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Raich W, Baxter J, Sheahan M, Goldhaber-Fiebert J, Sullivan P, Hanmer J. Estimates of Quality-Adjusted Life-Year Loss for Injuries in the United States. Med Decis Making 2023; 43:288-298. [PMID: 36482721 PMCID: PMC10021113 DOI: 10.1177/0272989x221141454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
PURPOSE The goal of this study is to develop an approach for estimating nationally representative quality-adjusted life-year (QALY) loss from injury and poisoning conditions using data collected in the Medical Expenditure Panel Survey (MEPS) and the National Health Interview Survey (NHIS). METHODS This study uses data from the 2002-2015 NHIS and MEPS surveys. Injuries were identified in the MEPS medical events file and through self-reporting of medical conditions. We restricted our model to 163,731 adults, for which we predict a total of 294,977 EQ-5D scores using responses to the self-administered questionnaire. EQ-5D scores were modeled using age, sex, comorbidities, and binary indicators of the presence and duration of injury at the time of the health status questionnaire. These models consider nonlinearity over time during the first 3 y following the injury event. RESULTS Injuries are identified in MEPS using medical events that provide a reasonable proxy for the date of injury occurrence. Health-related quality of life (HRQL) decrements can be estimated using binary indicators of injury during different time periods. When grouped into 29 injury categories, most categories were statistically significant predictors of HRQL scores in the first year after injury. For these groups of injuries, mean first-year QALY loss estimates range from 0.005 (sprains and strains of joints and adjacent muscles, n = 7067) to 0.109 (injury to nerves and spinal cord, n = 71). Fewer estimates are significant in the second and third years after injury, which may reflect a return to baseline HRQL. CONCLUSION This research presents both a framework for estimating QALY loss for short-lived medical conditions and nationally representative, community-based HRQL scores associated with a wide variety of injury and poisoning conditions. HIGHLIGHTS This research provides a catalog of nationally representative, preference-based EQ-5D score decrements associated with surviving a large set of injuries, based on patient-reported health status.Mean first-year QALY loss estimates range from 0.005 (sprains and strains of joints and adjacent muscles, n = 7067) to 0.109 (injury to nerves and spinal cord, n = 71).This article presents a novel methodology for assessing quality-of-life impacts for acute conditions by calculating the time elapsed between injury and health status elicitation. Researchers may explore adapting these methods to study other short-lived conditions and health states, such as COVID-19 or chemotherapy.
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Affiliation(s)
| | | | | | | | | | - Janel Hanmer
- University of Pittsburgh Medical Center, Pittsburgh, PA, USA
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Newgard CD, Lin A, Malveau S, Cook JNB, Smith M, Kuppermann N, Remick KE, Gausche-Hill M, Goldhaber-Fiebert J, Burd RS, Hewes HA, Salvi A, Xin H, Ames SG, Jenkins PC, Marin J, Hansen M, Glass NE, Nathens AB, McConnell KJ, Dai M, Carr B, Ford R, Yanez D, Babcock SR, Lang B, Mann NC. Emergency Department Pediatric Readiness and Short-term and Long-term Mortality Among Children Receiving Emergency Care. JAMA Netw Open 2023; 6:e2250941. [PMID: 36637819 PMCID: PMC9857584 DOI: 10.1001/jamanetworkopen.2022.50941] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
IMPORTANCE Emergency departments (EDs) with high pediatric readiness (coordination, personnel, quality improvement, safety, policies, and equipment) are associated with lower mortality among children with critical illness and those admitted to trauma centers, but the benefit among children with more diverse clinical conditions is unknown. OBJECTIVE To evaluate the association between ED pediatric readiness, in-hospital mortality, and 1-year mortality among injured and medically ill children receiving emergency care in 11 states. DESIGN, SETTING, AND PARTICIPANTS This is a retrospective cohort study of children receiving emergency care at 983 EDs in 11 states from January 1, 2012, through December 31, 2017, with follow-up for a subset of children through December 31, 2018. Participants included children younger than 18 years admitted, transferred to another hospital, or dying in the ED, stratified by injury vs medical conditions. Data analysis was performed from November 1, 2021, through June 30, 2022. EXPOSURE ED pediatric readiness of the initial ED, measured through the weighted Pediatric Readiness Score (wPRS; range, 0-100) from the 2013 National Pediatric Readiness Project assessment. MAIN OUTCOMES AND MEASURES The primary outcome was in-hospital mortality, with a secondary outcome of time to death to 1 year among children in 6 states. RESULTS There were 796 937 children, including 90 963 (11.4%) in the injury cohort (mean [SD] age, 9.3 [5.8] years; median [IQR] age, 10 [4-15] years; 33 516 [36.8%] female; 1820 [2.0%] deaths) and 705 974 (88.6%) in the medical cohort (mean [SD] age, 5.8 [6.1] years; median [IQR] age, 3 [0-12] years; 329 829 [46.7%] female, 7688 [1.1%] deaths). Among the 983 EDs, the median (IQR) wPRS was 73 (59-87). Compared with EDs in the lowest quartile of ED readiness (quartile 1, wPRS of 0-58), initial care in a quartile 4 ED (wPRS of 88-100) was associated with 60% lower in-hospital mortality among injured children (adjusted odds ratio, 0.40; 95% CI, 0.26-0.60) and 76% lower mortality among medical children (adjusted odds ratio, 0.24; 95% CI, 0.17-0.34). Among 545 921 children followed to 1 year, the adjusted hazard ratio of death in quartile 4 EDs was 0.59 (95% CI, 0.42-0.84) for injured children and 0.34 (95% CI, 0.25-0.45) for medical children. If all EDs were in the highest quartile of pediatric readiness, an estimated 288 injury deaths (95% CI, 281-297 injury deaths) and 1154 medical deaths (95% CI, 1150-1159 medical deaths) may have been prevented. CONCLUSIONS AND RELEVANCE These findings suggest that children with injuries and medical conditions treated in EDs with high pediatric readiness had lower mortality during hospitalization and to 1 year.
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Affiliation(s)
- Craig D. Newgard
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Amber Lin
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Susan Malveau
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Jennifer N. B. Cook
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - McKenna Smith
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City
| | - Nathan Kuppermann
- Department of Emergency Medicine, University of California, Davis School of Medicine, Sacramento
- Department of Pediatrics, University of California, Davis School of Medicine, Sacramento
| | - Katherine E. Remick
- Department of Pediatric, Dell Medical School, University of Texas at Austin, Austin
- Department of Surgery, Dell Medical School, University of Texas at Austin, Austin
| | - Marianne Gausche-Hill
- Los Angeles County Emergency Medical Services, Harbor-UCLA Medical Center, Torrance, California
| | - Jeremy Goldhaber-Fiebert
- Centers for Health Policy, Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Palo Alto, California
| | - Randall S. Burd
- Division of Trauma and Burn Surgery, Department of Surgery, Children’s National Hospital, Washington, DC
| | - Hilary A. Hewes
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City
| | - Apoorva Salvi
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Haichang Xin
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Stefanie G. Ames
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City
| | - Peter C. Jenkins
- Department of Surgery, Indiana University School of Medicine, Indianapolis
| | - Jennifer Marin
- Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
- Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
| | - Matthew Hansen
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Nina E. Glass
- Department of Surgery, Rutgers New Jersey Medical School, Newark
| | - Avery B. Nathens
- Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
| | - K. John McConnell
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
- Center for Health Systems Effectiveness, Department of Emergency Medicine, Oregon Health & Science University, Portland
| | - Mengtao Dai
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City
| | - Brendan Carr
- Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Rachel Ford
- Oregon Emergency Medical Services for Children Program, Oregon Health Authority, Portland
| | - Davis Yanez
- Department of Anesthesia, Yale School of Medicine, New Haven, Connecticut
- Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut
| | - Sean R. Babcock
- Department of Emergency Medicine, Center for Policy and Research in Emergency Medicine, Oregon Health & Science University, Portland
| | - Benjamin Lang
- Department of Pediatric, Dell Medical School, University of Texas at Austin, Austin
- Department of Surgery, Dell Medical School, University of Texas at Austin, Austin
| | - N. Clay Mann
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City
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Spencer NJ, Ludvigsson J, You Y, Francis K, Abu Awad Y, Markham W, Faresjö T, Goldhaber-Fiebert J, Andersson White P, Raat H, Mensah F, Gauvin L, McGrath JJ. Household income and maternal education in early childhood and activity-limiting chronic health conditions in late childhood: findings from birth cohort studies from six countries. J Epidemiol Community Health 2022; 76:jech-2022-219228. [PMID: 35863874 DOI: 10.1136/jech-2022-219228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 07/09/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND We examined absolute and relative relationships between household income and maternal education during early childhood (<5 years) with activity-limiting chronic health conditions (ALCHC) during later childhood in six longitudinal, prospective cohorts from high-income countries (UK, Australia, Canada, Sweden, Netherlands, USA). METHODS Relative inequality (risk ratios, RR) and absolute inequality (Slope Index of Inequality) were estimated for ALCHC during later childhood by maternal education categories and household income quintiles in early childhood. Estimates were adjusted for mother ethnicity, maternal age at birth, child sex and multiple births, and were pooled using meta-regression. RESULTS Pooled estimates, with over 42 000 children, demonstrated social gradients in ALCHC for high maternal education versus low (RR 1.54, 95% CI 1.28 to 1.85) and middle education (RR 1.24, 95% CI 1.11 to 1.38); as well as for high household income versus lowest (RR 1.90, 95% CI 1.66 to 2.18) and middle quintiles (RR 1.34, 95% CI 1.17 to 1.54). Absolute inequality showed decreasing ALCHC in all cohorts from low to high education (range: -2.85% Sweden, -13.36% Canada) and income (range: -1.8% Sweden, -19.35% Netherlands). CONCLUSION We found graded relative risk of ALCHC during later childhood by maternal education and household income during early childhood in all cohorts. Absolute differences in ALCHC were consistently observed between the highest and lowest maternal education and household income levels across cohort populations. Our results support a potential role for generous, universal financial and childcare policies for families during early childhood in reducing the prevalence of activity limiting chronic conditions in later childhood.
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Affiliation(s)
| | - Johnny Ludvigsson
- Department of Clinical and Experimental Medicine, Department of Psychology, Division of Pediatrics, Linköping University, S-581 85 Linköping, Sweden & Department of Behavioural Sciences and Learning, Linkoping, Sweden
| | - Yueyue You
- Public Health, Erasmus MC, Rotterdam, The Netherlands
| | - Kate Francis
- Population Health, Murdoch Children's Research Institute, Parkville, Victoria, Australia
| | - Yara Abu Awad
- PERFORM Centre, Concordia University, Montreal, Québec, Canada
| | | | - Tomas Faresjö
- Division of Community Medicine, Primary Care, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | - Jeremy Goldhaber-Fiebert
- Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Stanford, California, USA
| | - Pär Andersson White
- Crown Princess Victoria Children's Hospital, Linköping, Sweden
- Department of Health, Medicine and Caring Science/Inst of Society and Health/Public Health, Linköping University, Linkoping, Sweden
| | - Hein Raat
- Public Health, Erasmus Medical Center, Rotterdam, The Netherlands
| | - Fiona Mensah
- Intergenerational Health, Murdoch Childrens Research Institute, Parkville, Victoria, Australia
| | - Lise Gauvin
- Centre de Recherche, Centre Hospitalier de L'Universite de Montreal, Montreal, Québec, Canada
- Département de médecine sociale et préventive, Université de Montréal, Montréal, Québec, Canada
| | - Jennifer J McGrath
- Department of Psychology, Concordia University, Montreal, Québec, Canada
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Abstract
OBJECTIVES To estimate the age patterns and cohort trends in heavy drinking among Chinese men from 1993 to 2011 and to project the future burden of heavy drinking through 2027. DESIGN We constructed a Markov cohort model that simulates age-specific heavy drinking behaviours for a series of cohorts of Chinese men born between 1922 and 1993 and fitted the model to longitudinal data on drinking patterns (1993-2015). We projected male prevalence of heavy drinking from 2015 through 2027 with and without modification of heavy drinking behaviours. PARTICIPANTS A cohort of Chinese men who were born between 1922 and 1993. MAIN OUTCOME MEASURES Outcomes included age-specific and birth cohort-specific rates of initiating, quitting and reinitiating heavy drinking from 1993 through 2011, projected prevalence of heavy drinking from 2015 to 2027, and total reduction in prevalence and total averted deaths with hypothetical elimination of heavy drinking behaviours. RESULTS Across multiple birth cohorts, middle-aged Chinese men have consistently higher risks of starting and resuming heavy drinking and lower probabilities of quitting their current heavy drinking than men in other age groups. From 1993 to 2011, the risk of starting or resuming heavy drinking continued to decrease over generations. Our model projected that the prevalence of heavy drinking among Chinese men will decrease by 33% (95% CI 11.5% to 54.6%) between 2015 and the end of 2027. Complete elimination of or acceptance of a change in heavy drinking behaviours among Chinese men could accelerate this decrease by 12 percentage points (95% CI 7.8 to 18.2) and avert 377 000 deaths (95% CI 228 000 to 577 000) in total from 2015 to 2027. CONCLUSION Heavy drinking prevalence will continue to decrease through 2027 if current age-specific and birth cohort-specific patterns of starting, quitting and resuming heavy drinking continue. Effective mitigation policy should consider age-specific patterns in heavy drinking behaviours to further reduce the burden of heavy drinking.
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Affiliation(s)
- Kyueun Lee
- Center for Health Policy/Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California, USA
| | - Joshua Salomon
- Center for Health Policy/Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California, USA
| | - Jeremy Goldhaber-Fiebert
- Center for Health Policy/Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California, USA
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Richman IB, Owens DK, Goldhaber-Fiebert J. Cost-effectiveness of Intensive Blood Pressure Management-Is There an Additional Price to Pay?-Reply. JAMA Cardiol 2017; 2:581-582. [PMID: 28199457 DOI: 10.1001/jamacardio.2016.5837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Ilana B Richman
- Department of Medicine, Yale University School of Medicine, New Haven, Connecticut
| | - Douglas K Owens
- Palo Alto Veterans Affairs Health Care System, Palo Alto, California3Center for Health Policy/Center for Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Stanford, California
| | - Jeremy Goldhaber-Fiebert
- Center for Health Policy/Center for Primary Care and Outcomes Research, Department of Medicine, Stanford University School of Medicine, Stanford, California
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Pollom EL, Lee K, Durkee BY, Grade M, Mokhtari DA, Wahl DR, Feng M, Kothary N, Koong AC, Owens DK, Goldhaber-Fiebert J, Chang DT. Cost-effectiveness of Stereotactic Body Radiation Therapy versus Radiofrequency Ablation for Hepatocellular Carcinoma: A Markov Modeling Study. Radiology 2017; 283:460-468. [PMID: 28045603 DOI: 10.1148/radiol.2016161509] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Purpose To assess the cost-effectiveness of stereotactic body radiation therapy (SBRT) versus radiofrequency ablation (RFA) for patients with inoperable localized hepatocellular carcinoma (HCC) who are eligible for both SBRT and RFA. Materials and Methods A decision-analytic Markov model was developed for patients with inoperable, localized HCC who were eligible for both RFA and SBRT to evaluate the cost-effectiveness of the following treatment strategies: (a) SBRT as initial treatment followed by SBRT for local progression (SBRT-SBRT), (b) RFA followed by RFA for local progression (RFA-RFA), (c) SBRT followed by RFA for local progression (SBRT-RFA), and (d) RFA followed by SBRT for local progression (RFA-SBRT). Probabilities of disease progression, treatment characteristics, and mortality were derived from published studies. Outcomes included health benefits expressed as discounted quality-adjusted life years (QALYs), costs in U.S. dollars, and cost-effectiveness expressed as an incremental cost-effectiveness ratio. Deterministic and probabilistic sensitivity analysis was performed to assess the robustness of the findings. Results In the base case, SBRT-SBRT yielded the most QALYs (1.565) and cost $197 557. RFA-SBRT yielded 1.558 QALYs and cost $193 288. SBRT-SBRT was not cost-effective, at $558 679 per QALY gained relative to RFA-SBRT. RFA-SBRT was the preferred strategy, because RFA-RFA and SBRT-RFA were less effective and more costly. In all evaluated scenarios, SBRT was preferred as salvage therapy for local progression after RFA. Probabilistic sensitivity analysis showed that at a willingness-to-pay threshold of $100 000 per QALY gained, RFA-SBRT was preferred in 65.8% of simulations. Conclusion SBRT for initial treatment of localized, inoperable HCC is not cost-effective. However, SBRT is the preferred salvage therapy for local progression after RFA. © RSNA, 2017 Online supplemental material is available for this article.
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Affiliation(s)
- Erqi L Pollom
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Kyueun Lee
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Ben Y Durkee
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Madeline Grade
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Daniel A Mokhtari
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Daniel R Wahl
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Mary Feng
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Nishita Kothary
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Albert C Koong
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Douglas K Owens
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Jeremy Goldhaber-Fiebert
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
| | - Daniel T Chang
- From the Department of Radiation Oncology (E.L.P., B.Y.D., M.G., D.A.M., A.C.K., D.T.C.), Centers for Health Policy and Primary Care and Outcomes Research (K.L., D.K.O., J.G.F.), and Department of Radiology (N.K.), Stanford University School of Medicine, Stanford University Medical Center, 875 Blake Wilbur Dr, Stanford, CA 94305-5847; Department of Radiation Oncology, University of Michigan Medical School, Ann Arbor, Mich (D.R.W., M.F.); and Veteterans Affairs Palo Alto Health Care System, Palo Alto, Calif (D.K.O.)
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Pollom E, Lee K, Durkee B, Grade M, Mokhtari D, Weeks B, Feng M, Wahl D, Kothary N, Koong A, Owens D, Goldhaber-Fiebert J, Chang D. Cost-Effectiveness of Local Therapies for Inoperable, Localized Hepatocellular Carcinoma. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mohanan M, Vera-Hernández M, Das V, Giardili S, Goldhaber-Fiebert J, Rabin T, Raj S, Schwartz J, Seth A. Do no harm: The know-do gap and quality of care for childhood diarrhea
and pneumonia in Bihar, India. Ann Glob Health 2014. [DOI: 10.1016/j.aogh.2014.08.103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Reiter K, Krishnan E, Goldhaber-Fiebert J. FRI0430 Comparative effectiveness and health economic evaluation of systemic anti-inflammatory therapies for acute GOUT flares. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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