Rachel M. Townsley

Works (4)

Updated: July 5th, 2023 15:40

2022 article

When History and Heterogeneity Matter: A Tutorial on the Impact of Markov Model Specifications in the Context of Colorectal Cancer Screening

Townsley, R. M., Koutouan, P. R., Mayorga, M. E., Mills, S. D., Davis, M. M., & Hasmiller Lich, K. (2022, May 11). MEDICAL DECISION MAKING, Vol. 5.

By: R. Townsley*, P. Koutouan n, M. Mayorga n , S. Mills *, M. Davis * & K. Hasmiller Lich*

author keywords: colorectal cancer screening; markov models; microsimulation
MeSH headings : Colonoscopy; Colorectal Neoplasms / diagnosis; Colorectal Neoplasms / epidemiology; Early Detection of Cancer / methods; Humans; Mass Screening / methods; Occult Blood
TL;DR: Colorectal cancer screening trajectories and projected health outcomes were sensitive to the use of alternate Markov model specifications, demonstrating the importance of examining the memoryless assumption of the first-order Markovmodel when simulating health care utilization over time. (via Semantic Scholar)
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Sources: Web Of Science, NC State University Libraries
Added: May 31, 2022

2020 journal article

The potential impact of the Affordable Care Act and Medicaid expansion on reducing colorectal cancer screening disparities in African American males

PLOS ONE, 15(1).

By: W. Powell *, L. Frerichs *, R. Townsley n, M. Mayorga n , J. Richmond *, G. Corbie-Smith *, S. Wheeler *, K. Lich *

MeSH headings : Black or African American; Aged; Colorectal Neoplasms / diagnosis; Colorectal Neoplasms / economics; Early Detection of Cancer / economics; Early Detection of Cancer / ethics; Healthcare Disparities / economics; Healthcare Disparities / trends; Humans; Male; Medicaid / economics; Medicaid / trends; Middle Aged; North Carolina; Patient Protection and Affordable Care Act / economics; Patient Protection and Affordable Care Act / trends; Race Factors / economics; United States
TL;DR: The findings suggest policies that expanding affordable, quality healthcare coverage could have a demonstrable, cost-saving impact while reducing cancer disparities are suggested. (via Semantic Scholar)
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Sources: Web Of Science, NC State University Libraries
Added: June 22, 2020

2019 journal article

Estimating the impact of insurance expansion on colorectal cancer and related costs in North Carolina: A population-level simulation analysis

PREVENTIVE MEDICINE, 129.

By: K. Lich *, . Meghan C. O'Leary *, S. Nambiar n , R. Townsley n, M. Mayorga n , K. Hicklin*, L. Frerichs *, P. Shafer *, M. Davis *, S. Wheeler *

Contributors: K. Hassmiller Lich *, . M.C. O'Leary, S. Nambiar n , R. Townsley n, M. Mayorga n , K. Hicklin*, L. Frerichs *, P. Shafer *, M. Davis *, S. Wheeler *

MeSH headings : Aged; Colorectal Neoplasms / diagnosis; Colorectal Neoplasms / therapy; Computer Simulation; Cost Savings / statistics & numerical data; Early Detection of Cancer / economics; Early Detection of Cancer / statistics & numerical data; Female; Humans; Insurance, Health / economics; Insurance, Health / statistics & numerical data; Male; Mass Screening / economics; Medicaid / economics; Medicaid / statistics & numerical data; Medicare / economics; Medicare / statistics & numerical data; Middle Aged; North Carolina; Patient Protection and Affordable Care Act; United States
TL;DR: Estimated cost savings - balancing increased CRC screening/testing costs against decreased cancer treatment costs - are approximately $30’M and $970 M for Medicaid expansion and Medicare-for-all scenarios, respectively, compared to status quo. (via Semantic Scholar)
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Sources: Web Of Science, ORCID, NC State University Libraries
Added: February 10, 2020

2015 journal article

Declining liver graft quality threatens the future of liver transplantation in the United States

Liver Transplantation, 21(8), 1040–1050.

By: E. Orman *, M. Mayorga n , S. Wheeler *, R. Townsley n, H. Toro-Diaz*, P. Hayashi *, A. Sidney Barritt *

MeSH headings : Adult; Computer Simulation; Databases, Factual; Donor Selection / trends; Female; Forecasting; Graft Survival; Health Care Rationing / trends; Health Services Needs and Demand / trends; Humans; Liver Transplantation / adverse effects; Liver Transplantation / trends; Male; Middle Aged; Models, Theoretical; Needs Assessment; Postoperative Complications / etiology; Process Assessment, Health Care / trends; Reproducibility of Results; Risk Assessment; Risk Factors; Time Factors; Tissue Donors / supply & distribution; Treatment Outcome; United States
TL;DR: The transplant community will need to accept inferior grafts and potentially worse posttransplant outcomes and/or develop new strategies for increasing organ donation and utilization in order to maintain the number of LTs at the current level. (via Semantic Scholar)
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Sources: Web Of Science, Crossref, NC State University Libraries
Added: August 6, 2018

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