Abstract:
:Deep vein thrombosis (DVT) and pulmonary embolism (PE), known collectively as venous thromboembolism (VTE), affect an estimated 900,000 people in the U.S. each year, resulting in several hundred thousand hospitalizations and about 300,000 deaths. Despite this substantial public health burden, no systematic collection of VTE-related morbidity and mortality data exists in the U.S. The available information about disease prevalence and incidence consists of estimates based mainly on population-based epidemiologic studies and analysis of hospital discharge or health insurance claims databases. The limited scope of the available data has raised the question of whether a systematic surveillance system for VTE should be established. To help answer this question and to make recommendations for the next steps toward better surveillance of VTE, the CDC asked the American Society of Hematology (ASH) to convene a national workshop of stakeholders representing relevant federal agencies, experts in VTE epidemiology and treatment, public health experts in VTE, and patient representatives. These groups were assembled by ASH for a 1-day meeting in Washington DC. The subspecialty experts included representatives from internal medicine, cardiovascular diseases, adult and pediatric hematology, surgery, obstetrics and gynecology, radiology, emergency medicine and trauma care, hospital practice and critical care, and geriatrics. Experts in epidemiology, healthcare quality, and health policy also participated. During the workshop, experts discussed their perspectives on the burden of disease from VTE and its diagnosis, treatment, and prevention. The workshop also focused on the advisability and feasibility of establishing systematic surveillance for VTE and included preliminary discussion of the advantages and disadvantages of various approaches. The workshop concluded that (1) improved utilization in clinical practice of existing, proven-effective preventive measures is critical to reducing the disease burden from VTE; (2) systematic surveillance of DVT and PE is needed to provide nationally representative data on the prevalence and annual incidence of DVT and PE in the U.S.; (3) tracking and documenting changes in the incidence of DVT and PE through systematic surveillance will be important to enhance prevention efforts; and (4) the CDC should convene a second group of experts to advise the agency in detail on the strengths, weaknesses, and feasibility of possible approaches to systematic surveillance for DVT and PE.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Raskob GE,Silverstein R,Bratzler DW,Heit JA,White RHdoi
10.1016/j.amepre.2010.01.010subject
Has Abstractpub_date
2010-04-01 00:00:00pages
S502-9issue
4 Suppleissn
0749-3797issn
1873-2607pii
S0749-3797(10)00057-7journal_volume
38pub_type
abstract:BACKGROUND:Lipid management is less aggressive in blacks than whites and women than men. PURPOSE:To examine whether differences in lipid management for race-sex groups compared to white men are due to factors influencing health services utilization or physician prescribing patterns. METHODS:Because coronary heart dis...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.10.025
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Rates of physical activity among Native American women are low, and few studies have assessed the factors associated with physical activity in this population. The purpose of this study was to determine the relationship among physical activity and various personal, social environmental, and physical environm...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00165-x
更新日期:2003-10-01 00:00:00
abstract::Risk of clinical relapse among cigarette smokers and nonsmokers was examined in a cohort of 74 adult Crohn's disease (CD) patients who were identified and followed at monthly intervals for six months. We measured clinical activity by a weighted symptom index used previously. Relapse at any point during the study was d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:INTRODUCTION:Environmental and policy approaches to promote physical activity, such as walking trail construction and promotion, are being widely recommended, yet sparse data exist on their effectiveness. In conjunction with ongoing community-intervention projects in Missouri, walking trails are being built, promoted, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(99)00165-8
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND:In light of previous research indicating that many patients fail to receive timely diagnostic follow-up of positive colorectal cancer (CRC) screening tests, the Veterans Health Administration (VA) initiated a national CRC diagnosis quality-improvement (QI) effort. PURPOSE:This article documents the percent ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.05.013
更新日期:2009-08-01 00:00:00
abstract::Human beings have always lived with risks and have coped as best they could, according to their perceptions of the relative dangers and the mechanisms available to them. Being conscious of risks helps us to confront and cope with them, but it also has negative effects. The multiplicity of threats and the urgency with ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
abstract::Behavioral counseling interventions can address significant causes of preventable morbidity and mortality. However, despite a growing evidence base for behavioral counseling interventions, there remain significant research gaps that limit translating the evidence into clinical practice. Using U.S. Preventive Services ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.06.007
更新日期:2015-09-01 00:00:00
abstract::The purpose of this paper is to describe some of the challenges encountered and lessons learned while providing and evaluating a violence-prevention program for and with ethnically diverse populations in child care settings. The paper discusses Safe Start, a violence prevention education program for child care staff a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00274-9
更新日期:2001-01-01 00:00:00
abstract:INTRODUCTION:Following the 2014 expansions of Medicaid and private health insurance through the Affordable Care Act, municipal sexually transmitted disease (STD) clinics-which have historically served predominantly uninsured patients-have been threatened with budget cuts nationwide. This study was conducted to evaluate...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.04.016
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Oklahoma's tribal tobacco shops are distributed throughout the state, including in urban areas. During the time frame of this study, state excise tax rates for cigarettes varied by tribe and region, and took five distinct levels, ranging from 5.75 cents to $1.03 per pack. PURPOSE:To describe the pricing beh...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.08.028
更新日期:2015-01-01 00:00:00
abstract:CONTEXT:Vaccination can decrease the morbidity and mortality caused by influenza, yet vaccination rates remain low, especially among minority groups. Previous studies have found that important barriers to vaccination include the fear of adverse reactions and concern that the vaccine causes influenza. BACKGROUND:This r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2009.01.025
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Self-reported weight and height are under- and over-reported, respectively, in epidemiologic studies. This tendency, which may adversely affect study operations, has not been evaluated among subjects being enrolled into a weight-loss program. METHODS:Self-reported weight, height, and body mass index (BMI) w...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(01)00293-8
更新日期:2001-05-01 00:00:00
abstract::As medical technology continues to expand and the cost of using all effective clinical services exceeds available resources, decisions about health care delivery may increasingly rely on assessing the cost-effectiveness of medical services. Cost-effectiveness is particularly relevant for decisions about how to impleme...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00260-4
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:The Institute of Medicine has called for increased population-based training for healthcare professions students, and particularly medical students. For this to be effective, students should receive such training in the locations where population-based approaches to care take place, such as public health dep...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.044
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Older people with elevated blood pressure (BP) often have metabolic syndrome, a clustering of central obesity, insulin resistance, dyslipidemia, and hypertension. Exercise reduces many of these risk factors. This study examined whether the benefits of exercise on cardiovascular and metabolic disease risk fac...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.amepre.2004.09.006
更新日期:2005-01-01 00:00:00
abstract::We evaluated the efficacy of the Stanford Quit Kit, an eight-page self-administered smoking cessation program. Subjects were randomly assigned to receive the Quit Kit (n = 142) or a delayed intervention (n = 65). Confirmed abstinence (p less than .05) and reduced smoking among continuing smokers (p less than .002) wer...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1986-11-01 00:00:00
abstract:BACKGROUND:This study characterizes the healthcare visits at which children receive vaccinations, including the number of these visits and the number of vaccinations that are administered. METHODS:The 1999 National Immunization Survey (NIS) is a nationally representative sample of children aged 19 to 35 months, verifi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00282-3
更新日期:2001-05-01 00:00:00
abstract:INTRODUCTION:Injuries are a leading cause of morbidity among pregnant women. We compared injuries among pregnant women and all women of reproductive age in a large defined population. METHODS:Maryland hospital discharge data files from 1979-1990 were used to identify injuries in pregnant women and in all women 15-44 y...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:INTRODUCTION:Physicians have a unique role to play in the prevention of elder suicide, yet they may not be sufficiently attentive to the prominence of firearms in the rising trend in suicide by elder persons. This study sought to examine the extent to which physicians inquired about firearms with their depressed and su...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(98)00019-1
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:The workplace is an important domain for adults, and many effective interventions targeting physical activity and weight reduction have been implemented in the workplace. However, the U.S. workforce is aging, and few studies have examined the relationship of BMI, physical activity, and age as they relate to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.10.035
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:Five U.S. states have proposed policies to require health warnings on sugar-sweetened beverages, but warnings' effects on actual purchase behavior remain uncertain. This study evaluated the impact of sugar-sweetened beverage health warnings on sugar-sweetened beverage purchases. STUDY DESIGN:Participants ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2019.06.019
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:Recent survey evidence indicates a decline in mammography use among older women. PURPOSE:The objective of this study was to detect sensitivity of self-reported mammography use and pose evidence-based suggestions to increase survey accuracy. METHODS:Using the 1991-2006 Medicare Current Beneficiary Survey, 1...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.07.007
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Enjoyment has been implicated as a determinant of physical activity among youth, but advances in understanding its importance have been limited by the use of measures that were not adequately validated. The present study examined: (1) the factorial validity of the Physical Activity Enjoyment Scale (PACES), a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00326-9
更新日期:2001-08-01 00:00:00
abstract:INTRODUCTION:Regular physical activity is a vital component of child health, and schools play an important role in the promotion of physical activity among children. This paper describes the implementation and evaluation of a playground redesign involving structural and loose play equipment to increase students' physic...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.01.006
更新日期:2018-05-01 00:00:00
abstract::Epidemiology, as the core science underpinning public health, encompasses methods and concepts that are fundamental to understanding health-related information and health policy. Thus, understanding these concepts would enhance the lay public's ability to make informed decisions with respect to health and prevention, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.06.007
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:Although numerous studies have suggested that lifestyle-related factors are associated with chronic diseases and preventable deaths, limited evidence is available for the Chinese population. METHODS:This study established a prospective cohort of >360,000 residents on the basis of the Yinzhou Health Inform...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.01.029
更新日期:2020-09-01 00:00:00
abstract::During the past 10 years a good deal of effort has focused on preventing cigarette smoking among adolescents. This effort has often been made without a clear understanding of (1) which groups within the population are at highest risk, (2) which variables are associated with habitual smoking rather than experimentation...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1988-11-01 00:00:00
abstract::To decrease adolescent morbidity and mortality and improve the quality of life, a violence-prevention consultation is offered to hospitalized victims of nondomestic violence. The context is a violence-prevention team approach to patient assessment, treatment, and follow-up. Psychoeducational counseling emphasizes the ...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION:The aims of this prospective cohort study were to examine 16-year trajectories of weight and BMI in young adult women who had a healthy BMI in 1996 and determinants of remaining in the healthy BMI category. METHODS:A total of 4,881 women with healthy BMI at baseline and either healthy, overweight, or obes...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.09.007
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:To determine the age-specific prevalence of Lyme disease and whether preventive behaviors on Nantucket Island correlate with Lyme disease, we surveyed island residents. METHODS:A survey with questions on Lyme disease symptoms, history, and preventive behaviors was mailed to all residents. Respondents were s...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00315-9
更新日期:2001-04-01 00:00:00