Study of dispensary patients of working age with circulatory system diseases through the automated control systems

Diseases of the circulatory system occupy a leading position among the diseases prevalence of which is increasing with each passing year and is sustainable. The leading reasons for the circulatory diseases as revealed by prophylactic medical examination are arterial hypertension, chronic heart failure, arrhythmia and coronary heart disease. The growth in the number of circulatory system diseasescauses medical and social problem - disability of the working-age population. In order to determine the role of Automated Control System the study of morbidity, disability and mortality due tocirculatory system diseaseswas conducted in the municipal polyclinic №4 of Aktobe city (West Kazakhstan). The method of retrospective data analysis of annual statistical reports and data from the portal "Electronic Register of dispensary patients", "Automated Information System", "Drug Supply Information System" was used. The incidence of circulatory system diseasesin dispensary patients of working age had risen from 1.94% (2011) to 2.8% (2015). In the main classes of primary disability the circulatory system diseasesin terms of growth steadily occupy the first place ranking

How well does diagnosis-based risk-adjustment work for comparing ambulatory clinical outcomes?

Risk-adjustment, Ambulatory, Administrative data, Mortality, Diagnosis Cost Groups/Hierarchical Condition Categories (DCG/HCC),

The influence of facility volume on patient treatments and survival outcomes in nasopharyngeal carcinoma

BACKGROUND: This study evaluates the influence of facility case-volume on nasopharyngeal carcinoma (NPC) treatments and overall survival (OS). METHODS: The 2004-2015 National Cancer Database was queried for NPC patients receiving definitive treatment. RESULTS: A total of 8,260 patients (5-year OS: 63.4%) were included. The 1,114 unique facilities were categorized into 854 low-volume (treating 1-8 patients), 200 intermediate-volume (treating 9-23 patients), and 60 high-volume (treating 24-187 patients) facilities. Kaplan-Meier log-rank analysis demonstrated significantly improved OS with high-volume facilities (p<0.001). On cox proportional-hazard multivariate regression after adjusting for age, gender, income, insurance, comorbidity index, histology, AJCC clinical stage, and treatment type, high-volume facilities were associated with lower mortality risk than low-volume (HR=0.865, p=0.019) and intermediate-volume facilities (HR=0.916, p=0.004). Propensity score matching analysis confirmed this association (p<0.001). CONCLUSION: Higher facility volume was an independent predictor of improved OS in NPC, suggesting a possible survival benefit of referrals to high-volume medical centers