A5090541769- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Reforms
- Healthcare Policy and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Care Issues
- Global Public Health Policies and Epidemiology
- Dialysis and Renal Disease Management
- Appendicitis Diagnosis and Management
- COVID-19 Clinical Research Studies
- SARS-CoV-2 and COVID-19 Research
- Bacterial Identification and Susceptibility Testing
- Economic and Financial Impacts of Cancer
- Global Cancer Incidence and Screening
- COVID-19 epidemiological studies
- Nausea and vomiting management
- Clinical practice guidelines implementation
- Sepsis Diagnosis and Treatment
- Nutrition and Health in Aging
- Health disparities and outcomes
- Acute Kidney Injury Research
- Global Maternal and Child Health
- Child Nutrition and Water Access
- Chronic Disease Management Strategies
- Trypanosoma species research and implications
- Antibiotic Resistance in Bacteria
Universidad Nacional de Colombia
2015-2025
Hospital Universitario Nacional de Colombia
2018-2025
Institute of Cardiology
2024-2025
University College London
2023-2024
Stanford University
2024
Universidad del Rosario
2024
Center for Economic and Policy Research
2024
Stanford Health Care
2024
Municipality of Medellín
2023
The University of Texas Southwestern Medical Center
2023
Abstract We report on and compare health inequalities in Latin America the Caribbean a broad set of domains, across three key dimensions: socio-economic status, urban/rural residence, sex. The poorest are burdened by worst access to maternal care higher levels infant mortality child stunting. Despite being knowledgeable about contraceptive methods, young women have very high teenage pregnancy with steep gradient. Noncommunicable diseases also affect poor disproportionately. Mental is growing...
SummaryBackground & aimsHospitalized patients show a high rate of malnutrition, which is associated with poor patient outcomes and healthcare costs. However, relatively few studies have investigated the association between clinical economic malnutrition in hospitalized patients, particularly those cardiac pulmonary conditions.MethodsThis multicenter prospective observational cohort study included 800 at four Colombian hospitals diagnosis congestive heart failure, acute myocardial infarction,...
Background:Automated peritoneal dialysis (APD) is a growing PD modality but as with other home methods, the lack of monitoring patients' adherence to prescriptions limitation potential negative impact on clinical outcome parameters. Remote patient (RPM) allowing team have access data and adjust treatment may overcome this limitation. The present study sought determine outcomes associated RPM use in incident patients APD therapy.Methods:A retrospective cohort included 360 mean age 57 years...
Across the world, COVID-19 pandemic has disproportionately affected economically disadvantaged groups. This differential impact numerous possible explanations, each with significantly different policy implications. We examine, for first time in a low- or middle-income country, which mechanisms best explain disproportionate of virus on poor. Combining an epidemiological model rich data from Bogotá, Colombia, we show that total infections and inequalities are largely driven by ability to work...
Abstract In this study, we develop a taxonomy to categorize health systems in Latin American countries into four distinct groups based on their principal characteristics. Using standardized metrics from Bancalari et al. (2023), examine disparities healthcare access and outcomes among these systems. Our findings reveal that Beveridge-type are associated with lower levels of inequality compared Bismarckian However, no consistent pattern emerges across the proposed taxonomy, suggesting presence...
Latin America has been severely affected by the COVID-19 pandemic but estimations of rates infections are very limited and lack level detail required to guide policy decisions. We implemented a sentinel surveillance study with 59,770 RT-PCR tests on mostly asymptomatic individuals combine this data administrative records all detected cases capture spread dynamics in Bogota from June 2020 early March 2021. describe various features that appear be specific middle income countries. find that,...
PURPOSE Breast cancer care requires a multimodal approach and multidisciplinary team who must work together to obtain good clinical results. The fragmentation of can affect the breast care; however, it has not been measured in low-resource setting. aim this study was identify care, geographic variation its association with 4-year overall survival (OS), costs for patients enrolled Colombia's contributory health system. MATERIALS AND METHODS A retrospective cohort conducted using...
Patients with excellent response to initial therapy have a low rate of tumor recurrence. The objectives this study were evaluate the early recurrence in patients intermediate-risk papillary thyroid cancer who had an treatment and identify risk factors.This retrospective cohort included 217 American Thyroid Association documented (total thyroidectomy adjuvant 100-150 mCi [3.7-5.5 GBq] radioactive iodine [RAI]). assessed outcome was recurrence, defined as new evidence disease after any...
Objective To validate the Charlson Comorbidity Index (CCI) for Colombian population using administrative databases from health insurance system. Design Retrospective cohort study. Setting Database reports of events related to services that insurers provided (Health Promoter Enterprises, EPS in Spanish) system, which covered 22.19 million residents 2016. Participants The study comprised 3 849 patients aged 18 years and up admitted hospitals between 1 January 31 December Primary outcome aimed...
To quantify the costs of Chagas disease in Colombia from a societal perspective 2017.A cost-of-illness analysis was carried out using prevalence-based approach. Costs attributable to were estimated bottom-up strategy, population fractions. Indirect calculated human capital approach.The total cost diagnosed US $13.1 million and included $5.7 direct medical costs, $1.5 nonmedical $5.8 indirect costs: absenteeism ($2.2 million), presenteeism ($3.1 premature deaths ($515228). On average, people...
ObjectivesThe objective of this study was to identify the association between healthcare fragmentation and survival for patients with colorectal cancer in Colombia.MethodsA retrospective cohort performed using administrative databases, an electronic algorithm based on codes. The were enrolled January 1, 2013, December 31, 2016. exposure variable fragmentation, which measured number different institutions that treated a patient during first year after diagnosis. Matching propensity scores...
The aim of this study was to describe the most frequently found bacterial microorganisms in bloodstream isolates taken from patients intensive care units Colombia and their resistance profiles. This a multicentre descriptive observational that carried out between January 2001 June 2008 with laboratory data 33 participating hospitals surveillance network. were coagulase-negative Staphylococci 39.6%, Staphylococcus aureus 12.3%, Klebsiella pneumoniae 8.2%, Escherichia coli 5.7%, Acinetobacter...
To date, there has been limited exploration, particularly on a national scale, of the prevalence patterns comorbidities and complications associated with rheumatoid arthritis (RA) in Colombia. We aimed to analyze disease-related RA patients enrolled Colombia's contributory healthcare regime. performed nationwide observational descriptive cross-sectional study using administrative claims data. used set sensitive specific electronic algorithms (i.e., rules) applied linked data based ICD-10...
<title>Abstract</title> Background Liver transplantation is a complex, multidisciplinary procedure that requires integrated and coordinated care to ensure favourable patient outcomes. However, healthcare fragmentation, usually characterised by inadequate communication between providers inconsistent follow-up, can undermine the continuity of care, potentially leading worse In Colombia, where system fragmented, association fragmentation on liver outcomes remains underexplored. Objective This...
Background Colorectal cancer is a high-burden disease that requires comprehensive multidisciplinary management. In Colombia, despite healthcare system covering 97% of the population, socioeconomic disparities persist. Lower income levels are associated with decreased survival, potentially due to delays in diagnosis or treatment and higher probability advanced staging at diagnosis, These inequities persist even among relatively advantaged populations, such as formal employee who assumed have...
Introducción. El cáncer de laringe es una neoplasia con abordajes terapéuticos y resultados influenciados por el estadio la enfermedad las características los pacientes. objetivo este estudio fue describir clínicas demográficas pacientes tratados en institución salud colombiana. Métodos. Se realizó un cohorte retrospectivo utilizando datos administrativos salud. incluyeron mayores 18 años laringe, manejados quirúrgicamente entre 2012 2017. La supervivencia general se analizó mediante curvas...