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Reduction in Physician Reimbursement and Use of Hormone Therapy in Prostate Cancer

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TLDR
The 2003 Medicare Modernization Act reduced reimbursements for AST by 64% between 2004 and 2005, but the effect of this large reduction on use of AST in prostate cancer is unknown.
Abstract
Background Use of androgen suppression therapy (AST) in prostate cancer increased more than threefold from 1991 to 1999. The 2003 Medicare Modernization Act reduced reimbursements for AST by 64% between 2004 and 2005, but the effect of this large reduction on use of AST is unknown.

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Strategies to reduce variation in the use of surgery.

TL;DR: In this article, the authors identify what level of variation in surgery rates is appropriate in a specific context, and how variation can be reduced where desirable, and further research is needed.
Journal ArticleDOI

Fifteen-Year Survival Outcomes Following Primary Androgen-Deprivation Therapy for Localized Prostate Cancer

TL;DR: Primary ADT is not associated with improved long-term overall or disease-specific survival for men with localized prostate cancer, and should be used only to palliate symptoms of disease or prevent imminent symptoms associated with disease progression.
Journal ArticleDOI

Breast reconstruction national trends and healthcare implications.

TL;DR: National trends in breast reconstruction are followed and factors associated with reconstructive choices are identified, showing that the odds of having implant‐based versus AR were significantly associated with age, disease severity, payer type, hospital teaching status, and year of surgery.
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Trans‐Pacific variation in outcomes for men treated with primary androgen‐deprivation therapy (ADT) for prostate cancer

TL;DR: To compare directly survival outcomes of primary androgen‐deprivation therapy (PADT) in Japan, where this treatment is endorsed by guidelines, with outcomes in the USA, where it is not, is compared.
Posted Content

Effect of Financial Relationships on the Behaviors of Health Care Professionals: A Review of the Evidence

TL;DR: A well-developed scientific literature is found consisting of dozens of empirical studies, some that allow stronger causal inferences than others, but which altogether show that such financial conflicts of interests can, and sometimes do, impact physicians' clinical decisions.
References
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Journal ArticleDOI

A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆

TL;DR: The method of classifying comorbidity provides a simple, readily applicable and valid method of estimating risk of death fromComorbid disease for use in longitudinal studies and further work in larger populations is still required to refine the approach.
Journal Article

Uncertainty and the Welfare Economics of Medical Care

TL;DR: In this article, the authors focus on the way in which the operation of the medical-care industry and the efficacy with which it satisfies the needs of society differ from a norm, and the most obvious distinguishing characteristics of an individual's demand for medical services is that it is not steady in origin as, for example, for food or clothing but is irregular and unpredictable.
Journal ArticleDOI

Development of a comorbidity index using physician claims data.

TL;DR: A comorbidity index that incorporates the diagnostic and procedure data contained in Medicare physician (Part B) claims and demonstrates the utility of a disease-specific index using an alternative method of construction employing study-specific weights.

PHARMACOEPIDEMIOLOGY REPORT Development of a comorbidity index using physician claims data

TL;DR: This article developed a comorbidity index that incorporates the diagnostic and procedure data contained in Medicare physician (Part B) claims, which significantly contributes to models of 2-year noncancer mortality and treatment received in both patient cohorts.
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