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您的检索式：作者名="Yash Jobanputra"
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| 1 | Healthcare utilization and costs associated with gastroparesis显示文摘AIM To use a national database of United States hospitals to evaluate the incidence and costs of hospital admissions associated with gastroparesis.METHODS We analyzed the National Inpatient Sample Database(NIS)for all patients in whom gastroparesis(ICD-9 code:536.3)was the principal discharge diagnosis during the period,1997-2013.The NIS is the largest publicly available all-payer inpatient care database in the United States.It contains data from approximately eight million hospital stays each year.The statistical significance of the difference in the number of hospital discharges,length of stay and hospital costs over the study period was determined by regression analysis.RESULTS In 1997,there were 3978 admissions with a principal discharge diagnosis of gastroparesis as compared to16460 in 2013(P<0.01).The mean length of stay for gastroparesis decreased by 20%between 1997 and 2013from 6.4 d to 5.1 d(P<0.001).However,during this period the mean hospital charges increased significantly by 159%from$13350(after inflation adjustment)per patient in 1997 to$34585 per patient in 2013(P<0.001).The aggregate charges(i.e.,'national bill') for gastroparesis increased exponentially by 1026%from$50456642±4662620 in 1997 to$568417666±22374060 in 2013(P<0.001).The percentage of national bill for gastroparesis discharges(national bill for gastroparesis/total national bill)has also increased over the last 16 years(0.0013%in 1997 vs 0.004%in2013).During the study period,women had a higher frequency of gastroparesis discharges when compared to men(1.39/10000 vs 0.9/10000 in 1997 and 5.8/10000vs 3/10000 in 2013).There was a 6-fold increase in the discharge diagnosis of gastroparesis amongst type 1 DM and 3.7-fold increase amongst type 2 DM patients over the study period(P<0.001).CONCLUSION The number of inpatient admissions for gastroparesis and associated costs have increased significantly over the last 16 years.Inpatient costs associated with gastroparesis contribute significantly to the national healthcare bill.Further research on cost-effective evaluation and management of gastroparesis is required. | Vaibhav Wadhwa Dhruv Mehta Yash Jobanputra Rocio Lopez Prashanthi N Thota Madhusudhan R Sanaka | 2017 | World Journal of Gastroenterology2017，23，24： | 3 |
| 2 | 美国急性胆囊炎住院情况的趋势分析显示文摘背景与目的:急性胆囊炎在胃肠科住院患者中相当常见。本研究的目的是应用美国国家医院数据库来评估急性胆囊炎住院率及住院花费。方法:我们分析了国家住院病例数据库(NIS),筛选出1997-2012年间将急性胆囊炎(ICD-9代码:574.00、574.01、574.30、574.31、574.60、574.61或575.0)作为第一出院诊断的所有病例。NIS是美国最大的住院数据库,囊括了每年大概8百万患者的住院资料。采用卡方趋势检查分析整个研究期间急性胆囊炎的出院人数、住院时间及住院费用。结果:1997年有149661例以急性胆囊炎作为出院第一诊断的住院患者,2012年该人数上升至215995例(P<0.001)。急性胆囊炎的平均住院时间在1997-2012年间减少了17%,由4.7天缩短至3.9天(P<0.05)。然而,住院费用却增长了195.4%,由1997年的14608美元增加至2012年的43152美元(P<0.001)。结论:在过去16年间,美国急性胆囊炎患者出院人数和住院费用亦显著增加,但平均住院时间却逐渐缩短。急性胆囊炎的住院费用加重了整体医疗支出,有必要进一步评估急性胆囊炎的成本效应和治疗方法。 | Vaibhav Wadhwa Yash Jobanputra Sushil K Garg Soumil Patwardhan Dhruv Mehta Madhusudhan R.Sanaka | 2017 | Gastroenterology Report2017，5，1： | 1 |
| 3 | 胆管癌相关的医疗情况及治疗费用显示文摘背景:胆管癌是一种罕见但致命的恶性肿瘤,预后差,病死率高。随着近年来胆管癌诊治水平的提高,胆管癌在美国的发病率和治疗效果是否得到了改善尚不清楚。本研究的目的是以美国住院患者为对象,评估胆管癌发病率、治疗费用及住院病死率的变化趋势。方法:收集美国住院样本数据库(NIS)1997-2012年间第一出院诊断为胆管癌(ICD-9代码:155.1和156)的患者。采用趋势回归分析评估研究期间住院人数、住院时间、住院费用以及住院病死率的时间趋势。结果:研究期间,胆管癌作为主要诊断的住院人数显著增加,从1997年的10,357增加至2012年的11,970(P<0.001)。胆管癌患者的平均住院时间缩短了17%,从1997年的9.5天缩短至2012年的7.9天(P<0.001)。然而,在此期间,每例患者的平均住院费用(按通货膨胀进行调整后)增高了113.25%,由1997年的36,460美元提高至77,753美元。住院病死率由1997年的9.3%下降至2012年的6.4%(P<0.001)。结论:1997-2012年间,美国胆管癌住院人数和人均住院费用显著增加,而住院病死率则明显下降。 | Vaibhav Wadhwa Yash Jobanputra Prashanthi N.Thota KVNarayanan Menon Mansour A.Parsi Madhusudhan R.Sanaka | 2017 | Gastroenterology Report2017，5，3： | 0 |
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