In their article, Elhassan and colleagues report a meta-analysis that addresses key questions about the natural history of adrenal incidentalomas. The editorialists discuss how the findings support current guidelines from the European Society of Endocrinology and European Network for the Study of Adrenal Tumors and identify future study that is necessary to inform decision making concerning the choice between surgery and conservative management for patients with adrenal incidentalomas.
Untangling Differences in Quality of Care in Medicare Advantage Versus Traditional Medicare Programs
In this issue, Panagiotou and colleagues contribute to our understanding of Medicare Advantage programs by investigating whether enrollees hospitalized for heart failure, pneumonia, or acute myocardial infarction had lower readmission rates than those in traditional Medicare. The editorialists discuss the findings and the research that is needed to definitively define the comparability of outcomes in different Medicare programs.
Background:Adrenal incidentalomas are mostly benign nonfunctioning adrenal tumors (NFATs) or adenomas causing mild autonomous cortisol excess (MACE), but their natural history is unclear.Purpose:To summarize the follow-up data of adults with NFAT or MACE to determine the proportions of tumor growth, malignant transformation, and incident changes in hormone function; the prevalence of incident cardiometabolic comorbid conditions; and mortality.Data Sources:MEDLINE, Embase, Cochrane, and Scopus (January...
Background:Medicare's Hospital Readmissions Reduction Program reports risk-standardized readmission rates for traditional Medicare but not Medicare Advantage beneficiaries.Objective:To compare readmission rates between Medicare Advantage and traditional Medicare.Design:Retrospective cohort study linking the Medicare Provider Analysis and Review (MedPAR) file with the Healthcare Effectiveness Data and Information Set (HEDIS).Setting:4748 U.S. acute care hospitals.Patients:Patients aged 65 years or...
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