To estimate the prevalence and associations of broadly defined (i.e., meeting full ICD-10, DSM-IV, or RDC/ICSD-2 inclusion criteria) insomnia with work performance net comorbid conditions in America Insomnia Survey (AIS).Cross-sectional telephone survey.National sample 7,428 employed health plan subscribers (ages 18+).None.Broadly was assessed Brief Questionnaire (BIQ). Work absenteeism presenteeism (low on-the-job metric lost workday equivalents) were WHO Health Performance (HPQ)....

To explore the distribution of 4 cardinal nighttime symptoms insomnia—difficulty initiating sleep (DIS), difficulty maintaining (DMS), early morning awakening (EMA), and nonrestorative (NRS)—in a national sample health plan members associations these with sociodemographics, comorbidity, perceived health. Cross-sectional telephone survey 6,791 adult respondents. None. Current insomnia was assessed using Brief Insomnia Questionnaire (BIQ)—a fully structured validated scale generating diagnoses...

Context: Insomnia is a common and seriously impairing condition that often goes unrecognized.Objectives: To examine associations of broadly defined insomnia (ie, meeting inclusion criteria for diagnosis from International Statistical Classification Diseases, 10th Revision, DSM-IV, or Research Diagnostic Criteria/International Sleep Disorders, Second Edition) with costly workplace accidents errors after excluding other chronic conditions among workers in the America Survey...

Previous research has yielded inconsistent results regarding the mediating effects of social support upon psychiatric illness. Using data (N = 2029) gathered as part a major epidemiologic study in southeastern United States, authors examine relationships among depressive symptoms, support, stressful life events, and socioeconomic status. As anticipated, direct were found for status symptoms. However, when analyzed via three-way analysis variance multiple regression (including all possible...

To estimate associations of broadly defined insomnia (i.e., meeting inclusion criteria for International Classification Diseases, Tenth Revision (ICD-10), Diagnostic and Statistical Manual Mental Disorders, Fourth Edition (DSM-IV), or Research Criteria/International Sleep Second (RDC/ICSD-2) diagnosis) with workplace/nonworkplace injuries controlling comorbid conditions among workers in the America Insomnia Survey (AIS).Cross-sectional telephone survey.National sample 4,991 employed health...

The prevalence of irritable bowel syndrome with constipation (IBS-C) is estimated to be between 4.3% and 5.2% among adults in the United States. Little known about health care resource utilization costs associated IBS-C.To (a) evaluate annual total all-cause, gastrointestinal (GI)-related, IBS-C-related IBS-C patients seeking medical a commercially insured population (b) estimate incremental all-cause relative matched controls.Patients aged ≥ 18 years continuous pharmacy benefit eligibility...

Phase 3 clinical trials performed primarily outside the US demonstrate that intravesical instillation of chemotherapy immediately after transurethral resection bladder (TURB) decreases cancer recurrence rates. The authors sought to determine whether urologists have adopted this practice, and its potential effect on costs (BC) care.By using 1997-2004 MEDSTAT claims data, identified patients with newly diagnosed BC who underwent cystoscopic biopsy or TURB, those received within 1 day TURB....

To investigate treatment patterns and achievement of glycemic targets in patients with type 2 diabetes mellitus treated basal insulin a real-world setting, to determine physicians' beliefs practices regarding these patients.This study had two components; retrospective analysis using US claims database patient data, survey practices.A total 39,074 were included this analysis. The proportion achieving HbA1c<7.0% (53mmol/mol) was similar ongoing users at baseline (26%) 3months follow-up (27%)....

Abstract Objective The study sought to assess awareness, perceptions, and value of telehealth in primary care from the perspective patients. Materials Methods We conducted a cross-sectional, Web-based survey adults with access services who visited healthcare providers for any 20 most-commonly seen diagnoses during visits. Three groups were studied: registered users (RUs) had completed LiveHealth Online (a health plan service provider) visit, nonusers (RNUs) but not nonregistered (NRNUs)...

To understand steroidal mineralocorticoid receptor antagonists (sMRAs) treatment patterns and side effects from patients' perspectives. The RELICS-PS study, a complement to the claims-based RELICS used cross-sectional patient survey targeting adults with commercial or Medicare Advantage health insurance who had at least one pharmacy claim for sMRAs (spironolactone eplerenone) between July 2021 June 2022. It Healthcare Integrated Research Database (HIRD®) as sampling frame identify eligible...

in the America Insomnia Survey (AIS), a large (n = 10,094) epidemiologic survey of prevalence and correlates insomnia sample subscribers to large, national, managed healthcare plan United States.This Brief Questionnaire (BIQ) was designed be administered by an interviewer.It generates diagnoses according inclusion criteria Diagnostic Statistical Manual, Fourth Edition, Text Revision 1 (DSM-IV-TR), International Classification Diseases-10 2 (ICD-10), research diagnostic 3 (RDC), Sleep...

Objective: To compare physician-reported adherence of specific patients to oral second-generation antipsychotics vs. actual rates determined from the patients' pharmacy claims. Methods: Claims data HealthCore Integrated Research Database identified with schizophrenia or bipolar disorder ≥1 antipsychotic prescription. The prescribing physicians were claims and asked complete an Internet survey assessing their perception medication for 1–2 beliefs regarding in general a 1-year period....

Concerns have been raised about patients' failure to persist in alcohol treatment. We examined prescriptions for oral naltrexone a large, nationally distributed treatment population identify characteristics and health-care utilization patterns associated with persistence.Data from the 2000-2004 MarketScan Commercial Claims Encounters Database were used patients alcohol-related claims who prescribed naltrexone.Analysis identified patient that predicted persistence (defined as having filled...

Natalizumab (Tysabri, Biogen Idec and Elan Pharmaceuticals) significantly reduces the relapse rate disability progression, improves health-related quality of life (HRQoL), in patients with relapsing-remitting multiple sclerosis. We investigated impact natalizumab on patient-reported outcomes (PROs) a real-world setting. PRO data were collected from enrolled longitudinal study using validated measures administered as surveys before initiated treatment after 3rd, 6th, 12th monthly infusion....

Objective:To evaluate total annual all-cause, gastrointestinal-related, and symptom-related healthcare costs among chronic constipation (CC) patients estimate incremental all-cause of CC relative to matched controls.Methods:Patients aged ≥18 years with continuous medical pharmacy benefit eligibility in 2010 were identified from the HealthCore Integrated Research Database. had ≥2 claims for (ICD-9-CM code 564.0x) ≥90 days apart or ≥1 claim plus constipation-related apart, no irritable bowel...

The National Breakthrough Pain Study is a large observational study that assessed breakthrough pain (BTP) in population of commercially insured community-dwelling patients with opioid-treated chronic pain. Eligible were identified from an administrative claims database, and consenting asked to complete structured telephone interview several validated questionnaires. Questionnaires interference function (Brief Inventory-Short Form), health status (Short Form 12 [SF-12] Health Survey),...

To assess the cost outcomes of patients with a history depression and clinically significant fatigue.Adults ≥ 2 claims diagnosis codes identified from HealthCore Integrated Research Database were invited to participate in this study linking survey data retrospective (12-mo presurvey postsurvey periods). Patient surveys included measures for (Quick Inventory Depressive Symptomatology), fatigue (Fatigue Associated Depression Questionnaire), anxiety (7-item Generalized Anxiety Disorder scale),...

To compare oral anticoagulant (OAC) adherence among patients with nonvalvular atrial fibrillation (NVAF) using patient-reported and claims-based measures, to evaluate the effect of OAC on health care costs patient satisfaction therapy.This was a hybrid US observational study consisting longitudinal cohort survey followed by linkage analysis respondents' administrative claims data. Patients NVAF receiving warfarin, dabigatran, rivaroxaban, or apixaban completed an initial follow-up surveys at...