Peter Cram
Biographic Data
| ID | 4238100 |
|---|---|
| NAME | Peter Cram |
| GIVEN NAMES | Peter |
| FAMILY NAME | Cram |
| SIGNATURE | CRAM P |
| AFFILIATIONS | University of Iowa |
| ORCID | 0000-0002-1910-346X |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 1 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 1 |
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Jama Health Forum Peer Reviewers in 2022
Jama Health Forum Peer Reviewers in 2021
Making Hospital Price Transparency Work for Health Care Consumers
A controversial federal regulation, the Hospital Price Transparency Rule, which requires hospitals to inform consumers about the prices they charge, went into effect at the beginning of this year. 1 For the first time, hospitals must post negotiated rates as well as list prices for their services
Association Between Attending Physicians’ Rates of Referral to Palliative Care and Location of Death in Hospitalized Adults With Serious Illness
BACKGROUND: Patients who receive palliative care are less likely to die in hospital. OBJECTIVE: To measure the association between physician rates of referral to palliative care and location of death in hospitalized adults with serious illness. RESEARCH DESIGN: Population-based decedent cohort study using linked health administrative data in Ontario, Canada. SUBJECTS: A total of 7866 physicians paired with 130,862 hospitalized adults in their las…
Hospital Length of Stay … A Measure of What, Exactly
Division of General Internal Medicine and Geriatrics, Sinai Health System and University Health Network †Faculty of Medicine, University of Toronto ‡North American Observatory on Health Systems and Policies, Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON Canada P.C. research is supported in part by R01 AG058878-01A1 from NIA. The author declares no conflict of interest. Reprints: Peter Cram, MD, MBA, D…
Disparities in Receipt of Bariatric Surgery in Canada
BACKGROUND: Patients with lower socioeconomic status (SES) in the United States have reduced access to many health services including bariatric surgery. It is unclear whether disparities in bariatric surgery exist in countries with government-sponsored universal health benefits. The authors used data from a large regional Canadian bariatric surgery referral center to examine the relationship between SES and receipt of bariatric surgery. METHODS: …
Disparities in Knee and Hip Arthroplasty Outcomes
Racial Differences and Disparities in Osteoporosis-related Bone Health
BACKGROUND: Determining whether observed differences in health care can be called disparities requires persistence of differences after adjustment for relevant patient, provider, and health system factors. We examined whether providing dual-energy x-ray absorptiometry (DXA) test results directly to patients might reduce or eliminate racial differences in osteoporosis-related health care. DESIGN, SUBJECTS, AND MEASURES: We analyzed data from 3484 …
Impact of Length of Stay After Coronary Bypass Surgery on Short-term Readmission Rate
OBJECTIVE: : To determine the effect of postoperative length of stay (LOS) on 30-day readmission after coronary artery bypass surgery. DATA SOURCES/STUDY SETTING: : We analyzed a final database consisting of Medicare claims of a cohort (N=157,070) of all fee-for-service beneficiaries undergoing bypass surgery during 2007-2008, the American Hospital Association annual survey file, and the rural urban commuting area file. STUDY DESIGN: : We regress…
Echocardiogram Utilization Among Rural and Urban Veterans
Purpose: To compare echocardiography use among urban and rural veterans and whether differences could be accounted for by distance. Methods: We used Veterans Administration (VA) administrative data from 1999 to 2007 to identify regular users of the VA Healthcare System (VA users) who did and did not receive echocardiography. Each veteran was categorized as residing in urban, rural or highly rural areas using RUCA codes. Poisson regression was use…
Shifts in Surgical Revascularization and Valve Procedures Among Medicare Beneficiaries
BACKGROUND: The rapid development of percutaneous coronary intervention (PCI) has reduced the demand for coronary artery bypass grafting (CABG) surgery. We examined whether the previously documented declining demand for CABG and expanding PCI use are associated with changes in performance of valve (aortic or mitral) replacement or repair surgery. METHODS: We used Medicare Part A administrative data to identify beneficiaries who received PCI, CABG…
Are Patients With Serious Mental Illness More Likely to be Admitted to Nursing Homes With More Deficiencies in Care
BACKGROUND: Patients diagnosed with serious mental illness (SMI) who qualify for nursing home placement tend to require high levels of both psychiatric and nursing care. However, it is unknown whether they are equally likely to be admitted to nursing homes with adequate quality of care compared with other patients. METHODS: We analyzed a national cohort of more than 1.3 million new nursing home admissions in 2007 using the minimum data set. The t…
Insurance Status of Patients Admitted to Specialty Cardiac and Competing General Hospitals
BACKGROUND: There has been widespread concern that procedurally oriented specialty hospitals select well-insured patients for admission, while avoiding the underinsured, but data are limited. OBJECTIVE: To determine if specialty cardiac hospitals admit a higher proportion of well-insured patients than general hospitals and/or preferentially transfer patients with less generous insurance to other acute care hospitals. DESIGN, SETTING, AND PARTICIP…
Insurance Status of Patients Admitted to Specialty Cardiac and Competing General Hospitals
BACKGROUND: There has been widespread concern that procedurally oriented specialty hospitals select well-insured patients for admission, while avoiding the underinsured, but data are limited. OBJECTIVE: To determine if specialty cardiac hospitals admit a higher proportion of well-insured patients than general hospitals and/or preferentially transfer patients with less generous insurance to other acute care hospitals. DESIGN, SETTING, AND PARTICIP…
Shifts in Surgical Revascularization and Valve Procedures Among Medicare Beneficiaries
BACKGROUND: The rapid development of percutaneous coronary intervention (PCI) has reduced the demand for coronary artery bypass grafting (CABG) surgery. We examined whether the previously documented declining demand for CABG and expanding PCI use are associated with changes in performance of valve (aortic or mitral) replacement or repair surgery. METHODS: We used Medicare Part A administrative data to identify beneficiaries who received PCI, CABG…
Are Patients With Serious Mental Illness More Likely to be Admitted to Nursing Homes With More Deficiencies in Care
BACKGROUND: Patients diagnosed with serious mental illness (SMI) who qualify for nursing home placement tend to require high levels of both psychiatric and nursing care. However, it is unknown whether they are equally likely to be admitted to nursing homes with adequate quality of care compared with other patients. METHODS: We analyzed a national cohort of more than 1.3 million new nursing home admissions in 2007 using the minimum data set. The t…
Echocardiogram Utilization Among Rural and Urban Veterans
Purpose: To compare echocardiography use among urban and rural veterans and whether differences could be accounted for by distance. Methods: We used Veterans Administration (VA) administrative data from 1999 to 2007 to identify regular users of the VA Healthcare System (VA users) who did and did not receive echocardiography. Each veteran was categorized as residing in urban, rural or highly rural areas using RUCA codes. Poisson regression was use…
Impact of Length of Stay After Coronary Bypass Surgery on Short-term Readmission Rate
OBJECTIVE: : To determine the effect of postoperative length of stay (LOS) on 30-day readmission after coronary artery bypass surgery. DATA SOURCES/STUDY SETTING: : We analyzed a final database consisting of Medicare claims of a cohort (N=157,070) of all fee-for-service beneficiaries undergoing bypass surgery during 2007-2008, the American Hospital Association annual survey file, and the rural urban commuting area file. STUDY DESIGN: : We regress…
Racial Differences and Disparities in Osteoporosis-related Bone Health
BACKGROUND: Determining whether observed differences in health care can be called disparities requires persistence of differences after adjustment for relevant patient, provider, and health system factors. We examined whether providing dual-energy x-ray absorptiometry (DXA) test results directly to patients might reduce or eliminate racial differences in osteoporosis-related health care. DESIGN, SUBJECTS, AND MEASURES: We analyzed data from 3484 …
Disparities in Knee and Hip Arthroplasty Outcomes
Hospital Length of Stay … A Measure of What, Exactly
Division of General Internal Medicine and Geriatrics, Sinai Health System and University Health Network †Faculty of Medicine, University of Toronto ‡North American Observatory on Health Systems and Policies, Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON Canada P.C. research is supported in part by R01 AG058878-01A1 from NIA. The author declares no conflict of interest. Reprints: Peter Cram, MD, MBA, D…
Disparities in Receipt of Bariatric Surgery in Canada
BACKGROUND: Patients with lower socioeconomic status (SES) in the United States have reduced access to many health services including bariatric surgery. It is unclear whether disparities in bariatric surgery exist in countries with government-sponsored universal health benefits. The authors used data from a large regional Canadian bariatric surgery referral center to examine the relationship between SES and receipt of bariatric surgery. METHODS: …
Making Hospital Price Transparency Work for Health Care Consumers
A controversial federal regulation, the Hospital Price Transparency Rule, which requires hospitals to inform consumers about the prices they charge, went into effect at the beginning of this year. 1 For the first time, hospitals must post negotiated rates as well as list prices for their services
Association Between Attending Physicians’ Rates of Referral to Palliative Care and Location of Death in Hospitalized Adults With Serious Illness
BACKGROUND: Patients who receive palliative care are less likely to die in hospital. OBJECTIVE: To measure the association between physician rates of referral to palliative care and location of death in hospitalized adults with serious illness. RESEARCH DESIGN: Population-based decedent cohort study using linked health administrative data in Ontario, Canada. SUBJECTS: A total of 7866 physicians paired with 130,862 hospitalized adults in their las…
Jama Health Forum Peer Reviewers in 2021
Work like a Doc
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were c…
Jama Health Forum Peer Reviewers in 2022
Medicine (14 works) · Internal Medicine (8 works) · Family medicine (6 works) · Internal Medicine (6 works) · Health care (4 works) · Surgery (4 works) · Computer Science (3 works) · Emergency Medicine (3 works) · Environmental health (3 works) · Gerontology (3 works)