Leonard Pogach
Dados Biográficos
| ID | 5540437 |
|---|---|
| NOME | Leonard Pogach |
| PRENOMES | Leonard |
| SOBRENOME | Pogach |
| ASSINATURA | POGACH L |
| AFILIAÇÕES | VA New Jersey Health Care System |
| ORCID | 0000-0002-7326-511X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 12 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 12 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 0 |
Eliminating Algorithmic Racial Bias in Clinical Decision Support Algorithms
The Veterans Health Administration uses equity- and evidence-based principles to examine, correct, and eliminate use of potentially biased clinical equations and predictive models. We discuss the processes, successes, challenges, and next steps in four examples. We detail elimination of the race modifier for estimated kidney function and discuss steps to achieve more equitable pulmonary function testing measurement. We detail the use of equity le…
Association of Serious Hypoglycemic Events in Older Adults With Changes in Glycemic Performance Measures
BACKGROUND: Reducing serious hypoglycemic events is a Federal-wide objective. Despite studies of trends for rates of serious hypoglycemia in existing literature, rigorous evaluation of links between the observed trends and changes in professional guidelines or performance measures for glycemic control is lacking. OBJECTIVE: To evaluate whether changes in professional society guidelines and performance measures for glycemic control correspond to c…
State-Level Variability in Veteran Reliance on Veterans Health Administration and Potentially Preventable Hospitalizations
Most Veterans who use the Veterans Health Administration (VHA) also utilize private-sector health care providers. To better inform local and regional health care planning, we assessed the association between reliance on VHA ambulatory care and total and system-specific preventable hospitalization rates (PHRs) at the state level. We conducted a retrospective dynamic cohort study using Veterans with diabetes mellitus, aged 66 years or older, and du…
Decomposing Gender Differences in Low-Density Lipoprotein Cholesterol among Veterans with or at Risk for Cardiovascular Illness
Estimating utilities for chronic kidney disease, using SF-36 and SF-12-based measures
Mental Illness and Substance Use Disorders among Women Veterans with Diabetes
Can Ambulatory Care Prevent Hospitalization for Metabolic Decompensation
OBJECTIVE: Metabolic decompensations (MD) are hospitalizations considered preventable with appropriate ambulatory care. We tested for associations between diabetes care and MD. RESEARCH DESIGN: We retrospectively compared care between cases (MD; n = 2714) and controls (without MD; n = 10,856) using merged Veterans Health Administration and Medicare data. Logistic regression tested for associations between MD and diabetes care controlling for pati…
Short-Term Statin Exposure Is Associated With Reduced All-Cause Mortality in Persons With Diabetes
BACKGROUND: The survival benefit of statins in nontrial populations of persons with diabetes is unknown. OBJECTIVE: : We sought to determine all-cause mortality in fiscal year 2001 (FY01) after statin initiation in FY 99 and/or FY00 in individuals with diabetes in the Veterans Healthcare Administration (VHA). METHODS: Using a retrospective longitudinal cohort analysis, we analyzed 201,102 veterans with diabetes from 104 VHA facilities with medica…
Diabetes care among veteran women with disability
Initial Nontraumatic Lower-Extremity Amputations Among Veterans With Diabetes
RESEARCH OBJECTIVE: We sought to identify initial nontraumatic lower-extremity amputations (ILEAs) and compare rates of ILEAs with different coding algorithms and varying lengths of observation period prior (look-back) to the first observed amputation. STUDY DESIGN: We used a retrospective design on merged Medicare claims and patient treatment files of the Veteran Healthcare Administration for fiscal years 1998 to 2000 of veterans with diabetes a…
Racial/Ethnic Differences in Diabetes Care for Older Veterans
BACKGROUND: Veterans Health Administration (VHA) databases are used extensively to study racial/ethnic disparities; however, these databases may not capture all care received by VHA patients. OBJECTIVES: We examined the extent to which accounting for non-VHA care changed conclusions about racial/ethnic disparities for VHA patients with diabetes. METHODS: Using a cross-sectional observational study, we analyzed a national sample of noninstitutiona…
Department of Veterans Affairs' Quality Enhancement Research Initiative for Diabetes Mellitus
Diabetes is a common disease, which frequently leads to serious, high-cost complications. Estimates show that in fiscal year 1994 (FY94), 12.5% of outpatients in the Veterans Health Administration (VHA) received diabetes-specific medications, accounted for almost 25% of all VHA pharmacy costs, had a hospitalization rate 1.6 times that of veterans without diabetes, and made 3.6 million outpatient visits to VA clinics. Research demonstrates that mu…
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Department of Veterans Affairs' Quality Enhancement Research Initiative for Diabetes Mellitus
Diabetes is a common disease, which frequently leads to serious, high-cost complications. Estimates show that in fiscal year 1994 (FY94), 12.5% of outpatients in the Veterans Health Administration (VHA) received diabetes-specific medications, accounted for almost 25% of all VHA pharmacy costs, had a hospitalization rate 1.6 times that of veterans without diabetes, and made 3.6 million outpatient visits to VA clinics. Research demonstrates that mu…
Diabetes care among veteran women with disability
Initial Nontraumatic Lower-Extremity Amputations Among Veterans With Diabetes
RESEARCH OBJECTIVE: We sought to identify initial nontraumatic lower-extremity amputations (ILEAs) and compare rates of ILEAs with different coding algorithms and varying lengths of observation period prior (look-back) to the first observed amputation. STUDY DESIGN: We used a retrospective design on merged Medicare claims and patient treatment files of the Veteran Healthcare Administration for fiscal years 1998 to 2000 of veterans with diabetes a…
Racial/Ethnic Differences in Diabetes Care for Older Veterans
BACKGROUND: Veterans Health Administration (VHA) databases are used extensively to study racial/ethnic disparities; however, these databases may not capture all care received by VHA patients. OBJECTIVES: We examined the extent to which accounting for non-VHA care changed conclusions about racial/ethnic disparities for VHA patients with diabetes. METHODS: Using a cross-sectional observational study, we analyzed a national sample of noninstitutiona…
Short-Term Statin Exposure Is Associated With Reduced All-Cause Mortality in Persons With Diabetes
BACKGROUND: The survival benefit of statins in nontrial populations of persons with diabetes is unknown. OBJECTIVE: : We sought to determine all-cause mortality in fiscal year 2001 (FY01) after statin initiation in FY 99 and/or FY00 in individuals with diabetes in the Veterans Healthcare Administration (VHA). METHODS: Using a retrospective longitudinal cohort analysis, we analyzed 201,102 veterans with diabetes from 104 VHA facilities with medica…
Can Ambulatory Care Prevent Hospitalization for Metabolic Decompensation
OBJECTIVE: Metabolic decompensations (MD) are hospitalizations considered preventable with appropriate ambulatory care. We tested for associations between diabetes care and MD. RESEARCH DESIGN: We retrospectively compared care between cases (MD; n = 2714) and controls (without MD; n = 10,856) using merged Veterans Health Administration and Medicare data. Logistic regression tested for associations between MD and diabetes care controlling for pati…
Mental Illness and Substance Use Disorders among Women Veterans with Diabetes
Decomposing Gender Differences in Low-Density Lipoprotein Cholesterol among Veterans with or at Risk for Cardiovascular Illness
Estimating utilities for chronic kidney disease, using SF-36 and SF-12-based measures
State-Level Variability in Veteran Reliance on Veterans Health Administration and Potentially Preventable Hospitalizations
Most Veterans who use the Veterans Health Administration (VHA) also utilize private-sector health care providers. To better inform local and regional health care planning, we assessed the association between reliance on VHA ambulatory care and total and system-specific preventable hospitalization rates (PHRs) at the state level. We conducted a retrospective dynamic cohort study using Veterans with diabetes mellitus, aged 66 years or older, and du…
Association of Serious Hypoglycemic Events in Older Adults With Changes in Glycemic Performance Measures
BACKGROUND: Reducing serious hypoglycemic events is a Federal-wide objective. Despite studies of trends for rates of serious hypoglycemia in existing literature, rigorous evaluation of links between the observed trends and changes in professional guidelines or performance measures for glycemic control is lacking. OBJECTIVE: To evaluate whether changes in professional society guidelines and performance measures for glycemic control correspond to c…
Eliminating Algorithmic Racial Bias in Clinical Decision Support Algorithms
The Veterans Health Administration uses equity- and evidence-based principles to examine, correct, and eliminate use of potentially biased clinical equations and predictive models. We discuss the processes, successes, challenges, and next steps in four examples. We detail elimination of the race modifier for estimated kidney function and discuss steps to achieve more equitable pulmonary function testing measurement. We detail the use of equity le…
Medicine (12 obras) · Diabetes mellitus (10 obras) · Internal Medicine (8 obras) · Endocrinology (6 obras) · Gerontology (6 obras) · Logistic regression (6 obras) · Diabetes Management and Education (5 obras) · Emergency Medicine (5 obras) · Emergency Medicine (5 obras) · Environmental health (4 obras)