James G. Jollis, MD

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Services

• Emergency Services
• General and Consultative Heart Care

Department / Division:
Medicine / Cardiovascular Medicine

Address:
DUMC 3254
Durham, NC 27710

Appointment Telephone:
(919) 681-5816

Office Telephone:
(919) 684-4015

Fax Telephone:
(919) 668-3575

• M.D., The Ohio State University School of Medicine, 1986

• Internal Medicine, Duke University Medical Center, North Carolina, 1986-1989
• Cardiology, Duke University Medical Center, North Carolina, 1989-1992

Clinical Interests:
Valvular heart diseases, echocardiography, CT angiography

Research Interests:
Currently, my work extends the findings of randomized controlled trials of coronary artery disease treatment (efficacy) to the general application of these treatments in the overall population (effectiveness). The two major sources of data concerning medical effectiveness involve large insurance claims analysis files, and secondary data from randomized controlled trials. We have converted the Medicare Provider Analysis and Review File, a file that contains the hospital claims for 95% of elderly Americans, into a longitudinal record describing patient care involving a variety of coronary artery disease procedures and diagnoses between 1987 and 1994. The second source of data involves detailed resources information following interventions in randomized controlled trials. With these two sources of data, we are replicating the findings of ongoing randomized trials comparing coronary angioplasty and bypas surgery for the elderly population, and extending the findings of such trials to determine their economic and health policy implications. I also use these sources to examine current health policy issues, such as the effect of physician induced demand in a fee for service system on the use procedures.

Representative Publications:
2) Hillegass WB, Jollis JG, Granger CB, Ohman EM, Califf RM, Mark DB. Intracranial hemorrhage risk and new thrombolytic therapies in acute myocardial infarction. Am J Cardiol 1994; 73:444-449. (1994)

Peterson ED, Jollis JG, Bebchuk JD, DeLong ER, Muhlbaier LG, Mark DB, Pryor DB. Changing mortality following myocardial revascularization in the elderly: the national Medicare experience.

1) Jollis JG, Ancukiewicz M, DeLong E, Pryor DB, Muhlbaier Lh, Mark DB. Discordance of database designed for claims payment versus clinical information systems: implications for outcomes research. Ann Int Med 1993, 119:844-50. (1993)

3) Romano PS, Roos LL, Luft HS, Jollis JG, Doliszny K, and the Ischemic Heart Disease Patient Outcomes Research Team. A comparsion of asministrative versus clinical data: coronary artery bypass surgery as an example. J Clin Epidemiol, 1994; 47(3):249-260. (1994)

Jollis JG, Peterson ED, DeLong ER, Mark DB, Collins SR, Muhlbaier LG, Pryor DB. The relationship between hospital volume of coronary angioplasty and short term mortality in patients over age 65 in the U.S.