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1915. Value-Based Care for Chest Physicians.
作者: Momen M Wahidi.;Hubert B Haywood.;Geoffrey D Bass.;Ian Nathanson.;Anand Chowdhury.;Devdutta Sangvai.
来源: Chest. 2023年163卷5期1193-1200页
Value-based care aims to improve the health outcomes of patients, eliminate waste and unwarranted clinical variation, and reduce the total cost of care. Professional medical societies have put forward guidelines to raise awareness on unproven practice patterns (Choosing Wisely Campaign), and payers have sought to replace the traditional fee-for-service payment models with value-based contracts that share financial gains or losses based on achieving high-quality outcomes and lowering the cost of care. Regardless of whether their practices are engaged in value-based arrangements, chest physicians should seek understanding of these principles, participate in designing and implementing practical and impactful high-value initiatives in their practices, and have a national voice on the path forward.
1916. Guideline-Concordant Antibiotic Therapy for the Hospital Treatment of Community-Acquired Pneumonia and 1-Year All-Cause and Cardiovascular Mortality in Older Adult Patients Surviving to Discharge.
Selection of empiric antibiotic treatment for community-acquired pneumonia (CAP) that is concordant with clinical practice guidelines has been associated with improved short-term outcomes of this infection, but whether it is also associated with longer-term outcomes is unknown.
1917. Sex- and Race-Based Differences in the Treatment of Interstitial Lung Diseases in North America and Australasia.
作者: Deborah Assayag.;Ayodeji Adegunsoye.;Robert Sheehy.;Julie Morisset.;Nasreen Khalil.;Kerri A Johannson.;Veronica Marcoux.;Martin Kolb.;Jolene H Fisher.;Helene Manganas.;Jeremy Wrobel.;Margaret Wilsher.;Sally De Boer.;John Mackintosh.;Daniel C Chambers.;Ian Glaspole.;Gregory J Keir.;Cathryn T Lee.;Renea Jablonski.;Rekha Vij.;Mary E Strek.;Tamera J Corte.;Christopher J Ryerson.
来源: Chest. 2023年163卷5期1156-1165页
Biological sex, gender, and race are important considerations in patients with interstitial lung diseases (ILDs).
1918. Changing Smoking Behavior and Epigenetics: A Longitudinal Study of 4,432 Individuals From the General Population.
作者: Sune Moeller Skov-Jeppesen.;Camilla Jannie Kobylecki.;Katja Kemp Jacobsen.;Stig Egil Bojesen.
来源: Chest. 2023年163卷6期1565-1575页
Hypomethylation of the aryl hydrocarbon receptor repressor (AHRR) gene indicates long-term smoking exposure and might therefore be a monitor for smoking-induced disease risk. However, studies of individual longitudinal changes in AHRR methylation are sparse.
1919. Health-Related Quality of Life Following Robotic-Assisted or Video-Assisted Lobectomy in Patients With Non-Small Cell Lung Cancer: Results From the RVlob Randomized Clinical Trial.
作者: Runsen Jin.;Zhengyuan Zhang.;Yuyan Zheng.;Zhenyi Niu.;Siying Sun.;Yuqin Cao.;Yajie Zhang.;Abbas E Abbas.;Toni Lerut.;Jules Lin.;Hecheng Li.
来源: Chest. 2023年163卷6期1576-1588页
Robot-assisted lobectomy (RAL) is increasingly used as an alternative to video-assisted lobectomy (VAL) for resectable non-small cell lung cancer (NSCLC). However, there is little evidence of any difference in postoperative health-related quality of life (HRQoL) between these two approaches.
1920. Preexisting Chronic Thromboembolic Pulmonary Hypertension in Acute Pulmonary Embolism.
作者: Stefano Barco.;Anna C Mavromanoli.;Karl-Friedrich Kreitner.;Alexander C Bunck.;Roman J Gertz.;Sebastian Ley.;Luca Valerio.;Frederikus A Klok.;Felix Gerhardt.;Stephan Rosenkranz.;Stavros V Konstantinides.
来源: Chest. 2023年163卷4期923-932页
Chronic thromboembolic pulmonary hypertension (CTEPH) is considered a complication of pulmonary embolism (PE). However, signs of CTEPH may exist in patients with a first symptomatic PE.
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