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September 20, 2002, Issue No. 71
AHRQ News and Numbers
Of people age 18 and older who have had a stroke, 58.7 percent reported that they had been advised by a medical provider to exercise more and; 59.1 percent reported that they had been advised to change their diet. [Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey (MEPS), Medical Care and Treatment for Chronic Conditions, 2000.]
- U.S. Preventive Services Task Force Urges Routine Osteoporosis Screening for Women 65 and Older
- AHRQ Data Show Rising Hospital Charges, Falling Hospital Stays
- Put Prevention Into Practice Workshops
- AMA/AHRQ Forum on Clinical Quality Improvement
- AcademyHealth Fall Seminars on Research Methods Set for November 4-6
- Do You Know How AHRQ's Research Is Being Used?
- Highlights From the Most Recent Edition of Our Monthly Newsletter
- AHRQ in the Professional Literature
1. U.S. Preventive Services Task Force Urges Routine Osteoporosis Screening for Women 65 and Older
The U.S. Preventive Services Task Force on September 17 issued a recommendation that women 65 and older be routinely screened for osteoporosis to reduce the risk of fracture and spinal abnormalities often associated with the disease. The Task Force also recommended that routine screening begin at 60 for those women identified as high risk because they weigh less than 154 pounds and don't take estrogen. The Task Force based its conclusion on a report from a team led by Heidi Nelson, M.D., M.P.H., and Mark Helfand, M.D., M.P.H., from AHRQ's Evidence-based Practice Center at Oregon Health & Science University in Portland. The recommendations were published in the September 17 issue of Annals of Internal Medicine and it is the first time the Task Force has called for routine osteoporosis screening. Select for the press release and the recommendation.
2. AHRQ Data Show Rising Hospital Charges, Falling Hospital Stays
AHRQ data show that the average hospital charge for treating patients admitted for heart attack increased by roughly one-third between 1993 and 2000, while the average patient stay decreased by 26 percent. Select for the press release and for hospital charge and patient-length-of-stay trend data on other common conditions.
3. Put Prevention Into Practice Workshops
Three continuing medical education workshops on implementing the Put Prevention Into Practice (PPIP) program will be held this fall at the national health professional meetings listed below. Workshop participants will learn step-by-step strategies to incorporate clinical preventive services easily and effectively into routine patient care.
October 10, 2002
Session T27, 11:30 a.m.-12:20 p.m.
American College of Nurse Practitioners: National Clinical Symposium
October 19, 2002
Session #214, 8:00 a.m.-11:00 a.m.
American Academy of Family Physicians: Scientific Assembly
San Diego, CA
November 23, 2002
Session S19, 3:15 p.m.-4:45 p.m.
Society of Teachers of Family Medicine: 24th Annual Conference on Patient Education
Ft. Lauderdale, FL
Each workshop attendee will receive a free copy of the PPIP resource, A Step-by-Step Guide to Delivering Clinical Preventive Services: A Systems Approach. Select for more information on AHRQ's prevention program.
4. AMA/AHRQ Forum on Clinical Quality Improvement
The American Medical Association and AHRQ are sponsoring the Clinical Quality Improvement Forum to be held October 30 at the Chicago Marriott O'Hare. This 1-day forum will allow physicians and others to discuss the issues surrounding the impact of health information technology and electronic medical systems on performance measurement, quality enhancement, and practice management. Forum participants will include physicians, hospitals, health plans, accrediting organizations and other professionals who collect, evaluate, and use data to improve performance and clinical quality.
5. AcademyHealth Fall Seminars on Research Methods Set for November 4-6
AcademyHealth, formerly the Academy for Health Services Research and Health Policy (AHSRHP), will present its fall seminars in health services research methods November 4-6 at the Westin Grand in Washington, DC. AHRQ will be sponsoring 1-day sessions on HCUP (November 5) and on MEPS (November 6).
6. Do You Know How AHRQ's Research Is Being Used?
We are always looking for ways in which AHRQ-funded research, products, and tools have changed peoples' lives, influenced clinical practice, improved policies, and affected patient outcomes. Impact case studies describe AHRQ research findings in action. These case studies have been used in testimony, budget documents, and speeches. We would like to know if you are aware of any impact your research has had on health care policy, clinical practice, or patient outcomes. Contact AHRQ's Impact Case Studies Program at (301) 427-1243 with your impact stories.
7. Highlights From the Most Recent Edition of Our Monthly Newsletter
The new issue of the Research Activities is in the mail. The key articles are:
- Implantable defibrillators reduce cardiac deaths and are as cost effective as many generally accepted therapies.
- Value of prostate cancer screening may lie in the reassurance it can provide.
- Newer antidepressant drugs are prescribed more often than other medications for patients hospitalized for depression.
- Health care costs for children with attention deficit/hyperactivity disorder are comparable to costs for asthma care.
- Use of three factors at care crash sites can help EMTs quickly triage seriously injured children.
Select to read these articles and others.
8. AHRQ in the Professional Literature
We are providing the following hyperlinks to journal abstracts through PubMed® for your convenience. Unfortunately, some of you may not be able to access the abstracts because of firewalls or specific settings on your individual computer systems. If you are having problems, you should ask your technical support staff for possible remedies.
Buchanan RJ. Medicaid managed care and coverage of prescription medications. Am J Public Health 2002 Aug; 92(8):1238-43. Select to access the abstract on Pubmed®.
Langfitt J, Wiebe S. Cost-effectiveness of epilepsy therapy: how should treatment effects be measured? Epilepsia 2002; 43 Suppl 4:7-24. Select to access the abstract on Pubmed®.
Sweat SD, Bergstralh EJ, Slezak J, et al. Competing risk analysis after radical prostatectomy for clinically nonmetastatic prostate adenocardinoma according to clinical Gleason score and patient age. J Urol 2002 Aug; 168(2):525-9. Select to access the abstract on Pubmed®.
Shojania KG, Duncan BW, McDonald KM, Wachter RM. Safe but sound: patient safety meets evidence-based medicine. JAMA 2002 Jul 24-31; 288(4):508-13. Select to access the abstract on Pubmed®.
Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002 Jul 24-31; 288(4):501-7. Select to access the abstract on Pubmed®.
Brach C, Fraser I. Reducing disparities through culturally competent health care: an analysis of the business case. Qual Manag Health Care 2002 Summer; 10(4):15-28. A print copy is available by sending an E-mail to AHRQPubs@ahrq.hhs.gov
Please address comments and questions regarding the AHRQ Electronic Newsletter to Nancy Comfort at Nancy.Comfort@ahrq.hhs.gov or (301) 427-1866.
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Current as of September 2002