Sanjay Sethi, Barry J Make, Scott B Robinson, Shambhavi Kumar, Michael Pollack, Chad Moretz, Jill Dreyfus, Ann Xi, Dakota Powell, Norbert Feigler
{"title":"Relationship of COPD Exacerbation Severity and Frequency on Risks for Future Events and Economic Burden in the Medicare Fee-For-Service Population.","authors":"Sanjay Sethi, Barry J Make, Scott B Robinson, Shambhavi Kumar, Michael Pollack, Chad Moretz, Jill Dreyfus, Ann Xi, Dakota Powell, Norbert Feigler","doi":"10.2147/COPD.S350248","DOIUrl":"10.2147/COPD.S350248","url":null,"abstract":"<p><strong>Purpose: </strong>To quantify the effects of moderate and/or severe chronic obstructive pulmonary disease (COPD) exacerbations on future exacerbations and healthcare costs in Medicare Fee-For-Service beneficiaries.</p><p><strong>Patients and methods: </strong>A retrospective cohort study of patients ≥40 years of age, with continuous enrollment from 2015 to 2018, with an index COPD diagnosis defined as first hospitalization, emergency department visit, or first of two outpatient visits (≥30 days apart) in 2015 with a claim for chronic bronchitis, emphysema, or chronic airway obstruction. Patients were stratified by baseline exacerbation categories in year one (YR1) and subsequently evaluated in YR2 and YR3: (A) none; (B) 1 moderate; (C) ≥2 moderate; (D) 1 severe; and (E) ≥2, one being severe. Moderate exacerbations were defined as COPD-related outpatient/ED visits with a corticosteroid/antibiotic claim within ±7 days of the visit and severe exacerbations as hospitalizations with a primary COPD diagnosis. Total all-cause costs for Categories B-E were compared to reference Category A using generalized linear models and inflation adjusted to 2019 dollars.</p><p><strong>Results: </strong>A total of 1,492,108 patients met study criteria with a mean (±SD) age of 70.9±10.9. In YR1, nearly 40% of patients experienced ≥1 moderate and/or severe exacerbations. Patients having multiple exacerbations, regardless of severity were 2-4 times more likely to experience an exacerbation during YR2 and YR3. Adjusted costs ranged between $24,000 and $26,600 for all categories for YR2 and YR3. Adjusted YR2 costs for Category D and E were $1421 and $1548 higher than those without an exacerbation (Category A YR2 $25,084, YR3 $24,282; p<0.0001). The respective YR3 adjusted costs were $2062 and $2117 higher than those without an exacerbation (Category A; p<0.0001), representing an increase of 6-8% and 8-9% for YR2 and YR3.</p><p><strong>Conclusion: </strong>Medicare patients with recent moderate or severe exacerbations, or at least two exacerbations per year are at significant risk for future exacerbations and incur higher all-cause costs.</p>","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"41 1","pages":"593-608"},"PeriodicalIF":2.8,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8948172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83126324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valentina Aristodemo, B. Giustolisi, Giorgia Zorzi, D. Gras, Charlotte Hauser, Rita Sala, Jordina Sánchez Amat, C. Donati, C. Cecchetto
{"title":"On the nature of role shift","authors":"Valentina Aristodemo, B. Giustolisi, Giorgia Zorzi, D. Gras, Charlotte Hauser, Rita Sala, Jordina Sánchez Amat, C. Donati, C. Cecchetto","doi":"10.1007/s11049-022-09539-0","DOIUrl":"https://doi.org/10.1007/s11049-022-09539-0","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"41 1","pages":"459-500"},"PeriodicalIF":1.3,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48504954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anchoring in truncation: A typological analysis","authors":"B. Alber, Sabine Arndt-Lappe","doi":"10.1007/s11049-021-09534-x","DOIUrl":"https://doi.org/10.1007/s11049-021-09534-x","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"41 1","pages":"1-50"},"PeriodicalIF":1.3,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44167672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Predicate doubling in Spanish: On how discourse may mimic syntactic movement","authors":"Carlos Muñoz Pérez, Matías Verdecchia","doi":"10.1007/s11049-022-09536-3","DOIUrl":"https://doi.org/10.1007/s11049-022-09536-3","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"1 1","pages":"1-42"},"PeriodicalIF":1.3,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44002712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"P-omission in ellipsis in Spanish: Evidence for syntactic identity","authors":"Laura Stigliano","doi":"10.1007/s11049-021-09535-w","DOIUrl":"https://doi.org/10.1007/s11049-021-09535-w","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"40 1","pages":"1353-1389"},"PeriodicalIF":1.3,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42678794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The lexical core of a complex functional affix: Russian baby diminutive -onok","authors":"M. Gouskova, J. Bobaljik","doi":"10.1007/s11049-021-09530-1","DOIUrl":"https://doi.org/10.1007/s11049-021-09530-1","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"40 1","pages":"1075 - 1115"},"PeriodicalIF":1.3,"publicationDate":"2022-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47040067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neutral paired vowels in Mayak and Kurmuk","authors":"Avery Ozburn","doi":"10.1007/s11049-021-09533-y","DOIUrl":"https://doi.org/10.1007/s11049-021-09533-y","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"1 1","pages":"1-47"},"PeriodicalIF":1.3,"publicationDate":"2022-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46763958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clausal embedding in Washo: Complementation vs. modification","authors":"M. Bochnak, Emily A. Hanink","doi":"10.1007/s11049-021-09532-z","DOIUrl":"https://doi.org/10.1007/s11049-021-09532-z","url":null,"abstract":"","PeriodicalId":18975,"journal":{"name":"Natural Language & Linguistic Theory","volume":"40 1","pages":"979 - 1022"},"PeriodicalIF":1.3,"publicationDate":"2021-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44624998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}