62 research outputs found

    Competitive markets with externalities

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    This paper presents a general model of a competitive market with consumption externalities, and establishes the existence of equilibrium in the model, under assumptions comparable to those in classical models. The model allows production and indivisible goods. Examples illustrate the generality and applicability of the results.Competitive equilibrium, externalities, distributional economies

    Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

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    Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≄1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≀6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

    Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

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    BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

    Price-dependent consumption externalities and non-existence of equilibria

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    We construct a concrete example of an exchange economy which admits no equilibria in the presence of price-dependent consumption externalities. In our example, agents form a finite atomless measure space . A reference coalition of each agent t at a price system p is the subset C(t,p)[subset of]T consisting of those agents whose income falls into a certain income range associated with t. The interdependence of the taste of agent t operates through a reference consumption vector [eta], which represents the aggregated effect on t's taste of the various consumption choices made by all agents in C(t,p). We choose , the mean consumption bundle of all agents in C(t,p), where denotes the assignment of a commodity bundle to agent s and where the measure (1/([mu][C(t,p)]))[mu] may be interpreted as the relative frequencies of contact that t makes with other members in C(t,p). In light of the law of large numbers, the above [eta] can be viewed as the consumption trend of the agents in C(t,p), which influences the taste of t.Interdependent preferences Measure space of agents Equilibrium

    Existence of Nash equilibria in large games

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    Podczeck [Podczeck, K., 1997. Markets with infinitely many commodities and a continuum of agents with non-convex preferences. Economic Theory 9, 385-426] provided a mathematical formulation of the notion of "many economic agents of almost every type" and utilized this formulation as a sufficient condition for the existence of Walras equilibria in an exchange economy with a continuum of agents and an infinite dimensional commodity space. The primary objective of this article is to demonstrate that a variant of Podczeck's condition provides a sufficient condition for the existence of pure-strategy Nash equilibria in a large non-anonymous game G when defined on an atomless probability space not necessary rich, and equipped with a common uncountable compact metric space of actions A. We also investigate to see whether the condition can be applied as well to the broader context of Bayesian equilibria and prove an analogue of Yannelis's results [Yannelis, N.C., in press. Debreu's social equilibrium theorem with asymmetric information and a continuum of agents. Economic Theory] on Debreu's social equilibrium theorem with asymmetric information and a continuum of agents.Large non-anonymous game Pure-strategy Nash equilibrium Large anonymous game Cornot-Nash equilibrium distribution Loeb space Rich probability space Bayesian games
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