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  1. Article: Pituitary Adenomas as a Barometer for Health Care Access.

    Wallace, Nathan John / Palmer, William Jackson / Devaiah, Anand K

    Journal of neurological surgery. Part B, Skull base

    2022  Volume 84, Issue 3, Page(s) 248–254

    Abstract: ... ...

    Abstract Introduction
    Language English
    Publishing date 2022-05-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/a-1808-1445
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3425: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Pituitary Adenomas as a Barometer for Health Care Access

    Wallace, Nathan John / Palmer, William Jackson / Devaiah, Anand K.

    Journal of Neurological Surgery Part B: Skull Base

    2022  Volume 84, Issue 03, Page(s) 248–254

    Abstract: Introduction: Expanding access to care has been shown to impact patient care and disease epidemiology for different disease states, but has not been studied in pituitary adenoma. We hypothesize that increasing access to care—which includes diagnostics— ... ...

    Abstract Introduction: Expanding access to care has been shown to impact patient care and disease epidemiology for different disease states, but has not been studied in pituitary adenoma. We hypothesize that increasing access to care—which includes diagnostics—through the Affordable Care Act (ACA) and Medicaid expansion has increased identification of pituitary adenomas.
    Methods: The National Cancer Institute's Surveillance, Epidemiology, and End Results database was utilized to identify patients with pituitary adenomas from 2007–to 2016 yielding 39,120 cases. Demographic, histologic, and insurance data were extracted. After stratification based on their insurance status, they were plotted to examine trends in insurance status after introduction of the ACA and Medicaid expansion. Magnetic resonance imaging (MRI) data was gathered from the Organization for Economic Co-operation and Development. A linear regression model was developed to describe the relationship between pituitary adenoma discovery and the number of MRI exams.
    Results: Pituitary adenoma diagnoses (37.6%) and MRI examinations per 1,000 in the U.S. (32.3%) increased concurrently from 2007 to 2016. Linear regression analysis revealed a statistically significant relationship ( p  = 0.0004). Those patients without insurance diagnosed with pituitary adenomas decreased 36.8% after Medicaid expansion ( p  = 0.023). With respect to Medicaid utilization, significant increases of 28.5% ( p  = 0.014) and 30.3% ( p  = 0.00096) were noted after both the ACA enactment and Medicaid expansion, respectively.
    Conclusion: The ACA has expanded health care access which has increased the ability to identify patients with pituitary adenomas. The present study also provides evidence that access to care is important for less prevalent diseases such as pituitary adenomas.
    Keywords pituitary adenoma ; health care disparities ; Affordable Care Act ; MRI
    Language English
    Publishing date 2022-03-24
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/a-1808-1445
    Database Thieme publisher's database

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 3425: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

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