April 2018 EDITION
Opioid Solutions promotes collaborative approach to epidemic

The new Opioid Solutions community, a resource developed by U-M's Office of Research, Injury Prevention Center, and Institute for Healthcare Policy and Innovation, is working to tackle the root causes of the national opioid crisis and identify potential solutions. It serves as a central hub for U-M research, educational activities, and community outreach related to opioids.

A wide range of U-M researchers have developed Opioid Solutions, which is working to tackle the root causes of, and potential solutions for, the national opioid crisis. It draws on nearly 100 U-M faculty and serves as a hub for research, educational activities and community outreach related to opioids.

Study: Alcohol-related cirrhosis patients are sicker, costlier, and often female

More than one-third of cirrhosis cases are related to alcohol according to a seven-year national study of more than 100 million privately insured people published in the journal  Hepatology.

Among that group, 294,215 people had cirrhosis; 105,871 (36 percent) had alcohol-related cirrhosis. The latter group was sicker and admitted or readmitted to a hospital more often, incurring nearly twice the health care costs per person: $44,835 versus $23,329. "When I look at this data, it tells me that this is a big problem," says Jessica Mellinger, M.D., M.Sc., a Michigan Medicine gastroenterologist and clinical researcher.

George H. W. Bush has sepsis---- why is it so dangerous?

Former president George H.W. Bush was hospitalized April 21 with sepsis, a life-threatening condition caused by complications of the body fighting back against an infection. The former fighter pilot was released from an intensive care unit at a Houston hospital on April 25.

In an article for The Conversation, U-M pulmonary and critical care doctors Hallie Prescott, M.D., M.Sc., and Theodore Iwashyna, M.D., Ph.D., note between 1 in 8 and 1 in 4 patients with sepsis will die during hospitalization and sepsis contributes to one-third to one-half of all in-hospital deaths.

Rate of dementia on the decline: but beware of growing numbers

The good news? The rate of older Americans with dementia is on the decline. The bad news? The number of Americans 85 and older will roughly double in the next 20 years, so even with a decline in the rate of dementia among older adults, the number of people with dementia will likely increase substantially. The impact on both those with dementia and the people who care for them is significant. More than 45 million people worldwide have dementia.

Robert Schoeni, Ph.D., research professor at the Institute for Social Research, Ken Langa, M.D., Ph.D., research professor of internal medicine, and colleagues have led a special supplement to the Journals of Gerontology, Series B: Psychological Sciences and Social Sciences that examines trends in dementia across the United States. The nine studies provide new evidence on whether dementia trends have been more favorable, and reasons for those trends.

New medical devices help doctors with disabilities

A third-year medical student at U-M is determined to become a doctor despite the physical limitations of her disability and a new device developed with funding from Third Century Initiative Global Challenges and the Technology Increasing Knowledge: Technology Optimizing Choice (TIKTOC RERC) program is helping her overcome the challenges of performing standard patient examinations with limited mobility.

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Herrel appointed to CMS subcommittee

Lindsey Herrel, M.D., M.S., clinical lecturer of urology, was selected to serve on the CMS MACRA Episode-Based Cost Measure Clinical Subcommittee on Urologic Disease Management. Her participation will ensure that the clinical measures developed for the MIPS Cost performance category will accurately reflect urologist-specific resource use and cost for Kidney Stone Removal or Destruction, Nephrectomy, Procedure for Benign Prostatic Hyperplasia, Prostate Cancer Treatment, and Radical Cystectomy episodes of care.
Points of Impact: Okeoma Mmeje, M.D., M.P.H.

Okeoma Mmeje, M.D., M.P.H., is an Assistant Professor of Obstetrics & Gynecology at the University of Michigan. Her work focuses on preventing sexually transmitted infections (STIs) in the U.S., as well as safer methods of conception for HIV-affected individuals and couples. Here, Dr. Mmeje discusses how her research is informing some key policy and practice issues related to STI prevention.

April 28 event will help Michiganders get opioids out of their homes

On Saturday, April 28, Michigan residents in 16 counties will get a chance to get opioids and other unused and expired prescription medicines out of their medicine cabinets, through 27 simultaneous events. From 10 a.m. to 2 p.m., hospitals, pharmacies, community organizations, and police departments around the state will take unneeded medications back.

The statewide effort is made possible by local partnerships with the University of Michigan's Michigan Opioid Prescribing Engagement Network (Michigan OPEN).

1993: U-M Kidney Epidemiology and Cost Center established

The U-M Kidney Epidemiology and Cost Center (KECC), a collaboration of the School of Public Health and the Medical School, formed 25 years ago with the awarding of the United States Renal Data System contract to the University of Michigan.

Discover more milestones in U-M health services research and policy in our interactive timeline.
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