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1905. 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.
1906. 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.
1907. 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).
1908. 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.
1909. 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.
1910. 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.
1911. Peripheral Airway Dysfunction in Obesity and Obese Asthma.
作者: Anne E Dixon.;Matthew E Poynter.;Olivia Johnson Garrow.;David A Kaminsky.;W G Tharp.;Jason H T Bates.
来源: Chest. 2023年163卷4期753-762页
The purpose of this study was to investigate physiological phenotypes of asthma in obesity.
1912. Ventilatory and Orthostatic Challenges Reveal Biomarkers for Neurocognition in Children and Young Adults With Congenital Central Hypoventilation Syndrome.
作者: Susan M Slattery.;Frank A Zelko.;Eric L Vu.;Emma C Dunne.;Casey M Rand.;Allison Bradley.;Amy Zhou.;Michael S Carroll.;Ilya Khaytin.;Kenneth M Brady.;Tracey M Stewart.;Debra E Weese-Mayer.
来源: Chest. 2023年163卷6期1555-1564页
Children and young adults with congenital central hypoventilation syndrome (CCHS) are at risk of cognitive deficits. They experience autonomic dysfunction and chemoreceptor insensitivity measured during ventilatory and orthostatic challenges, but relationships between these features are undefined.
1913. Predicting Individualized Lung Disease Progression in Treatment-Naive Patients With Lymphangioleiomyomatosis.
作者: Anushka K Palipana.;Emrah Gecili.;Seongho Song.;Simon R Johnson.;Rhonda D Szczesniak.;Nishant Gupta.
来源: Chest. 2023年163卷6期1458-1470页
Lung function decline varies significantly in patients with lymphangioleiomyomatosis (LAM), impeding individualized clinical decision-making.
1915. Lung Transplantation for Bronchopulmonary Dysplasia.
作者: Alia Dani.;Don Hayes.;Amalia Guzman-Gomez.;Md Monir Hossain.;Jason C Woods.;David L S Morales.;Russel Hirsch.;Farhan Zafar.;Erik B Hysinger.
来源: Chest. 2023年163卷5期1166-1175页
Patients with bronchopulmonary dysplasia (BPD) have poor respiratory trajectories and are at increased risk of lung function decline with age. Lung transplant (LTx) is a possible treatment option for this growing patient population, but little has been published on LTx in this patient group.
1916. Night-to-Night Variability of Polysomnography-Derived Physiologic Endotypic Traits in Patients With Moderate to Severe OSA.
作者: Christian Strassberger.;Jan Hedner.;Scott A Sands.;Thomas M Tolbert.;Luigi Taranto-Montemurro.;Albert Marciniak.;Ding Zou.;Ludger Grote.
来源: Chest. 2023年163卷5期1266-1278页
Emerging data suggest that determination of physiologic endotypic traits (eg, loop gain) may enable precision medicine in OSA.
1917. New and Persistent Sedative Prescriptions Among Older Adults Following a Critical Illness: A Population-Based Cohort Study.
作者: Lisa D Burry.;Chaim M Bell.;Andrea Hill.;Ruxandra Pinto.;Damon C Scales.;Susan E Bronskill.;David Williamson.;Louise Rose.;Longdi Fu.;Robert Fowler.;Claudio M Martin.;Lisa Dolovich.;Hannah Wunsch.
来源: Chest. 2023年163卷6期1425-1436页
ICU survivors often have complex care needs and can experience insufficient medication reconciliation and polypharmacy. It is unknown which ICU survivors are at risk of new sedative use posthospitalization.
1918. Moral Distress in Canadian Intensivists: A Complex Interplay of Contextual and Relational Factors.
作者: Dominique Piquette.;Karen E A Burns.;Franco Carnevale.;Aimée J Sarti.;Mika Hamilton.;Peter M Dodek.
来源: Chest. 2023年163卷5期1101-1108页
Health care professionals experience moral distress when they cannot act based on their moral beliefs because of perceived constraints. Moral distress prevalence is high among critical care (ICU) clinicians, but varies significantly between and within professions.
1919. Perceived Autonomy Support in Telerehabilitation by People With Chronic Respiratory Disease: A Mixed Methods Study.
作者: Narelle S Cox.;Joanna Y T Lee.;Christine F McDonald.;Ajay Mahal.;Jennifer A Alison.;Richard Wootton.;Catherine J Hill.;Paolo Zanaboni.;Paul O'Halloran.;Janet Bondarenko.;Heather Macdonald.;Kathryn Barker.;Hayley Crute.;Christie Mellerick.;Bruna Wageck.;Helen Boursinos.;Aroub Lahham.;Amanda Nichols.;Pawel Czupryn.;Monique Corbett.;Emma Handley.;Angela T Burge.;Anne E Holland.
来源: Chest. 2023年163卷6期1410-1424页
Autonomy-supportive health environments can assist patients in achieving behavior change and can influence adherence positively. Telerehabilitation may increase access to rehabilitation services, but creating an autonomy-supportive environment may be challenging.
1920. An Investigation of Cancer-Directed Surgery for Different Histologic Subtypes of Malignant Pleural Mesothelioma.
作者: Arian Mansur.;Alexandra L Potter.;Alexander J Zurovec.;Krithika V Nathamuni.;R Ryan Meyerhoff.;Mark F Berry.;Augustine Kang.;Chi-Fu Jeffrey Yang.
来源: Chest. 2023年163卷5期1292-1303页
The role of cancer-directed surgery in the treatment of stage I-IIIA malignant pleural mesothelioma (MPM) by histologic subtypes remains controversial. The objective of this study was to evaluate the survival of the different histologic subtypes for stage I-IIIA MPM stratified by cancer-directed surgery and nonoperative management.
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