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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Study Design: This retrospective case series analysis utilized Vizient's clinical database data. Mixed models were used for analysis.

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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. Results From November 2019 to June 2024, 636 clinicians attended ECHO Concussion sessions. The qualitative descriptive approach was used to inductively code FGD transcripts. 11 (9%) participated in FGDs.

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Better Care Models Needed for Young Adults With Obesity

Physician's Weekly

Obesity drugs were not utilized often in young adults and adolescents despite high complication rates, prompting researchers to call for chronic, holistic care. The data spanned from January 2019 to March 2024. The retrospective analysis incorporated data from Optum MarketClarity claims and electronic medical records.

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Neighborhood Determinants of Primary Care Access in Virginia [Original Research]

Annals of Family Medicine

METHODS We used the 2019 Virginia All-Payers Claims Database to identify primary care physicians (PCPs) and the number of distinct patients seen by each physician. Guided by the Andersen model of health care utilization, we identified predisposing, enabling, need, and structural community characteristics from public data sources.

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Disparities in Post-COVID Conditions among Persons with Disabilities: Findings from Primary Care Patients, 2019-2022 [COVID-19]

Annals of Family Medicine

Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. Population Studied: Patients with ≥1 visit between January 2018 and December 2019 and who remained in the cohort until at least May 2020. Measurements. 95% CI 0.51, 0.7)

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. antivirals for influenza) or public health recommendations (e.g., isolation for SARS-CoV-2). JAMA Pediatr.

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CMS Final Medicaid Drug Rebate Rule Details New Misclassification Penalties and Numerous Other Changes

FDA Law Blog

Yet another rejection was a proposal requiring a diagnosis on Medicaid prescriptions as a condition for claims payment. Penalties for “Misclassification” The Medicaid Services Investment and Accountability Act of 2019 added new penalties to the Medicaid rebate statute for knowingly misclassifying a covered outpatient drug.