For my regular blog see:
www.discoveriesinhealthpolicy.com
For a 40-slide deck "introduction to reimbursement" click HERE.
https://drive.google.com/file/d/1qDblAQOItMS5XT3zFWykZq1FcYGkpdrZ/view?usp=sharing
Trade journal
NEJM Letter
https://www.nejm.org/doi/full/10.1056/NEJMc2029240
"...Thus, in two large cohorts, Black patients had nearly three times the frequency of occult hypoxemia that was not detected by pulse oximetry as White patients. Given the widespread use of pulse oximetry for medical decision making, these findings have some major implications, especially during the current coronavirus disease 2019 (Covid-19) pandemic. Our results suggest that reliance on pulse oximetry to triage patients and adjust supplemental oxygen levels may place Black patients at increased risk for hypoxemia. It is important to note that not all Black patients who had a pulse oximetry value of 92 to 96% had occult hypoxemia. However, the variation in risk according to race necessitates the integration of pulse oximetry with other clinical and patient-reported data.
In device applications, the Food and Drug Administration requires reporting of demographic subgroups to mitigate risk. However, our findings highlight an ongoing need to understand and correct racial bias in pulse oximetry and other forms of medical technology."
https://medlabs.uchicago.edu/about/our-pathologists/profile/angella-charnot-katsikas/
Assistant Professor and Assistant Director of the Clinical Microbiology and Immunology Laboratories Angella Charnot-Katiskas, MD, has an interest in medical microbiology and virology, specifically in bacterial resistance to antibiotics. She earned an undergraduate degree in biology from the University of Chicago and a medical degree from Rush Medical College. Charnot-Katiskas completed both a clinical pathology residency and a medical microbiology fellowship at UChicago. She also is medical director of the Laboratory at the University of Chicago Cancer Center at Silver Cross. She is a member of the Antimicrobial Stewardship Committee at UChicago as well as a member of the CRE Detect and Protect task force for the state of Illinois.
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https://pubmed.ncbi.nlm.nih.gov/?term=charnot-katsikas&sort=date&size=100
