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Richard W Grady - One of the best experts on this subject based on the ideXlab platform.
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surgical management of congenital ureteropelvic junction obstruction a pediatric Health Information System database study
The Journal of Urology, 2008Co-Authors: Vijaya M Vemulakonda, Thomas S Lendvay, Charles A Cowan, Byron D Joyner, Richard W GradyAbstract:Purpose: Although laparoscopic pyeloplasty has gained popularity, to our knowledge no multi-institutional study has evaluated the prevalence of this approach in children. We used a multicenter database to determine trends in the treatment of congenital ureteropelvic junction obstruction.Materials and Methods: The Pediatric Health Information System database contains data on 37 freestanding hospitals for children across the United States. We extracted data on 0 to 19-year-old patients from 2001 to 2006 with the ICD-9 diagnosis code for congenital ureteropelvic junction obstruction and the procedure code for the correction of ureteropelvic junction obstruction. We identified laparoscopic cases based on hospital charges for 1) laparoscope, 2) trocar, 3) insufflating needle or 4) insufflator and tubing. Data were then analyzed using the chi-square and Student t tests to determine management trends.Results: We identified 2,353 patients, of whom 2,177 (92.5%) underwent open pyeloplasty and 176 (7.5%) underwent ...
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augmentation cystoplasty rates at children s hospitals in the united states a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Richard W GradyAbstract:Purpose: We identified augmentation cystoplasty rates in children with spina bifida at children’s hospitals enrolled in the Pediatric Health Information System database.Materials and Methods: The Pediatric Health Information System database tabulates demographic and diagnostic patient data from 35 children’s hospital centers in the United States. Between October 1999 and September 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for spina bifida. The International Classification of Diseases-9 procedure code for augmentation cystoplasty was cross-referenced with these patients to determine the total number of patients with augmentation, total population augmentation rates and individual institution rates of bladder augmentation.Results: Staff at enrolled pediatric medical centers submitted inpatient data accounting for 9,059 beds servicing an aggregate metropolitan population of 82 million individuals. In the 5-year period 12,925 unique spi...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the incidence of ureteral reimplantation and total vesicoureteral reflux procedures. We used the Pediatric Health Information System database to define practice trends for vesicoureteral reflux therapy.Materials and Methods: From 2002 to 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for vesicoureteral reflux, and procedure codes for ureteral reimplantation and subureteral injection therapy. Of 37 hospitals enrolled in Pediatric Health Information System 18 submitted ambulatory surgery and inpatient data. Data on the total number of patients who underwent reimplantation and injection were analyzed using linear regression analysis for trend.Results: We identified a total of 4,570 procedures performed in 1,948 patients treated with injection therapy and...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the inc...
Thomas S Lendvay - One of the best experts on this subject based on the ideXlab platform.
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surgical management of congenital ureteropelvic junction obstruction a pediatric Health Information System database study
The Journal of Urology, 2008Co-Authors: Vijaya M Vemulakonda, Thomas S Lendvay, Charles A Cowan, Byron D Joyner, Richard W GradyAbstract:Purpose: Although laparoscopic pyeloplasty has gained popularity, to our knowledge no multi-institutional study has evaluated the prevalence of this approach in children. We used a multicenter database to determine trends in the treatment of congenital ureteropelvic junction obstruction.Materials and Methods: The Pediatric Health Information System database contains data on 37 freestanding hospitals for children across the United States. We extracted data on 0 to 19-year-old patients from 2001 to 2006 with the ICD-9 diagnosis code for congenital ureteropelvic junction obstruction and the procedure code for the correction of ureteropelvic junction obstruction. We identified laparoscopic cases based on hospital charges for 1) laparoscope, 2) trocar, 3) insufflating needle or 4) insufflator and tubing. Data were then analyzed using the chi-square and Student t tests to determine management trends.Results: We identified 2,353 patients, of whom 2,177 (92.5%) underwent open pyeloplasty and 176 (7.5%) underwent ...
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augmentation cystoplasty rates at children s hospitals in the united states a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Richard W GradyAbstract:Purpose: We identified augmentation cystoplasty rates in children with spina bifida at children’s hospitals enrolled in the Pediatric Health Information System database.Materials and Methods: The Pediatric Health Information System database tabulates demographic and diagnostic patient data from 35 children’s hospital centers in the United States. Between October 1999 and September 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for spina bifida. The International Classification of Diseases-9 procedure code for augmentation cystoplasty was cross-referenced with these patients to determine the total number of patients with augmentation, total population augmentation rates and individual institution rates of bladder augmentation.Results: Staff at enrolled pediatric medical centers submitted inpatient data accounting for 9,059 beds servicing an aggregate metropolitan population of 82 million individuals. In the 5-year period 12,925 unique spi...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the incidence of ureteral reimplantation and total vesicoureteral reflux procedures. We used the Pediatric Health Information System database to define practice trends for vesicoureteral reflux therapy.Materials and Methods: From 2002 to 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for vesicoureteral reflux, and procedure codes for ureteral reimplantation and subureteral injection therapy. Of 37 hospitals enrolled in Pediatric Health Information System 18 submitted ambulatory surgery and inpatient data. Data on the total number of patients who underwent reimplantation and injection were analyzed using linear regression analysis for trend.Results: We identified a total of 4,570 procedures performed in 1,948 patients treated with injection therapy and...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the inc...
Sarah Gimbel - One of the best experts on this subject based on the ideXlab platform.
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effects of a Health Information System data quality intervention on concordance in mozambique time series analyses from 2009 2012
Population Health Metrics, 2015Co-Authors: Bradley H Wagenaar, Sarah Gimbel, Roxanne Hoek, James Pfeiffer, Cathy Michel, Joao Luis Manuel, Fatima CuembeloAbstract:Background: We assessed the effects of a three-year national-level, ministry-led Health Information System (HIS) data quality intervention and identified associated Health facility factors. Methods: Monthly summary HIS data concordance between a gold standard data quality audit and routine HIS data was assessed in 26 Health facilities in Sofala Province, Mozambique across four indicators (outpatient consults, institutional births, first antenatal care visits, and third dose of diphtheria, pertussis, and tetanus vaccination) and five levels of Health System data aggregation (daily facility paper registers, monthly paper facility reports, monthly paper district reports, monthly electronic district reports, and monthly electronic provincial reports) through retrospective yearly audits conducted July-August 2010–2013. We used mixed-effects linear models to quantify changes in data quality over time and associated Health System determinants. Results: Median concordance increased from 56.3% during the baseline period (2009–2010) to 87.5% during 2012–2013. Concordance improved by 1.0% (confidence interval [CI]: 0.60, 1.5) per month during the intervention period of 2010–2011 and 1.6% (CI: 0.89, 2.2) per month from 2011–2012. No significant improvements were observed from 2009–2010 (during baseline period) or 2012–2013. Facilities with more technical staff (aβ: 0.71; CI: 0.14, 1.3), more first antenatal care visits (aβ: 3.3; CI: 0.43, 6.2), and fewer clinic beds (aβ :- 0.94; CI:�1.7, �0.20) showed more improvements. Compared to facilities with no stock-outs, facilities with five essential drugs stocked out had 51.7% (CI: �64.8 -38.6) lower data concordance. Conclusions: A data quality intervention was associated with significant improvements in Health Information System data concordance across public-sector Health facilities in rural and urban Mozambique. Concordance was higher at those facilities with more human resources for Health and was associated with fewer clinic-level stock-outs of essential medicines. Increased investments should be made in data audit and feedback activities alongside targeted efforts to improve HIS data in low- and middle-income countries.
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an assessment of routine primary care Health Information System data quality in sofala province mozambique
Population Health Metrics, 2011Co-Authors: Sarah Gimbel, Fatima Cuembelo, Mark A Micek, Barrot H Lambdin, Joseph Lara, Marina Karagianis, Stephen GloydAbstract:Background Primary Health care is recognized as a main driver of equitable Health service delivery. For it to function optimally, routine Health Information Systems (HIS) are necessary to ensure adequate provision of Health care and the development of appropriate Health policies. Concerns about the quality of routine administrative data have undermined their use in resource-limited settings. This evaluation was designed to describe the availability, reliability, and validity of a sample of primary Health care HIS data from nine Health facilities across three districts in Sofala Province, Mozambique. HIS data were also compared with results from large community-based surveys.
Stephen Gloyd - One of the best experts on this subject based on the ideXlab platform.
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an assessment of routine primary care Health Information System data quality in sofala province mozambique
Population Health Metrics, 2011Co-Authors: Sarah Gimbel, Fatima Cuembelo, Mark A Micek, Barrot H Lambdin, Joseph Lara, Marina Karagianis, Stephen GloydAbstract:Background Primary Health care is recognized as a main driver of equitable Health service delivery. For it to function optimally, routine Health Information Systems (HIS) are necessary to ensure adequate provision of Health care and the development of appropriate Health policies. Concerns about the quality of routine administrative data have undermined their use in resource-limited settings. This evaluation was designed to describe the availability, reliability, and validity of a sample of primary Health care HIS data from nine Health facilities across three districts in Sofala Province, Mozambique. HIS data were also compared with results from large community-based surveys.
Byron D Joyner - One of the best experts on this subject based on the ideXlab platform.
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surgical management of congenital ureteropelvic junction obstruction a pediatric Health Information System database study
The Journal of Urology, 2008Co-Authors: Vijaya M Vemulakonda, Thomas S Lendvay, Charles A Cowan, Byron D Joyner, Richard W GradyAbstract:Purpose: Although laparoscopic pyeloplasty has gained popularity, to our knowledge no multi-institutional study has evaluated the prevalence of this approach in children. We used a multicenter database to determine trends in the treatment of congenital ureteropelvic junction obstruction.Materials and Methods: The Pediatric Health Information System database contains data on 37 freestanding hospitals for children across the United States. We extracted data on 0 to 19-year-old patients from 2001 to 2006 with the ICD-9 diagnosis code for congenital ureteropelvic junction obstruction and the procedure code for the correction of ureteropelvic junction obstruction. We identified laparoscopic cases based on hospital charges for 1) laparoscope, 2) trocar, 3) insufflating needle or 4) insufflator and tubing. Data were then analyzed using the chi-square and Student t tests to determine management trends.Results: We identified 2,353 patients, of whom 2,177 (92.5%) underwent open pyeloplasty and 176 (7.5%) underwent ...
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augmentation cystoplasty rates at children s hospitals in the united states a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Richard W GradyAbstract:Purpose: We identified augmentation cystoplasty rates in children with spina bifida at children’s hospitals enrolled in the Pediatric Health Information System database.Materials and Methods: The Pediatric Health Information System database tabulates demographic and diagnostic patient data from 35 children’s hospital centers in the United States. Between October 1999 and September 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for spina bifida. The International Classification of Diseases-9 procedure code for augmentation cystoplasty was cross-referenced with these patients to determine the total number of patients with augmentation, total population augmentation rates and individual institution rates of bladder augmentation.Results: Staff at enrolled pediatric medical centers submitted inpatient data accounting for 9,059 beds servicing an aggregate metropolitan population of 82 million individuals. In the 5-year period 12,925 unique spi...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the incidence of ureteral reimplantation and total vesicoureteral reflux procedures. We used the Pediatric Health Information System database to define practice trends for vesicoureteral reflux therapy.Materials and Methods: From 2002 to 2004 we extracted data on 0 to 19-year-old patients with International Classification of Diseases-9 diagnosis codes for vesicoureteral reflux, and procedure codes for ureteral reimplantation and subureteral injection therapy. Of 37 hospitals enrolled in Pediatric Health Information System 18 submitted ambulatory surgery and inpatient data. Data on the total number of patients who underwent reimplantation and injection were analyzed using linear regression analysis for trend.Results: We identified a total of 4,570 procedures performed in 1,948 patients treated with injection therapy and...
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the evolution of vesicoureteral reflux management in the era of dextranomer hyaluronic acid copolymer a pediatric Health Information System database study
The Journal of Urology, 2006Co-Authors: Thomas S Lendvay, Charles A Cowan, Michael M Mitchell, Byron D Joyner, Mathew D Sorensen, Richard W GradyAbstract:Purpose: Since Food and Drug Administration approval of Deflux®, injection therapy for vesicoureteral reflux has increased. Little data exist on the effect that injection therapy has had on the inc...
