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Research Spotlights
Highlighting exceptional peer-reviewed journal publications featuring data, software products, and tools from the Healthcare Cost and Utilization Project (HCUP).
 
Research Spotlights

Nearly 2,900 peer-reviewed journal publications feature data, software products, and tools from the Healthcare Cost and Utilization Project (HCUP). This research can impact healthcare policy, practice, and future research. Here are a few recent examples:

ED use by older adults attempting suicide
Carter MW, Reymann MR.
Am J Emerg Med. 2014 Jun;32(6):535-40.
    This study utilizes the 2006 Nationwide Emergency Department Sample (NEDS) to analyze patterns of older adult patient visits to emergency departments for self-harm and suicide-related injuries.

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Racial and ethnic disparities in severe maternal morbidity: a multistate analysis, 2008-2010
Creanga AA, Bateman BT, Kuklina EV, Callaghan WM.
Am J Obstet Gynecol. 2014 May;210(5):435.e1-8.
    This study uses the 2008-2010 State Inpatient Databases (SID) from seven states to examine racial and ethnic disparities in severe maternal morbidity during delivery hospitalizations in the United States.

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Disparities in access to deep brain stimulation surgery for Parkinson disease: interaction between African American race and Medicaid use
Chan AK, McGovern RA, Brown LT, Sheehy JP, Zacharia BE, Mikell CB, Bruce SS, Ford B, McKhann GM 2nd.
JAMA Neurol. 2014 Mar;71(3):291-9.
    African American individuals experience barriers to accessing many types of health care in the United States, resulting in substantial health care disparities. This study utilizes the NIS to examine deep brain stimulation (DBS) use in Parkinson disease (PD) to determine which factors, among a variety of demographic, clinical, and socioeconomic variables, drive DBS use in the United States.

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Specialization and the current practices of general surgeons
Decker MR, Dodgion CM, Kwok AC, Hu YY, Havlena JA, Jiang W, Lipsitz SR, Kent KC, Greenberg CC.
J Am Coll Surg. 2014 Jan;218(1):8-15.
    The impact of specialization on the practice of general surgery has not been characterized. This study uses the 2008 State Inpatient Databases and State Ambulatory Surgery Databases of 3 states to assess general surgeons' operative practices to inform surgical education and workforce planning.

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Insurance status and the transfer of hospitalized patients: an observational study
Hanmer J, Lu X, Rosenthal GE, Cram P.
Ann Intern Med. 2014 Jan 21;160(2):81-90.
    There is little objective evidence to support concerns that patients are transferred between hospitals based on insurance status. This study uses the 2010 Nationwide Inpatient Sample to examine the relationship between patients' insurance coverage and interhospital transfer.

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Does health information exchange reduce redundant imaging? Evidence from emergency departments
Lammers EJ, Adler-Milstein J, Kocher KE.
Med Care. 2014 Mar;52(3):227-34.
    Broad-based electronic health information exchange (HIE) is expected to produce large quality gains and cost savings. This study uses the State Emergency Department Databases for California and Florida for 2007-2010 to evaluate whether HIE adoption is associated with decreases in repeat imaging in emergency departments (EDs).

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Use of Hospital-Based Services Among Young Adults With Behavioral Health Diagnoses Before and After Health Insurance Expansions
Meara E, Golberstein E, Zaha R, Greenfield SF, Beardslee WR, Busch SH.
JAMA Psychiatry. 2014 Apr;71(4):404-11.
    This study uses the 2003-2009 National Inpatient Sample (NIS) and the 2003-2009 State Inpatient Database (SID) and State Emergency Department Database (SEDD) from Maryland and Massachusetts to evaluate the association between health insurance coverage expansions and use of hospital-based care among young adults with behavioral health diagnoses.

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Epidemiology of acute pancreatitis in hospitalized children in the United States from 2000-2009.
Pant C, Deshpande A, Olyaee M, Anderson MP, Bitar A, Steele MI, Bass PF 3rd, Sferra TJ.
PLoS One. 2014 May 7;9(5):e95552
    This study uses the 2000-2009 Kids' Inpatient Database (KID) to examine the epidemiology of acute pancreatitis in hospitalized children.

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Inpatient survival after gastrectomy for gastric cancer in the 21st century.
Wang H, Pawlik TM, Duncan MD, Hui X, Selvarajah S, Canner JK, Haider AH, Ahuja N, Schneider EB.
J Surg Res. 2014 Jul;190(1):72-8.
    This study utilizes the 2001-2010 Nationwide Inpatient Sample (NIS) to examine how changes in patient- and hospital-level factors are associated with gastric cancer outcomes over the last decade.

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An examination of longitudinal CAUTI, SSI, and CDI rates from key HHS data systems
Weinberg DA, Kahn KL.
Med Care 2014 Feb;52(2 Suppl 1):S74-82.
    In response to the growing concern about healthcare-associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections. This study aims to identify and assess the strengths and weaknesses HHS data systems, including the Healthcare Cost and Utilization Project, available for surveillance of catheter-associated urinary tract infections, surgical site infections, and Clostridium difficile infections.

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To view previous examples of research spotlights, please refer to the Research Spotlights Archives

To view a comprehensive list of publications that used HCUP data and tools, please refer to the Publications Search Feature, which provides publications listed by author. Information includes title, publication, data, and sometimes access to an abstract.

Internet Citation: Research Spotlights. Healthcare Cost and Utilization Project (HCUP). September 2014. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/reports/spotlights.jsp.
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Last modified 9/8/14