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Higher levels of gratitude were tied to a 9% reduction in all-cause mortality and a 15% reduction in cardiovascular death.
Counties without a cardiologist have a higher cardiovascular risk index, higher cardiovascular mortality rates and shorter life expectancy.
Worse executive function and processing speeding were seen with consistently higher or moderate/increasing inflammation.
The findings were seen for non-English and non-French speakers living in Canada.
Income and area-level disadvantage are the largest contributors to racial differences.
24.9 percent received creatinine and UACR screening; Hispanic ethnicity associated with lack of screening
There was a 94% probability that the intervention was cost-effective, with a willingness-to-pay threshold of $28,000.
No association was seen for multivitamin use with lower all-cause mortality risk in first or second halves of follow-up.
Rates are still above prepandemic levels, however.
Harms include avoidable patient deaths, readmissions, longer lengths of stay, excess Medicare costs and forgone cost savings.