Objectives To provide a map of Anatomical Therapeutic Chemical (ATC) Classification System codes to individual Rx-Risk comorbidities and validate the Comorbidity Index. Design The 46 in Index were mapped dispensing’s indicative each condition using ATC codes. Prescription dispensing claims 2014 used calculate Rx-Risk. A baseline logistic regression model was fitted age gender as covariates. added base an (1) unweighted score, (2) weighted score (3) comorbidity categories indicating presence...

Identifying patient health conditions in observational studies is essential for accurately measuring healthcare practices and planning effective policy interventions. This analysis evaluates the validity of Rx-Risk Index, a tool that uses medication dispensing data to identify comorbidities measure overall health. We examined an updated version reflecting changes treatment practices, assess its as identifying specific aid risk adjustment studies. conducted validation study using two...

To evaluate the impact of national multifaceted initiatives to improve use proton pump inhibitors (PPIs) on PPIs among older Australians.Interrupted time series analysis using administrative health claims data from Australian Government Department Veterans' Affairs (DVA).Australia.All veterans and dependents who received between January 2003 December 2013.National, interventions PPI were conducted by MATES programme Australia's NPS MedicineWise in April 2004, June 2006, May 2009 August...

Primary care provides an opportunity to prevent community acquired, medicine or drug-induced acute kidney injury. One of the barriers proactive prevention medicine-induced injury in primary is lack a list nephrotoxic medicines that are most problematic care, particularly one comparison risks across medicines.The aim this study was consolidate evidence on associated with and injury, focus used care.We searched MEDLINE EMBASE databases identify published studies all identified from spontaneous...

Abstract Aim We evaluated the impact of quality improvement interventions at different time points on uptake collaborative Home Medicines Reviews ( HMR s). Methods National to promote s, comprising patient‐specific prescriber feedback and tailored educational materials for patients clinicians, were conducted in 2004, 2006 2011 through Veterans’ Advice Therapeutics Education Services (Veterans’ MATES ) program. Primary care taking multiple medicines targeted each intervention, while primary...

Summary Interface terminologies used in electronic health records must be re-evaluated and revised to reflect current care practice knowledge. To enable future revisions of the Omaha System Intervention Scheme, investigators evaluated formal semantic structure target terms concept duplication problem terms. Using linguistic principles qualitative analysis, five themes were found. A multidimensional for intervention term was proposed. Concept examined 16 problem-target matches. Clinical data...

The Australian Government Department of Veterans' Affairs (DVA) Medicines Advice and Therapeutics Education Services (Veterans' MATES) programme conducted two intervention (March 2009, follow-up June 2012) both which aimed to reduce hypnotic use among veterans. We evaluated the effectiveness interventions, estimated associated health consequences.Both interventions targeted veterans who had been dispensed hypnotics prior intervention. Patient-specific prescriber feedback containing patient...

ABSTRACT Background: Antipsychotics are commonly used, and the rate of use is highest, among those aged 65 years or over, where risk adverse events also high. Up to 20% younger adults more than one antipsychotic concurrently; however there few studies on prevalence polypharmacy in older people. We aimed analyze elderly Australians, focusing medicines manage associated with antipsychotics. Methods: A cross-sectional study was conducted using Australian Department Veterans’ Affairs (DVA)...

Objectives The aim of this study was to compare effectiveness and safety low-strength high-strength direct oral anticoagulants (DOACs) with warfarin in the Australian Veteran population. Design Sequential cohort using inverse probability treatment weighting (IPTW) propensity score matching. Initiators (apixaban 5 mg, dabigatran 150 rivaroxaban 20 mg) DOACS 2.5 110 15 were compared initiators. Setting Government Department Veterans’ Affairs claims database. Participants 4836 patients who...

Multiple studies have assessed the appropriateness of use medicines for nursing home residents; however, few included duration in their assessment. The aim this study was to assess level and medications recommended short-term residents aged care facilities Australia.

Background Pelvic organ prolapse ( POP ) and stress urinary incontinence SUI are common conditions. The use of mesh in the surgical treatment these conditions Australia is unclear. Aim To examine procedures an Australian national cohort older women. Methods We conducted a population‐based study using data from Government Department Veterans’ Affairs DVA database. consisted women who had between 1 July, 2005 31 December, 2016. Women received were identified by matching device billing codes...

It is not known if the medicines and services for COPD are used in Australia according to COPD-X guideline. This study examined use of health among an Australian cohort determine they were consistent with recommendations.The administrative claims data from Government Department Veterans' Affairs included persons aged ≥50 years who using April 2016. Use was identified Anatomical, Therapeutic Chemical Classification Pharmaceutical Benefits Scheme. Medicare Schedule Fee Schedule.Of 143,261...

Natural disasters and health emergencies disproportionally affect vulnerable populations causing disruptions to usual care increasing chronic disease burden. Data digital technologies are important tools identify mitigate indirect effects of emergencies. In this paper, we describe the methods used in development a series emergency preparedness interventions direct consequences COVID-19 pandemic veteran community Australia. The case studies demonstrate use data for surveillance, patient...

Work that has shown a relationship between anxiety and chronic opioid use not focused on older people specifically, despite the additional risks in populations. This study aimed to understand whether prior initiation increased likelihood of over time persons aged 60 years or older.Administrative claims data were used calculate opioids first episode use. Patients classified as having history if they dispensed medicines anxiolytics class had hospitalization event for treatment with an opioid....

When analyzing the outcomes of joint arthroplasty, an important factor to consider is patient comorbidities. The presence multiple comorbidities has been associated with longer hospital stays, more postoperative complications, and increased mortality. American Society Anesthesiologists (ASA) physical status classification system score a measure patient's overall health shown be complications mortality after arthroplasty. Rx-Risk another for determining number different conditions which...

IntroductionPatient comobidity at time of primary joint replacement (JR) impacts on outcomes including revision and mortality. Understanding changes in comorbidity profiles is important when assessing change over time. Most arthroplasty registries have limited information due to their minimum dataset. One approach obtaining additional data linking registry with national administrative data. Objectives ApproachObjectives were quantify pre-operative profile patients undergoing total hip (THR)...