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  1. Article ; Online: Covid-19: an Imperative to Bridge the Gap Between Medicine And Public Health.

    Mushlin, Alvin I

    Journal of general internal medicine

    2020  Volume 35, Issue 8, Page(s) 2445–2446

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Coronavirus Infections/therapy ; Delivery of Health Care/organization & administration ; Delivery of Health Care/standards ; Health Services Needs and Demand ; Humans ; Intersectoral Collaboration ; Pandemics/prevention & control ; Patient Care/standards ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pneumonia, Viral/therapy ; Professional Practice Gaps/organization & administration ; Public Health/methods ; Public Health/standards ; Quality Improvement ; SARS-CoV-2 ; United States/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-03
    Publishing country United States
    Document type Editorial
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-05932-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Covid-19

    Mushlin, Alvin I.

    Journal of General Internal Medicine

    an Imperative to Bridge the Gap Between Medicine And Public Health

    2020  Volume 35, Issue 8, Page(s) 2445–2446

    Keywords Internal Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-05932-w
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Application of a data continuity prediction algorithm to an electronic health record-based pharmacoepidemiology study.

    Flory, James H / Zhang, Yongkang / Banerjee, Samprit / Wang, Fei / Min, Jea Y / I Mushlin, Alvin

    Journal of evaluation in clinical practice

    2024  

    Abstract: Background and objectives: Use of algorithms to identify patients with high data-continuity in electronic health records (EHRs) may increase study validity. Practical experience with this approach remains limited.: Methods: We developed and validated ...

    Abstract Background and objectives: Use of algorithms to identify patients with high data-continuity in electronic health records (EHRs) may increase study validity. Practical experience with this approach remains limited.
    Methods: We developed and validated four algorithms to identify patients with high data continuity in an EHR-based data source. Selected algorithms were then applied to a pharmacoepidemiologic study comparing rates of COVID-19 hospitalization in patients exposed to insulin versus noninsulin antidiabetic drugs.
    Results: A model using a short list of five EHR-derived variables performed as well as more complex models to distinguish high- from low-data continuity patients. Higher data continuity was associated with more accurate ascertainment of key variables. In the pharmacoepidemiologic study, patients with higher data continuity had higher observed rates of the COVID-19 outcome and a large unadjusted association between insulin use and the outcome, but no association after propensity score adjustment.
    Discussion: We found that a simple, portable algorithm to predict data continuity gave comparable performance to more complex methods. Use of the algorithm significantly impacted the results of an empirical study, with evidence of more valid results at higher levels of data continuity.
    Language English
    Publishing date 2024-05-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1327355-3
    ISSN 1365-2753 ; 1356-1294
    ISSN (online) 1365-2753
    ISSN 1356-1294
    DOI 10.1111/jep.14002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effect of Cost and Formulation on Persistence and Adherence to Initial Metformin Therapy for Type 2 Diabetes.

    Flory, James H / Mushlin, Alvin I

    Diabetes care

    2020  Volume 43, Issue 6, Page(s) e66–e67

    Language English
    Publishing date 2020-04-06
    Publishing country United States
    Document type Letter ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 441231-x
    ISSN 1935-5548 ; 0149-5992
    ISSN (online) 1935-5548
    ISSN 0149-5992
    DOI 10.2337/dc19-2426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: To (genetic) test or not to test, that is the question.

    Mushlin, Alvin I

    Journal of comparative effectiveness research

    2015  Volume 4, Issue 5, Page(s) 429–431

    MeSH term(s) Breast Neoplasms/diagnosis ; Breast Neoplasms/economics ; Cost-Benefit Analysis/economics ; Female ; Gene Expression Profiling/economics ; Humans ; Neoplasm Recurrence, Local/diagnosis ; Neoplasm Recurrence, Local/economics
    Language English
    Publishing date 2015-09
    Publishing country England
    Document type Comment ; Editorial
    ISSN 2042-6313
    ISSN (online) 2042-6313
    DOI 10.2217/cer.15.35
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: ACP Journal Club. In patients with sciatica, MRI at 1 year did not differentiate between a favorable or unfavorable outcome.

    Mushlin, Alvin I

    Annals of internal medicine

    2013  Volume 159, Issue 4, Page(s) JC12

    MeSH term(s) Female ; Humans ; Intervertebral Disc Displacement/pathology ; Lumbar Vertebrae/pathology ; Magnetic Resonance Imaging ; Male ; Outcome Assessment (Health Care)/methods ; Sciatica/pathology
    Language English
    Publishing date 2013-08-20
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/0003-4819-159-4-201308200-02012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Prioritizing Quality Measures in Acute Stroke Care : A Cost-Effectiveness Analysis.

    Zhu, Jinyi / Kamel, Hooman / Gupta, Ajay / Mushlin, Alvin I / Menzies, Nicolas A / Gaziano, Thomas A / Rosenthal, Meredith B / Pandya, Ankur

    Annals of internal medicine

    2023  Volume 176, Issue 5, Page(s) 649–657

    Abstract: Background: The American Heart Association and American Stroke Association (AHA/ASA) endorsed 15 process measures for acute ischemic stroke (AIS) to improve the quality of care. Identifying the highest-value measures could reduce the administrative ... ...

    Abstract Background: The American Heart Association and American Stroke Association (AHA/ASA) endorsed 15 process measures for acute ischemic stroke (AIS) to improve the quality of care. Identifying the highest-value measures could reduce the administrative burden of quality measure adoption while retaining much of the value of quality improvement.
    Objective: To prioritize AHA/ASA-endorsed quality measures for AIS on the basis of health impact and cost-effectiveness.
    Design: Individual-based stroke simulation model.
    Data sources: Published literature.
    Target population: U.S. patients with incident AIS.
    Time horizon: Lifetime.
    Perspective: Health care sector.
    Intervention: Current versus complete (100%) implementation at the population level of quality measures endorsed by the AHA/ASA with sufficient clinical evidence (10 of 15).
    Outcome measures: Life-years, quality-adjusted life-years (QALYs), incremental cost-effectiveness ratios, and incremental net health benefits.
    Results of base-case analysis: Discounted life-years gained from complete implementation would range from 472 (tobacco use counseling) to 34 688 (early carotid imaging) for an annual AIS patient cohort. All AIS quality measures were cost-saving or highly cost-effective by AHA standards (<$50 000 per QALY for high-value care). Early carotid imaging and intravenous tissue plasminogen activator contributed the largest fraction of the total potential value of quality improvement (measured as incremental net health benefit), accounting for 72% of the total value. The top 5 quality measures accounted for 92% of the total potential value.
    Results of sensitivity analysis: A web-based user interface allows for context-specific sensitivity and scenario analyses.
    Limitation: Correlations between quality measures were not incorporated.
    Conclusion: Substantial variation exists in the potential net benefit of quality improvement across AIS quality measures. Benefits were highly concentrated among 5 of 10 measures assessed. Our results can help providers and payers set priorities for quality improvement efforts and value-based payments in AIS care.
    Primary funding source: National Institute of Neurological Disorders and Stroke.
    Language English
    Publishing date 2023-05-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M22-3186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Improving the efficiency and outcomes of medical care.

    Mushlin, Alvin I

    Journal of comparative effectiveness research

    2012  Volume 1, Issue 5, Page(s) 387–389

    MeSH term(s) Clinical Medicine ; Comparative Effectiveness Research ; Cost-Benefit Analysis ; Diagnostic Techniques and Procedures/economics ; Equipment and Supplies ; Global Health ; Health Policy ; Outcome Assessment (Health Care)
    Language English
    Publishing date 2012-09
    Publishing country England
    Document type Interview ; News
    ISSN 2042-6313
    ISSN (online) 2042-6313
    DOI 10.2217/cer.12.40
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Association between antidiabetic drug use and the risk of COVID-19 hospitalization in the INSIGHT Clinical Research Network in New York City.

    Min, JeaYoung / Simmons, Will / Banerjee, Samprit / Wang, Fei / Williams, Nicholas / Zhang, Yongkang / Reese, April B / Mushlin, Alvin I / Flory, James H

    Diabetes, obesity & metabolism

    2022  Volume 24, Issue 7, Page(s) 1402–1405

    MeSH term(s) COVID-19/epidemiology ; Hospitalization ; Humans ; Hypoglycemic Agents/adverse effects ; New York City/epidemiology ; Retrospective Studies ; SARS-CoV-2
    Chemical Substances Hypoglycemic Agents
    Language English
    Publishing date 2022-04-25
    Publishing country England
    Document type Research Support, N.I.H., Extramural ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1454944-x
    ISSN 1463-1326 ; 1462-8902
    ISSN (online) 1463-1326
    ISSN 1462-8902
    DOI 10.1111/dom.14704
    Database MEDical Literature Analysis and Retrieval System OnLINE

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