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Publication
Obamacare, five years after the law (French)Obamacare is the most important reform in the American healthcare system since 1965. Its introduction provoked unprecedented controversy between republicans and democrats. Whilst much remains to be done, it has already helped extend health insurance …
Publication
Public Hospital Systems in New York and ParisWith sixteen hospitals and almost 10,500 beds, the New York City Health and Hospitals Corporation (HHC) is the largest municipal hospital system in the United States. With forty-seven hospitals and almost thirty-three thousand beds, the Paris Hospital …
Publication
Health and Health Care in BRIC Cities: Ideas for Collaborative ResearchAvailable on SSRN database here . The largest cities in the wealthy nations all face an unprecedented challenge: how to meet the needs of a population that lives longer, has a declining birth rate, is generally healthier, but also increasingly beset by …
Publication
Understanding Pay Differentials Among Health Professionals, Nonprofessionals, And Their Counterparts In Other SectorsAbout half of the $2.1 trillion of US health services spending constitutes compensation to employees. We examined how the wages paid to health-sector employees compared to those paid to workers with similar qualifications in other sectors. Overall, we …
Publication
The Role of Neighborhood Characteristics in Mortgage Default Risk: Evidence from New York CityUsing a rich database of non-prime mortgages from New York City, we find that census tract level neighborhood characteristics are important predictors of default behavior, even after controlling for an extensive set of controls for loan and borrower …
Publication
Accessibility of America’s Housing Stock: Analysis of the 2011 American Housing SurveyThe American Housing Survey (AHS) is the most comprehensive national housing survey in the United States. Since 2009, AHS has included six core disability questions used in the American Community Survey. The questions address hearing, visual, cognitive, …
Publication
Determinants of Mortgage Default and Consumer Credit Use: The Effects of Foreclosure Laws and Foreclosure DelaysThe mortgage default decision is part of a complex household credit management problem. We examine how factors affecting mortgage default spill over to other credit markets. As home equity turns negative, homeowners default on mortgages and HELOCs at …
Publication
Pathways After Default: What Happens to Distressed Mortgage Borrowers and Their HomesWe use a detailed dataset of seriously delinquent mortgages to examine the dynamic process of mortgage default—from initial delinquency and default to final resolution of the loan and disposition of the property. We estimate a two-stage competing risk …
Publication
The Next Coming Crisis of Capitalism: A Review of Capital in the Twenty-First Century by Thomas PikettySewin Chan …
Publication
The Fiscal Challenge of an Aging Population in the U.S.This chapter examines the fiscal challenge posed by the aging of the U.S. population. We summarize the likely future of U.S. demographics, focusing on the evolution of the dependency ratio. We describe the main U.S. government programs related to aging …
Publication
A Port Authority That WorksThe Port Authority of New York and New Jersey has been a vital force in the physical and economic growth of the New York-New Jersey region. During the past few years, however, public attention has focused on the Port Authority’s spending, management, …
Publication
The effect of changes in Medicare reimbursement on the practice of office and hospital-based endoscopic surgery for bladder cancerBackground : Procedures performed in the office offer potential cost savings. Recent analyses suggest, however, that a fee-for-service system may incentivize subscale operations and, thus, contribute to excessive spending. The authors of this report …
Publication
Prostate Specific Antigen at the Initial Diagnosis of Metastasis to Bone in Patients After Radical ProstatectomyPurpose : Among men with biochemical progression after radical prostatectomy little is known about prostate specific antigen at the time of metastasis to bone in hormone naïve patients. This information would be useful in determining when to initiate …
Publication
Regional Variation in Total Cost per Radical Prostatectomy in the Healthcare Cost and Utilization Project Nationwide Inpatient Sample DatabasePurpose : Surgical treatment for prostate cancer represents a large national health care expenditure. We determined whether state level variation in the cost of radical prostatectomy exists and whether we could explain this variation by adjusting for …
Publication
Validation of the Partin Nomogram for Prostate Cancer in a National SamplePurpose : The Partin tables are a nomogram that is widely used to discriminate prostate cancer pathological stages, given common preoperative clinical characteristics. The nomogram is based on patients undergoing radical prostatectomy at The Johns Hopkins …
Publication
DNA content in the diagnostic biopsy for benign-adjacent and cancer-tissue areas predicts the need for treatment in men with T1c prostate cancer undergoing surveillance in an expectant management programmeObjective : To assess the DNA content in benign-adjacent and cancer-tissue areas of a diagnostic biopsy, to predict which patients would subsequently develop an unfavourable biopsy necessitating treatment for prostate cancer in the expectant management …
Publication
Patient Centered Outcomes in Prostate Cancer Treatment: Predictors of Satisfaction Up to 2 Years After Open Radical Retropubic ProstatectomyPurpose : Few groups have examined satisfaction after prostate cancer treatment. We determined 1) predictors of satisfaction between 3 months and 2 years after open radical retropubic prostatectomy, and 2) whether these factors are time dependent. …
Publication
Renal Ultrasonography in the Evaluation of Acute Kidney Injury: Developing a Risk Stratification FrameworkBackground : In adult inpatients with acute kidney injury (AKI), clinicians routinely order a renal ultrasonography (RUS) study. It is unclear how often this test provides clinically useful information. Methods : Cross-sectional study, including …
Publication
Significance of preoperative PSA velocity in men with low serum PSA and normal DREObjectives : A PSA velocity (PSAV) >0.35 ng/ml/year approximately 10–15 years prior to diagnosis is associated with a greater risk of lethal prostate cancer. Some have recommended that a PSAV >0.35 ng/ml/year should prompt a prostate biopsy in men with a …
Publication
ProPSA and Diagnostic Biopsy Tissue DNA Content Combination Improves Accuracy to Predict Need for Prostate Cancer Treatment Among Men Enrolled in an Active Surveillance ProgramObjectives : To assess a novel application of the Prostate Health Index (phi) and biopsy tissue DNA content in benign-adjacent and cancer areas to predict which patients would eventually require treatment of prostate cancer in the Proactive Surveillance …
Publication
Prediction of patient-specific risk and percentile cohort risk of pathological stage outcome using continuous prostate-specific antigen measurement, clinical stage and biopsy Gleason scoreObjectives : To develop a ‘2010 Partin Nomogram’ with total prostate-specific antigen (tPSA) as a continuous biomarker, in light of the fact that the current 2007 Partin Tables restrict the application of tPSA as a non-continuous biomarker by creating …
Publication
A New Formula for Prostate Cancer Lymph Node RiskIntroduction : The successful treatment of prostate cancer depends on the accurate estimation of the risk of regional lymph node (LN) involvement. The Roach formula (RF) has been criticized as overestimating LN risk. A modification of the RF has been …
Publication
Robotic Surgery Claims on United States Hospital WebsitesTo examine the prevalence and content of robotic surgery information presented on websites of U.S. hospitals. We completed a systematic analysis of 400 randomly selected U.S. hospital websites in June of 2010. Data were collected on the presence and …