With the sensitive criteria, overall and VAMC-level low-value testing frequency varied substantially across conditions: 4. With the specific criteria, the overall frequency of low-value testing across VAMCs was 2. The median adjusted odds ratio ranged from 1. Competing risk models assessed cumulative incidence and predictors of discontinuation, stratified by whether the resident had their end-of-life EOL status designated or used hospice at admission.
Designating residents as EOL status, hospice use, and individual clinical factors indicating poor prognosis may prompt deprescribing. Marginal structural models and inverse probability of treatment weights were used to evaluate associations of AChEI deprescribing and outcomes. Incident antipsychotic prescribing occurred in 5. Competing risk models assessed day cumulative incidence of deintensification.
The cumulative incidence of deintensification at 90 days was Higher baseline HbA1c values were associated with a lower likelihood of deintensification e. Independent variables included an indicator for explicit documentation of LP, sociodemographics, environment of care characteristics, cardiovascular risk factors, bleeding risk factors, individual markers of poor prognosis eg, cancer, weight loss , and facility characteristics.
Fine and Gray subdistribution hazard models with death as a competing risk were used to assess predictors of discontinuation. The associations of independent variables with aspirin discontinuation differed in residents with vs without explicit LP documentation at admission.
Future research should compare outcomes of aspirin deprescribing in this population. J Am Geriatr Soc , We sought to evaluate the impact of deprescribing AChEIs on risk of all-cause events hospitalizations, emergency department visits, and mortality and serious falls or fractures in older nursing home NH residents with severe dementia.
Marginal structural models with inverse probability of treatment weights were used to evaluate the association of deprescribing AChEIs and all-cause negative events as well as serious falls or fractures. We detail a useful approach using a grid search technique that balances the internal model consistency with generalizability and can be used with models that naturally lend themselves to multiple assessment techniques.
Our method relies on resampling and a simple grid search method over 3 commonly used statistics that are simple to calculate.
From two patient cohorts at high risk for hospitalization in and , we generated 19 MIXIRT models allowing latent classes on 21 common comorbid conditions identified via healthcare encounter diagnosis codes.
Among the resulting models, combined AIC and VI statistics identified latent classes, but the rank order correlation of condition complexity revealed that only the 5 class solutions had consistent condition complexity. The 5 class solutions were combined to produce a single parsimonious MIXIRT solution that balanced clinical significance with model fit, cluster similarity, and consistency of condition complexity.
We used classification and regression tree CART methods to identify risk of chronic high-dose opioid prescribing for sociodemographic subgroups. CART analyses identified 35 subgroups using four sociodemographic and five community-level measures, with high-dose opioid prescribing ranging from 0. Our objective was to quantify the prevalence and variation of low-value PSA screening across the Veterans Health Administration VA , which has instituted programs to reduce low-value care.
Station Info. Share Tweet Email. Share: Share Tweet Email. Cleveland Cavaliers power forward Kevin Love underwent surgery on his dislocated left shoulder Wednesday afternoon, and he is projected to need four to six months to recover, the team announced. The operation was performed by Dr.
David W. Altchek at the Hospital for Special Surgery in New York, and Love's rehabilitation will be conducted by the Cavs, according to the team. They were much better, though, when Knox sat, only 5.
Amazingly, 97 percent of NBA lineups outperformed any lineup with Knox in it. But this was something else. The video shows a player struggling to adjust to a new position—small forward—in dire need of two things: ball-handling skill and a plan. He spent much of the season dribbling around somewhat aimlessly, waiting for a ballscreen to bail him out.
His savage attacks at the rim were almost entirely missing. In fact, his lack of using different speeds when attacking was alarming. He played at one tempo consistently, making him far easier to guard. A dribble drive is often a race to the rim—beating the primary defender at the point of attack and then getting to the rim before help arrives. This is all a complete departure from his college days, when his quick, assertive attacks almost never required more than a dribble or two.
Knox knew how to get buckets and what to avoid, at least as well as can be expected for a freshman. The Knicks were unable to put him in those situations. Instead, they put him in pick and rolls, which exposed his middling ball handling. Durant, George, and James Harden all improved wildly as dribblers since their rookie seasons.
Where he once had a routine need for skill development, now he also needs to rehabilitate his confidence as an attacker. To understand the value of that confidence, and to appreciate how poorly the Knicks handled Knox, consider this famous story New York Times columnist and best-selling author Thomas Friedman has told many times :.
An elderly Bedouin leader thought that by eating turkey he could restore his virility. So he bought a turkey, kept it by his tent and stuffed it with food every day. One day someone stole his turkey. The Bedouin elder called his sons together and told them: "Boys, we are in great danger. Someone has stolen my turkey. Young NBA guys face similar peril in this way. A player without confidence is far less effective, even though his skills are exactly the same as they were when he had it.
In fact, he never completed a single month with more assists than turnovers. And the Knicks gave him many opportunities to ruin his self-image: He shot a terrible 39 percent on 2-pointers, and often—more than a dozen times a game. It is said that NBA players need to master at least one skill or talent to make it. When Harden was new to the league, he took only 7. The Thunder kept things simple for him, and as a result he played with confidence and built more over time.
As a rookie, George took just 6. His assists matched his turnovers, 1. Durant, interestingly, was almost as bad as Knox overall, in how his team performed when he was on the court.
But he did find a way to score 20 points a game. A gaudy scoring average on decent shooting proved to his team and himself that he was likely going to win scoring titles one day. His talent in that one area was just that elite. His confidence as a scorer never wavered. It would have been amazing for the Knicks to put Knox in roles where he could kick a little butt. There are many ways that could be done. More than a few talent evaluators felt Knox would be best suited to be a stretch four.
He made 34 percent of his 3s. Keeping things simple could have done wonders for him. One reason why Drummond slipped in the draft was because of concerns over his motor. Now we know it wasn't a motor issue.
The problem was he didn't know just how athletically talented he is. Enter Griffin, who tries to destroy defenders and rims at every opportunity. Drummond is built differently than Griffin but can still take the same approach, exploding and racing everywhere and therefore making plays few others can consistently make -- including Griffin, which tells you how special Drummond can be. It is also important to note that Griffin is one of the NBA's top "bucket getters" despite not being particularly advanced with his low-post game -- he just beasts guys to the rim.
Drummond, in consistent beast mode, would be a spectacular player.
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