Publications by authors named "A A Fanaroff"
Article Synopsis
- - We analyzed the revenues, costs, and contribution margins (CMs) for major cardiovascular procedures in Medicare patients from 2016 to 2019, focusing on how these factors differ across various procedures.
- - Claim-level costs were determined using cost-to-charge ratios, and outliers were adjusted for accuracy, which helped us calculate the CMs as the difference between revenue and costs.
- - Our findings showed significant variation in revenues, costs, and CMs for different cardiovascular procedures, with those procedures that are increasingly common generating substantial net CMs for hospitals in the US.
Background: Hospitals and health systems must balance the demand for transcatheter aortic valve replacement (TAVR) against financial sustainability. Patients may be eligible for both TAVR and surgical aortic valve replacement (SAVR), but financial realities for hospitals may affect differential access to those therapies. We sought to understand the landscape of costs and reimbursement for TAVR and SAVR in the US and to understand the association of procedural reimbursement with receipt of either.
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- Traditional analyses in clinical trials for antithrombotic agents evaluate bleeding and ischemic events separately, which have limitations; this study proposes using days alive and out of hospital (DAOH) as an alternative endpoint.
- The AUGUSTUS trial involving 4614 patients compared two treatments (apixaban vs. warfarin and aspirin vs. placebo) and measured DAOH, finding no significant differences between treatment groups.
- Despite apixaban showing lower rates of major bleeding and hospitalization, the study concludes that DAOH may not effectively capture the impact of antithrombotic therapies for patients with atrial fibrillation and acute coronary syndrome.
Background: Survivors of breast and prostate cancer, especially those that are Black and/or Hispanic, are at high risk for cardiovascular events. Physical activity can reduce the risk of cardiovascular events in cancer survivors, but Black and Hispanic people are less likely to engage in routine physical activity. Concepts from behavioral economics have been used to design scalable, low-touch gamification interventions that increase physical activity in individuals at high risk for cardiovascular events, but the effectiveness of these strategies in Black and Hispanic survivors of breast and prostate cancer is uncertain.
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