5628. Real-Time Use of Artificial Intelligence in Identification of Diminutive Polyps During Colonoscopy: A Prospective Study.
作者: Yuichi Mori.;Shin-Ei Kudo.;Masashi Misawa.;Yutaka Saito.;Hiroaki Ikematsu.;Kinichi Hotta.;Kazuo Ohtsuka.;Fumihiko Urushibara.;Shinichi Kataoka.;Yushi Ogawa.;Yasuharu Maeda.;Kenichi Takeda.;Hiroki Nakamura.;Katsuro Ichimasa.;Toyoki Kudo.;Takemasa Hayashi.;Kunihiko Wakamura.;Fumio Ishida.;Haruhiro Inoue.;Hayato Itoh.;Masahiro Oda.;Kensaku Mori.
来源: Ann Intern Med. 2018年169卷6期357-366页
Computer-aided diagnosis (CAD) for colonoscopy may help endoscopists distinguish neoplastic polyps (adenomas) requiring resection from nonneoplastic polyps not requiring resection, potentially reducing cost.
5629. Tumor Necrosis Factor Inhibitors and Cancer Recurrence in Swedish Patients With Rheumatoid Arthritis: A Nationwide Population-Based Cohort Study.
作者: Pauline Raaschou.;Jonas Söderling.;Carl Turesson.;Johan Askling.; .
来源: Ann Intern Med. 2018年169卷5期291-299页
Use of tumor necrosis factor inhibitors (TNFi) in patients with a history of cancer remains a clinical dilemma.
5631. Screening for Urinary Incontinence in Women: A Recommendation From the Women's Preventive Services Initiative.
作者: Nancy O'Reilly.;Heidi D Nelson.;Jeanne M Conry.;Jennifer Frost.;Kimberly D Gregory.;Susan M Kendig.;Maureen Phipps.;Alina Salganicoff.;Diana Ramos.;Christopher Zahn.;Amir Qaseem.; .
来源: Ann Intern Med. 2018年169卷5期320-328页
Recommendation on screening for urinary incontinence in women by the Women's Preventive Services Initiative (WPSI), a national coalition of women's health professional organizations and patient representatives. The WPSI's recommendations are intended to guide clinical practice and coverage of services for the Health Resources and Services Administration and other stakeholders. The target audience for this recommendation includes all clinicians providing preventive health care for women, particularly in primary care settings. This recommendation applies to women of all ages, as well as adolescents.
5633. Screening for Urinary Incontinence in Women: A Systematic Review for the Women's Preventive Services Initiative.
作者: Heidi D Nelson.;Amy Cantor.;Miranda Pappas.;Liev Miller.
来源: Ann Intern Med. 2018年169卷5期311-319页
Urinary incontinence is infrequently addressed during routine health care despite its high prevalence and adverse effects on health.
5635. Value-Based Health Care Meets Cost-Effectiveness Analysis.
Value-based health care (VBHC) has recently emerged as a prominent movement within health care. Value-based health care focuses on maximizing outcomes achieved per dollar spent. As such, it bears many similarities to a well-established method, cost-effectiveness analysis (CEA), which provides a framework for comparing the relative value of different diagnostic or treatment interventions. Both approaches address "bang for the health care buck," but although they overlap in many ways, VBHC and CEA differ with regard to their main applications, their perspective, and the types of costs and outcomes they consider. For example, CEA generally considers costs and benefits from the societal or health care sector perspectives, whereas VBHC is intended to adopt the patient perspective. As such, CEA is intended to inform coverage decisions at a group or population level and VBHC is intended to be implemented at the level of clinician-patient interactions. Meanwhile, value-based payment has emerged as a visible component of VBHC and is gaining a foothold in the United States in various forms, particularly bundled payments and accountable care organizations, in an effort to reward high-value care and disincentivize low-value care. Differences aside, as the worlds of VBHC and CEA begin to intersect, each discipline can learn from the other.
5637. Microvascular Outcomes in Patients With Diabetes After Bariatric Surgery Versus Usual Care: A Matched Cohort Study.
作者: Rebecca O'Brien.;Eric Johnson.;Sebastien Haneuse.;Karen J Coleman.;Patrick J O'Connor.;David P Fisher.;Stephen Sidney.;Andy Bogart.;Mary Kay Theis.;Jane Anau.;Emily B Schroeder.;David Arterburn.
来源: Ann Intern Med. 2018年169卷5期300-310页
Bariatric surgery improves glycemic control in patients with type 2 diabetes mellitus (T2DM), but less is known about microvascular outcomes.
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