Abstract:
:We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs of hospitalization and antibiotics. Penicillin prophylaxis is slightly less expensive than erythromycin prophylaxis but is both more expensive and less effective than no prophylaxis. Erythromycin prophylaxis, the most effective, is the most expensive strategy. The marginal cost effectiveness of erythromycin prophylaxis compared to no prophylaxis is $12,900 per quality-adjusted year of life saved. Sensitivity analysis demonstrates that the risk of developing a joint infection is the key parameter in the analysis. Based on our estimated risk of developing a joint infection, the cost-effectiveness of antibiotic prophylaxis with erythromycin compares favorably with other medical interventions. Thus, until a definitive study to quantify the risk is conducted, patients with artificial joints should take prophylactic erythromycin when they undergo dental procedures.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Tsevat J,Durand-Zaleski I,Pauker SGdoi
10.2105/ajph.79.6.739subject
Has Abstractpub_date
1989-06-01 00:00:00pages
739-43issue
6eissn
0090-0036issn
1541-0048journal_volume
79pub_type
杂志文章abstract:OBJECTIVES:This study investigated rates of discontinuation of the recently introduced injectable contraceptive depot medroxyprogesterone acetate (DMPA) and postdiscontinuation rates of unprotected intercourse and unintended pregnancy. METHODS:A sample of 402 low-income, urban, minority women were interviewed when the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.9.1532
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:In a large heterogeneous sample of adults with mental illnesses, we examined the 6-month prevalence and nature of community violence perpetration and victimization, as well as associations between these outcomes. METHODS:Baseline data were pooled from 5 studies of adults with mental illnesses from across th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301680
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country. METHODS:A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1319
更新日期:1998-09-01 00:00:00
abstract::Nuclear weapons pose a particularly destructive threat. Prevention of the proliferation and use of nuclear weapons is urgently important to public health. "Horizontal" proliferation refers to nation-states or nonstate entities that do not have, but are acquiring, nuclear weapons or developing the capability and materi...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.100602
更新日期:2007-09-01 00:00:00
abstract::There is a high prevalence of oral disease in the Alaska Native population, much of which goes untreated, creating a large discrepancy between the level of their oral health and that of the general population. The causes of this discrepancy are multiple--a major cause being the lack of access to care, especially in re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053546
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.88.11.1699
更新日期:1998-11-01 00:00:00
abstract::The scientific literature from January 1970 to June 1979 was reviewed for articles reporting outcomes from out-of-hospital cardiac arrest treated by paramedic programs. Only articles appearing in refereed professional journals and reporting 25 or more attempted resuscitations were included. A total of 21 articles from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.70.3.236
更新日期:1980-03-01 00:00:00
abstract:OBJECTIVES:This study assessed trends in HIV risk behaviors among injection drug users in New York City from 1990 to 1997. METHODS:Injection drug users were recruited continuously from a large drug detoxification treatment program (N = 2588) and a research storefront located in a high-drug-use area (N = 2701). Informe...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.90.7.1112
更新日期:2000-07-01 00:00:00
abstract:OBJECTIVES:We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. METHODS:We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. RESULTS:Relatively low rates of agreement (approximately 60%) between data sources...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.10.1734
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301453
更新日期:2013-09-01 00:00:00
abstract::Responses to a survey of 637 Iowa children under age six years from Aid to Families with Dependent Children (AFDC) households was conducted through telephone interviews with parents and compared to a second sample of children in 760 randomly sampled households. Utilization of health services for children in the AFDC s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.1000
更新日期:1986-08-01 00:00:00
abstract::We determined the relative risk of alcohol-related motor vehicle accidents and fatalities after New Mexico lifted its ban on Sunday packaged alcohol sales. We extracted all alcohol-related crashes from New Mexico police reports for 3652 days between July 1, 1990, and June 30, 2000, and found a 29% increase in alcohol-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069153
更新日期:2006-11-01 00:00:00
abstract::Firearm violence remains an important problem, and a large body of evidence shows that guns used in crime follow generally predictable paths from manufacturer to criminal end user. Policy initiatives based on that evidence have been shown to be effective. A recently published study conducted by a leading policy organi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300238
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:We examined the association between neighborhood convenience stores and diet outcomes for 20 years of the Coronary Artery Risk Development in Young Adults study. METHODS:We used dietary data from the Coronary Artery Risk Development in Young Adults study years 1985-1986, 1992-1993, and 2005-2006 (n = 3299; ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302435
更新日期:2015-05-01 00:00:00
abstract::Noneconomic factors can be critical to the outcome of an economic development program. Anyone with development experience will have no difficulty recalling instances where, despite good economic planning, failure to account for social, cultural, and/or health factors has resulted in program accomplishments which fell...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.61.9.1751
更新日期:1971-09-01 00:00:00
abstract::Objectives. To assess the validity of the immigrant health paradox among Arab Americans in California.Methods. We used data from the 2003 to 2017 California Health Interview Survey (n = 1425). We used survey-weighted χ2 and logistic regression analyses to compare Arabs by immigrant generation on socioeconomic indicato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305308
更新日期:2019-12-01 00:00:00
abstract::Falls and fall-induced injuries in older people are a major public health problem in modern societies with aging populations. Injury is the fifth leading cause of death in older adults, and most of these fatal injuries are related to falls. We have assessed the nationwide trends in fall-induced deaths of older people ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047779
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:This study evaluated the association of physical activity with serum lipoprotein(a) [La(a)] levels in individuals according to whether they had a family history of coronary heart disease (CHD). METHODS:Lp(a) levels in 332 healthy Spanish men aged 20 to 60 years were measured. Physical activity and family hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.383
更新日期:1999-03-01 00:00:00
abstract::Of 10,524 homeless veterans assessed in a 43-site VA program, 50 percent served during the Vietnam War era, compared to only 29 percent of all veterans in the general population. This reflects the greater risk of homelessness among men aged 30-44 rather than the impact of Vietnam Era service. The proportion of homeles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.5.643
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.057067
更新日期:2006-04-01 00:00:00
abstract::The areal approach utilized in mortality analysis for cities in the past is argued to be fruitful for suburban mortality analysis as well. Through factor analysis of four Census Tract indicators, weighted scores were computed and socioeconomic groups were constructed for each central city and each suburban area for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.4.342
更新日期:1978-04-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:Much research has documented that youthful substance use typically follows a sequence starting with use of alcohol or tobacco or both and potentially proceeding to marijuana and then hard drug use. This study explicitly examined the probabilities of progression through each stage and their covariates. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.225
更新日期:2001-02-01 00:00:00
abstract::Data System. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing state-based surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. PRAMS is conducted by the Centers for Disease Control and Prevention's Division of Reproductive Health in col...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304563
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:Because opinion leaders hold positions from which they may influence tobacco control efforts, this study examined their support for tobacco control policies and their involvement in tobacco control activities. METHODS:A telephone survey was administered to 712 California opinion leaders who were randomly se...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1283
更新日期:2000-08-01 00:00:00
abstract::The Delphi Technique was used to elicit a number of essential competencies expected of the "entry-level" public health nutritionist from members of Graduate Faculties of Programs in Public Health Nutrition. Questionnaires composed of "competency statements" were constructed from these responses and sent to practitione...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1099
更新日期:1979-11-01 00:00:00
abstract::A sample of 745 gay men, ages 20 to 65, were interviewed in 1985 as part of an effort to determine the impact of the AIDS (acquired immunodeficiency syndrome) epidemic on the non-ill but at-risk community. Measured in terms of the number of different sexual partners, sexual activity was reported to have declined by 78...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.5.578
更新日期:1987-05-01 00:00:00
abstract::We performed a systematic review of literature on violence and related health concerns among asylum seekers in high-income host countries. We extracted data from 23 peer-reviewed studies. Prevalence of torture, variably defined, was above 30% across all studies. Torture history in clinic populations correlated with h...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2012.301136
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/AJPH.2004.052993
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents. METHODS:A randomized controlled trial (n = 746) evaluated the effec...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303653
更新日期:2017-04-01 00:00:00