke patientsMedical record reviewLow annual volumeThrombolysis deliveryRecord reviewWrong doseVHA systemClinical conditionsMedical CenterEligible veteransEligibility criteriaPatients
2010
Scheduled and unscheduled hospital readmissions among patients with diabetes.
Kim H, Ross JS, Melkus GD, Zhao Z, Boockvar K. Scheduled and unscheduled hospital readmissions among patients with diabetes. The American Journal Of Managed Care 2010, 16: 760-7. PMID: 20964472, PMCID: PMC3024140.Peer-Reviewed Original ResearchConceptsUnscheduled readmissionsIndex hospitalizationHigher comorbidity burdenState Inpatient DatasetPatients 80 yearsPatients 50 yearsHistory of hospitalizationAcute care hospitalsPrevention Quality IndicatorsUnscheduled hospital readmissionComorbidity burdenOlder patientsCare hospitalClinical factorsHospital readmissionIll patientsInpatient datasetTransition careReadmissionHospitalizationPatientsDiabetesPublic insuranceHealthcare ResearchPotential disparities
2009
Cognitive Decline among Patients with Chronic Obstructive Pulmonary Disease
Hung WW, Wisnivesky JP, Siu AL, Ross JS. Cognitive Decline among Patients with Chronic Obstructive Pulmonary Disease. American Journal Of Respiratory And Critical Care Medicine 2009, 180: 134-137. PMID: 19423714, DOI: 10.1164/rccm.200902-0276oc.Peer-Reviewed Original ResearchConceptsChronic obstructive pulmonary diseaseSevere chronic obstructive pulmonary diseaseObstructive pulmonary diseaseCognitive declinePulmonary diseaseEffect of COPDHistory of COPDPopulation-based longitudinal cohortOlder adultsSmall case seriesMultivariable mixed linear modelCognitive performanceLower cognitive performanceClinical characteristicsMultivariable adjustmentPrimary outcomeCase seriesClinical historyLongitudinal cohortActivity limitationsCognitive testingAdultsCognition scoresMean scoreStandardized measurementsUse of Stroke Secondary Prevention Services
Ross JS, Halm EA, Bravata DM. Use of Stroke Secondary Prevention Services. Stroke 2009, 40: 1811-1819. PMID: 19265044, PMCID: PMC2768116, DOI: 10.1161/strokeaha.108.539619.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAspirinCross-Sectional StudiesData Interpretation, StatisticalDelivery of Health CareEthnicityFemaleGeographyHealth BehaviorHealth Care SurveysHealth StatusHealthcare DisparitiesHumansLife StyleMaleMiddle AgedPlatelet Aggregation InhibitorsRisk FactorsSex FactorsSocioeconomic FactorsStrokeUnited StatesYoung AdultConceptsSecondary prevention servicesOutpatient rehabilitationPrevention servicesRegular exerciseService useHealth care access characteristicsBehavior Risk Factor Surveillance SystemRisk Factor Surveillance SystemSmoking cessation counselingHistory of strokeMultivariable logistic regressionStroke Belt statesNon-Hispanic blacksOverall service useLow useState residenceSex-based differencesRace-based differencesPneumococcal vaccinationAntihypertensive medicationsCessation counselingStroke outcomeSelf-reported useAge 80Stroke Belt
2008
Dual Use of Veterans Affairs Services and Use of Recommended Ambulatory Care
Ross JS, Keyhani S, Keenan PS, Bernheim SM, Penrod JD, Boockvar KS, Krumholz HM, Siu AL. Dual Use of Veterans Affairs Services and Use of Recommended Ambulatory Care. Medical Care 2008, 46: 309-316. PMID: 18388846, DOI: 10.1097/mlr.0b013e31815b9db3.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAmbulatory CareBehavioral Risk Factor Surveillance SystemCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleMiddle AgedPrimary Health CareQuality Indicators, Health CareQuality of Health CareSocioeconomic FactorsUnited StatesUnited States Department of Veterans AffairsConceptsVA usersPatient characteristicsCancer screeningDual usersVeterans Affairs Medical SystemBehavior Risk Factor Surveillance SystemRisk Factor Surveillance SystemCardiovascular risk reductionMultivariable logistic regressionProstate cancer screeningAmbulatory care servicesVeterans Affairs servicesCommunity-dwelling adultsBreast cancer screeningLow useCross-sectional analysisInfectious disease preventionHealth care systemInfluenza vaccinationCare patientsSelf-reported useUnadjusted analysesCancer preventionOutcome measuresAmbulatory care
2006
Use of preventive care by the working poor in the United States
Ross JS, Bernheim SM, Bradley EH, Teng HM, Gallo WT. Use of preventive care by the working poor in the United States. Preventive Medicine 2006, 44: 254-259. PMID: 17196642, PMCID: PMC1810564, DOI: 10.1016/j.ypmed.2006.11.006.Peer-Reviewed Original ResearchMeSH KeywordsCost of IllnessCross-Sectional StudiesEmploymentFemaleHealth PromotionHealth Services AccessibilityHealth Services Needs and DemandHumansMaleMass ScreeningMiddle AgedPatient Acceptance of Health CarePovertyPreventive Health ServicesRisk AssessmentSocioeconomic FactorsUnited StatesVulnerable PopulationsConceptsPreventive care usePreventive careInfluenza vaccinationCholesterol screeningCancer screeningCare useOlder community-dwelling adultsSerum cholesterol screeningCervical cancer screeningProstate cancer screeningCommunity-dwelling adultsOlder working adultsFederal poverty levelCross-sectional analysisSelf-reported useSocio-demographic characteristicsUnadjusted analysesProstate cancerBreast cancerInsurance coverageCareAdultsVaccinationWorking adultsCancerRefusal of Care by Patients
Bernheim SM, Ross JS, Bradley EH. Refusal of Care by Patients. JAMA 2006, 296: 2921-2923. PMID: 17190887, DOI: 10.1001/jama.296.24.2921-a.Peer-Reviewed Original ResearchUse of Health Care Services by Lower-Income and Higher-Income Uninsured Adults
Ross JS, Bradley EH, Busch SH. Use of Health Care Services by Lower-Income and Higher-Income Uninsured Adults. JAMA 2006, 295: 2027-2036. PMID: 16670411, DOI: 10.1001/jama.295.17.2027.Peer-Reviewed Original ResearchConceptsHealth care servicesWeight loss counselingCardiovascular risk reductionCare servicesHigher-income adultsAnnual household incomeAspirin usePneumococcal vaccinationInsured adultsColorectal cancerUninsured adultsDiabetes managementHemoglobin measurementBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemAppropriate health care servicesSerum cholesterol screeningCancer prevention servicesCervical cancer screeningPatterns of careHealth insuranceCommunity-dwelling adultsRisk reduction servicesRisk reductionCross-sectional analysis