13,219 results match your criteria • beneficiaries

Trends of Medicare Reimbursement Rates for Common Plastic Surgery Procedures.

Plast Reconstr Surg 2021 Apr 7. Epub 2021 Apr 7.

From the Division of Plastic and Reconstructive Surgery, Rush University Medical Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago; the Royal Liverpool University Hospital; the School of Dentistry, National and Kapodistrian University of Athens; and the Center for Gender Confirmation Surgery, Weiss Memorial Hospital.

Background: Knowledge of Medicare reimbursement is essential for plastic surgeons providing care to Medicare beneficiaries. The authors sought to evaluate changes in Medicare reimbursement for common plastic surgery procedures from 2010 to 2020.

Methods: The authors assessed the Physician Fee Schedule of the Centers for Medicare and Medicaid Services website. Read More

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Tutor of Resilience: A Model for Psychosocial Care Following Experiences of Adversity.

Front Psychiatry 2021 23;12:559154. Epub 2021 Mar 23.

Canada Research Chair in Child, Family and Community Resilience, Resilience Research Centre Dalhousie University, Halifax, NS, Canada.

This article describes a model for training service providers to provide interventions that build resilience among individuals who have experienced adversity. The Tutor of Resilience model emphasizes two distinct dimensions to training: (1) transforming service providers' perceptions of intervention beneficiaries by highlighting their strengths and capacity for healing; and (2) flexibly building contextually and culturally specific interventions through a five-phase model of program development and implementation. Tutor of Resilience has been employed successfully with child and youth populations under stress in humanitarian settings where mental health and psychosocial support professionals are required to design and deliver interventions that enhance resilience among vulnerable children. Read More

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Delivering nutrition interventions to women and children in conflict settings: a systematic review.

BMJ Glob Health 2021 Apr;6(4)

Centre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada

Background: Low/middle-income countries (LMICs) face triple burden of malnutrition associated with infectious diseases, and non-communicable diseases. This review aims to synthesise the available data on the delivery, coverage, and effectiveness of the nutrition programmes for conflict affected women and children living in LMICs.

Methods: We searched MEDLINE, Embase, CINAHL, and PsycINFO databases and grey literature using terms related to conflict, population, and nutrition. Read More

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Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Rheumatic Aortic Stenosis.

J Am Coll Cardiol 2021 Apr;77(14):1703-1713

Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA; Comprehensive Access and Delivery Research and Evaluation Center (CADRE), VA Medical Center, Iowa City, Iowa, USA.

Background: Patients with rheumatic aortic stenosis (AS) were excluded from transcatheter aortic valve replacement (TAVR) trials.

Objectives: The authors sought to examine outcomes with TAVR versus surgical aortic valve replacement (SAVR) in patients with rheumatic AS, and versus TAVR in nonrheumatic AS.

Methods: The authors identified Medicare beneficiaries who underwent TAVR or SAVR from October 2015 to December 2017, and then identified patients with rheumatic AS using prior validated International Classification of Diseases, Version 10 codes. Read More

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Conversations about wellness: A qualitative analysis of patient narratives post annual wellness visit.

Geriatr Nurs 2021 Apr 5;42(3):681-686. Epub 2021 Apr 5.

Purdue University Department of Public Health, 812 W. State Street, West Lafayette, IN 47907, United States.

Support for successful aging in place requires an understanding of the factors that impede or support health promotion behaviors. Nurse-led monthly follow-up calls between annual wellness visits (AWV) offer the opportunity to both provide support and collect data which can inform development of effective health promotion strategies. The aim of this research was to provide ongoing support for health promotion efforts and explore factors playing a role in meeting AWV recommendations. Read More

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Lower socioeconomic factors are associated with higher mortality in patients with septic shock.

Heart Lung 2021 Apr 5;50(4):477-480. Epub 2021 Apr 5.

Department of Pharmacy, Loyola University Medical Center USA; Department of Emergency Medicine, Loyola University Medical Center USA.

Background: Previous studies have explored the relationship between socioeconomic status and sepsis outcomes OBJECTIVES: The purpose of this investigation is to determine if race, ethnicity, economic stability, neighborhood environment, and access to health care are predictive of mortality in patients with septic shock.

Methods: Retrospective study of septic shock patients admitted to two medical centers.

Results: Caucasian patients had higher proportion of outpatient physician visits in the year prior to admission and were less likely to be Medicare or Medicaid beneficiaries. Read More

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Caring for Older Adults with Self-Reported Vision Impairment: Findings from the National Study of Caregiving.

Am J Ophthalmol 2021 Apr 5. Epub 2021 Apr 5.

Johns Hopkins Wilmer Eye Institute, Baltimore, MD, USA; The Johns Hopkins Disability Health Research Center, Johns Hopkins University, Baltimore, MD, USA; Johns Hopkins University Center on Aging and Health, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address:

Purpose: To examine caregiving relationships for older adults with vision impairment (VI) DESIGN: Cross-sectional study with a nationally representative sample METHODS: Setting: The National Health and Aging Trends Study linked to the National Study of Caregiving, Year 2011 STUDY POPULATION: 1,776 family/unpaid caregivers to community-dwelling Medicare beneficiaries age ≥65 years Main Outcome Measure(s): In the preceding month, the number of: (1) hours of care provided, (2) valued activities affected by caregiving, and (3) odds of experiencing substantial emotional, (4) financial, and (5) physical difficulty related to providing care EXPOSURE: VI defined as report of blindness or difficulty with distance or near vision RESULTS: Among 1,776 caregivers, 428 spent an average of 111 (SE=9.1) hours per month assisting older adults with VI, while 1,348 spent an average of 72 (SE=3.3) hours assisting older adults without VI. Read More

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Association of Dual Eligibility for Medicare and Medicaid With Heart Failure Quality and Outcomes Among Get With The Guidelines-Heart Failure Hospitals.

JAMA Cardiol 2021 Apr 7. Epub 2021 Apr 7.

Division of Cardiology, David Geffen School of Medicine, University of California, Los Angeles.

Importance: The Centers for Medicare & Medicaid Services uses a new peer group-based payment system to compare hospital performance as part of its Hospital Readmissions Reduction Program, which classifies hospitals into quintiles based on their share of dual-eligible beneficiaries for Medicare and Medicaid. However, little is known about the association of a hospital's share of dual-eligible beneficiaries with the quality of care and outcomes for patients with heart failure (HF).

Objective: To evaluate the association between a hospital's proportion of patients with dual eligibility for Medicare and Medicaid and HF quality of care and outcomes. Read More

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Impact of state scope-of-practice laws on nurse practitioner-provided home visits.

Geriatr Nurs 2021 Apr 3;42(3):674-680. Epub 2021 Apr 3.

Department of Community Health and Social Medicine, CUNY School of Medicine, Townsend Harris Hall, Suite 313, 160 Covent Avenue, NY 10031, United States. Electronic address:

Millions of older Americans receive nurse practitioner (NP)-provided home based primary care (HBPC). Little is known about how state scope-of- practice (SOP) laws may impact use of NP-home visits. Using 2017 Centers for Medicare and Medicaid Services Provider Utilization and Payment Data Public Use File (PUF), we examined the impact of state SOP laws on the use of NP-home visits. Read More

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[The Return Home Program and its daily repercussions: access to income and the intersections of existential territories in community life].

Salud Colect 2021 Mar 29;17:e3058. Epub 2021 Mar 29.

Magíster en Psicología. Doutorando, Programa de Pós-Graduação em Psicologia, Universidade Federal de Pernambuco, Recife, Brasil.

This article analyzes the repercussions of the Return Home Program - a Brazilian cash transfer program - on the lives of people discharged from psychiatric hospitals. Our aim was to ascertain the program's repercussions on the lives of its beneficiaries, particularly with respect to the implications of accessing an income for their everyday life, in addition to highlighting some of the intersections between their life contexts and existential territories: sexuality, gender, aging, and forms of urban violence. An evaluative study was carried out between 2017 and 2018 that focused on the life itineraries of 20 people. Read More

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[Reduction of social coverage for symptomatic slow-acting drugs for osteoarthritis: a disinvestment initiative in Argentina, 2015-2017].

Salud Colect 2021 Mar 6;17:e3246. Epub 2021 Mar 6.

Ingeniero en Sistemas de Información, Magíster en Administración. Instituto Nacional de Servicios Sociales para Jubilados y Pensionados, Ciudad Autónoma de Buenos Aires, Argentina.

In April 2016, the National Institute of Social Services for Retirees and Pensioners discontinued its policy of 100% coverage for 159 drugs (the "social subsidy"), including symptomatic slow-acting drugs for osteoarthritis (SYSADOAs), due to insufficient evidence of significant clinical benefit. We evaluated the effect of this measure on the use of SYSADOAs as well as non-steroidal anti-inflammatory drugs (NSAIDs), which were unaffected by this policy change. We compared outpatient dispensations of SYSADOAs and NSAIDs from 2015 to 2017, measuring dispensed units, retail price, and out-of-pocket expenses for beneficiaries each month. Read More

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Trends in Discharge Disposition Following Hepatectomy for Hepatocellular Carcinoma Among Medicare Beneficiaries.

J Gastrointest Surg 2021 Apr 5. Epub 2021 Apr 5.

Department of Surgery, The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute, 395 W. 12th Ave., Suite, Columbus, OH, 670, USA.

Background: Post-acute care (PAC) services can include home healthcare, long-term care hospitals, and skilled nursing facilities. We sought to define factors associated with PAC discharge disposition among Medicare beneficiaries who underwent hepatectomy for hepatocellular carcinoma (HCC).

Methods: Data for Medicare beneficiaries with a diagnosis of HCC and who underwent a hepatectomy between 2004 and 2015 were retrieved from the SEER-Medicare database. Read More

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Digital Health Care in Public Private Partnership Mode.

Telemed J E Health 2021 Apr 5. Epub 2021 Apr 5.

Apollo TeleHealth Services, Hyderabad, India.

Health care is provided in developing countries, in a milieu of acute shortages of health care infrastructure and personnel. Governments are realizing that digital health through public private partnerships (PPPs) could address this issue. Literature review did not reveal reports on primary use of telemedicine or echnology-nabled emote ealth care () in a PPP mode. Read More

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Medicaid Coverage 'Cliff' Increases Expenses And Decreases Care For Near-Poor Medicare Beneficiaries.

Health Aff (Millwood) 2021 Apr;40(4):552-561

Lindsay M. Sabik is an associate professor in the Department of Health Policy and Management, University of Pittsburgh Graduate School of Public Health.

Cost sharing in traditional Medicare can consume a substantial portion of the income of beneficiaries who do not have supplemental insurance from Medicaid, an employer, or a Medigap plan. Near-poor Medicare beneficiaries (with incomes more than 100 percent but less than 200 percent of the federal poverty level) are ineligible for Medicaid but frequently lack alternative supplemental coverage, resulting in a supplemental coverage "cliff" of 25.8 percentage points just above the eligibility threshold for Medicaid (100 percent of poverty). Read More

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Advance Care Planning For Medicare Beneficiaries Increased Substantially, But Prevalence Remained Low.

Health Aff (Millwood) 2021 Apr;40(4):613-621

Susan Enguidanos is an associate professor at the Leonard Davis School of Gerontology, University of Southern California.

In 2016 fee-for-service Medicare began reimbursing physicians for advance care planning conversations with enrollees during outpatient visits and waived the copayment for advance care planning when it was part of the Medicare annual wellness visit. Advance care planning is intended to help providers treat patients in ways consistent with their wishes and may also reduce unnecessary health care use and spending. Examining fee-for-service Medicare claims, we found a substantial increase in outpatient advance care planning claims between 2016 and 2019, although prevalence remained below 7. Read More

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Relationship of Neighborhood Greenness to Alzheimer's Disease and Non-Alzheimer's Dementia Among 249,405 U.S. Medicare Beneficiaries.

J Alzheimers Dis 2021 Apr 1. Epub 2021 Apr 1.

Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Background: Neighborhood greenness (vegetative presence) has been linked to multiple health outcomes, but its relationship to Alzheimer's disease (AD) and non-Alzheimer's (non-AD) dementia has been less studied.

Objective: This study examines the relationship of greenness to both AD and non-AD dementia in a population-based sample of Medicare beneficiaries.

Methods: Participants were 249,405 US Medicare beneficiaries aged >  65 living in Miami-Dade County, FL, from 2010 to 2011. Read More

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Google Trends Data of Radiologists Who Accept Medicare: A Potential Tool for Predicting State Demand.

Curr Probl Diagn Radiol 2021 Mar 8. Epub 2021 Mar 8.

School of Medicine, West Virginia University, Morgantown, WV.; Department of Radiology, West Virginia University School of Medicine, Morgantown, WV.; Department of Neuroradiology, Rockefeller Neuroscience Institute, West Virginia University School of Medicine, Morgantown, WV.. Electronic address:

Purpose: To identify and analyze the demand for radiologists who accept Medicare per state from 2004 to 2009, as reflected by volume of Google searches, and to place such demand in context with other available data by state.

Methods: The number of radiologists who accept Medicare by state was divided by each state's population to achieve the radiologist density per 10,000 residents. Relative search volume (RSV) for the term "radiologist" was collected from Google Trends from 2004 to 2009. Read More

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Long-term outcomes of aortic root operations in the United States among Medicare beneficiaries.

J Thorac Cardiovasc Surg 2021 Feb 25. Epub 2021 Feb 25.

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC. Electronic address:

Objective: The best method of aortic root repair in older patients remains unknown given a lack of comparative effectiveness of long-term outcomes data. The objective of this study was to compare long-term outcomes of different surgical approaches for aortic root repair in Medicare patients using The Society of Thoracic Surgeons Adult Cardiac Surgery Database-Centers for Medicare & Medicaid Services-linked data.

Methods: A retrospective cohort study was performed by querying the Society of Thoracic Surgeons Adult Cardiac Surgery Database for patients aged 65 years or more who underwent elective aortic root repair with or without aortic valve replacement. Read More

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February 2021

Relationship between Nursing Home Compare Improvement in Function Quality Measure and Physical Recovery after Hip Replacement.

Arch Phys Med Rehabil 2021 Apr 1. Epub 2021 Apr 1.

University of Texas Medical Branch, School of Health Professions, Division of Rehabilitation Sciences; University of Texas Medical Branch, Sealy Center on Aging.

Objective: To determine if patients with a total or partial hip replacement admitted to a skilled nursing facility (SNF) after the improvement in function quality measure was added to Nursing Home Compare in July 2016 have greater physical recovery than patients admitted before July 2016.

Design: Pre (1/1/2015-6/30/2016) versus post (7/1/2016-12/31/2017) design.

Setting: Skilled Nursing Facilities (n=12,829). Read More

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Trends in Opioid Use Disorder Among Older Adults: Analyzing Medicare Data, 2013-2018.

Am J Prev Med 2021 Mar 4. Epub 2021 Mar 4.

Department of Health Policy, Management, and Behavior, School of Public Health, University at Albany, Rensselaer, New York.

Introduction: Opioid use disorder has grown rapidly over the years and is a public health crisis in the U.S. Although opioid use disorder is widely studied, relatively little is known about it among older adults. Read More

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Successful delivery of nutrition programs and the sustainable development goals.

Curr Opin Biotechnol 2021 Mar 31;70:97-107. Epub 2021 Mar 31.

Nutrition International, 180 Elgin Street, Suite 1000, Ottawa, Ontario K2P 2K3, Canada. Electronic address:

Malnutrition affects millions of people globally, especially women, children, and other vulnerable populations. Sustainable Development Goals (SDGs) were set in 2015 to end poverty, protect the planet, and improve the lives and prospects of everyone by 2030. To achieve the SDG goals effective nutrition interventions and programs need to be efficiently delivered to those most in need. Read More

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Factors Affecting Health-Related Quality of Life in Multimorbidity.

Healthcare (Basel) 2021 Mar 16;9(3). Epub 2021 Mar 16.

Department of Nursing, Gangneung-Wonju National University, Wonju 26403, Korea.

We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen's model. This study is a secondary analysis of population-based cross-sectional surveys. Data from 328 patients with multimorbidity (≥3 co-occurring chronic diseases) from the 6th/7th Korea National Health and Nutrition Examination Surveys were analyzed using logistic regression. Read More

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Family Functioning in Families of Adolescents with Mental Health Disorders: The Role of Parenting Alliance.

Children (Basel) 2021 Mar 13;8(3). Epub 2021 Mar 13.

Department of Developmental and Educational Psychology, Faculty of Psychology, University of Seville, 41018 Seville, Spain.

This study primarily examined the predictive role of emotional and behavioral disorders in family cohesion and the moderating role of parenting alliance. Adolescents' mental health issues are a major concern, with important implications for individuals and their families. However, the impact of mental disorders on family processes has been less widely studied. Read More

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Differences in Function and Healthcare Cost of Older Adults with Dementia by Long-Term Care Service Type: A National Dataset Analysis.

Healthcare (Basel) 2021 Mar 10;9(3). Epub 2021 Mar 10.

Mokpo National Quarantine Station, 20 Haean-ro, 177 Beon-gil, Mokpo-si 58754, Korea.

This study aims to analyze the function and cost changes among long-term care insurance (LTCI) beneficiaries with low-severity dementia according to their LTCI service type. Data were collected from the Korean LTCI and national health insurance (NHI) datasets. Participants were 4414 beneficiaries with dementia aged 65 or older who received LTC services continuously for 4 years (2008-2011). Read More

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A health-related social needs referral program for Medicaid beneficiaries treated in an emergency department.

Am J Emerg Med 2021 Mar 26;47:119-124. Epub 2021 Mar 26.

Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC, United States of America.

Background: Social determinants of health (SDH) play an important role in health outcomes. This study sought to evaluate the effectiveness of a SDH screening and health-related social needs (HRSNs) referral program in an emergency department (ED) setting with adult Medicaid beneficiaries.

Methods: Between November 2016 and March 2017 we enrolled adult Medicaid patients in a prospective cohort study. Read More

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Hospital at Home services: An inventory of fee-for-service payments to inform Medicare reimbursement.

J Am Geriatr Soc 2021 Apr 2. Epub 2021 Apr 2.

Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Background: Hospital at Home (HaH) is a growing model of care with proven patient benefits. However, for the types of services required to provide an episode of HaH, full Medicare reimbursement is traditionally paid only if care is provided in inpatient facilities.

Design: This project identifies HaH services that could be reimbursable under Medicare to inform episodic care within fee-for-service (FFS) Medicare. Read More

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Patterns of Mental Health Care Before Initiation of Telemental Health Services.

Med Care 2021 Apr 1. Epub 2021 Apr 1.

Mongan Institute Health Policy Center, Massachusetts General Hospital Department of Medicine Department of Health Care Policy, Harvard Medical School, Boston, MA McLean Hospital, Belmont, MA Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University, Stanford, CA.

Background: Use of telemental health has increased among rural Medicare beneficiaries, particularly among individuals with serious mental illness (SMI). Little is known about what leads to the initiation of telemental health.

Objective: To categorize the different patterns of mental health care use before initiation of telemental health services among individuals with SMI. Read More

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Mediation of Problematic Use in the Relationship Between Types of Internet Use and Subjective Well-Being in Schoolchildren.

Front Psychol 2021 16;12:641178. Epub 2021 Mar 16.

Facultad de Administración y Economía, Universidad de Santiago de Chile, Santiago, Chile.

Subjective well-being is a broad category of phenomena that includes people's emotional responses, domain satisfactions, and global judgments of life satisfaction. This research investigates how schoolchildren's subjective well-being is affected by the different types of technology use, in personal contexts, and, concurrently, whether these effects are different when the use of technology is problematic. The central hypotheses are as follows: (1) the use of the Internet affects the subjective well-being of schoolchildren negatively only when this use is problematic and (2) the effect on subjective well-being is different according to the type of Internet use. Read More

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Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims.

BMJ Open 2021 Apr 1;11(4):e041817. Epub 2021 Apr 1.

Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA.

Objective: Diagnostic error is a key healthcare concern and can result in substantial morbidity and mortality. Yet no study has investigated the relationship between adverse outcomes resulting from diagnostic errors and one potentially large contributor to these errors: deficiencies in diagnostic knowledge. Our objective was to measure that associations between diagnostic knowledge and adverse outcomes after visits to primary care physicians that were at risk for diagnostic errors. Read More

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Changes in utilization of immediate-release, extended-release, and liquid formulation medications relative to bariatric surgery: a segmented regression analysis.

Surg Obes Relat Dis 2021 Mar 3. Epub 2021 Mar 3.

Department of Surgery, College of Medicine, University of Florida, Gainesville, Florida.

Background: Changes in gut anatomy following bariatric surgery impacts medication absorption, often requiring changes in medication formulations.

Objectives: To assess changes in utilization of extended-release (ER), immediate-release (IR), and liquid formulations 360 days before and after bariatric surgery.

Setting: Large U. Read More

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