Selective Referral to High-Volume Hospitals: Estimating Potentially Avoidable Deaths

Article Abstract:

Many deaths might be avoided if patients with certain diseases were treated at hospitals with expertise in treating those diseases. Such hospitals are often referred to as high-volume hospitals, because they treat large numbers of patients with certain conditions. Of 58,306 patients with certain diseases who were admitted to a low-volume hospital and died, 602 would not have died had they been admitted to a high-volume hospital. The treatments included abdominal aortic aneurysm repair, carotid endarterectomy, lower extremity arterial bypass surgery, coronary artery bypass surgery, coronary angioplasty, heart transplantation, pediatric cardiac surgery, pancreatic cancer surgery, esophageal cancer surgery, cerebral aneurysm surgery, and treatment of HIV infection/AIDS.

Prevention, Hospitals, Death

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Anabolic Effects of Nandrolone Decanoate in Patients Receiving Dialysis: A Randomized Controlled Trial

Article Abstract:

The anabolic steroid nandrolone appears to increase body mass in patients receiving dialysis. Malnutrition, fatigue and loss of muscle mass are common in dialysis patients. Researchers randomly assigned 29 patients on dialysis to receive intramuscular injections of nandrolone or a placebo once a week for six months. Those who received nandrolone experienced an increase in body mass, and an increased ability to walk and climb stairs.

Health aspects, Hemodialysis patients, Nandrolone

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Pay-for-performance: Will the latest payment trend improve care?

Article Abstract:

The impact of the latest payment trend found in pay-for-performance programs on the health care system in the U.S. is examined. This system might provide an opportunity for physicians and payers to engage cooperatively in meaningful reform of an arcane payment system and also improve care for patients.

United States, Forecasts, trends, outlooks, Personnel administration, HEALTH SERVICES, Offices & clinics of medical doctors, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Forecasts and trends, Health care industry, Compensation and benefits, Physicians, Market trend/market analysis, Medical fees, Pay for performance

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