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Incidence and mortality of community-acquired and nosocomial infections in Japan: a nationwide medical claims database study
BackgroundIt is important to determine the prevalence and prognosis of community-acquired infection (CAI) and nosocomial infection (NI) to develop...
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Validation of medical service insurance claims as a surrogate for ascertaining vitiligo cases
The epidemiology of vitiligo, especially its disease burden on the healthcare system, can be assessed indirectly by analyzing health insurance claims...
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Temporal trends of medical cost and cost-effectiveness in sepsis patients: a Japanese nationwide medical claims database
BackgroundSepsis is the leading cause of death worldwide. Although the mortality of sepsis patients has been decreasing over the past decade, the...
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Hospital healthcare utilizers with medical and psychiatric claims in the Netherlands: a nationwide study
BackgroundPsychiatric and medical multimorbidity is associated with low quality of life, poor functioning and excess mortality. Differences in...
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A cross-sectoral approach to utilizing health claims data for quality assurance in medical rehabilitation: study protocol of a combined prospective longitudinal and retrospective cohort study
BackgroundMeasuring the quality of provided healthcare presents many challenges, especially in the context of medical rehabilitation. Rehabilitation...
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Medical expenditures for fragility hip fracture in Japan: a study using the nationwide health insurance claims database
SummaryUsing the nationwide health insurance claims database in Japan, we estimated total annual medical expenditures for fragility hip fracture...
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Defining, Measuring, and Evaluating Prenatal Care in Insurance Claims Data
Purpose of ReviewThe objective of this paper is to discuss the complexities of identifying prenatal care visits in insurance claims databases, review...
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Evaluation of treatment patterns, healthcare resource utilization and cost of illness for sickle cell disease in Ghana: a private medical insurance claims database study
BackgroundSickle cell disease (SCD) is a major public health concern in sub-Saharan Africa, accounting for nearly 75% of the global disease burden....
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Disease Progression Stages and Burden in Patients with Duchenne Muscular Dystrophy Using Administrative Claims Supplemented by Electronic Medical Records
IntroductionThis study aims to identify stages of Duchenne muscular dystrophy (DMD) and assess the disease burden by progression stage using...
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Using a Claims-Based Frailty Index to Investigate Frailty, Survival, and Healthcare Expenditures among Older Adults Hospitalized for COVID-19 at an Academic Medical Center
BackgroundFrailty is associated with mortality in older adults hospitalized with COVID-19, yet few studies have quantified healthcare utilization and...
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Comparing Cardiovascular Outcomes and Costs of Perindopril-, Enalapril- or Losartan-Based Antihypertensive Regimens in South Africa: Real-World Medical Claims Database Analysis
IntroductionDifferences in class or molecule-specific effects between renin–angiotensin–aldosterone system (RAAS) inhibitors have not been...
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Impact of the COVID-19 pandemic on treatment for mental health needs: a perspective on service use patterns and expenditures from commercial medical claims data
ObjectiveTo examine changes in use patterns, cost of healthcare services before and after the outbreak of the COVID-19 pandemic, and their impacts on...
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Validation of administrative claims to identify ultrasound enhancing agent use
BackgroundUltrasound enhancing agents (UEAs) are an invaluable adjunct to stress and transthoracic echocardiography (STE) to improve left ventricular...
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Validating Claims-Based Algorithms Determining Pregnancy Outcomes and Gestational Age Using a Linked Claims-Electronic Medical Record Database
IntroductionPregnancy outcome identification and precise estimates of gestational age (GA) are critical in drug safety studies of pregnant women....
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Procedure code overutilization detection from healthcare claims using unsupervised deep learning methods
BackgroundFraud, Waste, and Abuse (FWA) in medical claims have a negative impact on the quality and cost of healthcare. A major component of FWA in...
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Medical management patterns in a US commercial claims database following a nontraumatic fracture in postmenopausal women
SummaryAmong women ≥ 50 years with fracture, 76% had not received osteoporosis diagnosis or treatment at 6 months and only 14% underwent a DXA scan....
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A study to investigate the prevalence of headache disorders and migraine conducted using medical claims data and linked results from online surveys: post-hoc analysis of other headache disorders
BackgroundSurveys using questionnaires to collect epidemiologic data may be subject to misclassification. Here, we analyzed a headache questionnaire...
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Patterns of malpractice claims and compensation after surgical procedures: a retrospective analysis of 8,901 claims from the Finnish patient insurance registry
BackgroundInvasive surgical procedures carry risk of harm to patients. In addition to avoidable harm, disparities between patient expectations and...
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A Linked Electronic Medical Record-Claims Analysis of the Clinical and Economic Outcomes of Patients Coded for Erosive Esophagitis in the United States
IntroductionErosive esophagitis (EE) is a severe form of gastroesophageal reflux disease commonly treated with proton pump inhibitors (PPIs). The aim...
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Clinical characteristics, medication use, and impact of primary headache on daily activities: an observational study using linked online survey and medical claims data in Japan
BackgroundLimited epidemiological data are available for headache disorders in Japan, and no recent studies have reported the impact of several...
