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Nathan Gill

CU Anschutz researchers use electronic health data to predict which patients will use opioid medications long-term after hospitalization

Researchers at the University of Colorado Anschutz Medical Campus are working to develop statistical models to better predict which patients will be prescribed opioid medications long-term following discharge from a hospital stay. Opioids are commonly prescribed in the hospital but little is known about which patients will progress to chronic opioid therapy following discharge.

Author Nathan Gill | Publish Date March 02, 2018
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trial commencing for Elipse Balloon

Enrollment for ENLIGHTEN, a United States clinical trial for the Elipse® Balloon – the world’s first and only procedureless™ gastric balloon for weight loss, has started at University of Colorado Hospital at the CU Anschutz Medical Campus.

Author Nathan Gill | Publish Date February 14, 2018
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Method to assess early intervention programs for America’s youngest is flawed

The US Department of Education’s Office of Special Education Programs (OSEP) should change the way it evaluates state early intervention programs for infants and toddlers with developmental delays, according to research from the University of Colorado Anschutz Medical Campus.

Author Nathan Gill | Publish Date January 18, 2018
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ACA Medicaid expansion resulted in fewer hospital closures, especially in rural areas

A new report published in the January issue of Health Affairs is the first to examine hospital closures in the context of the Affordable Care Act and Medicaid expansion. The study from researchers at the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus used data from 2008 to 2016, including multiple years of post-expansion hospital performance data.

The findings indicate the Medicaid expansion under the Affordable Care Act was positively associated with improved hospital performance and a substantially lower likelihood of hospital closure especially in rural markets and counties where residents were largely uninsured adults prior to Medicaid expansion.

Richard Lindrooth, PhD, and coauthors in the Department of Health Systems, Management and Policy at the Colorado School of Public Health, examined national data on local market conditions, comparing the fiscal years immediately before the implementation of the Affordable Care Act (2008-12) with the years just after implementation (2015-16). The analysis was limited to nonfederal, short-term, general and critical access hospitals that had been in operation for at least one year between 2007 and 2015. According to the results, hospitals in the 32 states that expanded Medicaid were about six times less likely (or about 84 percent less likely) to close than hospitals in non-expansion states.

"Access to health care is a fundamental element of our health care system," explains Lindrooth. "Our results suggest that if future policies are adopted that both eliminate the Medicaid expansion and lower health insurance coverage rates, we will see an increase in hospital closures, especially in rural areas."

The authors note that the effects of closures on access and patient welfare depend on the degree to which local residents rely on the hospital for inpatient care.

Gregory Tung, MPH, PhD, co-author of the study at ColoradoSPH, says some closures could be less detrimental in certain areas, especially if hospitals are inefficient or of poorer quality. In urban areas, patients have more options, but it is a different story in rural communities.

"In rural and smaller communities, hospital closures have a far greater impact because they not only affect the delivery of health care services and emergency care, but we also have to consider that these hospitals may be the largest employer and often are pillars in those communities. A closure could mean the loss of well-paid, highly skilled jobs which often leads to well-paid skilled labor leaving those areas for larger cities and urban areas," Tung said.

The authors also add that virtually all closures will increase the travel time required for receiving care that can lead to worse outcomes for patients with conditions that need immediate attention.

"If patients do not have access to other hospitals, as is the case in many rural markets, access to health care will suffer--regardless of whether a person has health insurance or not," added Lindrooth.

Author Nathan Gill | Publish Date January 16, 2018
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Exposure study to assess people and water near Colorado Springs

Researchers at the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus and the Colorado School of Mines received a two-year grant to investigate contamination of the drinking water in the communities of Fountain, Security and Widefield. Residents of these areas were exposed to drinking water contaminated with pollutants originating from aqueous film-forming foams (AFFF) used in firefighting and training activities.

Author Nathan Gill | Publish Date December 21, 2017
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High-intensity exercise delays Parkinson's progression

High-intensity exercise three times a week is safe for individuals with early-stage Parkinson’s disease and decreases worsening of motor symptoms, according to a new phase 2, multi-site trial led by University of Colorado Anschutz Medical Campus and Northwestern Medicine scientists.

Author Nathan Gill | Publish Date December 12, 2017
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CU School of Medicine Physician Receives Top Honor

Michael Holers, MD, the Scoville Professor of Rheumatology in the University of Colorado School of Medicine, was honored with the designation of Master by the American College of Rheumatology (ACR) during the 2017 ACR/ARHP Annual Meeting in San Diego. Recognition as a Master is one of the highest honors that the ACR bestows on its distinguished members.

Author Nathan Gill | Publish Date November 27, 2017
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Second University of Colorado vaccine approved by FDA for shingles

The Centers for Disease Control’s Advisory Committee on Immunization Practices recommended new treatment practices Wednesday for shingles based on a vaccine initially developed at the University of Colorado Health Sciences Center, now the University of Colorado Anschutz Medical Campus.

Author Nathan Gill | Publish Date October 27, 2017
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TBI laws effective in reducing concussions among high school athletes

A new study using data collected in a national sports injury surveillance system by researchers at the Colorado School of Public Health at the University of Colorado Anschutz Medical Campus has found that state-level TBI laws are, in fact, beneficial in reducing the rates of new and recurrent concussions among U.S. high school athletes. Between 2009 and 2014, all 50 states and the District of Columbia enacted one or more traumatic brain injury (TBI) laws, more commonly known as concussion laws. These laws often include mandates to remove athletes from play following an actual or suspected concussion, a medical clearance before they can return to play, and annual education of coaches, parents, and athletes regarding concussion signs or symptoms.

Author Nathan Gill | Publish Date October 23, 2017
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