151 results match your criteria: "Center for Observational and Real-World Evidence Core[Affiliation]"

Background: Congenital cytomegalovirus (cCMV) infection can have a broad range of manifestations. This study aimed to assess cCMV-associated sequelae and healthcare resource utilization (HCRU) in infants during the first year of life in Germany.

Methods: A retrospective, controlled cohort study using German claims data from the Institute for Applied Health Research Berlin (InGef) database was conducted.

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Background: This study aims to evaluate the epidemiological impact and return on investment of the pediatric immunization program (PIP) in Poland from the healthcare-sector and societal perspectives.

Research Design And Methods: A health-economic model was developed focusing on the nine vaccines, targeting 11 pathogens, recommended by the public health authorities for children aged 0-6 years in Poland. The 2019 birth cohort (388,178) was followed over their lifetime, with the model estimating discounted health outcomes, life-years gained, quality-adjusted life-years, and direct and indirect costs with and without the PIP based on current and pre-vaccine - era disease incidence estimates, respectively.

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Chronic cough (CC) is associated with high healthcare resource utilization (HCRU) due to challenges in diagnosis and treatment and is anticipated to have a substantial economic impact. This systematic literature review (SLR) sought to identify evidence on the cost-effectiveness of treatments and the economic burden associated with CC. Electronic database searches were supplemented with searches of conference proceedings and health technology assessment body websites.

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Objectives: This study evaluated the prevalence and patterns of behavioral symptoms, including agitation/aggression (AA), psychotic symptoms (PS), anxiety/mood disorders (MD), and delirium among patients with Alzheimer's disease (AD) and their association with diagnosed insomnia.

Design: A retrospective cohort analysis was conducted using the MarketScan Multi-State Medicaid Database 2016-2020.

Setting And Participants: Patients aged ≥50 with newly diagnosed AD (N = 56,904) were identified during 2017-2019 and categorized into insomnia and non-insomnia groups based on billing codes recorded in medical and pharmacy claims.

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Patterns of Cough Medication Prescribing among Patients with Chronic Cough in Florida: 2012-2021.

J Clin Med

September 2023

Department of Pharmaceutical Outcomes & Policy, College of Pharmacy, University of Florida, Gainesville, FL 32611, USA.

Article Synopsis
  • A study analyzed cough medication prescribing trends among chronic cough (CC) patients in Florida from 2012 to 2021 using a large clinical database, identifying distinct patterns in medication use.
  • Results showed increases in the use of benzonatate, dextromethorphan, and gabapentinoids among CC patients, while opioid antitussive use rose until 2015 and then declined significantly.
  • Among the 15,566 CC patients studied, most did not use cough medications, but those with chronic use faced significant health burdens and comorbidities compared to non-CC patients.
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Article Synopsis
  • A retrospective cohort study analyzed treatment and dosing patterns of lenvatinib and pembrolizumab combination therapy in endometrial cancer patients in the US, focusing on those starting the therapy in second line (2L) or third line and onwards (≥3L).
  • Among 245 patients (110 in 2L and 135 in ≥3L), most began treatment at recommended doses, with less than 50% adjusting their lenvatinib dosage over time.
  • The median duration of therapy was 5.1 months for second-line patients and 5.8 months for those in later lines, indicating a consistent treatment timeframe for both groups.
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Objective: Striking innovations and advancements have been achieved with the use of artificial intelligence and healthcare information technology being integrated into clinical real-world data. The current scoping review aimed to provide an overview of the current status of artificial intelligence-/information technology-based clinical decision support tools in China.

Methods: PubMed/MEDLINE, Embase, China National Knowledge Internet, and Wanfang data were searched for both English and Chinese literature.

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Introduction: Data on utilization and clinical outcomes of programmed cell death protein or programmed death-ligand 1 (PD-[L]1) inhibitors in NSCLC with uncommon oncogenic alterations is limited.

Methods: This retrospective study used a deidentified U.S.

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The COVID-19 pandemic disrupted routine healthcare delivery, causing declines in CDC-recommended vaccination rates across the life-course in the United States (US). Ensuring protection against disease outbreaks and associated morbidity and mortality depends on improving vaccine coverage rates (VCRs) and uptake. The authors conducted a targeted literature review to assess the pandemic's effects on routine vaccination rates across different populations, evaluating VCR recovery and improvement efforts.

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Molnupiravir (MOV) was introduced in Israel in January 2022 during the SARS-CoV-2 Omicron surge for high-risk patients contraindicated for nirmatrelvir/ritonavir. This retrospective cohort study aimed to describe characteristics of patients offered COVID-19 antiviral treatment in Maccabi Healthcare Services (antiviral treatment-eligible cohort; = 5596) between 12 January and 28 February 2022, and the subset of these who were dispensed MOV (MOV-treated cohort; = 1147), as well as outcomes following MOV dispensation. Median (interquartile range) age in the antiviral treatment-eligible and MOV-treated cohorts were 70.

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Article Synopsis
  • The study examines treatment persistence in patients with inflammatory arthritis (IA) and its implications for efficacy, safety, and costs associated with treatment discontinuation.
  • By utilizing high-coverage Swedish administrative data, the research aims to identify patient groups with different persistence levels of subcutaneous tumor necrosis factor inhibitors (SC-TNFi) using advanced statistical learning techniques, specifically recursive partitioning.
  • The analysis included 13,913 biologic-naïve patients starting SC-TNFi therapy and found that factors like sex and type of treatment significantly influenced treatment persistence among different IA diagnoses.
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Background: The 15-valent pneumococcal conjugate vaccine (PCV15 or V114) has recently been approved for pediatric vaccination against pneumococcal diseases (PDs) in Japan. The study aims to evaluate the cost-effectiveness of pediatric vaccination with V114 versus 13-valent PCV (PCV13) in Japan.

Methods: The study used a decision analytical Markov model to estimate the cost and effectiveness outcomes for a birth cohort in Japan over a 10-year time horizon.

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Oral Human Papillomavirus Prevalence and Genotyping Among a Healthy Adult Population in the US.

JAMA Otolaryngol Head Neck Surg

September 2023

Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet, Barcelona, Spain.

Article Synopsis
  • - The study focused on oral HPV prevalence in the U.S., noting that oropharyngeal cancer linked to HPV is now more common than cervical cancer, but data on oral HPV in the general population is limited.
  • - Conducted across 43 dental offices from November 2021 to March 2022, the cross-sectional study involved 3,196 participants aged 18 to 60, with samples taken to assess HPV presence and participant behaviors.
  • - Results showed an oral HPV prevalence of 6.6%, with 2.0% for high-risk types and 0.7% for HPV-16; prevalence was notably higher in men, especially those aged 51 to 60.
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Economic and humanistic burden of HPV-related disease in Indonesia: A qualitative analysis.

Glob Public Health

January 2023

Unit of PharmacoTherapy, Epidemiology & Economics (PTE2), Department of Pharmacy, University of Groningen, Groningen, Netherlands.

The burden of human papillomavirus (HPV) and HPV-related cancers and genital warts is increasing in developing countries, including Indonesia. The objective of this study was to qualitatively explore the humanistic and economic burden of these HPV-related diseases in patients in Indonesia. In 2021, in-depth interviews and focus groups were conducted with patients ( = 18) with HPV-related diseases and healthcare professionals (HCPs;  = 10) specialised in treating these patients.

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Background: Antipsychotic discontinuation is common among patients with bipolar disorder, especially when psychotic symptoms are remitted. This analysis describes the prevalence, predictors, and economic impact of antipsychotic discontinuation among patients with bipolar disorder.

Methods: A retrospective, observational study was conducted using administrative claims data in the IBM MarketScan Commercial Database.

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Background: Pembrolizumab, a PD-1 immune checkpoint inhibitor, is approved as first-line (1L) treatment for recurrent or metastatic head and neck squamous cell carcinoma (R/M HNSCC) as monotherapy or in combination with platinum and 5-fluorouracil chemotherapy. Limited data exist on the use of these regimens in real-world settings.

Objective: Our primary objectives were to describe baseline characteristics and real-world overall survival (rwOS), time on treatment (rwToT), and time to next treatment (rwTTNT) among individuals with R/M HNSCC receiving approved 1L pembrolizumab therapies.

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If passed, the "Access to Genetic Counselor Services Act" will authorize genetic counselors to provide services under Medicare part B. We assert that Medicare policy should be updated through the enactment of this legislation to provide Medicare beneficiaries with direct access to genetic counselor services. In this article, we discuss the background, history, and some recent research relevant to patient access to genetic counselors to provide context and perspective regarding the rationale, justification, and potential results of the proposed legislation.

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Background: This study provides an updated and expanded analysis of the impact of the COVID-19 pandemic on routine vaccinations across the life-course in the United States.

Research Design And Methods: Routine wellness visits and vaccination rates were calculated using structured claims data for each month during the impact period (January 2020 to August 2022) and compared to the respective baseline period (January 2018 to December 2019). Monthly rates were aggregated as annual accumulated and cumulative percent changes.

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Background: There is limited consensus regarding the optimal treatment of insomnia. The recent introduction of orexin receptor antagonists (ORA) has increased the available treatment options. However, the prescribing patterns of hypnotics in Japan have not been comprehensively assessed.

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Background: Varicella is usually a mild disease in children but may be life-threatening, especially in adolescents and adults. Infection control measures implemented during the Coronavirus Disease 2019 (COVID-19) pandemic may have suppressed varicella transmission, potentially creating an 'immunity debt', particularly in countries without universal varicella vaccination.

Objectives: To assess trends in Google search engine queries for varicella keywords as a proxy for varicella infection rates and to evaluate the effect of universal varicella vaccination on these trends.

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Objective: To estimate healthcare resource utilisation (HCRU) and costs associated with pneumococcal disease (PD) in children aged ≤17 years in England from 2003-2019.

Methods: A retrospective study in children aged ≤17 years was conducted using the Clinical Practice Research Datalink Gold primary care database and Hospital Episodes Statistics Admitted Patient Care database from 2003-2019. Episodes of invasive pneumococcal disease (IPD) were identified in hospital, pneumococcal pneumonia (PP) and all-cause pneumonia (ACP) episodes in primary care and in hospital, and acute otitis media (AOM) episodes in primary care.

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Prediction of persistent chronic cough in patients with chronic cough using machine learning.

ERJ Open Res

March 2023

Department of Allergy, Kaiser Permanente Southern California, San Diego, CA, USA.

Introduction: The aim of this study was to develop and validate prediction models for risk of persistent chronic cough (PCC) in patients with chronic cough (CC). This was a retrospective cohort study.

Methods: Two retrospective cohorts of patients 18-85 years of age were identified for years 2011-2016: a specialist cohort which included CC patients diagnosed by specialists, and an event cohort which comprised CC patients identified by at least three cough events.

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Trends in Antimicrobial Resistance in US Children: A Multicenter Evaluation.

Open Forum Infect Dis

March 2023

Becton, Dickinson & Company, Franklin Lakes, New Jersey, USA.

Background: Antimicrobial resistance (AMR) poses a significant challenge for treating pneumococcal disease. This study assessed AMR trends in from US children.

Methods: We evaluated antibiotic resistance, defined as facility antimicrobial susceptibility reports of intermediate/resistant, in 30-day nonduplicate isolates from children (<18 years of age) with invasive (blood or cerebrospinal fluid/neurological) or noninvasive (respiratory or ear/nose/throat) isolates at 219 US hospital inpatient/outpatient settings in the BD Insights Research Database (January 2011-February 2020).

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Background: Few studies have examined the prescribing patterns of orexin receptor antagonists (ORAs) in the real-world clinical setting in Japan.

Objective: We sought to analyze the factors associated with ORA prescriptions for patients with insomnia in Japan.

Methods: Outpatients (aged ≥ 20 to < 75 years old) prescribed one or more hypnotic for insomnia between April 1, 2018 and March 31, 2020 with continuous enrollment for ≥ 12 months were extracted from the JMDC Claims Database.

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