Brief thread describing our paper on the new cholesterol guidelines. Take-home: The new guidelines increase the number of American's recommended statins by almost a third, with over half of all American adults now recommended statins. @timandersonmd.bsky.social

John Z. Ayanian, MD, MPP@ihpidirector.bsky.social · 2mo ago

Studying how specialty society guideline updates will affect prescribing that mainly occurs in #primarycare settings is an important goal of health services research. Take, for example, these new findings by IHPI member Jeremy Sussman & colleagues at Pitt, published in @jama.com: michmed.org/zdRjw

Studying how specialty society guideline updates will affect prescribing that mainly occurs in #primarycare settings is an important goal of health services research. Take, for example, these new findings by IHPI member Jeremy Sussman & colleagues at Pitt, published in @jama.com: michmed.org/zdRjw

More than half of U.S. adults now qualify for statins under new guidelines

Updated recommendations for cholesterol-lowering therapy mean 21.5 million more people are eligible based on long-term risk for heart attack and stroke

michmed.org

youtu.be/j9zT2NvuVNU?...

Cesaria Evora "Sodade" (live officiel) | Archive INA

YouTube video by Ina Music Live / Ina Musique Live

youtu.be

‼️ Here are our key results: By 7 years after enrollment, relative to before enrollment, HMP enrollees had average reductions of nearly $1000 in medical debt in collections (75% relative reduction) and rates of subprime credit score went down by 25 percentage points (30-50% relative reduction) ‼️ 5/n

🚨🚨🚨 Tl; dr: Enrollment in Medicaid expansion is associated with dramatic long-term improvements in credit score and reductions in medical debt sent to collections! Published today in @jamanetworkopen.com (full paper is linked below) Read on for more details 1/n www.uofmhealth.org/health-lab/m...

Medicaid expansion helped enrollees’ long term financial health, study finds

Now, a new University of Michigan study shows that enrolling also had a positive and long-lasting impact on the financial health of its first enrollees.

uofmhealth.org

UM Board of Regents has honored Kenneth M. Langa with a Distinguished University Professorship. His research shapes our understanding of #aging, #CognitiveImpairment & #dementia. He is co-director of the NIH-funded #HealthAndRetirementStudy, the largest, most influential study of aging in the U.S.

Please join us at the Annual JGIM Webinar on Quality Improvement Science and Implementation Science. We'll have presentations of three top QIS/IS articles, an intro by Lenny López, & a discussion led by Nathalie Moise of Columbia University. us06web.zoom.us/meeting/regi... ‪@journalgim.bsky.social‬

onlinelibrary.wiley.com/doi/10.1111/...

<em>Health Services Research</em> | AcademyHealth & HRET Journal | Wiley Online Library

Objective To estimate the effect of Community Health Center (CHC) site losses on county-level mortality rates. Study Setting and Design We conducted a natural experiment study using difference-in-...

onlinelibrary.wiley.com

Meta’s income statement (via @simongerman600.bsky.social), their R&D budget, for VR glasses, the metaverse, and to show you 0.2% more effective adds, is nearly equal to the NIH budget…

Not sure why we're seeing Lp(a) treated as though it's valuable for regular use. The clinical data is unimpressive. jamanetwork.com/journals/jam... jamanetwork.com/journals/jam... www.ahajournals.org/doi/full/10....

Clinical Utility of Lipoprotein(a) and LPA Genetic Risk Score in Risk Prediction of Incident Atherosclerotic Cardiovascular Disease

This study investigates whether a genetic risk score comprising 43 variants at the LPA gene, which encodes apolipoprotein(a), has clinical utility in assessing atherosclerotic cardiovascular disease r...

jamanetwork.com

Our new research: primary care docs manage 15 portal messages/tasks for every hour of patient facing care. 17/hr for family med docs/ doi.org/10.1007/s116... #medsky #primarycare #familymedicine

In-Basket Message Volume in Primary Care: A Cross-sectional Analysis by Gender and Specialty - Journal of General Internal Medicine

Journal of General Internal Medicine -

doi.org

Lincare Made Billions While Repeatedly Defrauding Medicare. Feds Did Little To Rein It In. www.propublica.org/article/linc...

Lincare is paid to rent oxygen equipment to patients, with HHS covering most of the monthly bills. But those rental fees often add up to many times what it would cost simply to buy the equipment. (Published Nov. 2024) By @peterelkind.bsky.social

Lincare Made Billions While Repeatedly Defrauding Medicare. Feds Did Little To Rein It In.

Lincare, the nation’s largest distributor of home oxygen equipment, has repeatedly violated Medicare rules and probation agreements, victimizing ailing patients and costing taxpayers huge sums. The…

propub.li

also www.youtube.com/watch?v=uHQn...

Mulholland Drive - LLorando (Crying) - English Subtitles

YouTube video by CarpeDiem221286

youtube.com

www.google.com/url?sa=i&url...

Coming up with grant name acronyms: www.google.com/search?clien...

Published an opinion piece in @bmj.com with @raj-mehta.bsky.social. I bet no one has opinions about the topic. www.bmj.com/content/388/...

AI in medicine: preparing for the future while preserving what matters

2025 is here and medicine has continued to move away from the utopian vision of our admission essays for medical school. We are spending countless hours on electronic health records scrolling through ...

bmj.com

"A study of federally funded research projects in the United States estimated that principal investigators spend on average about 45% of their time on administrative activities related to applying for and managing projects rather than conducting active research" www.pnas.org/doi/10.1073/...

Envisioning a class action suit with everyone who paid for that thing.

Screaming Pectoriloquy@caulimovirus.bsky.social · 2y ago

Lmao: retractionwatch.com/2023/08/24/p...

New tools for dynamic-treatment effect estimation with instrumental variables show the effects of revascularization on quality of life are larger and more persistent than conventional analyses suggest, from Angrist, Ferman, Gao, Hull, Tecchio, Yeh https://www.nber.org/papers/w33296

I don't know who needs to know this, but Pro Publica has an online thing that will format a letter to your US health insurance company to demand the records behind a claim denial. (which the insurance is then legally required to provide in most cases) projects.propublica.org/claimfile/

Find Out Why Health Insurance Denied Your Claim

You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file f...

projects.propublica.org

tl;dr Healthcare access disparities cascade through the entire ML pipeline. Check out our working paper here: arxiv.org/pdf/2412.07712

Is there a future role for primary prevention of HF that differs from what we're already doing to prevent ASCVD? Do different risk scores help us identify it?

Today in @annalsofim.bsky.social we looked at the new PREVENT HF risk score. We found that 15 million Americans have HF risk >10%, >4 million of whom have ASCVD risk <10%. www.acpjournals.org/doi/10.7326/...

Today in @annalsofim.bsky.social we looked at the new PREVENT HF risk score. We found that 15 million Americans have HF risk >10%, >4 million of whom have ASCVD risk <10%. www.acpjournals.org/doi/10.7326/...

Clinical Characteristics and Current Management of U.S. Adults at Elevated Risk for Heart Failure Using the PREVENT Equations: A Cross-Sectional Analysis | Annals of Internal Medicine

acpjournals.org

last night, Hallie Prescott had her NEJM review on sepsis released: www.nejm.org/doi/full/10.... Today I had the pleasure of giving some remarks on her installation as the Toews Family Legacy Professor at the University of Michigan

Sepsis and Septic Shock | NEJM

Sepsis is a life-threatening, heterogeneous disorder involving a dysregulated immune response to infection. Research to identify subtypes and targeted therapies for host dysregulation is ongoing.

nejm.org

Great article on the limitations and harms of recommending lifestyle advice in guidelines that recognizes that lifestyle advice has harms to patient, provider, and system and is almost always less effective than is commonly presented. @vmontori.bsky.social www.acpjournals.org/doi/10.7326/...

AHA's lipid guidelines do not recommend Lp(a) testing. An AHA Scientific Statement says not yet, but we should rethink it after technical lab issues are worked out. But AHA also releases glossy brochures clearly encouraging use. 🤷

Michael L. Barnett@mlbarnett.bsky.social · 2y ago

Question for #MedSky LP(a) is the new hot lab test it seems, I've had tons of requests in the past few months. Does the result change anyone's decision making when you get it?

Pretty sure critical care trials are positive <5% of the time.

Anyone have a good reason why grants rules would put tight restrictions on how many papers you're allowed to cite? Cutting citations doesn't feel like the best possible use of anyone's time.

The term "pre-diabetes" has historically been scoffed at, but the risk of diabetes papers from @jeremysussman.bsky.social highlight how we can start to direct GLP-1s in a sensible way prior to low cost options. www.bmj.com/content/350/...

Improving diabetes prevention with benefit based tailored treatment: risk based reanalysis of Diabetes Prevention Program

Objective To determine whether some participants in the Diabetes Prevention Program were more or less likely to benefit from metformin or a structured lifestyle modification program. Design Post hoc ...

bmj.com