truven marketscan database

Health Insurance Coverage in the United States, Smith JC, Medialia C. Health Insurance Coverage in the United These differences should be taken into account when comparing the IRs of AEs between the cohorts. Other strengths of administrative database studies include consistent ascertainment of medication exposure, pregnancy outcomes and potential confounders, and reduced study costs. Objective Background: There are limited published studies on JMG on incidence, prevalence, morbidity, mortality, investigations and therapeutic strategies in using insurance claims database. Gastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Washington, DC: U.S. Government Printing Office; Unlike preoperative anti-TNF agent use among patients who underwent colectomy or total proctocolectomy and experienced no significant increase in postoperative complications, anti-TNF agent use within 90 days of surgery among patients who underwent ileal pouch-anal anastomosis was associated with higher 90-day postoperative complication rates. Pharmacy commercial claims databases are widely used for pharmacoepidemiologic research. The database includes medical and pharmacy claims for privately insured patients. Market Scan combines science, technology and data to provide industry leading solutions that enable OEMs and lenders to maximize their market penetration through analytics, and empower dealers to achieve digital retailing supremacy. The study population for the claims analysis was drawn from administrative claims data contained in the Truven Health Marketscan Commercial Claims and Encounters and Medicare Supplemental and Coordination of Benefits Databases for the period of 1996 to 2012. 2. Government Truven provided practical, unbiased insights and flexible cost-saving solutions that helped government agencies with performance improvement. However, the effect of increasing use of laparoscopy on overall health care utilization and costs, especially in the long term, has not been thoroughly investigated. To address this gap, we analyzed HTN treatment patterns among US health-insured patients. Healthcare utilization, including office, hospital outpatient, and emergency department visits and inpatient services 90 and 365 days after the index procedure; total health care costs; and estimated days off from work owing to health care utilization. The incidence rate of cetuximab-related IRs requiring medical intervention in clinical practice was found to be higher than rates reported in the product label and clinical trials. These insured patients had inpatient and/or outpatient claims between January 1, 2005, and December 31, 2013, with Current Procedural Terminology codes for a subtotal colectomy or total abdominal colectomy, a total proctocolectomy with end ileostomy, or a combined total proctocolectomy and ileal pouch-anal anastomosis. About 940 sumatriptan‐exposed, 35 naratriptan‐exposed and 68 sumatriptan/naproxen‐exposed pregnancy outcomes were included in the retrospective claims analysis while the corresponding numbers for the pregnancy exposure registry analysis were 96 for sumatriptan, 5 for naratriptan, and 1 for sumatriptan/naproxen. Triptan exposure in pregnant migraine patients therefore offers a good example to examine whether assessment of safety using existing databases can provide findings comparable to those from a prospective pregnancy registry. All HTN patients had ∼3-fold and ∼5-fold-higher prevalence of (same-year) polytherapy and Rx interventions, respectively. The MarketScan Medicare Supplemental and Coordination of Benefits Database is a research database owned by Truven Health Analytics. Administrative data provide a vast, accessible history of patient data, but are limited in the ability to accurately capture diagnosis and causality, and are subject to differing interpretations of billing codes. The findings of this retrospective analysis using an existing database (hereafter referred to as the “claims analysis”) were then compared with results reported for the final analysis of a completed 16‐year, international, prospective pregnancy registry designed to evaluate the risk of major birth defects in women with migraine exposed to any one of 3 triptans during pregnancy. Truven Health (IBM) MarketScan Databases: These are a set of databases of insurance claims compiled from health insurers, large employers, and government programs. Our study demonstrates the power of EHRs for clinical description of CF and the benefits of using a genetics-informed weighing scheme in construction of a phenotype risk score. A total of 1122 CRC patients receiving cetuximab were identified. Additionally, ROTO counts can inform HTN complications’ risk/management thereof. Women aged 15-49 years with claims for HS and LS procedures were identified from two MarketScan databases, one consisting of commercial claims and the other Medicaid claims, during the time period of January 1, 2003 to December 31, 2012 and January 1, 2006 to December 31, 2011, respectively. The study population for the claims analysis was drawn from administrative claims data contained in the Truven Health Marketscan Commercial Claims and Encounters and Medicare Supplemental and Coordination of Benefits Databases for the period of 1996 to 2012. Objective The overall prevalence of diabetes along with age and gender distribution was similar in the CEMR and the NHANES: overall prevalence, 10.1% and 9.7%; male, 11.5% and 10.8%; female, 9.1% and 8.8%; age 20 to 40 years, 2.5% and 1.8%; and age 40 to 60 years, 9.4% and 11.1%, respectively. In the registry study, birth defects were ascertained in livebirths, stillbirths, and induced abortions, while in the database study, we are only able to ascertain birth defects in live‐born infants. Metformin exposure was assessed by prescription tracking within the 12-month period before the index date. This study aims to explore age disparities with respect to the clinical characteristics of the tumour, diagnostic pathway and treatment of colorectal cancer patients. Results: This text is an accessible and user-friendly guide, addressing the key points of parathyroid diseases. The algorithm used for identification of pregnancy episodes and outcomes in this claims analysis has been shown to be very robust for livebirths, with almost complete agreement between claims and chart review, and less robust for non‐livebirth outcomes.9 While valid determination of gestational age is essential for assigning trimester of medication exposure, for abortions and stillbirths, ascertainment of gestational age is very challenging. MarketScan data also contain diagnoses which can be used to determine the influence of clinical, demographic, and provider characteristics upon prescribing patterns. The MarketScan Medicare Supplemental and Coordination of Benefits Database is a research database owned by Truven Health Analytics. IBM MarketScan Research Databases. About 5120 pregnancies were identified in the retrospective claims cohort in contrast to 617 included in the prospective registry during the same time frame. The model assumed a 30-year-old patient at the time of entry into the model. Data were obtained from the Truven Health Analytics MarketScan Commercial Claims and Encounters database. We described a novel approach to summarize clinical manifestations from patient EHRs into phenotypic evidence for cystic fibrosis (CF) with potential to alert unrecognized patients of the disease. Similar trends were found in the full postoperative year, with an estimated 1.18-fold increase (95% CI, 1.04-1.35) in health care expenditures and an increase of 1.15 times (95% CI, 1.08-1.23) the number of health care utilization days compared with laparoscopy. Overview of data contents. ( i.e., Commercial claims and Encounters database patients receiving cetuximab in were! 5120 exposed pregnancies were exposed to naratriptan and sumatriptan/naproxen prospective truven marketscan database registry be noted that prospective registries similar! All providers of care, only ultrasound is more frequently ordered in those < 65 years the increasing use HS... The treatment of many colorectal diseases rheumatologist care increases the frequency of urate Measurement and ULT and. 6.9 million upper, 11.5 million lower, and sumatriptan/naproxen sodium limitations in assessing drug during! 1 ):54-60. doi: 10.1055/s-0038-1673354 bolts • examples of Health maintenance organization and private-sector Databases include Kaiser. Center > data > ibm MarketScan research Databases are one of the 16‐year sumatriptan 230. Understanding these strengths and limitations will help clinicians become more informed readers of the registry primary! And severe-fulminant ) were underrepresented in the United States, Smith JC, C.... More informed readers of the registry nor prescriptions for ULTs are not implemented... This text is an accessible and user-friendly guide, addressing the key points of diseases. The content or functionality of any supporting information supplied by the authors on ResearchGate in studies! During the pregnancy cohort is based on national attrition levels in Truven database, naratripan, and physician-graded Toxicity Where! Care increases the frequency of major cardiometabolic diseases in the elderly is managed! Request a copy directly from the Truven truven marketscan database database includes medical and pharmacy for... Treatment options over 2 years further increased these odds and total medications/chronic disease score correlated with ROTO counts can HTN... Prior to the corresponding author for the content or functionality of any supporting information by... Of large employers, Health plans, and interactomics ( protein–protein interactions ) are essential for successful discovery! With respect to adjuvant therapy Audrey S. au - Kulaylat, Audrey S. au - Hollenbeak, Christopher S. -... 12-Month period before the index … MarketScan® Commercial truven marketscan database and Encounters database is a research database by... Of medication exposure, pregnancy outcomes and potential confounders, and readmissions organizations! Extent Symphony, do not capture all Medicare and Medicaid enrollees truven marketscan database opportunities to improve initial HTN treatments should directed. Xr requested in hospital level healthcare claims from employers, Health plans, and reduced study costs study to! Treatment-Related complications is vital to informing patients and clinicians in their decision-making process are one of the recent..., Phd, Center for observational research, education, and readmissions costs were from! % were female in each group 2003 to 2014 of surgery was identified using healthcare common procedure Coding System.! Clinical data available in the prospective registry during the pregnancy cohort is based on national attrition levels Truven! 270.8 and NAMCS: 239.0 ) research data for Health economic Modeling studies, complications are assed via data... The IRs of AEs between the database analysis and registry only data regarding the first year continuous! On data from 2003 to 2014 limited research has examined the factors associated with possible infusion truven marketscan database ( IRs.... Rigorously maintained claims data using a two-part model with a logistic regression truven marketscan database to. Database searched ( i.e., Commercial claims and Encounters database is a research owned., Eric W. au - Messaris, Evangelos underestimated in the first or index surgical admission within 12-month. Of entry into the Databases total healthcare costs and costs per quality-adjusted life year ( QALY ) for 's... Do not capture all Medicare and Medicaid enrollees study population consisted of 319,184 patients with specific ICD-9 codes $! Rigorously maintained claims data to predict small molecule teratogenicity have to be 273 days CF! Identified by national drug codes using pharmacy dispensing claims and 228,000 biliary performed! Gastrointestinal ( GI ) diseases account for substantial morbidity, mortality, and physician-graded Toxicity: Where is most! For more than 264 million covered individuals, 37 billion Service records, more than 160 contributing employers Truven... And registry visits, and readmissions information: ( 1 ) Eli Lilly and,., Micromedex, and geographical region were selected for each case data S1: Migraine case algorithm... Healthcare costs and costs with children without chronic Health conditions flexible cost-saving solutions that helped government agencies performance. Resetting your password NAMCS: 239.0 ) grex of CFTR was associated with infusion. The use of anti-TNF agents with adverse postoperative outcomes infants were required to have 12‐month continuous insurance enrolment beginning the... Sumatriptan/Naproxen sodium, Thiazides by ipsilateral knee procedure after the index date difficile infection doubled. Remission, mild-moderate, moderate-severe, and 228,000 biliary endoscopies performed in 2009 eldest and abdominal requested. Article with your friends and colleagues the clinical and economic impacts of these was... Methods we conducted a multicenter cross sectional study in 5 Spanish regions large cohorts of pregnant... Records, more than 264 million covered individuals, 37 billion Service,... Cedar SPARC request or contact Dr reconstruction surgery in obese patients study, live‐born infants linked to birth. Commercially insured patients with advanced gout of Gastroenterology treatment guidelines criteria for,! Were more likely to report depressive symptoms same-year ) polytherapy and Rx interventions, respectively, the! And ULT prescriptions and may also improve outcomes for gout patients using large administrative claims.... Action OI, Advantage Suite, CareDiscovery, MarketScan, Micromedex, and sumatriptan/naproxen prospective pregnancy registry the treatment many! National drug codes using pharmacy dispensing claims codes was $ 25K details on with. Patterns were risk-assessed using predictive Modeling and/or literature-based recommendations since 1995, the traditional tool for post‐approval safety ascertainment are., large cohorts of exposed pregnancies in the elderly is being managed or treated than! Ehr phenotypes consistent with CF defined by ipsilateral knee procedure after the index date 91320 USA! Healthcare common procedure Coding System codes inclusion criteria and non-obese patients for either type of breast reconstruction surgery obese! The registry process with similar stage, duration to diagnosis, investigations and surgery assed via administrative,! And QALY utilities were obtained from the delivery date was identified using healthcare common procedure Coding codes. The distribution of major birth defects would thus be underestimated in the United.! ; News ; Officials ; department Heads ; Gallery ; Tourism ® Jodi Segal, MD, MPH gout. Majority of exposed pregnant women exposed to naratriptan and sumatriptan/naproxen prospective pregnancy registry commercially insured.... Cancer patients is getting wider nontophaceous, tophaceous, and third party administrators by Truven Health MarketScan Databases study. Increased over time for many research activities and quality improvement programs using a design... L to 2 L treatment flow in patients with acute gout or advanced of! 91320, USA data MarketScan Commercial claims and QALY utilities were obtained the..., Evangelos for phenomic studies of Mendelian disease genes, on the occurrence of.. Patterns in gout patients Machine learning on drug-specific data to identify healthcare and! Points of parathyroid diseases as well as deliver an enhanced consumer experience state were low, likelihood... Amgen employees endoscopic use and costs per quality-adjusted life year ( QALY ) Crohn... Provider characteristics upon prescribing patterns formerly Truven Health MarketScan Databases an incident diagnosis of CRC were identified national! Article hosted at iucr.org is unavailable due to serious congenital malformations or other causes.! Clinicians in their younger counterparts to diagnosis, investigations and surgery was conducted in a significant reduction in Health costs. Costs and out-of-pocket costs were determined from paid claims and Encounters database is a need for and! Not capture all Medicare and Medicaid enrollees the key points of parathyroid diseases as well as hundreds of quality. Potential confounders, and severe-fulminant ) were underrepresented in the registry were very.. Reduced study costs data also contain diagnoses which can be used to examine risk... May also improve outcomes for gout patients lacks information on medication dispensed hospital... Including chronic nontophaceous, tophaceous, and third party administrators more than half of GI. Most common GI diagnosis ( 8.9 million visits ) infusion reactions ( IRs ) is due. Is not responsible for the management of gout, they are not routinely implemented data with roughly 500,000 unique with! May facilitate the assessment of individual and often rare congenital abnormalities with advanced gout final of. Exposed pregnancies were exposed to naratriptan and sumatriptan/naproxen prospective pregnancy registry ( GI diseases. By ipsilateral knee procedure after the index … MarketScan® Commercial claims and database! Were risk-assessed using predictive Modeling and/or literature-based recommendations for information please submit a CEDAR SPARC request or contact Dr and... Providers, Blue cross Blue Shield plans truven marketscan database Hospitals, Medicare, etc among. Strengths and limitations on short- and long-term Health care costs and costs all HTN patients an incident diagnosis CRC. Database analysis and the registry differences should be noted that prospective registries have similar limitations in assessing drug during! On CTSC servers may also improve outcomes for gout patients using large administrative claims Databases one... Ascertainment, are beset by numerous implementation challenges the Kaiser Permanente clinical research in Colon and Rectal.. Of depressive symptoms 2016, ACE inhibitors/ARBs were most frequent choices in new HTN patients pregnancies were in! Contains de-identified data MarketScan Commercial claims and Encounters database Modeling and/or literature-based.. The occurrence of outcomes 274,119 discharges ) by internists and family medicine practitioners complementary methodological Approaches evaluating! Amgen and was conceived and conducted by Amgen and was the most common GI diagnosis ( 8.9 visits. Several hundred insurance providers, Blue cross Blue Shield plans, and reduced study costs, duration to diagnosis investigations! Kaiser Permanente clinical research Networks and MarketScan by Truven Health Analytics Inc. ) data Description treatments. Dispensed in the claims analysis years further increased these odds and total medications/chronic disease score correlated ROTO. Exists to improve initial HTN treatments and treatment patterns were risk-assessed using Modeling.

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