Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “WISCONSIN”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 127 records · Page 7Linked to original sources
PubMed1980

Epidemiological studies on blastomycosis in the state of Wisconsin.

A study was made of 73 Wisconsin cases of canine blastomycosis. Each case was studied with respect to the life history of the animal. It was considered that a large percentage of the dogs were infected while in Wisconsin, since 40 had never left the state, and it was highly probable that in a large percentage of the other 33 cases the disease was contracted while the dog resided in Wisconsin. A study of the cases with respect to county of residence, birth and visitation revealed that there were three regions in the state where blastomycosis was prevalent: one region in the southeast and two regions in the northern parts of the state. An increase in the number of canine cases of blastomycosis over the years was considered to result from an increase in the skill of the veterinarian in diagnosing the disease. It was thought that a similar increase in number of human cases reported in recent years resulted from improvements in isolation techniques. The number of canine cases, 75, and human cases, 182, published up to now were considered to be minimum figures since many cases remain unpublished. A study of contiguous human and canine cases of blastomycosis lent support to the hypothesis that Ajellomyces (Blastomyces) dermatitidis conidia may be disseminated in fog or mist. Two cases of feline blastomycosis diagnosed in Wisconsin are reported for the first time. One cat acquired the disease in the state: the origin of the infection of the second cat was equivocal since it spent its summers in Wisconsin and its winters in another endemic state.

Animals↗
PubMed1994

Trends in the surgical treatment of prostate cancer in Wisconsin, 1989-1991.

BACKGROUND: Radical prostatectomy (removal of the prostate gland and seminal vesicles) is usually considered a definitive treatment for localized prostate cancer. Although a sharp increase and wide geographic variation in radical prostatectomy rates have been recently documented, the reasons for this increase and the factors that make men diagnosed with the disease more likely to be treated surgically are not well known. PURPOSE: Our purpose was to examine trends in the use of surgical treatment for prostate cancer, as well as the factors associated with the choice of surgical treatment and how these factors changed in Wisconsin in the period 1989 through 1991. METHODS: We carried out a population-based cohort study. A cohort of Wisconsin men diagnosed from 1989 through 1991 with prostate cancer was identified through the Wisconsin cancer reporting system. To determine which men diagnosed with prostate cancer were treated with surgery, we linked prostate cancer records to the Wisconsin hospital discharge database. The outcome measured was radical prostatectomy within 6 months from the date of the diagnosis of prostate cancer. RESULTS: The yearly number of prostate cancer cases reported from 1989 through 1991 rose 33%, from 2468 to 3278. During the same period, the yearly number of radical prostatectomies rose 226%, from 283 to 922. Patients diagnosed in 1991 were twice as likely to have surgery as those diagnosed in 1989, the proportion of cases receiving surgical treatment rising from 12% to 25%. Patients who were white, less than 65 years of age, had a cancer reported to be at regional stage, and who were first reported by large hospitals were more likely to be treated surgically. CONCLUSIONS: The use of surgery to treat prostate cancer has increased dramatically in Wisconsin, doubling in a 3-year period, despite the fact that studies have not shown surgery to be more effective than other options for many patients. The increase observed in the rate of surgery was about the same across age, race, stage at diagnosis, and hospital size. The reasons for this increase are probably multifactorial. IMPLICATIONS: Risks, costs, and benefits of surgical treatment should be carefully compared with those of alternative management approaches. Patients should be enabled to make an informed decision, based on the current best evidence, on the treatment option they prefer.

Aged↗
PubMed2005

Incidence of sports and recreation related injuries resulting in hospitalization in Wisconsin in 2000.

OBJECTIVE: To describe the incidence and patterns of sports and recreation related injuries resulting in inpatient hospitalization in Wisconsin. Although much sports and recreation related injury research has focused on the emergency department setting, little is known about the scope or characteristics of more severe sports injuries resulting in hospitalization. SETTING: The Wisconsin Bureau of Health Information (BHI) maintains hospital inpatient discharge data through a statewide mandatory reporting system. The database contains demographic and health information on all patients hospitalized in acute care non-federal hospitals in Wisconsin. METHODS: The authors developed a classification scheme based on the International Classification of Diseases External cause of injury code (E code) to identify hospitalizations for sports and recreation related injuries from the BHI data files (2000). Due to the uncertainty within E codes in specifying sports and recreation related injuries, the authors used Bayesian analysis to model the incidence of these types of injuries. RESULTS: There were 1714 (95% credible interval 1499 to 2022) sports and recreation-related injury hospitalizations in Wisconsin in 2000 (32.0 per 100,000 population). The most common mechanisms of injury were being struck by/against an object in sports (6.4 per 100,000 population) and pedal cycle riding (6.2 per 100,000). Ten to 19 year olds had the highest rate of sports and recreation related injury hospitalization (65.3 per 100,000 population), and males overall had a rate four times higher than females. CONCLUSIONS: Over 1700 sports and recreation related injuries occurred in Wisconsin in 2000 that were treated during an inpatient hospitalization. Sports and recreation activities result in a substantial number of serious, as well as minor injuries. Prevention efforts aimed at reducing injuries while continuing to promote participation in physical activity for all ages are critical.

Adolescent↗
PubMedDate not supplied

Wisconsin Cytology Proficiency Testing Program. Results of voluntary testing in 1994.

OBJECTIVE: The Wisconsin Cytology Proficiency Testing Program (WCPTP) was developed cooperatively by the Wisconsin State Laboratory of Hygiene, the Wisconsin Society of Pathologists and the Wisconsin Society of Cytology to enable pathologists and cytotechnologists in Wisconsin to meet Clinical Laboratory Improvement Act of 1988 (CLIA '88) requirements for proficiency testing (PT). STUDY DESIGN: A joint steering committee designed the WCPTP to comply with all CLIA '88 regulations. The WCPTP application to the Health Care Financing Administration received tentative approval in May 1994. In 1994, mock PT was conducted at meetings of both state societies, and voluntary, on-site PT was conducted at 19 laboratories. RESULTS: Each of the 119 participants (49 pathologists, 70 cytotechnologists) was tested with sets of 10 glass slides, each representing one of four specified categories: A, unsatisfactory; B, normal/benign; C, low grade squamous intraepithelial lesion; and D, high grade squamous intraepithelial lesion and cancer. The failure rate for pathologists was 22.5% (11/49) and for cytotechnologists, 1.4% (1/70). The CLIA '88 scoring system for pathologists is more stringent. If cytotechnologists were scored as pathologists, 10% (7/70) would have failed. Using the cytotechnologist grid, 14.5% (7/49) of the pathologists would have failed. CONCLUSION: This voluntary program provided some preliminary insights into the issues related to PT evaluation of personnel competence and diagnostic criteria.

Cytodiagnosis↗
PubMed2000

Newborn screening in Wisconsin: program overview and test addition.

The prevention of congenital anomalies and their sequelae is an important public health objective. One strategy for preventing morbidity and mortality due to congenital disorders is Wisconsin's Newborn Screening Program. Wisconsin has been a national leader in newborn screening since its inception with phenylketonuria screening in 1966. Wisconsin's program is a collaborative effort of the State Maternal and Child Health Program, housed within the Division of Public Health of the Department of Health and Family Services; the State Laboratory of Hygiene; physicians and other health professionals; and families. After in-depth consideration, the Department recently approved the addition of 14 fatty acid oxidation disorders and organic acidemias. This paper provides an overview of the Newborn Screening Program and introduces the disorders that Wisconsin added to the newborn screening panel in April 2000. Technologic advances have provided Wisconsin with yet another tool to improve the health of its citizens and prevent significant morbidity and mortality.

Acetylcarnitine↗
PubMed2000

Helping Wisconsin women quit smoking: a successful collaboration.

The cost of treatments for tobacco dependence frequently presents a financial barrier to their use. To overcome such barriers, the Wisconsin Women's Health Foundation, the Wisconsin Bureau of Public Health, the McNeil Consumer Healthcare, and the University of Wisconsin Center for Tobacco Research and Intervention collaborated in an initiative to distribute nicotine patches to Wisconsin women at no cost. As a result of this collaborative effort, approximately 19,000 women received a 6-week course of Nicotrol Patches. To evaluate the effectiveness of this initiative, a sample of 500 recipients were contacted and surveyed by telephone 6 months after receiving their patches. Approximately 22% of these women reported total abstinence at 6 months, and another 77% reported they had reduced their smoking. At follow-up, women who had successfully quit rated their health status significantly better than women who were still smoking. More than 99% of respondents recommended that the program be repeated. Extrapolating the observed abstinence rate to the 19,000 patch recipients, an estimated 4000 Wisconsin women successfully quit smoking as a result of this program.

Administration, Cutaneous↗
PubMed2000

Progress in cancer control in Wisconsin.

INTRODUCTION: The burden of cancer in Wisconsin is significant, with cancer accounting for nearly 25% of all deaths in 1997. State and national trends indicate a decline in overall cancer mortality since the early 1990s. This report reviews the progress in cancer control in Wisconsin in the past decade and assesses progress toward reaching the 2000 cancer objectives outlined in the Wisconsin Public Health Agenda. METHODS: Mortality data were abstracted from CDC WONDER from 1984-1997 in a manner consistent with the data presented in the Wisconsin Public Health Agenda. Overall cancer mortality, as well as site-specific cancer mortality rates, was analyzed by calculating the percent change in the baseline period (1984-1986) versus the most recent available data (1995-1997). RESULTS: Overall cancer mortality rates in Wisconsin decreased 1% from 1984-1986 to 1995-1997, decreasing among those under age 65 but increasing among those 65 years of age and older. Rates declined in the white population, but increased among blacks and other races. Site-specific data indicate a 6% decrease in cervical cancer, an 18% decrease in breast cancer, and a 20% decrease in colorectal cancer occurred during this time period. Increases were seen in lung and prostate cancers, and in malignant melanoma. DISCUSSION: This analysis indicates progress in the reduction of overall cancer mortality among persons under age 65. Objectives for 2000 will be met in both breast and colorectal cancer, with some progress noted in reversing the steady increase in lung cancer mortality in the state.

Adult↗
PubMed2000

Diabetes mortality trends in Wisconsin, 1979-1997: the increasing gap between whites and blacks.

Diabetes is a leading cause of morbidity and mortality in Wisconsin and the United States. We examined mortality trends for diabetes as an underlying cause of death for the years 1979-1997 for Wisconsin and the United States. Diabetes mortality rates in Wisconsin have increased over the past 18 years, from 13.5/100,000 in 1979 to 16.7/100,000 in 1997. Much of this increase is attributable to a change in the death certificate in 1989. Blacks in Wisconsin have a higher rate of diabetes mortality when compared with whites, especially among women and persons less than 65 years of age. This disparity has increased markedly over the decade. Public health efforts in Wisconsin need to focus on reducing diabetes mortality overall and on minimizing disparities in diabetes mortality between whites and blacks.

Adult↗
PubMed2000

Wisconsin children at risk for lead poisoning.

The 1999 US Government Accounting Agency (GAO) report to Congress documented that among children in the United States, those served by federal health care programs had high rates of lead poisoning but low rates of blood lead testing. To further explore these findings, the Wisconsin Department of Health and Family Services initiated matching the state's blood lead test data file with the Medicaid eligibility file, and with the WIC Program enrollment file. This article examines data analyzed from the matched files for the year 1999. The results of the analysis of Wisconsin data shadowed the national findings contained in the GAO report. About half of the Wisconsin children enrolled in Medicaid and WIC have been screened, the majority of lead poisoned children in Wisconsin receive Medicaid (80%) and WIC (60%) services. Additional data collected by the department on the physical and environmental health of severely lead-poisoned children indicates that lead-coated surfaces and deterioration were identified as the primary source and cause of the poisoning. These findings support the Wisconsin recommendations for blood lead testing of 1 and 2 year olds living in older or renovated housing, and all children enrolled in Medicaid or WIC.

Child↗
PubMed2001

Under-use of tobacco dependence treatment among Wisconsin's fee-for-service Medicaid recipients.

BACKGROUND: Wisconsin Medicaid enrollees are eligible for treatment for tobacco dependence at minimal charge to the enrollee. This paper describes an evaluation of the use of this treatment within the Wisconsin fee-for-service Medicaid program. METHODS: Pharmaceutical claims data for Medicaid fee-for-service patients were analyzed for the year 1999 to determine rates of treatment use. RESULTS: Of 261,435 adults enrolled in fee-for-service Medicaid for 1 or more months, only 1131 adults received pharmacotherapy for tobacco dependence in 1999 at a modest cost of approximately $135 per treatment user. This represents less than 2% of the adult Medicaid fee-for-service patients who smoke. DISCUSSION: Few Medicaid fee-for-service enrollees are receiving evidence-based treatment for tobacco dependence, the leading preventable cause of illness and death in Wisconsin. The 16,000 Wisconsin physicians caring for these patients are urged to intervene with every Medicaid patient who smokes. To assist in this effort, the Wisconsin Medicaid program's coverage for tobacco dependence treatment is explained and a series of myths are corrected.

Adult↗
PubMed2001

Prevalence of elder abuse in the United States: a comparative report between the national and Wisconsin data.

This study is designed to calculate the prevalence of elder abuse in Wisconsin and the United States and to perform a geographic comparison of elder abuse prevalence by county in Wisconsin. The national data was obtained from the National Elder Abuse Incidence Study, and the Wisconsin data from the Department of Health and Family Services. The population statistics were obtained from the United States Census Bureau. The prevalence of elder abuse based on substantiated cases was 2.7 per thousand (236,479 cases) in the United States and 1.6 per thousand (2629 cases) in Wisconsin in 1996 (p < 0.05). There was an increase in elder abuse prevalence in Wisconsin between 1990 and 1998. Larger metropolitan counties had the largest number of reported cases but more rural counties had the highest prevalence (14 per thousand in Vilas County) and the highest rate of increase in elder abuse prevalence (increase by 9.4 per thousand in Langlade County). This study shows that there are national and local geographic variations in the prevalence of elder abuse cases reported to Adult Protective Services. Further studies are needed to identify factors that led to these variations.

Aged↗
PubMed2002

Regional variation in stroke mortality in Wisconsin, 1989-1998.

OBJECTIVE: To evaluate the regional variation in stroke mortality and determine the level of excess stroke mortality in Wisconsin over the period 1989-1998. METHODS: Wisconsin stroke mortality (ICD-9 430-438) data from the Center for Disease Control and Prevention (CDC WONDER) were analyzed by county for the period 1989-1998 using indirect age standardization. RESULTS: Estimates of observed and excess number of deaths associated with cerebrovascular disease in Wisconsin varied considerably by county during the 10-year time frame studied. Twenty-five counties had an observed number of stroke deaths that were statistically significantly different from what was expected given the age structure of their population. Of these, 14 had significantly more deaths than expected while 11 had significantly fewer. DISCUSSION: There is substantial variation in stroke mortality between Wisconsin counties. Potential reasons for regional variation are unknown and warrant further research. This paper may give Wisconsin counties a benchmark of their progress in preventing stroke mortality to date and give direction for future public health efforts.

Adult↗
PubMed2003

Forward for women's health: the state of women's health in Wisconsin.

Because of the magnitude of women's health issues within the larger context of public health and healthcare systems, this paper was written to help define the current status of women's health in Wisconsin. Utilizing critical women's health areas identified by the Wisconsin Women's Health Foundation and the Wisconsin Division of Public Health, 16 specific measures of women's health were chosen for this analysis. The most recent data available for each measure were collected with Wisconsin data being compared to national averages as well as to Healthy People 2010: Objectives for Improving Health targets. Wisconsin women fare better than national averages in nine of the selected health measures; however, there are still many improvements to be made in order to meet Healthy People 2010 targets. The areas where the most improvements are needed include binge drinking, tobacco use, diabetes, and stroke mortality. Other significant findings include the lack of uniformly collected data in the areas of domestic violence, osteoporosis, and mental illness.

Female↗
PubMed2003

The state of arthritis in Wisconsin.

Arthritis is the leading cause of disability and functional limitation in Wisconsin and trails only heart disease as the leading cause of work disability. In 2001, the estimated prevalence of arthritis/chronic joint symptoms (CJS) among US adults was 33%, representing approximately 69.9 million adults. Wisconsin has established a statewide program to address this chronic condition. Prior to its inception, no state-based arthritis surveillance was available. The Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) first included questions on chronic joint symptoms and doctor-diagnosed arthritis in 2000. That data provides a baseline to describe the burden of arthritis in Wisconsin. This report summarizes the prevalence of arthritis and its distribution among Wisconsin adults. Proven public health interventions should be applied and new interventions developed to improve function, decrease pain, and delay disability among persons with arthritis, particularly those at highest risk for functional impairment and disability.

Adult↗
PubMed2003

Obesity and physical inactivity among Wisconsin adults with arthritis.

INTRODUCTION: Arthritis is the leading cause of disability in Wisconsin, and affects approximately 34% of Wisconsin adults. Obesity is an established risk factor for arthritis; however, the relationship between arthritis and obesity has not been well characterized at the population level in Wisconsin. OBJECTIVES: Describe the relationship between arthritis, obesity, physical inactivity, and efforts to lose weight among Wisconsin adults. METHODS: Wisconsin Behavioral Risk Factor Surveillance System 2000-2001. Arthritis was defined by either doctor diagnosis or self-reported chronic joint symptoms. RESULTS: Overall, 36% of respondents had arthritis. Among adults with arthritis, 28% were obese (BMI>30) compared to 16% without arthritis. The prevalence of leisure time physical inactivity was substantially higher among those with arthritis compared to those without arthritis (27.8% vs. 19.2%). Although prevalence of obesity was higher among those with arthritis, only 46% of adults with arthritis made an effort to lose weight. CONCLUSIONS: A high proportion of adults with arthritis are obese and are physically inactive, even though studies have shown that weight loss and regular physical activity relieve arthritis symptoms. Efforts should be made to promote weight loss and physical activities among adults with arthritis.

Adult↗
PubMed2003

Health priorities in Wisconsin: a case for tracking childhood mortality.

OBJECTIVE: To assess trends in mortality among children ages 1-14 in Wisconsin over the last 2 decades and prompt policymakers to include annual monitoring of childhood mortality in the state Health Plan for 2010. METHODS: Data for all-cause and cause-specific (intentional-, unintentional-, non-injury related) mortality for 1980-1999 were obtained from WONDER, the Centers for Disease Control and Prevention's mortality database, and stratified by black/white race and gender. Trends were assessed using the 5-year moving average method and projected to 2010 to estimate future mortality. RESULTS: Childhood mortality rates in Wisconsin decreased 26% from 1980-1999 to 23.7/100,000 population, representing 87 lives saved annually. Throughout this period, Wisconsin's mortality rate was lower than the national average; however, disparities have increased. Boys and blacks experienced the highest death rates and the greatest increases in rates from homicide and suicide. If trends continue, Wisconsin is predicted to have the same overall rate as the United States in 2010. CONCLUSIONS: Wisconsin has experienced slower rates of decline in childhood mortality than the United States over the past 20 years, due, in part, to increasing disparities by race and gender. To halt this phenomenon, policymakers should include annual monitoring of childhood mortality rates in the state health plan and support appropriate interventions for children at risk.

Adolescent↗
PubMed2003

Has there been progress in reducing mortality among Wisconsin adults ages 25 to 44?

Wisconsin residents age 25-44 years represent an important life stage and a relatively large portion of the Wisconsin population. Focusing on the most common causes of death among Wisconsin adults 25-44 years old, we assess progress in reducing mortality, describe disparities between subgroups of this age group, and identify areas for improvement. Mortality trends and leading causes of death were examined from 1980-1999 by querying the Centers for Disease Control and Prevention's WONDER database using the methods established by the National Vital Statistics System. Mortality rates in Wisconsin declined slightly (5%) during this time, and are consistently lower than the national rates. Mortality due to unintentional injury, cancer, and coronary heart disease declined in this age group. However, this decline was in contrast to increases in mortality due to suicide, homicide, and HIV--all preventable causes of death. Finally, disparities in mortality rates increased between black and white Wisconsin residents. In order to make progress in this age group, public health efforts need to focus on effective strategies to prevent HIV and violence.

Adult↗
PubMed2005

A statewide collaboration to monitor diabetes quality improvement among Wisconsin health plans.

OBJECTIVE: The Wisconsin Collaborative Diabetes Quality Improvement Project was initiated in 1999 by the Wisconsin Department of Health and Family Services, Diabetes Prevention and Control Program to monitor quality of diabetes care among the state's health plans. STUDY DESIGN: Prospective observational. METHODS: Annual invitations were mailed to all Wisconsin managed care plans to participate in the project. Collaborators submitted Comprehensive Diabetes Care Health Plan Employer Data and Information Set (HEDIS) measures, as well as other selected HEDIS measures. Data were summarized and reported anonymously back to the collaborators at quarterly forums and in annual reports. RESULTS: Five of the 6 Comprehensive Diabetes Care HEDIS measures have improved significantly in Wisconsin since 1999. Despite this improvement, measure variation across health plans remains high. Collaborators have continued to share resources and best practices at quarterly forums and through statewide initiatives. CONCLUSIONS: This project is an example of an ongoing statewide collaborative quality improvement effort among otherwise competing health plans. Collaboration at regular forums, sharing of HEDIS data to assess quality of diabetes care in health plans, and sharing of resources and best practices may have contributed to improvements in the quality of diabetes care in Wisconsin.

Cooperative Behavior↗