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Save The Date: New AHRQ Lecture Series Begins October 27 With Principal Investigator of PROMIS Statistical Coordinating Center

Issue 444
AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.
October 15, 2014

AHRQ Stats

Employees working at lower-wage workplaces in 2012 paid a larger share of the total premium for single, employee-plus-one and family health coverage than those working for higher-wage employers. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #436: Comparing Health Insurance Coverage and Costs for Employees in Lower-Wage versus Higher-Wage Establishments, Private Sector, 2012.)

Today's Headlines

  1. Save The Date: New AHRQ Lecture Series Begins October 27 With Principal Investigator of PROMIS Statistical Coordinating Center.
  2. New Research Review Looks at Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain.
  3. AHRQ Co-Sponsors ECRI Conference On Care For "New" Complex Patients November 6-7.
  4. AHRQ's Web M&M Explores Overuse of Care.
  5. AHRQ in the Professional Literature.

1. Save The Date: New AHRQ Lecture Series Begins October 27 With Principal Investigator of PROMIS Statistical Coordinating Center

Mark your calendars for the opening event of AHRQ's new Director's Lecture Series, which begins at the Agency on October 27 with David Cella, Ph.D., professor and chair of the Department of Medical Social Sciences at Northwestern University Feinberg School of Medicine, and director of the Center for Patient-Centered Outcomes – Institute for Public Health and Medicine. Dr. Cella's research is focused in basic measurement research, descriptive studies of quality of life (QoL) and cancer survival, analysis and interpretation of patient-reported outcomes data in clinical trials and QoL intervention research. He developed and validated several dozen questionnaires, known collectively as the Functional Assessment of Chronic Illness Therapy Measurement System (FACIT), that are in wide use internationally. Most recently, he has led the National Institutes of Health's Common Fund Patient Reported Outcomes Measurement Information System (PROMIS) as chair of its steering committee and principal investigator of its statistical center. He also has a parallel project, referred to as PROsetta Stone, which links common QoL measures across important life domains. The Director's Lecture Series will feature experts in areas aligned with AHRQ's work to improve patient safety, research on delivery system reform and patient-centered outcomes research. Additional details about Dr. Cella's talk, "PROMIS: Opportunities for Clinical and Population Research," will be announced soon.

2. New Research Review Looks at Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain

A new research review from AHRQ's Effective Health Care Program found that while the evidence on the effectiveness and harms of opioid therapy for chronic pain treatment is limited, there is an increased risk of serious harms based on the opioid dose given. The research review assesses observational studies that suggest that use of long-term opioids for chronic pain is associated with increased risk of abuse, overdose, fractures and heart attack, when compared with patients who are not being prescribed opioids. The review noted that more research is needed to understand the long-term benefits, risk of abuse and related outcomes, and effectiveness of different opioid prescribing methods and strategies. The review is titled, "The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain." AHRQ has also released a statistical brief from the Healthcare Cost and Utilization Project titled, "Hospital Inpatient Utilization Related to Opioid Overuse Among Adults, 1993-2012." According to the brief, hospitalization rates for opioid overuse more than doubled from 1993 to 2012 and increased at a faster rate for people age 45 and older. In addition, AHRQ Director Rick Kronick, Ph.D., has published a blog about opioids.

3. AHRQ Co-Sponsors ECRI Conference On Care For "New" Complex Patients November 6-7

ECRI Institute's 21st Annual Conference on the Use of Evidence in Policy and Practice will be held November 6-7 in the nation's capital. The title of the free conference, co-hosted by AHRQ, is "The ‘New' Complex Patient: The Shifting Locus of Care and Cost." The purpose is to explore how America's health care system is changing to care for complex patients, how this care is being financed and how and where this care takes place. The conference will be held at the National Academy of Sciences, 2101 Constitution Ave. NW, Washington, D.C. Continuing education (CE) credits will be available to participants at no cost. Registration is open.

4. AHRQ's Web M&M Explores Overuse of Care

The current issue of AHRQ Web M&M features a Spotlight Case about a man hospitalized for a foot amputation who also had chronic obstructive pulmonary disease and chronic pain and was taking long-acting morphine. After being given hydromorphone, morphine and diazepam for post-operative pain and severe muscle spasms, the patient became minimally responsive and a code blue was called. In addition to post-operative surgical pain and his chronic pain, he also began having diffuse severe muscle spasms. Over the next 48 hours he was given increasing doses of extended-release morphine, as well as intravenous and oral hydromorphone for breakthrough pain. The Perspectives section of the issue includes an interview with Rosemary Gibson, M.Sc., author of "The Treatment Trap," about overuse of medical care and a commentary by Christopher Moriates, M.D., about the emergence of medical care overuse as a patient safety issue.

5. AHRQ in the Professional Literature

Elder NC, Jacobson CJ, Bolon SK, et al. Patterns of relating between physicians and medical assistants in small family medicine offices. Ann Fam Med 2014 Mar-Apr;12(2):150-7. Select to access the abstract on PubMed®.

Konetzka RT, Brauner DJ, Shega J, et al. The effects of public reporting on physical restraints and antipsychotic use in nursing home residents with severe cognitive impairment. J Am Geriatr Soc 2014 Mar; 62(3):454-61. Epub 2014 Mar 11. Select to access the abstract on PubMed®.

Memtsoudis SG, Stundner O, Rasul R, et al. The impact of sleep apnea on postoperative utilization of resources and adverse outcomes. Anesth Analg 2014 Feb;118(2):407-18. Select to access the abstract on PubMed®.

Kenyon CC, Melvin PR, Chiang VW, et al. Rehospitalization for childhood asthma: timing, variation, and opportunities for intervention. J Pediatr 2014 Feb;164(2):300-5. Epub 2013 Nov 14. Select to access the abstract on PubMed®.

Beadles CA, Hassmiller Lich K, Viera AJ, et al. Patient-centered medical homes and oral anticoagulation therapy initiation. Med Care Res Rev 2014 Apr;71(2):174-91. Epub 2013 Nov 19. Select to access the abstract on PubMed®.

Bresnahan BW, Rundell SD, Dagadakis MC, et al. A systematic review to assess comparative effectiveness studies in epidural steroid injections for lumbar spinal stenosis and to estimate reimbursement amounts. PM R. 2013 Aug;5(8):705-14. Select to access the abstract on PubMed®.

Lairson DR, Parikh RC, Cormier JN, et al. Cost-utility analysis of platinum-based chemotherapy versus taxane and other regimens for ovarian cancer. Value Health 2014 Jan-Feb;17(1):34-42. Select to access the abstract on PubMed®.

Fiks AG; Center for Clinical Effectiveness, PolicyLab, Center for Biomedical Informatics, Children's Hospital of Philadelphia. Improving HPV vaccination rates. LDI Issue Brief 2014 Mar;19(1):1-4. Select to access the abstract on PubMed®.

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Page last reviewed October 2014
Page originally created October 2014
Internet Citation: Save The Date: New AHRQ Lecture Series Begins October 27 With Principal Investigator of PROMIS Statistical Coordinating Center. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/news/newsletters/e-newsletter/444.html

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