The implementation of managed care for diabetes using medical informatics in a large Preferred Provider Organization

Heymann, Anthony; Chodick, Gabriel; Shalev, Varda; Kokia, Ehud

doi:10.1016/s0168-8227(06)70034-1

Cited by 10 publications

(12 citation statements)

References 7 publications

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“…Diabetes mellitus was defined based on entry to the MHS DM registry, 32 as well as hypertension. 33 Dyslipidemia was determined based on diagnoses codes (ICD-9 code 272.x and corresponding MHS internal codes), documented by a physician twice or more in the medical record.…”

Section: Background Diseasesmentioning

confidence: 99%

Helicobacter pylori infection and prevalence of stroke

et al. 2018

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Background Helicobacter pylori causes peptic ulcer disease; however, conflicting evidence exists regarding its role in extragastric conditions. We aimed to examine associations of H pylori infection and peptic ulcer disease with stroke. Methods A cross‐sectional study was undertaken using data of 147 936 individuals aged 25‐95 years who underwent the urea breath test during 2002‐2012, based on the computerized database of the second largest health maintenance organization in Israel. Logistic regression models were fitted to control for potential confounders. Results Overall, 1397 (0.9%) patients had stroke and 76 965 (52.0%) had a H pylori positive test. The likelihood of prevalent stroke increased in relation to H pylori infection: adjusted odds ratio (aOR) 1.16 (95% confidence intervals [CI]: 1.04‐1.29), gastric ulcer: aOR 1.50 (95% CI: 1.18‐1.91), and duodenal ulcer: aOR 1.25 (95% CI: 1.07‐1.46). Conclusions The results support the premise that stroke may be associated with a history of H pylori infection.

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Section: Background Diseasesmentioning

confidence: 99%

Helicobacter pylori infection and prevalence of stroke

et al. 2018

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“…Most ambulatory care in MHS is provided by 3700 physicians who work with identical electronic medical record software, which send datasets to a central computerized database, which are then used to design and assemble a registry of patients with indication of cardiovascular diseases, similar to a previous registry of patients with diabetes mellitus [10,11].…”

Section: Maccabi Healthcare Servicesmentioning

confidence: 99%

The use of an automated patient registry to manage and monitor cardiovascular conditions and related outcomes in a large health organization

Shalev

Chodick

Goren³

et al. 2011

International Journal of Cardiology

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“…The MHS registry of DM patients has been described in detail elsewhere [44]. Briefly, the registry was constructed in 1999 by an automated search in the MHS computerized databases using the disease criteria suggested by the American Diabetes Association [45].…”

Section: Study Populationmentioning

confidence: 99%

Diabetes and risk of incident cancer: a large population-based cohort study in Israel

Chodick

Heymann

Rosenmann

et al. 2010

Cancer Causes Control

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Type 2 diabetes mellitus has been associated with an increased risk of a variety of cancers in observational studies, but few have reported the relationship between diabetes and cancer risk in men and women separately. The main goal of this retrospective cohort study was to evaluate the sex-specific risk of incident overall and site-specific cancer among people with DM compared with those without, who had no reported history of cancer at the start of the follow-up in January 2000. During an average of 8 years of follow-up (SD = 2.5), we documented 1,639 and 7,945 incident cases of cancer among 16,721 people with DM and 83,874 free of DM, respectively. In women, DM was associated with an adjusted hazard ratio of 1.96 (95% CI: 1.53-2.50) and 1.41 (95% CI: 1.20-1.66) for cancers of genital organs and digestive organs, respectively. A significantly reduced HR was observed for skin cancer (0.38; 95% CI: 0.22-0.66). In men with DM, there was no significant increase in overall risk of cancer. DM was related with a 47% reduction in the risk of prostate cancer. These findings suggest that the nature of the association between DM and cancer depends on sex and specific cancer site.

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The implementation of managed care for diabetes using medical informatics in a large Preferred Provider Organization

Cited by 10 publications

References 7 publications

Helicobacter pylori infection and prevalence of stroke

Helicobacter pylori infection and prevalence of stroke

The use of an automated patient registry to manage and monitor cardiovascular conditions and related outcomes in a large health organization

Diabetes and risk of incident cancer: a large population-based cohort study in Israel

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