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At A Glance   

 

Review summaries of ICES findings in just minutes.

 

Each issue highlights five publications, looking at the:

  • Rationale for the research;
  • Focus of the study;
  • Key findings; and
  • Implications for health policy and/or practice.

 

To receive this monthly e-bulletin, please send your

request to info@ices.on.ca, specifying your name and e-mail address.

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At A Glance - April 2013

Highlights: [201 KB PDF]

·       Targeting general hospitals may increase deceased donor organ supply in Ontario

·       Prescribing of prolonged antibiotic therapy common for long-term care residents

·       Study identifies predictors of positive outcomes from hip and knee replacements

·       Use of heart imaging test increasing steadily in Ontario

·       Higher strength statins linked to increased risk of kidney damage



At A Glance - March 2013

Highlights: [109 KB PDF]

·       Seniors with rheumatoid arthritis at increased risk of serious infections

·       Only 1 in 5 Ontarians with newly diagnosed diabetes attends a diabetes education program

·       Low job control linked to increased incidence of hypertension in men

·       One in 4 Ontario hospital visits made by people with chronic lung disease

·       Political factors can shape prescription drug funding decisions



At A Glance - February 2013

Highlights: [105 KB PDF]

·       Heart failure clinics associated with decreased mortality but increased rehospitalizations

·       ED treatment often substituted for primary care for persons with spinal cord injuries

·       Older men at greater risk of hospitalization and death after starting new antipsychotic drugs

·       Higher income patients only marginally advantaged in post-hospitalization stroke care

·       Screening tool identifies symptoms most likely to result in ED visits for cancer patients

 



At A Glance - January 2013

Highlights: [71 KB PDF]

 

·    Postmenopausal survivors of breast cancer more likely to develop diabetes

·    Fewer Ontarians with diabetes getting necessary eye exams despite public funding

·    Younger adults at greater risk of recurrent gall bladder inflammation than elderly

·    Initiatives needed to improve outcomes, decrease costs for children with medical complexity

·    Health costs associated with obesity modest in isolation but significant with other risk factors



At A Glance - December 2012

Highlights: [215 KB PDF] 

  • No elevated risk of heart disease for those who became ill during Walkerton E. coli outbreak
  • Patients with mental illness have shorter ED wait times during crowded periods 
  • Study offers more complete picture of physician compensation in Ontario
  • International prescribing rates vary among elderly patients with inflammatory bowel disease
  • Concurrent mother-baby admission to ICU carries high mortality risk 


At A Glance - November 2012

Highlights: [176 KB PDF] 

  • Increased OxyContin dispensing in Canada after U.S. launch of tamper-resistant formulation
  • Study examines appropriate use of angioplasty and bypass surgery in Ontario
  • Prostate removal linked to a 5% risk of subsequent urinary incontinence surgery
  • Most seniors on warfarin therapy for atrial fibrillation stop treatment within five years
  • Cataract surgery in Ontario expected to double by 2036


At A Glance - October 2012

Highlights: [96 KB PDF] 

  • People with schizophrenia more likely to die of heart attack, less likely to receive cardiac care
  • Mental illness and addictions costing Ontarians years of life: ICES/PHO study
  • Only a third of children with asthma seen in an Ontario ED seek follow-up care
  • Physician warnings for medically unfit drivers decrease road crashes
  • Risk of developing diabetes higher in less walkable Toronto neighbourhoods


At A Glance - September 2012

Highlights: [67 KB PDF] 

  • Work environment with no job control may put women at risk of diabetes
  • Incidence of heart failure declining among Ontario seniors but prognosis remains poor
  • Cost of adverse drug reactions among elderly Ontarians exceeds $13 million annually
  • Ontario hospitals reduce C. difficile infection rate after public reporting introduced
  • Common antibiotics pose a rare risk of severe liver injury in older patients


At A Glance - July/August 2012

Highlights: [148 KB PDF] 

  • Provinces, hospitals could save millions by harmonizing drug buying: study 
  • Physician incentive payments have limited impact on care provided to diabetes patients 

·    Fewer than half of severely injured car crash occupants triaged to a trauma centre

  • Demand for dialysis increases three-fold following cardiac and vascular surgeries

  • Two drugs used to treat eye disease don’t increase risk of stroke or heart attack



At A Glance - June 2012

Highlights: [228 KB PDF] 

  • New decision-support tool helps ED physicians predict risk of death in heart failure patients
  • Influenza vaccine coverage very low for Ontario children under age two

·     Antidepressant exposure linked to form of glaucoma in older adults

  • Better safe than sorry not always true when it comes to diagnoses
  • Richest and poorest people in Toronto hospitalized for different reasons



At A Glance - May 2012

Highlights: [190 KB PDF] 

  • Postpartum maternal prescribing of codeine not a major risk to newborns
  • Common cholesterol medication may impair renal function in elderly patients

·     Less than half of Ontario patients newly diagnosed with asthma receive lung function test

  • More than two-thirds of Ontarians with diabetes live in major urban centres
  • Antidepressant-beta blocker pairing does not pose increased risk for bradycardia in seniors



At A Glance - April 2012

Highlights: [188 KB PDF] 

  • Study examines the impact of unhealthy habits on life expectancy of Ontarians 
  • Immigrants have increased risk of preeclampsia in pregnancy 
  • Many patients with chronic kidney disease have fistulas created outside recommended time
  • Landmark study finds Ontario’s Métis population more prone to diabetes
  • Antipsychotic use among seniors linked to increased risk of high blood sugar


At A Glance - March 2012

Highlights: [249 KB PDF] 

  • Patients prescribed painkillers after minor surgery may become chronic users
  • Antibiotic and dementia drug combination not linked to increased cardiac events in seniors
  • Kidney donors at no greater risk of heart disease than non-donors 
  • Primary care models vary in their care for Ontario’s poor and sick
  • Higher-spending hospitals in Ontario have better patient outcomes

 



At A Glance - February 2012

Highlights: [139 KB PDF] 

  • Study examines effect of government policies on payments to Ontario physicians
  • Stroke patients treated with tPA progress through inpatient rehabilitation more rapidly
  • Dementia drug does not increase risk of adverse pulmonary outcomes in seniors with COPD
  • Women more likely to experience complications after ICD implantation
  • Funding and safety warnings have significant effect on ESA use in cancer patients


At A Glance - January 2012

Highlights: [67 KB PDF] 

·   Serious reactions to measles, mumps and rubella vaccine uncommon: study

·   Majority of asthma sufferers have active disease with lengthy periods of remission

·   Preoperative consultation rates vary widely among Ontario hospitals

·   Stroke patients receiving more inpatient services have reduced mortality from pneumonia

·   Transitions between health care settings present risks for older adults



At A Glance - December 2011

Highlights: [71 KB PDF] 

·   Almost one in five methadone patients filling prescriptions for other opioids

·   Multiple factors influence choice of cardiac procedures across Ontario hospitals

·   Older drivers taking antidepressants with other drugs at higher risk of car crashes

·   ICES study examines health system use of frail Ontario seniors

·   Drug combination may lead to hyperkalaemia in the elderly



At A Glance - November 2011

Highlights: [69 KB PDF]

·     One in six residents of Ontario long-term care homes receives nine or more medications

·   Regulatory agency warnings reduced pediatric desmopressin prescribing rates

·   One-third of Ontarians hospitalized for depression not receiving recommended followup care

·   Stroke prevention clinic referrals linked to significantly lower patient mortality

·   Congenital heart defects more prevalent in children of lower socioeconomic status



At A Glance - October 2011

Highlights: [69 KB PDF]

·     Tamoxifen use linked to increased diabetes risk in breast cancer survivors

·   Drug-eluting stents reduce need for revascularization in treatment of SVG disease

·   Poor health status outranks socioeconomic status as greater predictor of ED use

·   Low-income girls in Ontario least likely to complete HPV vaccine regimen

·   Antibiotic use common among residents of Ontario nursing homes



At A Glance - September 2011

Highlights: [67 KB PDF]

·  Emergency department triage of heart attack patients improved in Ontario

·   One in four Ontario adults will be diagnosed with COPD: study
·  
 Few Ontario women with gestational diabetes receive followup testing for type 2 diabetes

·   Many seniors fail to renew prescriptions after discharge from hospital

·   Cholinesterase inhibitors not linked to postsurgery complications in seniors with dementia



At A Glance - August 2011

Highlights: [72 KB PDF]

·  Study raises doubts about value of heart ultrasound before elective surgery

·   Ontario’s recent immigrants safer drivers than long-term residents: study
·  
 Canada’s nonwhite ethnic groups at higher risk for Type 2 diabetes than white counterparts

·   ED wait times associated with higher rates of mortality and hospital admission in Ontario

·   Bronchodilators linked to bladder dysfunction in patients with COPD



At A Glance - June/July 2011

Highlights: [109 KB PDF]

·  Lower risk of death in COPD patients taking long-acting beta-agonists
·   End-of-life care for lung cancer patients differs in Ontario and the United States
·  
 Less than half of patients with multiple sclerosis continually adhere to drug therapies
·  
 Improving system efficiency by implementing stroke best practices

·   Myocardial perfusion imaging predicts cardiovascular outcomes



At A Glance - May 2011

Highlights: [75 KB PDF]

·  One in 25 patients have complications after implanted cardioverter-defibrillator replacement
·   Statin use before major elective surgery may prevent kidney injury in older patients
·  
 Patients with incidental abdominal aneurysms not receiving appropriate follow-up
·  
 Ontario women with depression less likely to seek screening for breast, cervical cancer
·  
 Assessment tools track symptoms and performance status for end-of-life cancer care 



At A Glance - April 2011

Highlights: [71 KB PDF] 

·  Study compares use of certain cholesterol-lowering drugs in the U.S. and Canada
·  Adults with developmental disabilities and psychiatric issues more frequent ED visitors
·  Incidence of upper GI cancers rising dramatically in Ontario
·  Health promotion program effective in reducing heart disease hospitalizations in Ontario
·  Excessive doses of opioids prescribed for nonmalignant pain linked to increased risk of death



At A Glance - March 2011

Highlights: [71 KB PDF]

 

·  Heart attack patients with depression less likely to receive priority care in emergency rooms

·  Long-term use of osteoporosis drugs linked to rare fractures of the thigh bone

·  Painkiller prescribing rates and outcomes vary among Ontario family physicians

·  Study finds significant variation in rates of lung cancer incidence and surgical care in Ontario

·  Majority of colonoscopy-related adverse events detectable within 14 days of procedure



At A Glance - February 2011

Highlights: [112 KB PDF]

 

·  Low-income Ontarians being prescribed opioids in contravention of guidelines

·  Universal access to health care not enough to ensure Canadians get and stay healthy

·  Understanding future risk of diabetes mellitus for women with gestational diabetes mellitus

·  New online tool predicts probability of death from stroke

·  More than one in four Ontario babies delivered by caesarean section: POWER Study



At A Glance - January 2011

Highlights: [73 KB PDF] 

·     Most Ontarians have geographic access to primary and urgent care [Clarification]

·     Children from low-income neighbourhoods more likely to undergo surgery for bowel disease

·     Macrolide antibiotics pose a risk for seniors being treated for hypertension

·     Infectious diseases kill nearly 5,000 Ontarians annually: OAHPP/ICES study

·     Rheumatoid arthritis patients treated by specialists more likely to receive early drug therapy



At A Glance - December 2010

Highlights: [71 KB PDF]

  • Teenage male drivers with behaviour disorders more likely to be involved in a car crash
  • Extremely large birth weight linked to higher asthma risk
  • Specialized heart failure clinics a cost-effective model of care for ambulatory patients
  • Financial barriers may increase the number of ER visits for children with asthma
  • Interfacility transfer to trauma centres has higher mortality risk than direct transport


At A Glance - November 2010

Highlights: [78.8 KB PDF]

  • After heart failure, outpatients better off if they see both their family doctor and a specialist
  • Higher stroke case fatality in patients admitted to hospital on weekends
  • Rural living associated with higher pediatric appendectomy rates in Ontario
  • Proportion of Ontario seniors taking more than 10 medications triples in 10 years
  • Acid suppressants not linked to increased risk of postoperative pneumonia in the elderly


At A Glance - October 2010

Highlights: [71 KB PDF]

  • Regionalization of pancreatic cancer surgery linked to mortality drop in Ontario but not Quebec
  • Diabetes in pregnancy associated with higher rates of complications: POWER Study
  • Young adults with colorectal cancer at increased risk of death 10 years after diagnosis
  • Headache the most common reason for CT brain scan
  • Increased wait times for long-term care but faster placement for Ontario seniors most in need


At A Glance - September 2010

Highlights: [78.8 KB PDF]

  • Forty percent of women in Ontario's urban areas not getting Pap tests
  • Several factors increase risk of fracture with androgen deprivation for prostate cancer
  • Radiodiagnostic tests during pregnancy result in low childhood cancer risk
  • Ontario seniors' use of ambulatory care varies by age, sex and socioeconomic status
  • Preoperative medical consultations associated with increased mortality and hospital stay


At A Glance - July/August 2010

Highlights: [78.5 KB PDF]

  • Asthma sufferers at higher risk for other diseases that require medical care
  • Two-thirds of radiology patients in Ontario not receiving follow-up CT or MRI scans
  • Adults with newly diagnosed diabetes at increased risk for serious liver disease
  • Interaction of antibiotic and common heart drugs putting seniors in hospital
  • Ontarians with rheumatoid arthritis not receiving timely specialist care: POWER Study


At A Glance - June 2010

Highlights: [77.5 KB PDF]

  • Lack of primary care physicians putting Ontario's children at risk
  • Risk-factor control edges out new therapies as source of CHD mortality decline
  • Diabetes cases in Canada to increase by almost two million between 2007 and 2017
  • Adverse outcomes from joint replacement surgery not linked to provider volumes
  • Heart failure patients discharged from ED at higher risk of early death than hospitalized patients


At A Glance - May 2010

Highlights: [78.2 KB PDF]

  • Anti-smoking legislation has proven positive impact on health of Ontarians
  • Despite aging population, fewer Ontarians being admitted to hospital with stroke or TIA
  • Common blood thinner dangerous when combined with popular antibiotic
  • Study compares cardiovascular risk profiles of Canada's major ethnic groups
  • Recent immigrants at higher risk of developing diabetes


At A Glance - April 2010

Highlights: [78.5 KB PDF]

  • Study finds many patients with stable angina improve with medicines alone
  • At least one in 10 adults suffers from COPD but mortality rate declining
  • One-quarter of Ontario nursing home residents visit the ED at least once in six months
  • Ontario immigrants' duration of residence directly related to likelihood of preterm births
  • With better palliative care, fewer emergency department visits possible for cancer patients


At A Glance - March 2010

Highlights: [82.7 KB PDF]

  • Popular antidepressant blocks life-saving benefits of tamoxifen in breast cancer patients
  • Major complications after ICD implantation linked to increased mortality risk
  • Urological infections a concern for men undergoing TRUS-guided prostate biopsy
  • Simple tool identifies patients who may need closer monitoring after leaving hospital
  • Off-label use of Avastin to treat macular degeneration mushrooming in Ontario


At A Glance - February 2010

Highlights: [78.5 KB PDF]

  • Ultrasound use soars for pregnant women, even in low-risk pregnancies
  • Older patients with refractory depression may not be getting the treatment they need
  • Low-risk patients do not benefit from cardiac stress testing before major surgery
  • Physicians in non-fee-for-service practice models benefit most from primary care reforms
  • One in three Ontarians at risk of being diagnosed with asthma


At A Glance - January 2010

Highlights: [79.1 KB PDF]

  • Deaths related to narcotic pain relievers have doubled since 1991 in Ontario
  • Women's lower rates of surgery after stroke explained by differences in disease severity
  • Low-income Ontarians with diabetes have higher early death rates
  • Cost of blood glucose test strips to top $500 million in Ontario by 2013
  • Many Canadians feel their health care needs are not being met


At A Glance - December 2009

Highlights: [78.2 KB PDF]

  • Influenza vaccine safe for patients with myasthenia gravis
  • Less than half of Ontarians with depression see a doctor for treatment: POWER Study
  • Study identifies hospital markers linked to improved survival rates for heart attack patients
  • Youth with diabetes likely to be hospitalized while transitioning to adult care
  • One in four Ontario hospitals change cardiac care policies after public report cards released


At A Glance - November 2009

Highlights: [80.1 KB PDF]

  • Risk of abnormally slow heart rate twice as high in those taking drugs to slow dementia
  • Study examines patterns of gynaecological cancer care in Ontario
  • Blood pressure at hospital discharge a predictor of mortality in patients with heart failure
  • Suboptimal medication adherence linked to increased mortality in patients with stents
  • Study sets targets to make Ontario Canada's healthiest province


At A Glance - October 2009

Highlights: [76.6 KB PDF]

  • More educated patients have better access to specialist health care in Ontario
  • Antipsychotic dispensing rates linked to increased risk of death for nursing home residents
  • Patients with acute kidney injury more likely to need dialysis within five years
  • POWER Study: Fewer than half of women with abnormal Pap tests receive follow-up care
  • Study confirms sex bias in implantable cardioverter-defibrillator use


At A Glance - September 2009

Highlights: [79.4 KB PDF]

  • Popular diabetes medications have different rates of heart failure and death
  • Mild glucose intolerance in pregnancy may signal increased cardiovascular risk in later life
  • Study finds 50% increase in inflammatory bowel disease in Ontario children in past decade
  • Risk factors for cardiovascular disease on the rise among Canada's young and poor
  • Diabetic seniors taking antipsychotic drugs at higher risk of hospitalization for hyperglycemia


At A Glance - July/August 2009

Highlights: [81.7 KB PDF]

  • Canadian spending on heart drugs doubles to more than $5 billion a year
  • Ontario women live longer but are sicker: Project for an Ontario Women's Health Evidence-based Report (POWER) study
  • Household income influences risk of death in infants with complex medical conditions
  • Physician visits made by asthma sufferers exposed to air pollution linked to income level
  • Hip and knee replacement surgery saves the health system money


At A Glance - June 2009

Highlights: [81.9 KB PDF]

  • Heart attack patients not prioritized properly in Ontario emergency departments
  • Study forecasts considerable increase in Ontarians needing dialysis services
  • Primary care reform not solving healthcare access for the poor and chronically ill
  • Mortality and hospitalization rates for cardiovascular diseases declining steadily in Canada
  • Administrative data tool reveals more Ontario children being diagnosed with diabetes


At A Glance - May 2009

Highlights: [76.4 KB PDF]

  • Highly educated Ontarians have better access to psychiatric care
  • Drug for enlarged prostate can cause complications after cataract surgery
  • Serious adverse events linked to use of dementia drug in older adults
  • Even mild blood sugar-level abnormalities during pregnancy increase type 2 diabetes risk
  • Many patients who undergo incomplete colonoscopies receive suboptimal follow-up


At A Glance - April 2009

Highlights: [70 KB PDF]

  • Ontario achieves modest gains with universal influenza immunization program
  • Anesthesia consultation before surgery reduces hospital stay
  • Diabetic patients with heart disease receive more benefit from paclitaxel-eluting stents
  • Statin therapy associated with reduced mortality at five years in heart failure patients
  • Wealthier heart attack survivors more likely to make needed lifestyle changes


At A Glance - March 2009

Highlights: [70 KB PDF]

  • Wealthy Ontarians have better access to MRI scans
  • Diabetes testing more common but its effectiveness questioned
  • Risk of eye infection low after cataract surgery
  • Audit finds major improvements in stroke care in Ontario
  • Study questions use of expensive patient transfer resources for routine, non-urgent trips


At A Glance - February 2009

Highlights: [82.5 KB PDF]

  • Acid suppressants increase heart attack risk for patients taking popular cardiac drug
  • Study measures impact of recurring hospitalizations for heart failure on mortality
  • Cardiac rehabilitation services provide significant survival benefit to committed users
  • Study finds a 10-year decline in Ontario hospitalizations for traumatic brain injury
  • Electronic archiving systems have little impact on the frequency of duplicate diagnostic imaging


At A Glance - January 2009

Highlights: [94 KB PDF]

  • Study probes effectiveness of colonoscopy in identifying some colon cancers
  • Residential environment has little effect on birthweight of children of recent immigrants
  • Depression associated with significantly higher use of health services by heart attack survivors
  • Health care utilization in Ontario increases significantly among older age groups
  • Study identifies Canadians at greatest risk for colonoscopy complications


At A Glance - December 2008

Highlights: [80 KB PDF]

  • Hernia surgery wait times increase risk for infants and young children
  • Universal access to chicken pox vaccine reduces burden on Ontario’s health care system

  • Increasing access to antiplatelet drug improves cardiovascular outcomes

  • Study finds significant regional variation in rates of diagnostic imaging across Ontario

  • New cancer surgery atlas maps variations in patterns of care in Ontario



At A Glance - November 2008

Highlights: [81.5 KB PDF]

  • High risk of motor vehicle collisions for dementia patients on psychotropic medications
  • Study questions the effectiveness of colonoscopy for the upper colon
  • Tiotropium associated with improved survival in patients with COPD
  • Free flu shots linked to fewer deaths and demands on the healthcare system in Ontario
  • Prescribing patterns linked to age of heart attack survivors and to physician characteristics


At A Glance - October 2008

Highlights: [92 KB PDF]

  • Warfarin underused by patients at high risk for stroke
  • Statin use in elderly patients linked to higher risk of delirium after surgery
  • Attendance at diabetes education centres associated with access to regular primary care
  • Study finds disparities in access to diagnostic imaging services among elderly Ontarians
  • Surgeon's specialty a factor in repeat surgeries for women with ovarian cancer


At A Glance - September 2008

Highlights: [78 KB PDF]

  • No increase in cardiovascular risk detected for kidney donors in years following donation
  • Seriously ill hospitalized patients unaffected by SARS restrictions in Toronto
  • Flexible sigmoidoscopy of limited benefit in screening for cancers of the proximal colon
  • Mechanically ventilated patients benefit from early tracheostomy
  • Study shows epidural anaesthesia only slightly improves postoperative survival


At A Glance - July/August 2008

Highlights: [79 KB PDF]

  • More family physicians needed to reduce visits to Ontario's emergency departments
  • Study identifies hospital and patient variables associated with early vs. late stroke fatalities
  • Ethnic minorities with diabetes less likely to receive eye examinations in Ontario
  • Indications for and results of CT and MRI scans in Ontario examined
  • Many elderly Ontarians with atherosclerosis not receiving necessary statin therapy


At A Glance - June 2008

Highlights: [85 KB PDF]

  • Antipsychotic drugs prescribed for elderly patients with dementia may be dangerous
  • Earlier predictions seriously underestimate the prevalence of hypertension by 2025
  • Women with gestational diabetes at increased risk for cardiovascular disease after pregnancy
  • Distinct age and sex differences evident in medicinal self-poisonings
  • Study finds further opportunities to prevent hospital deaths following CAGB surgery


At A Glance - May 2008

Highlights: [81 KB PDF]

  • Rise in prevalence of hypertension partly explained by decline in mortality
  • Children of immigrants more likely to be immunized than children of non-immigrants
  • Study finds risk of serious assault spikes with alcohol sales
  • Some ACE inhibitors less beneficial in treating elderly patients with congestive heart failure
  • Study describes indicators of aggressive end-of-life care among lung cancer patients


At A Glance - April 2008

Highlights: [77 KB PDF]

  • Ezetimibe prescribing soars in the United States compared to Canada
  • SSRI antidepressant use during pregnancy not a factor in postpartum hemorrhage
  • Survivors of traumatic brain injury face increased risk of premature death
  • Statins appear to exert class effect in patients with congestive heart failure
  • Study finds regional mismatch between cardiologist supply and demand for cardiac services


At A Glance - March 2008

Highlights: [136 KB PDF]

·         Scientists estimate expected survival time for patients suffering from heart failure

·         Study suggests women with vulvar cancer may not be receiving optimal care

·         Heart attack survivors who don’t fill prescriptions have increased risk of one-year mortality

·         Drug history profiles based solely on provincial drug benefit claims likely to be incomplete

·         Prescription cost-sharing adversely affects children’s use of asthma medication



At A Glance - February 2008

Highlights: [70 KB PDF]

·      Physicians reluctant to report patients who are medically unfit to drive

·      Women with diabetes experience higher mortality rates following breast cancer

·      Study examines anticoagulation control and hospitalization in elderly patients

·      Benefit of long-term cholinesterase inhibitor use for dementia patients questioned

·      Value of cardiac troponin testing confirmed as a predictor of mortality in heart failure patients



At A Glance - January 2008

Highlights: [91 KB PDF]

·         Over one in 10 elderly hypertensive Ontarians being prescribed beta blockers as initial therapy

·         Low colorectal cancer detection rates support the need for an organized screening program

·         Elderly COPD patients benefit significantly from combined generalist and specialist care

·         Long-term statin use may be associated with decreased risk of bleeding in warfarin users

·         Study reveals inequities among Ontario ICD recipients



At A Glance - December 2007

Highlights: [91 KB PDF] 

  • Thiazolidinedione therapy poses risks to older patients with diabetes
  • Colorectal cancer screening rates are low across Ontarioregions
  • Study suggests similar hip fracture rates in older women using different bisphosphonates
  • Ontariohome care services are being used by those who most need them
  • Ontarioemergency departments should examine pediatric asthma management strategies


At A Glance - November 2007

Highlights: [78 KB PDF]

  • Study examines the effects of age, gender and disease on defibrillator recipients
  • Recent immigrant mothers experience higher risk of low birthweight infants
  • Parents of asthmatic children are reliable reporters of emergency department visits
  • ICES Atlas investigates the diabetes epidemic and Toronto neighbourhoods
  • Elderly patients becoming chronic sleeping pill users following hospitalization


At A Glance - October 2007

Highlights: [124 KB PDF]

  • Drug-coated heart stents found to be safe and effective in high-risk angioplasty patients
  • Flu vaccination rates have doubled in the past decade, yet still fall short of national targets
  • Ontariostudy finds barriers to biopsy use in diagnosing breast cancer
  • Improving quality of care in long-term care hospitals is not always more costly
  • Study examines the impact of obesity on chronic disease in Canadians


At A Glance - September 2007

Highlights: [79 KB PDF]

  • Cataract surgery rates more than doubled in Ontario: demand still exceeds supply
  • One in four elderly Ontarians with hypertension prescribed unproven drug combinations
  • Immigrant women not receiving adequate cervical cancer screening
  • Inpatient smoking-cessation counseling is an underused intervention
  • Better anticoagulation control needed for hospitalized patients


At A Glance - July/August 2007

Highlights: [79 KB PDF]

  • Canada lags behind international community in strategies to reduce wait times
  • Colonoscopies done in doctors' offices more likely to be incomplete
  • TV advertising increases public awareness of stroke symptoms and ED visits for stroke
  • Study examines patterns of health care use by youth and young adults with cerebral palsy
  • SARS hospital restrictions decreased elective admissions, but also affected urgent services


At A Glance - June 2007

Highlights: [70 KB PDF]

  • Ontario’s Wait Time Strategy shows no evidence of impact on other surgical procedure rates
  • Emergency department use in the US and Ontariois very similar
  • Recent immigrants to Ontariohave fewer pregnancy complications
  • Decreasing salt intake could reduce the number of Canadians with high blood pressure
  • Socioeconomic status is linked to higher ambulatory care-sensitive hospitalizations in children


At A Glance - May 2007

Highlights: [72 KB PDF]

  • Many nursing homes prescribe antipsychotic drugs to residents who don't need them
  • Growth of cardiac technology in Ontario is outpacing scientific evidence
  • Satellite haemodialysis units are effective for service delivery in rural Ontario
  • Study explores depression, gender and income levels in recent Canadian immigrants
  • Significant regional variation exists across Ontariofor anti-reflux surgery to treat GERD


At A Glance - April 2007

Highlights: [78 KB PDF]

  • Diabetes increases risk of hip fracture in the elderly by 20%
  • Ontario EDs miss diagnosing 1 in 20 ruptured brain aneurysms
  • Study shows impact of antidepressant warnings on prescribing trends
  • Avoidable mortality reduced during first 25 years of universal health insurance
  • Better anticoagulation control has health benefits for entire elderly population


At A Glance - March 2007

Highlights: [72 KB PDF]

  • Ophthalmologists who perform more cataract surgeries have better patient outcomes
  • Study examines upper GI bleeding following COX-2 inhibitor use in Ontarioversus B.C.
  • Calcium channel blockers may improve patient outcomes following stroke
  • Parkinson’s patients still receiving older, typical antipsychotics, despite recommendations
  • People with diabetes are being under treated for coronary risk


At A Glance - February 2007

Highlights: [79 KB PDF] 

  • More university-educated RNs and improved staff satisfaction could reduce hospital death rates
  • Study examines health and life outcomes of youth and young adults with disabilities
  • Care to Ontario heart attack patients is similar to certain regions of the U.S.
  • Guns and knives responsible for over 40,000 trauma visits to Ontario emergency departments
  • Certain factors predict whether colorectal cancer may be missed


At A Glance - January 2007

Highlights: [70 KB PDF] 

  • Study demonstrates need for comprehensive influenza immunization registry in Ontario
  • ICU patients have increased risk of discontinuing medications for chronic conditions
  • Study examines differences in statin prescriptions between Ontario and BC
  • EDs that treat more heart attack patients are less likely to miss the diagnosis
  • Nurse-performed screening program for colorectal cancer can be safe and effective


At A Glance - December 2006

Highlights: [71 KB PDF] 

  • ACE inhibitors associated with reduced risk of ruptured abdominal aortic aneurysm
  • Continuity of physician care is not likely to reduce the volume of lab tests
  • Recommendations for establishing an Ontario Citizens' Council to guide drug policy
  • Restrictions on elective hospital admissions may be insufficient to meet demand in pandemic
  • ICES Primary Care Atlas most comprehensive report of its kind in Ontario


At A Glance - November 2006

Highlights: [71 KB PDF] 

  • ICES study shows ED waiting times and crowding not affected by patients with minor ailments
  • Addition of diagnostic imaging equipment in rural areas improves local health care
  • PPIs do not raise risk of hospitalization for C. difficile in elderly patients taking antibiotics
  • Many elderly diabetes patients not receiving recommended drugs
  • Study compares treatment outcomes for achalasia patients


At A Glance - October 2006

Highlights: [104 KB PDF] 

  • Joint replacement surgery wait times impacted by patients’ willingness to have procedure
  • Women newly-diagnosed with diabetes are more likely to have a history of breast cancer
  • Analysis reveals important lessons about cross-provincial drug plan research
  • Initial, confidential CABG report cards had biggest impact on reducing mortality rates
  • ICES report examines the burden of asthma in the under 40 population


At A Glance - September 2006

Highlights: [66 KB PDF]

  • Different form of heart failure found to be common and deadly
  • Local availability of rheumatologists affects specialist utilization by arthritis patients
  • Study shows no significant difference among ACE inhibitors for heart attack patients
  • ICES report examines state of primary care services for specific patient populations
  • Mortality of patients on life support does not differ by hospital volume


At A Glance - July/August 2006

Highlights: [455 KB PDF]

  • Significant proportion of Ontario cancer patients have poor quality end-of-life care
  • Clinical trials that use acronyms are cited more often
  • Study identifies performance measures for emergency department care for children
  • ICES report presents in-depth look at primary care across the life-cycle
  • Landmark report examines influence of geography on heart disease patients across Canada


At A Glance - June 2006

Highlights: [465 KB PDF]

  • Study shows wide disparities in effectiveness of anti-smoking laws across Canada
  • Mental health care use is unequal between socioeconomic groups
  • Women and low income earners more likely to have dangerous colorectal cancer complications
  • Wait times not growing, but inequities still exist, ICES report shows
  • Physician prescribing patterns are improving for diabetes patients with hypertension


At A Glance - May 2006

Highlights: [647 KB PDF]

  • SSRI antidepressants associated with increased risk of suicide in first month of therapy
  • Women with diabetes may have increased risk of breast cancer
  • Ontario's universal influenza program having a positive impact on vaccination rates
  • ICES report shows Ontario's health information is in need of urgent upgrades
  • Prescribing of Alzheimer's drugs varies among Canadian family physicians despite guidelines


At A Glance - April 2006

Highlights: [646 KB PDF]

  • Common antibiotic can cause potentially fatal blood sugar abnormalities
  • Spironolactone often prescribed to inappropriate heart failure patients
  • Low-risk chest pain patients may not benefit from electrocardiographic monitoring
  • New cervical cancer treatment recommendations have changed practice in Ontario
  • Pregestational diabetes becoming more common in Ontariowomen


At A Glance - March 2006

Highlights: [66 KB PDF]

  • Increases in cardiac tests outpacing growth of heart disease
  • Immunizations not up-to-date in many Ontario two-year-olds
  • Statins may help to protect heart disease patients against sepsis
  • Ontarians with depression have equitable access to mental health services
  • Acne patients in lower income groups less likely to be referred to dermatologists


At A Glance - February 2006

Highlights: [65 KB PDF]

  • ICES report provides in-depth look at physician services in rural and Northern Ontario
  • Traditional risk factors more influential than SES in explaining differences in heart attack mortality
  • Adults with disabilities from childhood require improved processes of care
  • Blood sugar control better for persons with diabetes who receive specialist care
  • Suicidal individuals without depression require better contact with mental health professionals


At A Glance - January 2006

Highlights: [68 KB PDF]

  • Paper discusses current challenges facing diagnostic imaging sector
  • More people with diabetes negates gains from reduced cardiovascular complications
  • Metabolic problems increase risk of pregnancy complications
  • Rural family medicine programs growing, but curriculums not adhering to guidelines
  • Women may require more information for stroke care decision-making


At A Glance - December 2005

Highlights: [67 KB PDF]

  • Certain pregnancy complications may increase the risk of heart disease in women
  • Use of CT and MRI scans increased at a greater rate in non-cancer patients
  • Depression during hospitalization for coronary syndromes can impact mortality rates
  • Study highlights important differences in heart failure care between the U.S. and Ontario
  • Elderly have increased use of EDs during flu outbreaks


At A Glance - November 2005

Highlights: [72 KB PDF]

  • Short-acting beta-blockers associated with less cardiac protection for surgery patients
  • Outcomes improving for colorectal cancer surgery patients
  • Social policy changes should better evaluate potential health effects
  • Breast cancer screening less likely in women with diabetes
  • Newer atypical antispychotics can also cause parkinsonism


At A Glance - October 2005

Highlights: [72 KB PDF] 

  • ICES report identifies most at-risk group for injuries in Ontario
  • Heart failure patients at highest risk of death are least likely to get drug treatment
  • Some stroke outcomes are worse for women than for men
  • Study outlines what attracts urban- and rural-raised family physicians to rural practice
  • Antipsychotic use in the elderly up 35%, but costs up 749%


At A Glance - September 2005

Highlights: [67 KB PDF] 

  • ICES report outlines latest trends in Ontario primary care services
  • Antipsychotics increase risk of movement disorders in dementia patients
  • Various statins equally effective for preventing recurrent heart attacks or death in the elderly
  • Study demonstrates which groups are more likely to get colorectal cancer screening
  • Obese people at greater risk for GERD (gastroesophageal reflux disease)


At A Glance - July/August 2005

Highlights: [65 KB PDF]

  • Trauma injury risk is higher in summer for pregnant women
  • Population-based study demonstrates striking seasonality of croup hospitalizations in Ontario
  • Osteoporosis diagnosis and testing improvements reducing fracture rates in the elderly
  • Stroke-on-awakening and stroke-while-awake patients have similar outcomes
  • Valproate and lithium cause equally small rate of delirium in older adults with mood disorders


At A Glance - June 2005

Highlights: [80 KB PDF]

  • Ontario facing critical shortage of neurosurgery specialists
  • Stopping warfarin therapy after major trauma may increase risk of blood clots in the elderly
  • Introduction of laparoscopic cholecystectomy has lowered incidence of severe gallstone disease
  • Alternative funding arrangements (AFAs) have not led to big changes in ED physician workforce
  • Socioeconomic status not associated with mortality in elderly pneumonia patients


At A Glance - May 2005

Highlights: [77 KB PDF]

  • New cholesterol guidelines will cost health care system millions in unnecessary prescriptions
  • Hospital type and delays to surgery impact outcomes for hip fracture patients
  • More neighbourhood fast-food restaurants associated with more heart disease and deaths
  • Certain Ontarians with diabetes still experience high complication rates, despite overall decline
  • Dementia drugs may cause increased prescribing of incontinence medications to the elderly


At A Glance - April 2005

Highlights: [168 KB PDF]

  • ICES report identifies how long Ontarians are waiting for key health services
  • Drug therapy as good as costly invasive cardiac procedures for elderly heart attack patients
  • Hospital admissisons in Ontario show consistency and predictability
  • Pediatric hernia surgeries best done by pediatric surgeons or high volume general surgeons
  • Diabetes-related dialysis needs are growing in Ontario


At A Glance - March 2005

Highlights: [164 KB PDF]

  • Internationally trained doctors provide same level of heart attack care as Canadian physicians
  • U.S. cancer centers of excellence have lower surgical mortality, but same long-term survival rates
  • Diabetic patients with poor blood sugar control could be better managed
  • Aging "baby boomers" will increase need for life support in ICUs
  • Clinical trials of Alzheimer’s drug do not adequately represent patients taking it


At A Glance - February 2005

Highlights: [176 KB PDF]

  • Blueprint for children’s health services needed in Ontario
  • SSRIs do not increase risk of digoxin toxicity
  • Minorities under represented in clinical trials
  • Surgeon specialty and volume impacts outcomes in patients undergoing surgery for lung cancer
  • Single data source could help improve heart attack care in Canada


At A Glance - January 2005

Highlights: [169 KB PDF]

  • Potentially inappropriate drugs for seniors available through ODB
  • Alcohol-related hospitalizations highest in low-income, middle-aged individuals
  • Study shows new benefit of statins in heart failure patients
  • Diabetics who manage glucose levels effectively are not as diligent with other conditions
  • Elderly colorectal cancer patients have worse outcomes following surgery


At A Glance - December 2004

Highlights: [172 KB PDF]

  • Heart attack patients have dangerous waits for drugs in the ED
  • High volume surgeons better for patients with abdominal aortic aneurysms
  • Framework developed for Ontario's first report card on public health
  • ICES study outlines cost of implementing new privacy legislation
  • Nursing home residents less likely to get inappropriate drugs


At A Glance - November 2004

Highlights: [168 KB PDF]

  • Study provides insights into non-invasive cardiac testing in Ontario
  • Higher income people more likely to receive colorectal cancer tests
  • Little evidence available to support the use of atypical antipsychotics to treat dementia
  • Flu outbreaks account for nearly 25% of ED overcrowding
  • Antihypertensive medications do not increase risk of type 2 diabetes


At A Glance - October 2004

Highlights: [172 KB PDF]

  • Study offers insights into seasonal patterns for influenza and pneumonia hospitalizations
  • Certain common medications can cause lithium toxicity in the elderly
  • Ontario wait times for arthritis-related joint surgeries increase by up to 9 weeks
  • Beta-blocker therapy safe for certain heart failure patients
  • Study maps mammography use in large urban cities


At A Glance - September 2004

Highlights: [162 KB PDF]

  • Access to specialists improves treatment for arthritis patients
  • Colonoscopy does not detect all colon cancers
  • Socioeconomic status affects common childhood surgeries
  • Study shows wide variation in cardiac arrest outcomes across Canada
  • Atypical antipsychotic drugs not associated with increased risk of stroke in elderly


At A Glance - July/August 2004

Highlights: [167 KB PDF]

·        Spironolactone use can lead to increased hospitalizations and deaths from high potassium

·        More hospital beds filled by patients requiring life support

·        More detailed cardiac procedure data needed

·        Low number of Ontarians screened for colorectal cancer

·        Certain maternal factors cause developmental disorders in young children



At A Glance - June 2004

Highlights: [159 KB PDF]

  • Use of anti-inflammatory drugs associated with greater risk of hospitalization for heart failure
  • Patients should see hospital physicians after discharge
  • Leading causes of global death and disability not being studied in clinical trials
  • Many common illnesses increase risk of suicide in elderly
  • Most deaths in men with prostate cancer not due to prostate cancer


At A Glance - May 2004

Highlights: [171 KB PDF]

  • Essential health services not disrupted by SARS outbreak
  • Nearly 25% of nursing home residents on antipsychotic drugs within one year of admission
  • Ontario study offers first population-wide look at childhood asthma in Canada
  • Outcomes can be better at hospitals that perform high volumes of various complex surgeries
  • Many Canadian heart failure patients experience poor outcomes


At A Glance - April 2004

Highlights: [166 KB PDF] 

  • Privacy concerns hinder the development of useful medical registries needed to improve care
  • Infant hospitalizations impacted by family’s health
  • Patients at high risk for stroke are being under treated in Ontario
  • Study shows striking variation in the use of end-of-life care in U.S. hospitals
  • Rectal cancer patients treated at high-volume hospitals have better outcomes


At A Glance - March 2004

Highlights: [223 KB PDF]

  • Nearly one quarter of hospital patients experienced an adverse event after discharge
  • Consumer expectations vs. health system sustainability: can a balance be achieved?
  • Obesity and asthma unrelated in children
  • Thousands more Ontarians should be screened for colorectal cancer
  • ALLHAT trial shows that physicians’ prescribing patterns change in response to new evidence


At A Glance - February 2004

Highlights: [172 KB PDF] 

  • Isolating patients for infection control may have unintended consequences
  • Diabetes impacts both quality and length of life
  • Migraines a major cause of frequent emergency department visits
  • Achieving Canadian benchmarks for hospital cardiac care would save lives
  • Parkinson’s patients hospitalized more often for certain conditions


At A Glance - January 2004

Highlights: [166 KB PDF]

  • New approach needed for drug evaluation in Canada
  • Chest pain patients in higher SES neighbourhoods have shorter ambulance transport times
  • Elderly men in the U.S. are receiving excessive screening for prostate cancer
  • Heart failure index can help doctors predict risk of death
  • Dementia patients use more resources, but in a similar pattern to patients without dementia


At A Glance - December 2003

Highlights: [159 KB PDF]

  • Heart disease drug expenditures soar in Canada
  • Lower income people with diabetes suffering excessive hospitalizations
  • Angiotensin-converting enzyme inhibitors (ACEIs) do not cause acute pancreatitis in the elderly
  • High-volume surgeons improve outcomes for patients undergoing certain high-risk procedures
  • Certain patient characteristics can predict risk of stroke or death after carotid endarterectomy


At A Glance - November 2003

Highlights: [176 KB PDF]

  • Heart disease risk factors and death rates vary across Canada
  • Restrictions to provincial drug plan coverage have a major impact on drug use and expenditures
  • Volume of high-risk surgeries performed at hospitals unrelated to length of stay or readmission
  • Better evidence needed to support PET use in evaluating Alzheimer’s disease
  • One type of heparin is better for treating acute coronary syndromes in rural hospital settings


At A Glance - October 2003

Highlights: [165 KB PDF]

  • Canadian hospitalization rates for cardiovascular conditions increasing
  • Emergency department “gridlock” results in delays for patients with chest pain
  • Polysporinâ ointment reduces infections and mortality in dialysis patients
  • Parkinson’s patients not receiving adequate access to specialists
  • HOPE (Heart Outcomes Prevention Evaluation) trial’s effect on ramipril prescribing unprecedented


At A Glance - September 2003

Highlights: [187 KB PDF]

  • Waiting times for cardiac procedures pose significant hazards for heart attack patients
  • Survival improving dramatically for Hodgkin’s disease patients
  • Ontario First Nations people receiving inadequate primary care
  • Treatment advice varies between medical directors and their respective poison centres
  • Impact of chronic conditions on quality of life varies by age and gender


At A Glance - July/August 2003

Highlights: [163 KB PDF]

  • Standardized data collection is a prerequisite to managing access to MRI services

  • Estrogen replacement therapy use dropped dramatically after landmark study
  • Treatment by cardiologists does improve outcomes for heart failure patients
  • Implantable defibrillators can prevent sudden cardiac death better than medications alone

  • Diabetes increases the risk of developing and dying from infectious diseases


At A Glance - June 2003

Highlights: [165 KB PDF]

  • Pre-operative chest X-ray and ECG are often unnecessary
  • New baby in home increases risk of iron poisoning in young children
  • Low screening rates for diabetic eye disease may be due to changes in OHIP coverage
  • Surgery in high-volume hospitals prevents few post-operative deaths
  • ICES Cardiovascular Atlas provides stimulus for improvement


At A Glance - May 2003

Highlights: [167 KB PDF]

 

 ·         Parkinson’s disease is placing a heavy financial burden on Ontario’s health care system

·         Key cause of emergency department overcrowding is a lack of inpatient beds

·         Inequities in accessing specialists mainly due to geography

·         Drug interactions in the elderly are causing unnecessary admissions

·         Physicians under-treating diabetic heart attack patients





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