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Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program

For Hospitals, No Benefit for Early Adoption of Financial Incentives

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Hospitals with early adoption do not have better process scores, lower mortality than late adopters
In both men and women in the United States

Cancer Death Rate Continuing to Decline in United States

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Continuous drop in combined cancer death rate from 1991 to 2015, resulting in 2,378,600 fewer deaths
For older adults discharged to home from the emergency department

Scripted Callbacks Do Not Prevent 30-Day Returns of ER Discharges

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No reduction in ER/hospital return rates or death for older adults who receive telephone follow-up
Silent myocardial infarction is associated with an increased long-term risk of heart failure

Silent Myocardial Infarction Linked to Heart Failure Risk

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Silent and clinically manifested MI both correlated with future risk of heart failure in adjusted models

December 2017 Briefing – Geriatrics

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Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for December 2017. This roundup includes the latest...
For patients scheduled for major surgery

Pre-Op Accelerometry Can Assess Cardiopulmonary Fitness

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Accelerometry variables correlate with cardiopulmonary exercise variables
For patients with acute or subacute stroke

Outcome Scores Predict Discharge Destination Post Stroke

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Outcome measure scores strongly predict discharge destination after acute, subacute stroke
Pharmaceutical aids are not effective for increasing long-term smoking cessation

Pharmaceutical Aids Not Found to Be Helpful for Smoking Cessation

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No evidence that varenicline, bupropion, or nicotine replacement increase probability of abstinence
From 2002 to 2015 there was a substantial increase in gabapentinoid use

Increase Seen in Gabapentinoid Use From 2002 to 2015

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More than three-fold increase in percentage of adults using gabapentin and/or pregabalin
There are noticeable differences in hospice utilization among patients with malignant glioma

Variation Seen in Hospice Use for Malignant Glioma

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Differences by race, sex, age, level of education, urban versus rural residence identified