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  1. Article ; Online: AUTHOR REPLY.

    Gul, Zeynep G / Davies, Benjamin J / Jacobs, Bruce L

    Urology

    2023  Volume 175, Page(s) 24

    Language English
    Publishing date 2023-05-31
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2022.11.060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: EDITORIAL COMMENT.

    Yu, Michelle / Jacobs, Bruce L

    Urology

    2020  Volume 146, Page(s) 195

    Language English
    Publishing date 2020-12-03
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.06.118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Association of Medicare eligibility with access to and affordability of care among older cancer survivors.

    Kwon, Youngmin / Roberts, Eric T / Degenholtz, Howard B / Jacobs, Bruce L / Sabik, Lindsay M

    Journal of cancer survivorship : research and practice

    2024  

    Abstract: Purpose: Older cancer survivors have substantial needs for ongoing care, but they may encounter difficulties accessing care due to cost concerns. We examined whether near-universal insurance coverage through Medicare-a key source of health insurance ... ...

    Abstract Purpose: Older cancer survivors have substantial needs for ongoing care, but they may encounter difficulties accessing care due to cost concerns. We examined whether near-universal insurance coverage through Medicare-a key source of health insurance coverage in this population-is associated with improvements in care access and affordability among older cancer survivors around age 65.
    Methods: In a nationally representative sample of cancer survivors (aged 50-80) from 2006-2018 National Health Interview Survey, we employed a quasi-experimental, regression discontinuity design to estimate changes in insurance coverage, delayed/skipped care due to cost, and worries about or problems paying medical bills at age 65.
    Results: Medicare coverage sharply increased from 8.3% at age 64 to 98.2% at age 65, ensuring near-universal insurance coverage (99.5%). Medicare eligibility at age 65 was associated with reductions in delayed/skipped care due to cost (discontinuity, - 5.7 percentage points or pp; 95% CI, - 8.1, - 3.3; P < .001), worries about paying for medical bills (- 7.7 pp; 95% CI, - 12.0, - 3.2; P = .001), and problems paying medical bills (- 3.2 pp; 95% CI, - 6.1, - 0.2; P = .036). However, a sizable proportion reported any access or affordability problems (29.7%) between ages 66 and 80.
    Conclusions: Near-universal Medicare coverage at age 65 was associated with a reduction-but not elimination-of access and affordability problems among cancer survivors.
    Implications for cancer survivors: These findings reaffirm the role of Medicare in improving access and affordability for older cancer survivor and highlight opportunities for reforms to further alleviate financial burden of care in this population.
    Language English
    Publishing date 2024-03-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2388888-X
    ISSN 1932-2267 ; 1932-2259
    ISSN (online) 1932-2267
    ISSN 1932-2259
    DOI 10.1007/s11764-024-01562-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Editorial Comment.

    Gul, Zeynep G / Jacobs, Bruce L / Davies, Benjamin J

    The Journal of urology

    2021  Volume 207, Issue 1, Page(s) 59

    Language English
    Publishing date 2021-09-29
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 3176-8
    ISSN 1527-3792 ; 0022-5347
    ISSN (online) 1527-3792
    ISSN 0022-5347
    DOI 10.1097/JU.0000000000002175.01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: EDITORIAL COMMENT.

    Yu, Michelle / Jacobs, Bruce L / Davies, Benjamin J

    Urology

    2021  Volume 153, Page(s) 235

    Language English
    Publishing date 2021-07-26
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2020.12.048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Anion Binding to Ammonium and Guanidinium Hosts: Implications for the Reverse Hofmeister Effects Induced by Lysine and Arginine Residues.

    Jordan, Jacobs H / Gibb, Corinne L D / Tran, Thien / Yao, Wei / Rose, Austin / Mague, Joel T / Easson, Michael W / Gibb, Bruce C

    The Journal of organic chemistry

    2024  

    Abstract: Anions have a profound effect on the properties of soluble proteins. Such Hofmeister effects have implications in biologics stability, protein aggregation, amyloidogenesis, and crystallization. However, the interplay between the important noncovalent ... ...

    Abstract Anions have a profound effect on the properties of soluble proteins. Such Hofmeister effects have implications in biologics stability, protein aggregation, amyloidogenesis, and crystallization. However, the interplay between the important noncovalent interactions (NCIs) responsible for Hofmeister effects is poorly understood. To contribute to improving this state of affairs, we report on the NCIs between anions and ammonium and guanidinium hosts
    Language English
    Publishing date 2024-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 123490-0
    ISSN 1520-6904 ; 0022-3263
    ISSN (online) 1520-6904
    ISSN 0022-3263
    DOI 10.1021/acs.joc.4c00242
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  7. Article ; Online: Telemedicine in urologic oncology care: Will telemedicine exacerbate disparities?

    Gul, Zeynep G / Sharbaugh, Danielle R / Ellimoottil, Chad / Rak, Kimberly J / Yabes, Jonathan G / Davies, Benjamin J / Jacobs, Bruce L

    Urologic oncology

    2024  Volume 42, Issue 2, Page(s) 28.e1–28.e7

    Abstract: Introduction: Disparities in prostate, bladder, and kidney cancer outcomes are associated with access to care. Telemedicine can improve access but may be underutilized by certain patient populations. Our objective was to determine if the patient ... ...

    Abstract Introduction: Disparities in prostate, bladder, and kidney cancer outcomes are associated with access to care. Telemedicine can improve access but may be underutilized by certain patient populations. Our objective was to determine if the patient populations who suffer worse oncologic outcomes are the same as those who are less likely to use telemedicine.
    Methods: Using an institutional database, we identified all prostate, bladder and kidney cancer encounters from March 14, 2020 to October 31, 2021 (n = 15,623; n = 4, 14; n = 3,830). Telemedicine was used in 13%, 8%, and 12% of these encounters, respectively. We performed random effects modeling analysis to examine patient and provider characteristics associated with telemedicine use. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were reported as measures of association.
    Results: Among prostate, bladder, and kidney cancer patients, Black patients had lower odds of a telemedicine encounter (OR 0.51, 95% CI 0.37-0.69; OR 0.22, 95% CI 0.07-0.70; OR 0.46, 95% CI 0.24-0.86), and patients residing in small and isolated small rural towns areas had higher odds of a telemedicine encounter (OR 1.44, 95% CI 1.09-1.91; OR 2.12, 95% CI 1.14-3.94; OR 1.89, 95% CI 1.12-3.19). Compared to providers in practice ≤5 years, providers in practice for 6 to 15 years had significantly higher odds of a telemedicine encounter for prostate and bladder cancer patients (OR 4.10, 95% CI 1.4511.58; OR 3.42, 95% CI 1.09-10.77).
    Conclusion: The lower rates of telemedicine use among Black patients could exacerbate pre-existing disparities in prostate, bladder, and kidney cancer outcomes.
    MeSH term(s) Male ; Humans ; Urinary Bladder ; Prostate ; Carcinoma, Renal Cell ; Kidney Neoplasms ; Telemedicine
    Language English
    Publishing date 2024-01-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336505-8
    ISSN 1873-2496 ; 1078-1439
    ISSN (online) 1873-2496
    ISSN 1078-1439
    DOI 10.1016/j.urolonc.2023.10.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Comparison of primary payer in cancer registry and discharge data.

    Kwon, Youngmin / Perraillon, Marcelo C / Drake, Coleman / Jacobs, Bruce L / Bradley, Cathy J / Sabik, Lindsay M

    The American journal of managed care

    2023  Volume 29, Issue 9, Page(s) 455–462

    Abstract: Objectives: To determine agreement between variables capturing the primary payer at cancer diagnosis across the Pennsylvania Cancer Registry (PCR) and statewide facility discharge records (Pennsylvania Health Care Cost Containment Council [PHC4]) for ... ...

    Abstract Objectives: To determine agreement between variables capturing the primary payer at cancer diagnosis across the Pennsylvania Cancer Registry (PCR) and statewide facility discharge records (Pennsylvania Health Care Cost Containment Council [PHC4]) for adults younger than 65 years, and to specifically examine factors associated with misclassification of Medicaid status in the registry given the role of managed care.
    Study design: Cross-sectional analysis of the primary cancer cases among adults aged 21 to 64 years in the PCR from 2010 to 2016 linked to the PHC4 facility visit records.
    Methods: We assessed agreement of payer at diagnosis (Medicare, Medicaid, private, other, uninsured, unknown) across data sources, including positive predictive value (PPV) and sensitivity, using the PHC4 records as the gold standard. The probability of misclassifying Medicaid in registry was estimated using multivariate logit models.
    Results: Agreement of payers was high for private insurance (PPV, 89.7%; sensitivity, 83.6%), but there was misclassification and/or underreporting of Medicaid in the registry (PPV, 80%; sensitivity, 58%). Among cases with "other" and "unknown" insurance, 73.8% and 62.1%, respectively, had private insurance according to the PHC4 records. Medicaid managed care was associated with a statistically significant increase of 12.6 percentage points (95% CI, 9.4-15.8) in the probability of misclassifying Medicaid enrollment as private insurance in the registry.
    Conclusions: Findings suggest caution in conducting and interpreting research using insurance variables in cancer registries.
    MeSH term(s) Adult ; Aged ; Humans ; Cross-Sectional Studies ; Medicare ; Neoplasms/diagnosis ; Neoplasms/epidemiology ; Patient Discharge ; Registries ; United States ; Middle Aged
    Language English
    Publishing date 2023-09-20
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2035781-3
    ISSN 1936-2692 ; 1088-0224 ; 1096-1860
    ISSN (online) 1936-2692
    ISSN 1088-0224 ; 1096-1860
    DOI 10.37765/ajmc.2023.89425
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Editorial Commentary.

    Turner, Robert M / Jacobs, Bruce L

    Urology practice

    2017  Volume 4, Issue 6, Page(s) 461

    Language English
    Publishing date 2017-09-01
    Publishing country United States
    Document type Journal Article
    ISSN 2352-0787
    ISSN (online) 2352-0787
    DOI 10.1016/j.urpr.2016.11.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Editorial Comment: Industry Payments to Urologists in 2014: an Analysis of the Open Payments Program.

    Bandari, Jathin / Jacobs, Bruce L

    Urology practice

    2017  Volume 4, Issue 4, Page(s) 347

    Language English
    Publishing date 2017-07-31
    Publishing country United States
    Document type Journal Article
    ISSN 2352-0779
    ISSN 2352-0779
    DOI 10.1016/j.urpr.2016.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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