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Part II | MedPAC ’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A
Conclusions reached by Gupta et al. and MedPAC
In November of 2017 Ankur Gupta and 10 other experts in cardiovascular medicine published an article in JAMA Cardiology entitled, “Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure.” The authors were affiliated with well-known universities, and three of them were also editors of JAMA Cardiology [4]. Their research was financed by grants from the NIH and Get With the Guidelines-Heart Failure (GWTG-HF), a “voluntary quality improvement program” sponsored by the American Heart Association.
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Source: The Health Care Blog - December 7, 2018 Category: Consumer Health News Authors: matthew holt Tags: Medicare Politics CMS Congress hospital readmissions HRRP Kip Sullivan MedPAC P4P Pay for Performance Source Type: blogs
Edwards SAPIEN 3 Ultra Transcatheter Valve for Severe Aortic Stenosis Cleared in Europe
Edwards Lifesciences received European CE Mark approval for its SAPIEN 3 Ultra transcatheter aortic heart valve. Indicated for valve replacement in patients with severe, symptomatic aortic stenosis, the device is available in three sizes (20 mm, 23 ...
Source: Medgadget - November 19, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Source Type: blogs
Near-Infrared Tech for Minimally Invasive Brain Monitoring: Interview with Philippe Dro, CEO of Luciole Medical
Luciole Medical, a medtech company based in Switzerland, has developed near-infrared sensors that can assess levels of tissue oxygenation as well as cerebral blood flow by measuring oxygenated and deoxygenated hemoglobin. The sensors include a skin p...
Source: Medgadget - October 25, 2018 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Cardiology Critical Care Diagnostics Exclusive Medicine Neurology Neurosurgery Source Type: blogs
HeartMate 3 Heart Pump Approved for Patients Not Eligible for Transplant
Abbott‘s HeartMate 3 left ventricular assist device (LVAD) won FDA approval to be used as a destination therapy for advanced heart failure patients who are not eligible for a transplant. Previously, the device has been indicated for patients el...
Source: Medgadget - October 23, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Source Type: blogs
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
Conclusion of first report:In patients with anterior Killip class II or less ST-segment –elevation myocardial infarction undergoing primary percutaneous coronary intervention, early intravenous metoprolol before reperfusion reduced infarct size and increased left ventricular ejection fraction with no excess of adverse events during the first 24 hours after STEMI.Conclusion of 2nd report: In patients with anterior Killip class ≤II STEMI undergoing pPCI, early IV metoprolol before reperfusion resulted in higher long-term LVEF, reduced incidence of severe LV systolic dysfunction and ICD indications, and fewer h...
Source: Dr. Smith's ECG Blog - October 19, 2018 Category: Cardiology Authors: Steve Smith Source Type: blogs
My brother, a physician, died. Could I have done more?
Healers, scientists, leaders — these are all terms that we equate with being a physician. As we spend our years if not decades in training, we strive to become all of these components. But when you miss something — the small details, the nuances of a history and these are the clues that could lead to healing it can be disheartening. When it comes to your own family member, such misses can feel tragic, and the feelings of guilt can become all-encompassing.
My brother and I grew up nearly a decade apart. I followed a fairly straight path through medical school and subsequent training. My brother followed in my footsteps....
Source: Kevin, M.D. - Medical Weblog - October 11, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/ki-park" rel="tag" > Ki Park, MD < /a > Tags: Conditions Cardiology Hospital-Based Medicine Source Type: blogs
Are menopause and high cholesterol related?
Discussions with Physicians) online on behalf of Kowa Pharmaceuticals America, Inc. from July 7 to August 4, 2017, among 5,014 U.S. adults age 45 or older who had been diagnosed with high cholesterol and had used a statin to treat high cholesterol. This online survey is not based on a probability sample and therefore no estimate of theoretical sampling error can be calculated.
The post Are menopause and high cholesterol related? appeared first on Embrace Your Heart.
Source: Embrace Your Heart Wellness Initiative - October 1, 2018 Category: Cardiology Authors: Eliz Greene Tags: Award Winning Blog Heart Disease Risk Factors Heart Health Menopause and Heart Health Women's Wellness Take Cholesterol To Heart Source Type: blogs
Aspirin for primary prevention of cardiovascular disease?
This study did find a significant reduction in adverse cardiovascular outcomes with daily aspirin in people with diabetes, though there was also a similar magnitude of increased major bleeding. Still, many people would rather be hospitalized for bleeding and get a transfusion versus being hospitalized for a heart attack that causes permanent damage to the heart. Others may not see much difference between the two types of events and may prefer not to take an additional medication.
Should you take a daily aspirin?
So, where does this leave the average person who is worried about a heart attack and wants to do everything they...
Source: Harvard Health Blog - September 20, 2018 Category: Consumer Health News Authors: Deepak Bhatt, MD, MPH Tags: Heart Health Source Type: blogs
Boston Sci ’s ACURATE neo2 Aortic Valve Showing High Performance
Boston Scientific is touting results of a clinical study evaluating its ACURATE neo2 prosthetic aortic valve system. The implant and delivery system, which are not yet available for sale, had “a high procedural success rate and a low rate of p...
Source: Medgadget - September 11, 2018 Category: Medical Devices Authors: Editors Tags: Cardiac Surgery Cardiology Radiology Source Type: blogs
Why Cochrane is Wrong About Hypertension. Very Wrong.
By SWAPNIL HIREMATH, MD
Archie Cochrane and the Cochrane Collaboration
Archie Cochrane was born in Scotland, educated in London (King’s College, University College and London School of Hygiene and Tropical Medicine) and worked in Cardiff, Wales. His work as a doctor during the Spanish Civil War and World War II, especially in a prisoner of war camp in Salonica, is credited with his push towards generating higher quality evidence. In his description of the clinical trial he conducted, he mentions James Lind as his hero. Ironically, that clinical trial – with weak randomization, open allocation, non-blinding of inv...
Source: The Health Care Blog - August 29, 2018 Category: Consumer Health News Authors: at RogueRad Tags: EBM Cochrane patient population risks Source Type: blogs
Fight Aging! Newsletter, August 20th 2018
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more.
This content is...
Source: Fight Aging! - August 19, 2018 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Raj of the NHS – How doctors from India and Pakistan saved the NHS
By ROHIN FRANCIS
India and Pakistan celebrate 71 years of Independence today. The British National Health Service owes them a debt of gratitude.
Great Britain’s national dish is famously chicken curry, but South Asia’s impact on this sceptred isle extends far beyond food. It is a testament to how ingrained into the British psyche the stereotypical Indian doctor has become that in 2005 a poll of Brits found the doctor they’d most like to consult is a 30-something South Asian female. In 2010 the BBC even ran a popular TV series simply entitled ‘The Indian Doctor’ following a story played out across the UK in the...
Source: The Health Care Blog - August 15, 2018 Category: Consumer Health News Authors: at RogueRad Tags: NHS Source Type: blogs
Changing the treatment plan when covering for another doctor
I was a little taken aback when Dr. C. changed my patient from warfarin to one of the novel anticoagulants. And one I seldom use, at that.
I have only worked with her for about three years, and we seem to come from the same mold: seasoned family docs with a penchant for teaching and patient empowerment. I had not imagined she would step in and completely change my treatment plan when she was just covering for one day.
As far as which is safer, warfarin with variable therapeutic effect and fluctuating INRs or novel anticoagulants, which have hardly been studied at all in patients on dialysis, you won’t see test results th...
Source: Kevin, M.D. - Medical Weblog - August 8, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > A Country Doctor, MD < /a > Tags: Physician Cardiology Medications Source Type: blogs
Be willing to fail your patients
“I remember you,” said Gracie with the look of having found a long-lost friend. “You gave my husband the option to be treated aggressively in the hospital or return home with palliative care. He chose to go home.” I hesitated to ask, “How did he do?” Gracie went on to say that her husband had passed in the last month, yet lived nine months following our brief encounter in the emergency room. She sang the praises of the hospice organization that guided his end-of-life journey.
Gracie was referred by her cardiologist to the ER after telling him about an episode of numbness on her left side. He determined that her...
Source: Kevin, M.D. - Medical Weblog - July 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/kevin-haselhorst" rel="tag" > Kevin Haselhorst, MD < /a > Tags: Physician Emergency Medicine Hospital-Based Medicine Palliative Care Source Type: blogs
