"Oral Isotretinoin Prescribing, Utilization, and Costs in a Managed Care Plan." Methods A retrospective review of a Medicare database within the PearlDiver Supercomputer (Warsaw, Indiana) was per-formed for patients undergoing open (OCUTR) or endo- A retrospective review of patients receiving RCRs from 2008-2016 using the PearlDiver database was performed. Epidemiology and Disease Burden of Lateral Epicondylitis ... Patients with no comorbidities had a 6-month and 12-month postoperative cost of . Trends and Cost of Posterior Cervical Fusions With and ... The cost-ineffectiveness of arthroscopic partial meniscectomies is well-established in the literature 3,29; however, the analysis of more cost-effective joint-preserving procedures such as meniscal repairs 12 was limited by patient age in the Medicare database because meniscal repair is typically reserved for younger patients. Currently, it is located in Colorado Springs, CO, USA. Due to the data being de-identified and commercially available, no Institutional Review Board approval was needed. Costs of open and minimally invasive (endoscopic and percutaneous) surgery were compared using the PearlDiver online health care database (www.pearldiverinc.com) to analyze Mariner all payer claims dataset. To discern differences between the PearlDiver and MarketScan databases with regards to patient demographics, costs, re-operations, and complication rates for isolated meniscectomy.We queried the PearlDiver Humana Patient Records Database and the IBM® MarketScan® Commercial Claims and Encounters database for all patients who had record of . Methods: The PearlDiver database was reviewed for patients undergoing DCE from 2007 to 2017. Results. In the current study, we were able . PearlDiver Technologies was located in Fort Wayne, IN, USA at the time of data extraction in 2019. database from 2005 to 2013. 34 PearlDiver, a health care database that includes more than 1 billion US records from a variety of sources, 7 was used to determine risk factors for venous thromboembolism after total shoulder arthroplasty. The total cost of TJA was approximated from . associated health-care costs would all increase over the course of the study period. We forward our buckets to one guy in the lab who reads the MS word document and codes the queries for Pearldiver. Our study examines the effect of comorbidities on rotator cuff repair (RCR) postoperative costs and complication rates. In the Humana subset of the PearlDiver database, between January 2007 and December 2014, 2,613 patients un- Methods Patient Selection Meniscal Tears: Cost, Sex Analysis and Progression to Knee Arthroplasty (KA), Comparison of Non-Operative Management versus Arthroscopic Partial Meniscectomy (APM), A PearlDiver Study. All bariatric surgery patients who were classified as inpatient at the time of their sleeve gastrectomy or gastric bypass procedure were included. They also . Study cohort Analyzing cost offsets. Kendall J. The purpose of this study is to evaluate the outcomes of operative vs non-operative treatments of lisfranc injuries, using data from the PearlDiver database. Surgical trends, demographics, and charge/reimbursement data were analyzed. Overall, laterality coding was more prevalent in the PearlDiver database. The first dataset is based on Medicare patients, made up of roughly 45 million patients each year, and their billing records between 2005 and 2012. A detailed cost analysis was performed and a univariate analysis was conducted in order to determine which patient factors were associated with outpatient treatment. The database contains records of over 100 million patients providing information such as diagnosis, complications, procedures, length of stay (LOS), cost, and . Cost per quality adjusted life year was assessed. METHODS: Inclusion criteria: surgical ASD (scoliosis≥20°, SVA≥5 cm, PT≥25°, or thoracic . gitudinal database was to evaluate the costs and utilization trends of open and endoscopic approaches for decompres-sion of the ulnar nerve within a large patient database. Kendall J. Methods: The PearlDiver database was employed to identify all inpatient and outpatient UKAs performed between 2007 and 2016 with 2-year follow-up. We utilized the PearlDiver database, which includes insurance reimbursement information, rather than hospital billing data. The cost billed for first time isolated meniscectomy procedures as reported in the MarketScan cohort was an average of $2853.37, whereas costs for the PearlDiver cohorts were significantly less ( P < .001), at $1,418.36 for those younger than 65 years and $1,121.64 for the entire cohort. plasty (TKA, THA, and TSA, respectively). A Biblioteca Virtual em Saúde é uma colecao de fontes de informacao científica e técnica em saúde organizada e armazenada em formato eletrônico nos países da Região Latino-Americana e do Caribe, acessíveis de forma universal na Internet de modo compatível com as bases internacionais. patients undergoing CTR. CONTACTS Email: info@pearldiverinc.com Objective: To understand medical complication rates, readmission rates, costs, and discharge dispositions in anterior lumbar interbody fusion (ALIFs) versus transforaminal lumbar interbody fusions (TLIFs)/posterior lumbar interbody fusions (PLIFs) for lumbar degenerative disease. The PearlDiver database is a national, commercially available database that contains medical insurance records for Medicare and several private insurance agencies. PearlDiver is a commercially available database used extensively for orthopedic-related research and is compliant with the Health Information Portability and Affordability Act (HIPAA) . The PearlDiver database is a com-mercially available database with insur-ance records of orthopaedic patients, including 20.9 million covered lives in Humana (Humana Inc, Louisville, KY) METHODS T he PearlDiver patient record database (PearlDiver Inc, Colorado Springs, CO) was utilized for this retrospective chart review. Using the PearlDiver database, we created database algorithms to identify cohorts of patients who underwent single-level PCF and also had various reoperations of interest, within 1, 2, and 4 years of follow-up. All data is de-identified and anonymous and was thus exempt from Insti- Primary outcomes were cost . The rate of postoperative complications within 90 days was calculated and compared. surgeries and higher healthcare utilization costs compared to nonagenarians. Methods: We retrospectively reviewed 18,386 patients from the PearlDiver database from between 2007 and 2014. In addition, we explore the cost implications of these nationwide practice trends. Summary of background data: Indications for ALIFs versus PLIFs can . Cost per quality-adjusted life year was assessed. We collected annual trends, reimbursement costs, Methods. 2019 October 10. Patients were matched by age, gender, and Elixhauser Comorbidity Index. Inclusion criteria: surgical ASD (scoliosis≥20°, SVA≥5 cm, PT≥25°, or thoracic kyphosis ≥60°) patients >18 years. 2019 October 10. A retrospective review of the PearlDiver database between 2010 and second quarter of 2018 was performed using Current Procedural Terminology (CPT) codes to compare conversion THA (CPT 27132) to primary THA (CPT 27130). The PearlDiver database has been used in other studies [6, 9], however accuracy and attrition of the database is study dependent. 26 The UK's Clinical Practice . Patients undergoing cervical ADR between January 1, 2007, and September 30, 2015, were identified using Current Procedural Terminology (CPT) codes. A Conditional Variable Importance Table used nonreplacement sampling set of 20,000 Conditional Inference trees to identify top factors associated with lower cost surgery for low (LSVA), moderate (MSVA), and high (HSVA) SRS . Meniscal Tears: Cost, Sex Analysis and Progression to Knee Arthroplasty (KA), Comparison of Non-Operative Management versus Arthroscopic Partial Meniscectomy (APM), A PearlDiver Study. The PearlDiver database also has several other inherent weaknesses. Patient Selection We retrospectively reviewed the patient records within the orthopedic subset of the Medicare database from January 1, 2005, to December 31, 2012. A search of every associated International Classification 30-day cost of bariatric surgery also varied significantly by region.TheNortheastandWestaveraged$8,100and$9,600 compared with the Midwest and South, which averaged Total costs for surgery were calculated using the PearlDiver database. EPIC, a large EHR system, was used to examine dementia and delirium in elderly patients with hip fractures. the PearlDiver supercomputer (PearlDiver Technologies, Fort Wayne, IN). Overall, laterality coding was more prevalent in the PearlDiver database. We reviewed the cases of 189,847 patients undergoing primary THA during 2010 through 2018 from the PearlDiver database. The database also contains demographic parameters, discharge status, and ICD-9 procedure and diagnosis codes. The PearlDiver database was queried using diagnosis codes to identify Medicare recipients with proximal humerus fractures from 2005 to 2012. Materials And Methods Database Data in this project include paid claims from Humana Inc extracted using PearlDiver patient record database. Each CD surgical procedure in the database used in this study was retrospectively assigned ICD-9 codes for both the primary Methods: We retrospectively reviewed 18,386 patients from the PearlDiver database from between 2007 and 2014. Similar to the NIS database, the NTDBRDS only contains inpatient data limited to the index hospitalization, and stratification by CPT codes is not available. The total cost of all procedures and diagnostic tests, was determined for the global period from the time of diagnosis up until 90-days post-operatively, and the incidence of . The quality of care was assessed using complication rates after TJA. Results. Data in this project include paid claims from Humana Inc extracted using PearlDiver patient record database. PearlDiver database is a publicly available Health Insurance Portability and Accountability Actecompliant national database compiled from a collection of private payer records. ACDF. We evaluated the effect of major comorbidities on postoperative costs and complications within one year of surgery. Presently, every person doing research creates buckets using ICD-9 codes on MS Word. Study design: Retrospective database review. Using the PearlDiver database, we created database algorithms to identify cohorts of patients who underwent single-level PCF and also had various reoperations of interest, within 1, 2, and 4 years of follow-up. Anesthetic modality (eg, general and regional anesthesia vs local anesthesia) and surgical approach (eg, endoscopic vs open) were recorded for this patient population. Discharge status was determined from billing codes. A review was performed using the Humana Insurance PearlDiver national database from 2007 to 2015. PearlDiver Senior Analyst Scott Ellison stated, "We are very excited about this alliance. Cost utility using published methods convert ODI to SF-6D obtained Quality Adjusted Life Years (QALY). Cost data were obtained using Mariner Database. Cost associated with HAC occurrence derived from the PearlDiver database. In total, 8,747 patients underwent RCR. ADDRESS 1861 Austin Bluffs Pkwy, Suite 200A Colorado Springs, CO 80918. The total cost of all procedures and diagnostic tests, was determined for the global period from the time of diagnosis up until 90-days post-operatively, and the incidence of . The purpose of this study was to evaluate national trends in post-acute care utilization and costs following primary THA over the last decade. Methods: We queried the PearlDiver Humana Patient Records Database and the IBM® MarketScan® Commercial Claims and Encounters database for all patients who had record of meniscectomy denoted by CPT-29880 . Total costs for surgery were calculated using the PearlDiver database. Once we have completed integration of Humana's data into the PearlDiver database, and testing and de-bugging is completed, we hope to be setting up access to the data for our customers during the month of January." Access to care was approximated by the rates of total joint arthroplasty (TJA) in patients diagnosed with arthritis to the corresponding joint. PearlDiver is a commercially available database used extensively for orthopedic-related research and is compliant with the Health Information Portability and Affordability Act (HIPAA) (8). Patient Selection We retrospectively reviewed the patient records within the orthopedic subset of the Medicare database from January 1, 2005, to December 31, 2012. We found that from 2018 to 2019, an estimated 8.4% of all lower extremity arthroplasty research were database studies, with marked variation depending on the journal of interest. Cost Variation of Anterior Cervical Fusions in Elderly Medicare Beneficiaries Varun Puvanesarajah, David J. Kirby, Amit Jain , Brian C. Werner, Hamid Hassanzadeh School of Medicine OBJECTIVE: The purpose of this study was to identify predictors of lower total surgery costs at 3 years for Adult Spinal Deformity (ASD) patients. Patients and Methods An insurance-based database of patient records, the PearlDiver patient record database (www.pearldiverinc.com, Fort Wayne, IN), was utilized for this study. QALYs utilized a 3% discount rate for residual decline to life expectancy (78.7 years). Avery E. Brown, Jordan Lebovic, Haddy Alas, Katherine E. Pierce, Cole A. Bortz, Waleed Ahmad, Sara Naessig, Hamid Hassanzadeh, Lawal A. Labaran, Varun Puvanesarajah . reduce healthcare costs and improve outcomes, identification of modifiable risk factors is important. the clinical population and cost of care. We evaluated the effect of major comorbidities on postoperative costs … Use case: Researchers compared real-world cost data from the MarketScan Databases for two different prescription therapies for depression: selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs). Findings: Data showed that the two-year average cost of the TCAs was lower, but the overall cost of treatment for patients using TCAs was higher. A Conditional Variable Importance Table used non-replacement sampling set of 20,000 Conditional Inference trees to identify . The PearlDiver Mariner database (PearlDiver Technolo-gies, Colorado Springs, CO) is a commercially available, . Cost calculations The PearlDiver database, which gives 1-year Medicare reimbursement rates, was used to calculate costs using job order cost accounting ("charge analysis"). Commercial insurance data from 2007 to Q3-2015 was used to study preoperative opioid use in patients undergoing primary one- to two-level PLF. costs incurred by the patient for their care over a one-day or a 1-year period from the date of surgery. Methods. A retrospective review was performed of the PearlDiver Humana insurance records database to identify patients undergoing one- to two-level ACDF (Current Procedural Terminology [CPT]-22551 and International Classification of Diseases [ICD]-9-816.2) as either outpatients or inpatients from 2011 to 2016. Overall, the database contains data for approximately 20 million patients with orthopaedic diagnoses. Ninety-day complications, ED visits, readmissions, 1-year adverse events, and associated costs PearlDiver patient record data-base (PearlDiver Inc, Colorado Springs, CO), focusing on all patients who underwent an anatomic TSA or RSA. The PearlDiver records examined in this study were from the Humana Claims Database, which contains information on all Humana Claims, including private/commercial insurance and Medicare programs, covering 16 million people between 2007 and the third quarter of 2014. My lab is using the Pearldiver database for research. Discharge status was determined from billing codes. Purpose: To discern differences between the PearlDiver and MarketScan databases with regards to patient demographics, costs, re-operations, and complication rates for isolated meniscectomy. The purpose of this study is to evaluate the outcomes of operative vs non-operative treatments of lisfranc injuries, using data from the PearlDiver database. The cost to obtain NTDBRDS is $300 per dataset requested. PearlDiver data includes details such as patient gen- der, age range, region in the United States, length of stay, and total average charges. The PearlDiver <65 years subcohort also had increased 30- (relative risk 1.53 [1.40-1.67]) and 90-day (relative risk 1.56 [1.47-1.66]) postoperative complications compared with MarketScan. We also identified that the 5 most commonly published databases during this time span were NSQIP, PearlDiver, Medicare CMS, NIS, and SPARCS. METHODS. https://lnkd.in/f63AhdY Cost Implications of Primary Versus Revision Surgery in Adult Spinal Deformity Rabia Qureshi, Varun Puvanesarajah, Amit Jain , Khaled M Kebaish , Adam Shimer, Francis Shen, Hamid Hassanzadeh School of Medicine "The Health Economic Impact of Living Cell Tissue Products in the Treatment of Chronic Wounds." Advances in Skin & Wound Care. Examples of PearlDiver Referenced Peer Review Publications Babul A, Gelly H, Masturzo A. Examples of PearlDiver Referenced Peer Review Publications Babul A, Gelly H, Masturzo A. PearlDiver is available to researchers for a fee. No on else in the lab has the knowledge to write the codes. Join researchers from universities, hospitals, and manufacturers finding new pearls in patient outcomes, cost of care, and healthcare patterns with PearlDiver. Peter G. Passias, Avery E. Brown, Haddy Alas, Cole A. Bortz, Katherine E. Pierce, Hamid Hassanzadeh, Lawal A. Labaran, Varun Puvanesarajah, Dennis Vasquez-Montes . Direct costs calculated using the PearlDiver database incorporating complications, LOS and associated health care costs. This database contains current procedural terminology (CPT) and International Classification of Diseases, Ninth Revision (ICD-9) codes. Total costs for the 30-day period were determined and subsequently broken down by inpatient charges, prescription medication charges, and other charges. Ninety thousand five hundred fifty one elective spine We found that from 2018 to 2019, an estimated 8.4% of all lower extremity arthroplasty research were database studies, with marked variation depending on the journal of interest. Methods: The Medicare Standard Analytical Files within the PearlDiver database were queried for PRP injections by use of Current Procedural Terminology (CPT) code 0232T from 2010 to 2014. The purpose of this study was to investigate surgical and cost trends in the Medicare population. Researchers retrospectively reviewed data from the PearlDiver database on 15,849 patients (average age of 71.5 years) who received home health services after a TKA from 2010 to 2018. Using these datasets, we queried Current ProceduralTerminology(CPT)andInternationalClassification of Diseases, ninth edition (ICD-9) procedure codes to identify patients who underwent procedures of interest. "Oral Isotretinoin Prescribing, Utilization, and Costs in a Managed Care Plan." SUMMARY OF BACKGROUND DATA: ASD surgery involves complex deformity correction. We also identified that the 5 most commonly published databases during this time span were NSQIP, PearlDiver, Medicare CMS, NIS, and SPARCS. We also identified the per-patient average charge (PPAC) for each reoperation cohort. Researchers made cost calculations using the PearlDiver database and used standardized estimate by regression analysis of Medicare pay-scales to ensure generalizability. STUDY DESIGN: Retrospective study of a prospective multicenter database. We used the PearlDiver patient records database (PearlDiver Inc, Warsaw, IN), a national database made up of 2 independent sets of insurance billing records. A retrospective review of patients receiving RCRs from 2008-2016 using the PearlDiver database was performed. We also identified the per-patient average charge (PPAC) for each reoperation cohort. Using the Classification of Diseases, Tenth Revisions (ICD-10), procedure codes between Quarter 3 of 2015 and Quarter 1 of 2017, patients . The PearlDiver <65 years subcohort also had increased 30- (relative risk 1.53 [1.40-1.67]) and 90-day (relative risk 1.56 [1.47-1.66]) postoperative complications compared with MarketScan. The database covers patients insured from 2007 to the second quarter of 2015. . ty correction. In terms of cost analysis, only direct payment costs could be collected, limiting the scope of the cost analysis in that it cannot give any information on costs incurred by patients or employers or costs related to lost work time. Objectives: To identify patterns of health-care utilization and costs associated with management of glenohumeral osteoarthritis in the year prior to undergoing an anatomic total shoulder arthroplasty (ATSA).. Methods: The PearlDiver Humana database, an administrative database of Medicare Advantage (MA) and Commercial insurance beneficiaries was queried for active records of patients undergoing . With 2021 well underway, let's have a discussion on how PearlDiver's database with 133 million unique patients can help you complete your RWE research projects! The PearlDiver insurance database was queried for patients receiving postoperative PT using Current Procedural Terminology codes. Pa-tients were stratified into 2 cohorts: those undergoing arthroscopic DCE (n ¼ 8933) and those under-going open DCE (n ¼ 2295). Materials and Methods The PearlDiver Patient Records Database (PearlDiver, Warsaw, Indiana), a national database of insurance billing records that includes more than 20 million patients from the United Health Group, was utilized in this . Data were available from 2007 to 2011 for United Healthcare and . PearlDiver is a commercially available online database that provides aggregated data for Inter-national Classification of Diseases, Ninth Objectives: To identify patterns of health-care utilization and costs associated with management of glenohumeral osteoarthritis in the year prior to undergoing an anatomic total shoulder arthroplasty (ATSA).Methods: The PearlDiver Humana database, an administrative database of Medicare Advantage (MA) and Commercial insurance beneficiaries was queried for active records of patients undergoing a . Methods: A retrospective database study was per-formed within the Humana portion of the PearlDiver Record Database (PearlDiver Inc, Warsaw, IN). PearlDiver Technologies was located in Fort Wayne, IN, USA at the time of data extraction in 2019. The database contains records of over 100 million patients providing information Methods: The PearlDiver Patient Records Database was used to search Current Procedural Terminology codes for elective CTR from 2007 to 2011. "The Health Economic Impact of Living Cell Tissue Products in the Treatment of Chronic Wounds." Advances in Skin & Wound Care. The PearlDiver database is a national, commercially available database that contains medical insurance records for Medicare and several private insurance agencies. Database contains data for approximately 20 million patients with no comorbidities had a 6-month and postoperative.: //www.ncbi.nlm.nih.gov/pmc/articles/PMC8076812/ '' > Real-World Evidence: a review of patients receiving RCRs from 2008-2016 using the database! 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