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I Can't Fight That Feeling Anymore
Columnist Ed sobered up from the office holiday party just long enough to phone this one in:
o December and January seem to be the time in the BPL when everything reverts back to the mean. Manchester United start winning big, the promoted clubs start losing, and whatever teams Roy Hodgson and Martin O'Neill are coaching start making their way up the table. My fantasy team is also reverting to the mean -- as in the middle of the table -- despite what can only be described as beautiful play. But more about that some other time.
o Just how bad does the Fernando Torres deal look these days? It remains shocking to me that someone so dominant could become so bad. Equally amazing is how someone like Luis Suarez can look so good and yet never score or be responsible for a goal. Liverpool's problem is that they took the crazy money they received for Torres and bought two guys with 7 goals between them. Not good enough.
o SkySports has done it to ESPN again, this time with Olivia Godfrey. Ubba. Dubba.
o Clint Dempsey is not a left halfback or a winger. He plays the number 9 (and sometimes the number 10 position) and he does a good job of it. Time for Martin Jol to start him in the position he always ends up in. He's the best guy on the team, after all.
o I'm looking forward to Landon Donovan's return to Everton. Too bad for him that this Everton side is worse than the one he played for before. Also too bad Spurs didn't move for him. They could use an extra winger for the seemingly always injured Rafael Van der Vaart.
Posted by farlieonfootie at Saturday, December 31, 2011 No comments:
Labels: Clint Dempsey, Daniel Sturridge, Ed, Gareth Bale, Journey, Manchester United
Game Day Beer Review: Lagunitas Brewing Wilco Foxtrot Tango American Strong Ale
(7.80% AVB) Poured from a 22 ounce bottle, this self-proclaimed "jobless recovery ale" from Lagunitas is a deep brown with reddish highlights and a slightly off-white head that sticks around to leave behind some decent lacing. The smell is all malts and hops, a bracing but delicious combination.
Wilco Foxtrot Tango has a fair bit of anise on the taste, but it's a bit lighter than you would find in, say, a Russian Imperial Stout. It's got the same complexity behind it, though: good balance between hops and malt, with a few other flavors, like caramel and an earthy chocolate, thrown in for full effect. You can also sense the beer's alcohol, even if you can't really "taste" it; it's readily apparent in the depth of character.
The mouthfeel is medium bodied, with fairly decent carbonation. I like most everything from this brewery, and this one's no exception: A-
Posted by farlieonfootie at Friday, December 30, 2011 No comments:
Labels: American Strong Ale, Beer, Lagunitas Brewing
Playing the Phantom: Round 18 in the BPL
photo by db Photography | Demi-Brooke via PhotoRee
Some thoughts, random and otherwise, on Round 18 in the BPL:
o The round's big winners were obviously Manchester United and Tottenham Hotspur. With City, Arsenal and Chelsea all drawing (despite the latter two sides playing weak opposition at home), the title chase narrowed down to a three horse race. The blue half of Manchester is starting to look a bit tentative, and the free flowing goal machine has become a bit unglued. The rest of the season will be full of ups and downs for all three contenders, but the next three or four games could be crucial for all involved.
o Chelsea under AVB seem a very different beast. They're up for games against the big teams, and the adrenaline and muscle memory alone would seem to fuel their ambition, but the Blues this year are struggling to win against the middling clubs. They used to win games like the Boxing Day contest against Fulham 4-0 just a couple of years ago, and I think their "new look" is down to more than (a lack of) talent. It's about a team that's struggling to find its way in a new system, caught betwixt and between, and until they figure it out the harsh truth would appear that they're not much better than a mid-table club.
o Based on his Monday look, at tonight's performance, Paolo Ferreira will be playing the role of the Phantom of the Opera.
o How often does Manchester United score five goals and fantasy football managers don't profit at all...? Quiet games on Monday from fantasy mainstays Nani and Wayne Rooney (who, to be fair, was used only as a late game substitute) led to a paucity of points from United's leading players. I'm fairly confident that almost no fantasy managers own Dimitar Berbatov (3 goals, owned by 1.2% of players) and Ji-Sung Park (1 goal, owned by 1.6% of players), while only slightly more field Antonio Valencia (1 goal, owned by 2.3% of players) in their squad. Making matters worse (from a fantasy perspective, obviously) was that my United defender, Jonny Evans, picked up a yellow card and played only 45 minutes -- picking up zero points in the process, despite the Reds' third consecutive shutout. It led to perhaps the most frustrating rout in my time playing the (fantasy) game -- I mean, what are the odds that United absolutely batter a team and I pick up virtually zero fantasy points...?
Posted by farlieonfootie at Thursday, December 29, 2011 No comments:
Labels: Andre, Andre Villas-Boas, Gareth Bale, Phil Dowd, Spurs, Stuart Attwell, Tottenham Hotspur
Eight Games
Correspondent Scott weighs in on the Luis Suarez affair:
Since Liverpool's recent insistence on drawing with every bottom-of-the-table team would necessarily render any journalistic post written by me to be replete with profanity, I turn instead to another profane matter:
"Eight games!?" My incredulity and the volume of my exclamation are not properly reflected in the number of exclamation points written here but I did not want to be accused of hyperbole, lest I be banned for a game or two myself.
Let me start by saying that, if I had to render a verdict, based only on what I know of Luis Suarez from observing him play, I would say it is more likely than not that the Uruguayan did utter a racial slur. Patrice Evra became absolutely unhinged in that game after the exchange with Suarez which leads me to believe either a racial slur was used or a suggestion was made as to what unseemly acts might be performed on a member of the Frenchman's family. And since there was no retaliatory head butt…
The use of racially charged slurs is loathsome and has no place in football or any other sport or in any civilized interchange between decent people. Moreover, such foul behavior should be punished immediately and severely. That said, here comes the conjunction-forward question that is inevitable in my mind yet will likely anger some – BUT 8 Games!? Come on, people! This is sports at the highest level with all the pressure, competition and adrenaline that comes with that. Verbal ejaculations are the grout between the shirt-pulling, shoving and hard tackles of EPL play. That one such expression should be racially charged is, again, loathsome and, again, punishable but not to the extent of over twice as long as a ban for a rash challenge that breaks a leg and nearly ends a career. Let's get some perspective here.
That Suarez's team mates supported him by donning T-shirts is beside the point. As is the fact that his grandfather was black. The point is that no sane person can reasonably claim that an 8 game suspension is appropriate for using abhorrent, racially-charged language. Which makes me question whether a certain red-faced Sir Scot may be entering an early dotage given his recent statements claiming a ban of over 20% of the season to be "appropriate". And, to be fair, I also question the other Scot manager's ridiculous plea for clarity as to what is allowed to be said. The answer is: if you have to ask, then you shouldn't say it.
I don't know what the right length of ban should be – maybe 3 is right as if it were a rash red card. But I do know that 8 games is too many. The only good thing about this is that perhaps the layoff will shake Suarez out of his goal-scoring slump.
Posted by farlieonfootie at Wednesday, December 28, 2011 No comments:
Labels: Liverpool, Luis Suarez, Misc, Scott
Five Things We Learned Watching Manchester United put Five Past Wigan
photo by S1lvers Family via PhotoRee
It's like Groundhog Day around here at farlieonfootie. In a virtual repeat of their last game, United scored early on Boxing Day and were out of sight by halftime. So why mess with success? If the theme works, let's keep it going.... Herewith, five things we learned yesterday as United put five past a hapless Wigan side to go joint top of the table with City:
1. Michael Carrick and Antonio Valencia are the ultimate utility players. With Sir Alex back in rotation mode on Boxing Day, the Englishman and the Ecuadorian are plug and play options who fill in whatever void injuries or rest happen to hand the Reds. Their versatility is hugely underrated -- very few players are good enough to play anywhere other than their "natural" position. And while Valencia's move from winger to fullback might allow him some sense of familiarity, Carrick's move from midfield to central defense is a whole different kettle of fish and much more complicated than it might at first appear. That both excelled yesterday in a position other than their regular spot has got to give the rest of the team a huge boost in confidence.
2. Darren Gibson?!?! That is all.
3. Ji-Sung Park played today as if he got a massive lump of coal from Santa on Sunday. The South Korean was full of piss and vinegar, especially in the first half, taking out a season full of frustration on Wigan Athletic, and getting only his second goal of the season to open the scoring. Park was a whirling dervish on both offense and defense, popping up forward and back, right and left, and causing all sorts of problems for the visitors. There's a downside, though, to this sort of performance: Sir Alex may actually begin to believe that he doesn't need any new midfield signings if Parky keeps it up....
Posted by farlieonfootie at Tuesday, December 27, 2011 No comments:
Labels: Antonio Valencia, Dimitar Berbatov, Manchester United, Michael Carrick, MUFC
Game Day Beer Review: North Coast Brewing Scrimshaw Pilsner
Another offering from one of my favorite American breweries, North Coast Brewing, out of Fort Bragg, California, Scrimshaw Pilsner pours a deep golden color, maybe a shade toward orange, with very little head.
The beer smells extremely mild, with some wheat noticeable -- I'll call the scent "bready." I'm also getting the slightest essence of a citrus fruit on the nose.
It's Scrimshaw's taste that gets you hooked, though. It's mild, but perfectly balanced: hops, malt, barley and water. Check, check, check, check: they're all there. It's basically everything you want in a pilsner: crisp and refreshing, with good carbonation. Drinking this reminds me of Oskar Blues' Mama's Little Yella Pils -- not in taste, but in practice. Why would you drink a mass beer, even the blandest style, if you could be drink one of those two beers...?
Scrimshaw's so much better than an ordinary mass beer -- I could knock back about ten of these.... To bastardize an old Schaefer advertisement, Scrimshaw is the one beer to have when you're having more than one!
It would be a perfect beer with pizza. Maybe I'm just hungry for some pizza, but I still have the feeling this would be a perfect match.... Run out and get some today: A
Posted by farlieonfootie at Monday, December 26, 2011 No comments:
Labels: Beer, German-style Pilsner, North Coast Brewing
photo by krisdecurtis via PhotoRee
"So they hurried off and found Mary and Joseph, and the baby, who was lying in a manger...."
Wishing a blessed and peaceful Christmas to all our readers around the globe.
Posted by farlieonfootie at Sunday, December 25, 2011 No comments:
Sticking Your Finger in the Socket: Round 17 in the BPL
photo by Rennett Stowe via PhotoRee
Some brief thoughts on the first round of matches during the busy December holiday season -- part of what makes the BPL the best League in the world:
o Talk about a competitive league.... Prior to playing Manchester City mid-week, Stoke had won four games in a row. That mini-streak was good enough for a club record, which shows just how tough it is to win consistently in the Premier League.
o And speaking of a tough league in which to win a match, our own Correspondent Ed was taught a fantasy footballing lesson this week, when he matched up against our Dear Leader (the title is once again up for grabs, with Kim Jong-Il's recent demise), farlieonfootie. 76-57 only begins to tell part of the tale, and the result was in even before the last match of the round kicked off. Good try, Ed, but just not good enough.
o For my money, Charlie Adam's just not cutting it at Liverpool. And neither is Stewart Downing. Adam missed a crucial penalty against Wigan on Wenesday, and the last time Downing scored in the League for the Scousers was, well, never. Combine those two with the towering failure that is Andy Carroll, and realize that one reason Kenny is complaining so much about the referees this season is to take the spotlight away from his three underperformers....
o If it's the holiday season, that means two things: fixture congestion and hangovers. Arsenal seemed to suffer from both at the outset of the busy period, appearing dazed and confused before Yossi Benayoun's 88th minute winner saved their blushes against a truly terrible Aston Villa squad. Robin Van Persie scored -- again -- for the visitors, tying him with Thierry Henry's club record of 34 goals in a calendar year, and leaving him only two short of Alan Shearer's League record. The Flying Dutchman will be sad to see 2011 come to an end, as an injury-free year has allowed him to truly showcase his stuff, which is easily amongst the best in the world.
Labels: Aston Villa, Chelsea, Fantasy, Haris Vukic, Spurs, Stu Holden
All Kidding Aside
Ed with his Thinking Cap On
photo by kiddharma via PhotoRee
Columnist Ed finds himself thinking, for once:
Is it really possible, or are we just kidding ourselves?
Do Spurs have a real chance to win this thing?
Between munching bacon sandwiches even Uncle Harry has said that he believes they have a shot. And why not? Well, here are my reasons why not, as well as my reasons why not, not. Or not. Wait, did I say that right?! Whatever, I think you know what I mean.
So let's start with the good news first. Here's why spurs can get it done:
1. Spurs have arguably the best midfield in the EPL. This point has been made over and over, but yet it's still true. Bale, Modric, Parker, Lennon, Van der Vaart, when healthy, play with creativity and speed, a dangerous combo. Even when the team is not in sync, the individual skills of the wingers are often enough to put points on the board. See, for example, the performance at Fulham. By comparison, United and City each have weaknesses in the midfield, with City's only to become more problematic when Ya Ya heads out of town. All in all, controlling the center of the field is a good start to winning any game you play.
2. Spurs are winning against the teams they should beat. This wasn't true last year, when Spurs often struggled against weaker opponents after thrashing teams like Inter Milan in the Champions League. To win the EPL it's often just about grinding out those 1 to nil games at Stoke. Okay, bad example, but the argument still stands.
Labels: Ed, Spurs, Tottenham Hotspur
Five Things We Learned Watching Manchester United Put Five Past Fulham
photo by Xanboozled via PhotoRee
Why five, you ask? Because, as discussed on The Guardian podcast earlier this week, sixteen seemed a bit much....
1. Nani is looking much more comfortable on the left wing -- I know he only played there a short while on Wednesday night, but the play he displayed on what is widely considered his "less good" side led to the game's opening score. Last season, when deployed on the left -- which was often the case to accommodate Antonio Valencia on the right -- Nani never seemed to bring his best stuff. And when he did, it was often through cutting the ball back toward the middle of the pitch that he scored or created goals. Yesterday's first five minutes were illustrative, though, of the new and improved Nani: staying out on the left flank, the Portuguese maestro swerved in two superb crosses after taking the ball toward the baseline. The second cross led to a classy finish by Danny Welbeck, and showcased the torrid form that Nani's in right now.
2. The midfield, while not good enough to win in Europe, is likely good enough to win the Premiership. Michael Carrick's return to the Manager's good graces has coincided with a decent run of games for the United midfield. The Englishman has brought a calm assurance to the team's possession, and the Reds seem to be more patient on the ball, as well. Nani's move to the left (albeit nullified when Jones was replaced by Young) has coincided with a return to form by Antonio Valencia. When the Reds attack other teams from wide areas, it opens up the center of the opposition for Carrick's surgical passes and Rooney and Welbeck's dangerous runs.
Posted by farlieonfootie at Thursday, December 22, 2011 1 comment:
A Thin Line
photo by Cam Genereux via PhotoRee
James is here with the latest from White Hart Lane:
Spurs entered the weekend facing a resurgent Sunderland squad under newly appointed Manager Martin O'Neill in a proverbial "trap" game before the Thursday blockbuster derby against Chelsea at the Lane. Spurs were coming off their first loss since August after being robbed of at least a point by the now infamous Chris Foy at the Britannia, and in middle of the top four chasing pack of Arsenal, Liverpool and Chelsea who all were, for the most part, not losing. The stress level increased with the news that gareth Bale was not available due to an ankle injury, and leaped off the grid when Aaron Lennon went down with a probable torn hamstring 30 minutes in.
With Lennons's injury, the signature element of Spurs attack - pace down the wings - pretty much disappeared, and into that void surprisingly stepped the person of Roman Pavlyuchenko, the languid, lazy Russian whose depressed work rate stands in such stark contrast to Emanuel Adebayor. Although I am certain I audibly moaned upon his insertion, it comes as no surprise from a karma standpoint that Super Pav scored the game winner. He's done this sort of thing his whole career at Spurs - mope around in a completely disinterested fashion and then - suddenly - the ball is on his foot and he scores a marvelous goal.
This one occurred in the 61st minute and came courtesy of a beautiful back-foot pass from Man of the Match Rafael Van Der Vaart, who had shifted to "wing" upon Lennon's removal, but who really seemed in the second half to make up part of a diamond-and-one formation with Luka Modric' beside him in the middle, Scott Parker in back, and the constantly offside Adebayor up front. This actually seemed to work reasonably well in the second half, as Spurs enjoyed the better of the chances and left the pitch clearly the superior side on this day, but well short of the dynamism they have shown with a healthy Bale and Lennon on the flanks. In short, they looked fairly average - clearly better than the Sunderlands of the world, but perhaps not up there with the competition at the top of the table.
Labels: Aaron Lennon, James, Spurs, Tottenham Hotspur
Game Day Beer Review: Unibroue Maudite Strong Dark Belgian Ale
Poured from a growler, purchased on draft at the Victoria Gastro Pub in Columbia, Maryland. Drank after a very enjoyable Thanksgiving dinner.
Maudite was poured into a pilsner glass. I know this wasn't the best glass for it, but hey, it wasn't my house, so you take what you get.... The beer was a clear, dark amber that showed almost no head at all -- likely on account of the aforementioned glass....
It smelled of caramel and malt, with maybe some apples just about finding their way into the scent. It definitely smells like delicious....
The beer is nicely carbonated, and has a bit of chocolate in the early going. It's fairly complex: I'm getting malt, chocolate, a sweetish apple taste, just the faintest bit of mild, hoppy bitterness, and a clove note in closing to bring it all together. The taste stays with you for quite awhile.
It's a bit thinner than some other Belgian Strong Dark Ales I've been drinking, but damn, it grows on you. More, please! A
Labels: Beer, Belgian Strong Dark Ale, Unibroue
Hiding in Plain Sight: Manchester United 2 - QPR 1
photo by TakenByTina via PhotoRee
Sir Alex put out a strong side for United's visit to the capital yesterday, shocking most observers by going with a lineup unchanged from the eleven that beat Wolves just eight days earlier. Manchester United were looking for a victory to put pressure on Manchester City and move into the top spot -- even if just for a couple of hours -- prior to the Christmastime fixture congestion. The Reds' controlled the match from start to finish, and although the 2-0 final scoreline might imply a tense match, it belied the action on the pitch. Herewith, the game report from our roving correspondent:
It's an ideal start for the champions, with Wayne Rooney getting just enough onto the end of an Antonio Valencia cross to head it past QPR 'keeper Radek Cerny inside of the game's first minute. Its 1-nil at the outset, but before another 120 seconds can pass -- including the time needed for a brief celebration and re-start -- United threaten goal again, QPR's back line a shambles and Nani picking out Danny Welbeck before Cerny can bail his side out and keep the damage to a minimum.
Rooney, Valencia and Nani look absolutely electric early on, making QPR's defenders appear as if they're back in the Championship. United look bigger, stronger and faster than the home side in the opening quarter hour, like QPR but on steroids.
Rangers' first opportunity of the day comes when Patrice Evra slips and falls near his own box, but luckily for the visitors Jay Bothroyd squanders the gift high over the bar. QPR have come back into the game by the 25 minute mark, although it's United, with the movement of Valencia, Nani and Welbeck, the drive of Rooney and Phil Jones, and the calm assurance of Michael Carrick on the ball, who really catch the eye.
How Jonny Evans misses an open header from directly in front of goal is a question both he and Welbeck will ponder for quite some time, with Welbeck wondering about the missed assist for his hard work in heading the ball over to the central defender, and Evans attempting to determine why he's still not on the score sheet. Jones will soon be thinking along similar lines, put through on goal with only Cerny to beat, but his finish is less than sublime and tipped around the bar by the 'keepers' foot. Ranger's 'keeper is more than up to the task today, and it's Valencia he denies next, somehow tipping the ball wide of goal as he falls to ground. Evans is cleared off the line and Rooney is forced just wide of net as the Reds continue their tremendous onslaught on the home side's goal. This is a different United side than we've seen lately, hungry and confident, and looking to take the game straight at the opposition.
Labels: Jonny Evans, Manchester United, Michael Carrick, MUFC, Phil Jones, QPR
Speaking Elvish: Week 16 in the EPL
photo by 50 Watts (formerly A Journey Round My Skull) via PhotoRee
Not much happening in the English Premier League on the penultimate Saturday prior to Christmas: only five games on tap yesterday, and it would be misleading to label most of the action I saw as 'scintillating.' Furthermore, Chelsea was the only one of the "big six" teams in action, making for a rather humdrum day of footie watching. Nevertheless, we push onward and upward, as the show must go on....
o Has there been a defender who's cleared more balls off the line this season than Russell Martin of Norwich City? He did it again vs. Everton on Saturday and prevented another goal, which was crucial in helping Norwich to a point at Goodison Park. This many clearances should also help Martin receive an honorary goalkeeper card at the end of the season.
o There were lots of empty seats at the DW for Chelsea's visit on Saturday. You can't really blame the fans given Wigan's form this season, but they missed a helluva performance by their team on Saturday. Once again, Wigan showed a spirited fight to continue the upward trend they've been on for last few weeks, and they looked the more likely winner as time wound down on the game. Can Roberto Martinez pull yet another rabbit out of the Wigan hat to keep his boys up for one more season? It's still too early to say, but I no longer think Wigan is nailed on for relegation.
o Just a quick question: You think there's any way that Juan Mata speaks Elvish...?
Labels: Chelsea, Everton, Misc, Norwich City, Wigan
Game Day Beer Review: Oskar Blues Brewery Ted Fidy Imperial Stout
(10.50% ABV). I have to admit I was puzzled by the name of this beer the first several times I saw it. Ten Fidy -- I just couldn't quite work out what it meant... The meaning should be well apparent to you, however, if you look just to the left of where this review begins. If you still new help after you're taken a gander at the alcohol level of this brew, drop me a line and I'll help you out. All I'll ask for in return is a little Ten Fidy....
This excellent brew comes from Oskar Blues brewing, located in Lyons, Colorado. It's one of my favorite domestic breweries, and if you haven't tried something from these guys, you owe it to yourself to do so.
I've reviewed other beers from Oskar Blues on the website before, but much to my surprise I've never reviewed this particular offering, especially as it's one of my favorites. With winter quickly approaching, and the weather beginning to cool down a bit, the timing seems about right, so here goes:
Ten Fidy pours like no other beer you've ever seen. It's thick and viscous, kind of like a ink black motor oil. It doesn't create a huge head, but what head it does create is a solid mocha brown color before it disappears.
I'm getting booze, chocolate, and licorice on the nose, but it's the taste that really sets this thing apart. It's a mélange of sweetish coffee and chocolate, followed by a boozy, licorice tasting finish that lasts and lasts and lasts. It's thick on the tongue, with just a tiny bit of carbonation.
I know Imperial Stouts are not everyone's cup of tea, but this is probably my favorite style of beer. It's a sipper, definitely not sessionable, and I consider it to be a great after dinner drink when you're sitting around the house and only want to have one beer. It would also make a great dessert beer, paired with something deeply chocolate, but I don't usually eat dessert when I'm drinking beer. This one's dessert enough for me: A
Labels: Beer, Imperial Stout, Oskar Blues Brewery
Just Good Enough
Scott is careful to always roll up his pant leg when bicycling to his weekly football game
photo by richardmasoner via PhotoRee
Columnist Scott is back on the Liverpool bandwagon, but would never consider hopping on the Barcelona one:
Early on at Anfield this past Saturday, the stench of "we should win but…" pervaded as Liverpool dominated Queens Park Rangers, but created few quality chances and squandered the ones they did. With Maxi Rodriguez (the alter ego of Maxi Man, the soccer virtues of whom have been extolled previously on these pages) in the lineup, statistically the Reds should dump in some goals but frustration quickly seeped into the Liverpudlian collective conscience.
While perhaps starting earlier, it was quickly at full saturation when, in the 9th minute, Luis Suarez hit the 'keeper in the chest on a free header, further extending his goalless streak. Two minutes later the Uruguayan was able to simultaneously vent his frustrations and augment those of his teammates when he shot from a nearly completely obtuse angle while ignoring the waving hands of those wearing red. Clearly sensing that Suarez might explode (or bite them) if he went too much longer without a goal, every red shirt was forcing the ball to him rather than taking the shot themselves.
Labels: Barcelona, Liverpool, Misc, QPR, Real Madrid, Scott, World
photo by slopjop via PhotoRee
Columnist Ed thinks he's onto something:
Dear Diary:
I want to start by apologizing for not dropping you a note sooner, but frankly I've been in such a funk lately that even putting pen to paper has seemed like a bridge too far. I think you already know what's causing my angst, but permit me to list it again in hopes of finally cleaning out the brainworks, so to speak.
First of all, everyone in the office is calling me "Wiggie" now, due to the fact that I'm currently in the same position in the company's fantasy league – 18th – as a certain club known more for rugby than footie. It's shocking considering all the high powered spreadsheets that I employ to formulate my lineup. (Call me crazy, but I really thought that the z-axis I installed this year would get me where I need to be.) But seriously, if Nigel Reo-Coker and Steven Hunt don't put up some numbers soon I'm going to personally visit their homes and give them the old Who's Your Father.
Second, I'm still not over the fact that United lost to some team called FC Swiss Miss in the group stage of the Champions League. It's awful, it's embarrassing, and the hurt just won't go away. Well, it does go away some when I pound some Arrogant Bastard Ale (Clean, intense flavor with full bodied taste of anger, 7.2% ABV, A double minus for the arrogance), but it's getting harder and harder to get away with that in the office before 11am.
Labels: Ed, Fantasy, Manchester United, Misc, Spurs
Planted by the Potters: Stoke City 2 - Spurs 1
photo by Bods via PhotoRee
James makes a return to these pages, in search of the silver lining in Spurs' weekend's loss to Stoke:
Spurs' fantastic league run had to end some time. And in gazing at the schedule through the last few weeks there were two games that popped up as troublesome: Chelsea at the Lane next week and our trip to the Britannia last Sunday, a notoriously difficult place to play for reasons that are well known. The "cold Tuesday at Stoke" expression seems particularly profound after the events of last weekend.
Although the location, support and weather are clearly factors in Stoke sitting 8th and for Pulis never having been relegated despite negligible budgets and talent levels, the main reason for Stoke's recent success is their Neanderthal style of play in a league that, overall, is evolving from the hoof and throw mentality. But not the Potters, who not only employ the style but seem to happily embrace it. This is so even for their fans, who are famous for chanting "we only score on throw ins" and taunted Spurs at the end of the first half on Sunday with "2 nil to the rugby team."
Of course none of this is a surprise for those that follow the Permiership and certainly not for Harry Redknapp and his Spurs. But there they were in the first half looking like they were continually trying to play chess in the middle of a game of checkers. Credit to Stoke who came out ready to play, vastly more so than the Lilywhites. They consistently beat Spurs to loose balls, bullied them all over the pitch and took full advantage of Spurs' sloppy marking (the second goal was the otherwise sublime Scott Parker's worst moment so far in a Spurs' shirt) to race to their first half lead. Even when Spurs made the occasional counter attack, it appeared that a cross would come aimed haphazardly at Adebayor in the box surrounded by four red and white striped trees. It was during the first half of this game that I realized how short a team Spurs are, particularly without Dawson and King in the back, while, for some reason, Gallas and Kaboul, for all their virtues, seem genetically unable to get more than six inches off the ground. Stoke took full advantage of this in the first half and did all the annoying things the Potters do - one could read whole chapters of "War and Peace" while Shotton dried the ball with his special ball-drying shirt during any one of the hundred throw ins Stoke executed.
Labels: Chris Foy, Spurs, Stoke City, Tottenham Hotspur
Clash of the Titans: Chelsea 2 - Manchester City 1
It was a putative clash of the titans at Stamford Bridge on Monday night, with the former Champions of England, Chelsea FC, hosting the once and possibly future champions from the city of Manchester. Titanic amounts of money and even larger egos were at stake, pitting the noveau riche Russian oil Oligarch (who made his money the old fashioned way, by stealing it) versus the nouveau riche Middle Eastern oil oligarch (who made his money the new fashioned way, by fleecing the West). All eyes in the football world were turned squarely on London, as the title bout held repercussions up and down the table. Straight to the match observations we go:
o Chelsea had it all to play for yesterday, entering the contest 10 points behind City in the table. A victory would also ensure that Chelsea moved to third in the standings. So how could they possibly have let the game begin so disastrously, allowing Mario Balotelli to waltz into the goal mouth, not a care in the world, and open the scoring before the home fans could even dry off their seats? It was shocking defending, even by Chelsea's standards this year, as Balotelli made Branislav Ivanovic and Petr Cech look like rank amateurs on his way to scoring a goal in his eighth straight start.
o City opened the game looking like a schoolyard bully toying with the 80 pound weakling. Confident in possession, knocking the ball around this as if it was a Sunday kickabout at the park, City looked relaxed and comfortable in the hostile Stamford Bridge environment. On the rare occasion when they didn't have the ball, the Sky Blues were quick to close Chelsea down and forced repeated cheap turnovers from the home side, who opened the game looking almost as nervous as a very short nun at a penguin shoot.
Posted by farlieonfootie at Tuesday, December 13, 2011 2 comments:
Labels: Chelsea, Frank Lampard, Gael Clichy, Manchester City, Misc, Raul Meireles
Yes, But Can They Do it on a Cold December Night in Stoke?: Week 15 in the EPL
Lots of 10am Kickoffs on Saturday meant the inability to really watch and concentrate on more than one game at a time -- and loyal readers of this space might have a hunch that it was the Manchester United match that got the closest view. Consequently, this column is a bit more focused on Sunday's action than is typical:
o Steve Keane looked dressed for a funeral yesterday on the eve of his one year anniversary at the helm of Blackburn, wearing a gray suit, silk rep tie and black overcoat as he stood stolidly on the Stadium of Light's sideline. The Manager could have been forgiven for thinking his choice of dress was appropriate, as he was just about in the process of laying the "sack Steve Keane" movement to rest before his side gave up an 85th minute equalizer and a 93rd minute winner at the Stadium of Light -- a result that was extremely harsh on the visitors and that may well lead to Keane's own demise.
o Keane may have lost the Blackburn fans, but he clearly hasn't lost the locker room, as evidenced by the way his boys threw their bodies around the box in a determined effort to keep Sunderland out of the net -- especially in the game's second half, a 45 minute rampage that saw the Black Cats throw wave after wave of attacks at Rovers. The two late goals will mean even more calls for the Keane's head, though, and one can perhaps find fault with the team's increasingly deep lying positioning, which left Yakubu more isolated than Robinson Crusoe, and gave the impression that Roves were more interested in hanging on to their early lead than they were in trying to finish the game off with a second goal.
Labels: Blackburn, Chris Foy, John O'Shea, Luka Modric, Player of the Week, Spurs, Steve Keane, Stoke City, Sunderland, Tottenham Hotspur, Younes Kaboul
Back in the Groove: Manchester United 4 - Wolves 1
photo by spacepleb via PhotoRee
Staring the Europa League squarely in the face, and with Captain Nemanja Vidic lost for the rest of the season, Manchester United hosted Wolves yesterday at Old Trafford, seeking the succor of home cooking to get their season back on track. The campaign, which began so promisingly back in the glory days of August and September, has this week threatened to dissolve into a series of tough questions and pointed fingers, the result of the team's poor recent run of form. Herewith, our correspondent's report:
It's an open game right from the sound of the referee's whistle, with Wolves taking a shot within the game's first 30 seconds. Not to be outdone, Nani shows his guile in teeing up an opportunity at the other end of the pitch just three minutes later, sending a perfectly weighted through ball across the face of goal, but there's no one for United at the other end for the tap in.
The attacks continue as Michael Carrick misses a spectacular diving header, connecting on the end of a luscious Antonio Valencia cross, but sending the ball just over the bar. United are dominating the early going, taking advantage of Wolves' lack of pace on the wings.
Wayne Rooney in particular is operating in acres of space early in the contest, and today could be the perfect opportunity for the Englishman to get his season back on track. Wolves' 'keeper Wayne Hennessy bails his team out, likely not for the first time today, after Carrick intercepts the ball in an advanced position and slots the ball through to Rooney, but the Hennessy is up to the task to deny United's main man. His luck doesn't last for long, though, as it's only a minute later that Nani drags the ball along the top of the box before beating him and finally giving the home fans something to cheer about. It's 1-nil inside of 20 minutes, with Nani scoring for the first time since September.
Labels: Manchester United, MUFC, Nani, Wayne Rooney, Wolverhampton Wanderers
Game Day Beer Review: Anchor Brewing Our Special Winter Warmer Ale
Brewed for distribution only between November and mid-January, Anchor Brewing's "Our Special Ale" has become something of a holiday tradition in my house. Now in its 37th year of production, this beer is one that I look greedily forward to every holiday season. It's one of the best domestic holiday beers, in my opinion.
Poured from a 12 oz bottle into a modified pilsner glass, Our Special Ale is darker than you might imagine. It's a deep amber color, with the light in the room reflecting through the crystal clear beer like a string of lights on a Christmas tree. Our Special Ale offers a full, light mocha-colored head that leaves copious amounts of lacing in its wake.
On tasting you realize this is a fairly complex brew. I'm getting some upfront malts balanced by a certain hoppy dryness, but it's also full of flavor in between, as well: cinnamon, chocolate, pine, and even some faint clove.
The overall effect is wonderful, as it's all tied together. This beer is incredibly smooth, and oh-so-easy to drink. 2011 could be my favorite year yet: A
Labels: Anchor Brewing, Beer, Winter Warmer
photo by BigTallGuy via PhotoRee
The column in which Correspondent Scott throws in the towel:
No, much to the chagrin of you loyal readers whom I have bored with my meager literary ramblings, and I doubt to the relief of farlieonfootie, the resignation is not from my post as an unpaid and underappreciated blogging scribe, but rather refers to my acceptance, belatedly many would say, that Liverpool, in all likelihood (I still have to qualify), has no chance at winning the EPL title this year.
Patronizing, "I-told-you-so" chuckles are surely being enjoyed by many, exacerbating the depressing cloud that envelopes that first sentence. But results are results and facts are facts. The result that prompted my Prozac prescription was a 1-0 loss to Fulham this past Monday at Craven Cottage. And the fact that increases the dosage of that medication is that Liverpool have "progressed" from drawing games they should win to losing them. A troubling pattern to say the least.
The pace of the Fulham game was frantic with both sides getting chances in the first half. Jordan Henderson, in the space of 10 minutes, showed why he is both a liability and a potentially brilliant emerging talent. Around the quarter hour mark he completely muffed a clearance that gifted a goal scoring chance to an opportunistic Fulham offense but then, only minutes later, he bucked the meaningless-passing malaise that had infected the Liverpool offense by boldly charging into the box and curling a looping shot that bounced agonizingly off the inside of the post.
Posted by farlieonfootie at Friday, December 09, 2011 1 comment:
Labels: Andy Carroll, Liverpool, Luis Suarez, Misc, Scott
As if to prove that quantity is better than quality, here's Columnist Ed:
I'm guessing it was from a few inappropriate comments to the boss man about his relegation zone performance in the firm's fantasy league, or maybe it was that time I rubbed the top of his head at the firm holiday party in a crude attempt to make a wish (I don't know, it just seemed like it would work at the time). But for whatever the reason, I've been put on the Chelsea beat this week, so here are my comments on a team that's seemed somewhat dysfunctional so far.
It was actually nice to see that Chelsea remember that they are a good team this week in their Champions League game against Valencia. They looked bigger, stronger, faster, and more skilled than the Spanish side. Except for Mata who merely looked more skilled. Mata is an interesting player. He's so slow as to be a defensive liability. He's also small enough to get shoved around a bit. However, he gets the most out of what he's got by being a very creative player on offense. I can see why he can't get on the field for Spain, and against good teams I think his skill is not enough. But he's a nice player that has added a ton to the Chelsea attack this year.
Having Fernando Torres behind him has definitely changed the tempo of Didier Drogba. There were many times over the past few years where he semed disinterested in the games he appeared in. In the game against Valencia, I saw a statistic that nearly put me to the ground. Drogba had run 3.83km in merely 30 minutes. I think he went months last year without running that much. Plus, he sprinted with the ball on a nice fast break, and put one in the net after a nice move in close space. Drogba hasn't lost any ability in his age; it's all a matter of desire with him as far as I can see. It would be a mistake to get rid of him and keep Torres. It would be expensive to do what they should do and get rid of Torres to keep Drogba.
Posted by farlieonfootie at Friday, December 09, 2011 3 comments:
Labels: Ashley Cole, Chelsea, David Luiz, Didier Drogba, Ed, Frank Lampard, Juan Mata, Misc, Petr Cech, Raul Meireles
Excuses, Excuses: FC Basel 2 - Manchester United 1
photo by edwin.11 via PhotoRee
Too much through the middle
Not enough wing play
Too old
Injury to Vidic was a major blow
Rooney's out of form
No midfield
Chicharito injured
Berbatov injured
Owen injured
Anderson injured
Carrick suspended
Smalling fell asleep
Lindegaard would have stopped that shot
Ashley Young can't handle big games
Rio's lost a step
No Da Silva twins
Fletcher's still sick
No Paul Scholes this year
Too muddy in front of goal
European ref didn't call the game the right way
Lucky bounce
Jonny Evans' is a disaster waiting to happen
Too nervous
Rooney's more focused on his England suspension than the Basel game
Tom Cleverly was needed to provide creativity
Should've put on Welbeck sooner
Bottom Line?: Just not good enough this season.
Glory, Glory Man United!
This is farlieonfootie for December 8.
Labels: Champions League, FC Basel, Manchester United, MUFC
Another Good Week for The Lilywhites
photo by Here's Kate via PhotoRee
James is back on the Spurs' beat. And just in the nick of time:
There's death. There's taxes. And there's the fact that Spurs will sign a reasonably accomplished center half in January, and it will probably be Gary Cahill. This after an in-form Spurs side and the jaw dropping idiocy of referee Stuart Attwell conspired to hammer another nail into the Bolton relegation coffin and provide further lift for Spurs charge up the Premiership table. As for Cahill, Spurs chased him unsuccessfully in the last window and will with no doubt bring him in next month. His reputation for headiness and solidity should not be diminished by the events of last Saturday.
The unsurprising fact that Cahill and the rest of the Bolton back line had trouble dealing with Spurs' front line in the first 17 minutes aside, one would be hard pressed to witness a more ludicrous red card than that given by Attwell upon Cahill's sliding tackle of Scott Parker at that point. Either both cleats would have had to have been up (they weren't) or it would have had to have been a clear goal scoring opportunity (it wasn't: I had a better chance of scoring from my family room than Parker from that place on the pitch). Uncle Harry looked embarrassed. Owen Coyle looked like someone had confiscated the rest of his scotch for life. And what little drama was to be found in this match dissipated immediately.
Posted by farlieonfootie at Wednesday, December 07, 2011 2 comments:
Labels: Gary Cahill, Harry Redknapp, Spurs, Tottenham Hotspur
Nodding Off: Fulham 1 - Liverpool 0
Correspondent Ed Preparing Game Notes on Monday's Contest
photo by russelljsmith via PhotoRee
Andy Carroll got the nod alongside Luis Suarez on Monday, as Liverpool traveled to Craven Cottage to take on Fulham. Or maybe it's better to say Carroll caused a nod on Monday. As in, I just about nodded off while watching him play. And King Kenny didn't look so happy with his charge, either. Carroll looks totally out of synch with his Liverpool teammates on offense -- they're trying to play a high tempo, quick movement game, and he's just not quick or good enough to keep up.
Meanwhile, Fulham's strike corps is not in a much better state: Bobby Zamora is a striker who generally personifies the attitude that if one touch in the box is good, three must be even better.
Fulham's attack looked labored at best, and stuck in the mud at worst. They had no movement or rhythm at all to their play until after Jay Spearing was red carded, and created very few real chances in the first 75+ minutes on Monday night playing in front of their home crowd. I'm not exactly sure what Martin Jol's new system is, but the Fulham players don't seem to be getting it. At all.
And it's not just on the pitch that Fulham has problems. Such is the current state of chaos in the Cottagers' locker room that their players were recently given a gag order, told by management not to speak with the media. Lots of dissatisfaction with the current state of affairs, if you believe the reports.... It's such a strange situation at Craven Cottage: ever since Uncle Woy was wooed away to take the reins at Liverpool West Brom, Fulham has been on a path straight downward. First, Mark Hughes walked away from the head coaching job FOR NO APPARENT REASON AT ALL, then Martin Jol came in, and has only won 3 games (including Monday night's contest). Fulham now find themselves in a relegation dogfight, and it could be a long year in West London. At least they'll always have their Michael Jackson statue....
Labels: Andy Carroll, Clint Dempsey, Fulham FC, Liverpool, Luis Suarez, Misc
Karma's a Bitch: Week 14 in the EPL
The super-inept Mike Dean assured himself a place in the headlines once again, incorrectly -- unbelievably, incredibly, inexplicably -- handing out a yellow card when the accident-waiting-to-happen named David Luiz mauled Demba Ba as the last man on a clear goal scoring opportunity on Saturday at [insert new name here] Park. Not finished yet, only a couple minutes later Dean awarded Chelsea a kick from the spot when Danny Sturridge dove theatrically over the outstretched leg of a Newcastle defender. Tim Krul saved Dean momentarily from a post-game lynch mob when he denied Fat Frank's low and slow effort to keep he match knotted at zero. In truth, Lampard looked as if he rushed his shot, most likely in an effort to gain a slight lead in the sprint to the post-game buffet table.
So here's the question: How often does Dean need to be the storyline before the FA take action? I can't remember a referee who more consistently makes improper game-changing decisions.
o The formerly "solid" Newcastle defense is beginning to shows signs of cracking. Toon gave up a ton of chances to United last week, and looked a complete shapeless shambles against Chelsea this weekend. If it wasn't for some good work in between the sticks by the aformentioned Krul, Sturridge would have had a hat trick before half time.
o The Magpies apparently used up their season allotment of god luck last week at Old Trafford. Giving up a disputed penalty, hitting the bar three or four times, plus being cleared off the line seems like a fair result to me -- Ain't karma a bitch, Newcastle fans?
o Roberto Martinez declared that his team had "turned the corner" after gaining four points in their last two League games against Blackburn and Sunderland. To which I ask: Turned the corner into a dead end? Wigan's time in the Premier League is running out, my friend.
o So it turns out Manchester may, in fact, be Blue. I learned that from seeing the color of all the unoccupied seats at The Emptyhad Stadium for Norwich City's visit to the League leaders on Saturday.
Labels: Mike Dean, Newcastle United, Other, Player of the Week, Roberto Martinez, Yakubu
Stretched: Manchester United 1 - Aston Villa 0
photo by Dan Zen via PhotoRee
Manchester United faced off against Aston Villa today needing a victory to keep pace with league leaders Manchester City, as well as chasers Spurs, Arsenal and Chelsea. The Reds were hoping that their Dane in goal, Anders Linegaard, paired with Rio Ferdinand, Nemanja Vidic, Patrive Evra and Chris Smalling on defense, would bolster a side that has looked less than solid at times this season. Phil Jones kept his place in the lineup, albeit playing midfield this time around, and was accompanied by Ashley Young, Michael Carrick and Nani. Wayne Rooney and Chicharito played up top to round out the 4-4-2 played by the Champs to open the game.
The contest began ominously enough, with Chicharito twisting his ankle and being carted off on a stretcher inside of 8 minutes. Hernandez's injury was not only worrisome in the context of yesterday's game, but even more so given the injury earlier in the week to Dimitar Berbatov, putting additional strain on the United strike corp that is already producing at a paltry clip. The Mexican was replaced by Antonio Valencia after a 4 minute stoppage, and with main man Wayne Rooney's continued drought in front of goal, United looked as if they would depend more than ever on someone unexpected coming up with the goods to take all three points from the contest.
Although United had considerably more of the early possession, in keeping with recent form they created very few real chances. Their lack of a cutting edge changed at the 20 minute mark, though, with Nani teeing up Jones' inaugural League strike, a cross turned into the net by a perfect toe poke, to give the visitors an early 1-nil lead. Nani tried to double the lead off his head inside of five minutes; although his long range effort was on target, Shay Given denied it rather effortlessly.
Labels: Aston Villa, Chicharito, Manchester United, MUFC, Phil Jones
A Bitter Pill
Photo by Be. Futureproof on Flickr
Columnist Scott on Liverpool:
Liverpool will have no chance at a title any time soon, and will struggle to be in the top four if they continue not to win games that they should. This is exactly what happened when they met Manchester City at Anfield last weekend. Despite downing their whipping boy Chelsea again a few days later in midweek League Cup action, the Reds let another 2 points slip from their grasp (just like they did with Norwich City and Swansea previously) as they failed to score the winning goal in a game they won in every other sense.
With King Kenny and His Scarfness roaming the sidelines, Manchester City left Mario Balotelli and Edin Dzeko on the bench, while Liverpool did the same with last game's heroes Craig Bellamy and Maxi Rodriguez. Through the first quarter hour, City looked the better side, pressing early and often while Liverpool struggled to keep possession, despite the The Kop's boisterous exhortations. Only Luis Suarez seemed to show any creativity and the hot-potato passing (of which Jordan Henderson is the master) was worrisome. Such a lethargic start was capped at the 17 minute mark when Pepe Reina had to bolt from the confines of his penalty area (for the first of three times during the game) to tackle a City player who had pounced on a short back pass from Jose Enrique.
Posted by farlieonfootie at Saturday, December 03, 2011 1 comment:
Labels: Liverpool, Manchester City, Scott
How Good is the EPL?
Photo by Matthew Wilkinson on Flickr
Asks our friend, Columnist Ed:
Our friends at Zonal Marking closed an article on the Liverpool vs. Manchester City with the following damning remark: "Overall it was a stereotypical Premier League game – fast and frantic, but relatively little technical brilliance."
But is it true? Do the best in the EPL lack the technical brilliance of the top teams in the other top leagues in Europe? Let's review:
With respect to Manchester United, one would have thought the team would be improved from last year with the additions they made. They seemed to get smaller and quicker, losing only their goalkeeper and the aging Paul Scholes. But now we're starting to see just why Sir Alex was trying to move in Wesley Schneider. They are simply lost in the middle of the pitch, with no creative talent – not Carrick or Anderson or Rooney – to call on. Giggs, at about 38, is unbelievably the best option they have right now, but he's just too old to be an impact player for 90 minutes. Or even for thirty. And how many times in the history of United could you say this?: I'd takes Spurs midfield of Modric and Parker all day over anyone United can put out there right now. Wow. No midfield means a struggle in the Champions League and at times in the EPL. And yes, a certain lack of technical ability.
How about the league leaders, the currently undefeated Manchester City? I thought they would make a strong run in the Champions League. But last week, they looked to be pretty much at the same level of a team that's in seventh place in the Italian La Liga. They lost that game 2-1, but it could have been worse. Now their opponent, Napoli, does play a somewhat unusual formation together with a counter-attacking style, but really, how could the Italian Mancini not be ready for that? Ultimately, City has top drawer talent with Sliva and Toure and Aguero, but to date Toure and Milner and Barry play as more or less blunt objects in the midfield, and Kompany and Prescott bring size more than they bring skill.
Labels: Arsenal, Chelsea, Ed, Manchester City, Manchester United, Other, Spurs, Tottenham Hotspur
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How Vintage is Your Retro Table Lamp?
Once, table lamps were the only source of light before bed. These days, table lamps are necessities for every room. They are not only functional, but also decorative.
If you can find modern table lamps for your modern theme rooms, then you still can find retro table lamps which recall you to your beautiful childhood years.
Marble table lamps were always present at old style houses with marble flooring. Such a perfect combination for a mansion with the strong vintage, yet elegant look.
They were made of pure marble, with a high level of thickness. But, these days, they are modified into various designs, though they don't take the vintage look for granted.
Get this unique lamp on your bedside and your kids will be delightful about the operation of a kerosene lamp. For sure, you don't have to find kerosene as the fuel for your retro table lamps, that might cause air pollution.
All modern 'kerosene' table lamps are available with LED light with the power of rechargable lithium battery, though you still can control the dim by rotating the switch, just like what you did to the original lamps when you were still kids.


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CinemaCon 2019 Delivers the Best in What's to Come for This Year
By Jeri Jacquin | July 2, 2019
Every year I look forward to a trip with my favorite traveling companion Jenise aka Film Brat to Las Vegas, Nevada for CinemaCon that began Monday, April 1st! We always start the very early drive 5+ hours and make sure to take time to stop at our favorite places along the way, have great conversations, crank up the music and enjoy our little working vacation.
We make our usual pit-stops along the way for gas and snack breaks but this time the stops were to see the majestic snow covered mountains that surrounded us. From San Bernardino to Victorville, I can not remember the last time I saw so much snow. We also stopped to see the masses of butterflies everywhere and the fields that are coated with flowers of every kind and color.
Our usual stop at the World's Largest Thermometer in Baker, California also coincided with our stop at the place where humans meet aliens. Alien Fresh Jerky surprised us this year as we discovered serious renovations to the general store and the beginnings of what is to be a new alien hotel. I already asked if it was possible to make reservations for next year but alas – no lift off.
Then the long stretch of road that is good for having the window down for fresh air before coming over the slight hill that shows the ever expanding city of Las Vegas in Nevada. Of course it isn't a surprise to find as the roadside is covered with billboards warning of impending fun times no matter what you might be into.
Our favorite place to check into is The Linq which is right across the street from Cesar's Palace. That works out ducky since Cesar's is where we spent our entire week with CinemaCon 2019. Checking into our rooms and a quick freshening up, we head off to the first day of the four days of a mixture of work and fun.
After a few conferences, we are welcomed to a pre-reception welcoming us to CinemaCon 2019 and to get us in the mood for what is to come, NEON premiers a screening of the film WILD ROSE. Afterwards we finally have a chance to say hello to other attendees who we have come to know over the years. It's a great time to catch up, show off kid and grandkid pictures, and talk about what's new in theatres and our schedules.
Tuesday morning we hit up a little breakfast time before seating to see what STX Films has to share with us. Jon M. Chu walks on stage to talk about the three movies that brought him to be a part of filmmaking and they are E.T., BATMAN and THE JOY LUCK CLUB. We were thrilled with his choices because, as for me, those three are on my top 20 list without question. His next project is IN THE HEIGHTS working with Lin-Manuel Miranda and will be in theatres in 2020.
Charles Rivkin, Chairman & CEO of the MPAA says, "As technology grows, it always speaks of doom for theaters. Yet, as Edna Mode says, 'here we are!' Cinema continues to grow, become more diverse and tell stories people want to see and hear. The audiences take magic seriously."
Adam Fogelson, Chairman of the MPG introduces what is to come for STX and there are a few things we are personally waiting for. Beginning with a look at BEST OF ENEMIES which is the story of Ann Atwater starring Taraji P. Henson and Sam Rockwell and POMS starring Diane Keaton (who takes the stage of charm us all), Jackie Weaver and Pam Grier is the story of women of a certain age who start their own cheerleading group.
Chadwick Boseman arrives on stage to talk about his upcoming city thriller 21 BRIDGES as New York shuts down the bridges to apprehend criminals. The film also stars JK Simmons and Taylor Kitch who gets a chance to try on his bad boy chops. Dave Bautista arrives to talk about his comedy MY SPY with Ken Jeong, Chloe Coleman and Kristen Schaal.
If horror is more your style, BRAMS: The Boy II is back and this time Katie Holmes comes along to talk about the next chapter. Holmes says she saw the universal connection of a mother and child. Working with the young actor Christopher Convery was very exciting as well. As for the supernatural aspect, Holmes says, "There were a couple of times during shooting that things happened that gave me moments of a scare".
THE GENTLEMEN is next on the slate and it starts one of our favorites Charlie Hunnam, Henry Golding, Hugh Grant and Matthew McConaughey. Golding who starred in the hit CRAZY RICH ASIANS says he would do anything they asked to be in the film, "My character is unpredictable, young and hungry and not a character anyone would expect me to play".
Hunnam says, "I play a guy named Ramundo who is the right hand man to Matthew, who is the biggest weed dealer in the U.K. Most of the time I play the guy who is quite bookish and does the logistics but once in the while I pull out the bone saw." That being said, please put us down for two tickets immediately!
Colin Firth returns to the screen with his upcoming film THE SECRET GARDEN, Jennifer Lopez also has another film in the hopper with HUSTLERS, the film COUNTDOWN, HORIZON LINE, WORK IT, CRIME AFTER CRIME are waiting to jump into theatres. Gerard Butler returns with GREEN LAND, Vin Diesel is MUSCLE and the Moms' Moms are back with BAD MOM'S MOMS.
Finally, the one we have personally been waiting for. A few years ago at CinemaCon, STX teased us with the story for a film called UGLY DOLLS. After their presentation, we were handed two of the strangest looking dolls but there was something surprisingly cute about them. Well, after two minutes of looking at it, my then two-year-old granddaughter took the pink 'Dreamy Bat' into her arms and they have been friends ever since. Now, the animated film is finally complete and will be in theaters in a few short weeks. It looks to be fun, full of moments and songs we will remember for a very long time.
WARNER BROS. STUDIOS brought their studio presentation hosted by Aisha Tyler, who is the voice of Lana in the animated hit series ARCHER, and she brought the laughs and a few special guests. Starting with animation, Toby Emmerich announces the coming DC PETS, TOM & JERRY, SCOOBY-DOO and SPACE JAM II.
DC brings its offerings of SUICIDE SQUAD II, BATMAN, WONDER WOMAN 84 and the highly anticipated Joaquin Phoenix as the JOKER. Director Todd Phillips says of the film, "What people hear about the film isn't accurate. If anything, my description of the film would be that it is sad".
Samuel L. Jackson brings the character of SHAFT back to the big screen, BIRDS OF PREY, and THE SUN IS ALSO A STAR is also in the works. THE GOOD LIAR starring Helen Mirren and Ian McKellan is directed by Bill Condon. SUPER INTELLIGENCE brings one of our favorite funny lady's Melissa McCarthy to the screen and is directed by husband Ben Falcone.
POKEMON DETECTIVE PIKACHU brings Justice Smith together with the yellow and furry animated Ryan Reynolds as Pikachu together for some fun. BLINDED BY THE LIGHT is a film that believes that trying to find the best of yourself is universal. Ansel Elgort and Aaron Finn star in THE GOLDFINCH DIRECTED BY John Crowley. Elgort says of the book to film, "I hope what ever drew people to the book draws them to the movie."
DOCTOR SLEEP directed by Mike Flanigan is a sequel to 1980 film THE SHINING. Ewan McGregor stars as the very grown up Danny Torrance who meets a young girl with powers like his own. GODZILLA: King of the Monsters brings Mothra, Rodan and King Ghidorah back to tear up the planet.
It is 1950s New York as Edward Norton, Bruce Willis, Willem Dafoe, Leslie Mann and Alec Baldwin star in the film MOTHERLESS BROOKLYN. Director and writer Andrea Berloff brings together Melissa McCarthy, Tiffany Haddish, Elisabeth Moss and Domnall Gleeson for the Vertigo graphic novel THE KITCHEN.
Finally, horror is back with a new friend and two repeat offenders as THE CURSE OF LA LLORNA wants your kids, ANNABELLE COMES HOME from writer James Wan and writer/director Gary Dauberman. Our favorite clown is back as the next installment prepares us for IT: Chapter Two with James McAvoy, Jessica Chastain, Bill Hader, Javier Botet and Pennywise himself Bill Skarsgard and all of it put together by director Andy Muschietti.
Now we can not be in Vegas without walking around in the evening to see the big lights and people watching that is what makes this working vacation so much fun. Watching the water fun at Treasure Island, visiting Gordon Ramsay's restaurant of fish right outside the door of The Linq with Hell's Kitchen right across the street. If you are looking for even more tasty treats, Guy Fieri has his steak house just waiting to grill to order, Robert Irvine Public House is next to the Tropicana, Nobu, and Searsuckers. Opening only a few days before our arrival is Vanderpump Las Vegas with her own unique style of flowers and class nestled inside Caesar's Palace next to the Coliseum.
What is in store for Wednesday and Thursday? Read on to our CinemaCon adventures Part Deux!
Jeri Jacquin
Jeri Jacquin covers film, television, DVD/Bluray releases, celebrity interviews, festivals and all things entertainment.
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Case-Mix Adjustment for Diabetes Indicators: A Systematic Review
By Hiske Calsbeek, PhD, RN
Joekie G.M. Markhorst, MD, MSc
Gerlienke E. Voerman, MD, PhD
Joz&eacute
C.C. Braspenning, PhD
A systematic review of the impact and rationale for the selection of adjustment factors (case-mix factors) used to describe performance in diabetes care.
Objectives: Case-mix adjustment is generally considered indispensable for fair comparison of healthcare performance. Inaccurate results are also unfair to patients as they are ineffective for improving quality. However, little is known about what factors should be adjusted for. We reviewed case-mix factors included in adjustment models for key diabetes indicators, the rationale for their inclusion, and their impact on performance.
Study Design: Systematic review.
Methods: This systematic review included studies published up to June 2013 addressing case-mix factors for 6 key diabetes indicators: 2 outcomes and 2 process indicators for glycated hemoglobin (A1C), low-density lipoprotein cholesterol, and blood pressure. Factors were categorized as demographic, diabetes-related, comorbidity, generic health, geographic, or care-seeking, and were evaluated on the rationale for inclusion in the adjustment models, as well as their impact on indicator scores and ranking.
Results: Thirteen studies were included, mainly addressing A1C value and measurement. Twenty-three different case-mix factors, mostly demographic and diabetes-related, were identified, and varied from 1 to 14 per adjustment model. Six studies provided selection motives for the inclusion of case-mix factors. Marital status and body mass index showed a significant impact on A1C value. For the other factors, either no or conflicting associations were reported, or too few studies (n ≤2) investigated this association.
Conclusions: Scientific knowledge about the relative importance of case-mix factors for diabetes indicators is emerging, especially for demographic and diabetes-related factors and indicators on A1C, but is still limited. Because arbitrary adjustment potentially results in inaccurate quality information, meaningful stratification that demonstrates inequity in care might be a better guide, as it can be a driver for quality improvement.
Am J Manag Care. 2016;22(2):e45-e52
Take-Away Points
Diabetes is associated with elevated morbidity, comorbidities, complications, and early mortality rates. It has an increasingly high prevalence and correspondingly high healthcare costs. Benchmarking is expected to reflect differences in quality of care, but case-mix factors can affect these scores as well. This review provides an overview of case-mix factors that are ideally included for specific indicators, showing:
A large variation in case-mix factors is used, and the factors' impact varies greatly.
Rationales for the selection of case-mix factors are rarely provided.
More evidence-based knowledge on case-mix adjustment for diabetes quality indicators is necessary for fair quality-of-care comparisons.
There is an increasing quest for public information on the quality of healthcare, which increases the need for transparency of the performance of individual healthcare providers as well as hospitals. For this purpose, the use of quality indicators has widely been adopted. Among the disease entities with ample research on quality indicators is diabetes. Treating and monitoring patients with diabetes is challenging, as the disease is associated with elevated morbidity, comorbidities, complications, and early mortality rates. It has an increasingly high prevalence, and healthcare costs are correspondingly high.1-3 Benchmarking performances in diabetes care is expected to reflect differences in quality of care delivered, but it is commonly known that population characteristics such as comorbidities or age can affect these scores as well. To facilitate fair comparison of quality of care, case-mix adjustment based on these population characteristics is suggested for adequate public reporting on healthcare provider performance.4 Indeed, the results of several studies indicate that the ranking of hospitals and physicians might change after adjustment by case-mix factors.5-7 Other studies, however, do not report clear effects.8,9
These conflicting results can be explained by the variety of factors used in the different risk-adjustment models.10 This variety may exist due to a lack of knowledge of, or consensus on, factors that need to be included in these models; nevertheless, knowledge of factors that could affect the quality of care does not axiomatically mean that we should adjust quality indicators for these factors. Ten years ago, Chin4 outlined the key elements of a diabetes case-mix adjustment tool based on the scientific knowledge so far at that time. One of these elements is validity, meaning that case-mix adjustment tools should do the required task of adjusting for factors affecting glycated hemoglobin (A1C) value beyond the provider's reasonable control. For example, when female patients or patients from minority ethnic groups receive lower quality of care and the performance can be controlled by the healthcare provider, gender and ethnicity should not be included in a risk-adjustment model.4 Instead, this gender- and ethnicity-specific information should be made explicit (eg, by calculating stratified quality indicator scores). This is just a single element of an appropriate case-mix adjustment tool. In addition, a case-mix tool developed for a single end point, such as A1C value, is not necessarily valid for other diabetes-related outcomes. Another recommended criterion is clinical face validity, meaning that the case-mix adjustment tool should comprehend all key factors. Also, Chin4 refers to a conceptualization of 6 fundamental domains (demographics, access to care, healthcare-seeking behavior, geographic location, duration and severity of diabetes, and comorbidity),11 which is a good start to ensure incorporation of relevant variables, and thus, clinical face validity. Other recommended characteristics of a case-mix adjustment tool are feasibility (ie, the tool should be simple to use and affordable) and applicability (ie, the tool should be applicable to a specific target population of patients with diabetes).
In order to assess the current scientific knowledge on diabetes case-mix adjustment and to advance an appropriate and valid case-mix adjustment, researchers and quality assessors may benefit from an overview of the evidence for inclusion of case-mix factors for specific indicators. This is also relevant for healthcare providers because only appropriate case-mix adjustment allows comparisons and benchmarking among providers. Furthermore, more insight into relevant case-mix factors may facilitate registration needs, as only context information that matters needs to be collected.
We therefore aimed to review the literature to: a) identify relevant case-mix factors for the 6 most commonly used quality indicators for diabetes (namely, the outcome and process indicators for A1C value, low-density lipoprotein cholesterol [LDL-C] value, and blood pressure)12; b) to explore the rationale for the selection of these factors; and c) to study the impact of these factors on performance (ie, diabetes quality indicator scores).
Data Sources and Searches
A systematic literature search was performed in the electronic databases PubMed, EMBASE, and the Cochrane Library on June 5, 2013, to identify scientific publications specifically addressing case-mix adjustment for diabetes quality indicators. The search was performed using the terms "diabetes mellitus," "quality indicators," "risk adjustment," and "case-mix," as well as combinations of these terms and related Mesh terms (eAppendix Table 1 [eAppendices available at www.ajmc.com]). The search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.13,14
We included original research explicitly addressing the impact of case-mix adjustment in diabetes care quality research (studies that both included adults and were written in English), with regard to 3 outcome indicators—A1C value (% or mmol/mol), LDL-C value (mg/dL), and blood pressure (mmHg)—and 3 process indicators—A1C measurements (% patients), LDL-C measurements (% patients), and blood pressure measurements (% patients).
Studies were excluded when they: a) addressed the quality of care provided to specific subgroups of patients with diabetes (eg, older patients) because these studies provide information on possible voids in provided quality of care to these subgroups rather than providing information on the relevance of including such factors in case-mix adjustment models; or b) applied case-mix factors as covariates to correct for variability between groups (intervention studies or trend studies).
The studies were first screened independently for eligibility based on title and abstract, by 2 reviewers (HC, GEV). In the case of disagreement, the publication was included in the first step of the selection process (see Figure). Next, full-text copies were reviewed by the same 2 reviewers and a decision was made for final inclusion or exclusion. If the 2 reviewers disagreed on inclusion, a third reviewer (JCCB) was consulted. The list of included studies was completed by hand-searching the reference lists of the selected studies and the journals in which these studies were published.
Data Extraction and Quality Assessment
From each included study, we extracted information on: aim; study design; study population; quality indicators; case-mix factors and their rationale for inclusion; the statistical association between case-mix factor and quality indicator; and, if available, the percentage, which explained variance and the effect of case-mix correction on ranking. Two reviewers (HC, JGMM) independently assessed the methodological quality of the studies and discussed their results for consensus. Using the Meta-Analysis of Observational Studies in Epidemiology guideline,14 the methodological quality was evaluated using the following criteria (which were slightly rephrased to fit with the content of the current study): background and rationale reported, objectives and hypotheses stated, study design described, eligibility criteria specified, selection of sample described, selection method of case-mix factors described, and statistical methods described.
Data Synthesis and Analysis
First, case-mix factors were categorized into the fundamental domains as described by Zhang et al11: demographic factors (eg, age, gender), diabetes-related factors (eg, duration of diabetes), comorbidity factors, geographic deprivation, and care-seeking factors (eg, free medical care). We added the domain "generic health" to classify the factors of health status and health status and quality of life, as used in several studies.
Then, we categorized the rationales for inclusion of case-mix factors according to the key elements of an ideal case-mix tool, as outlined by Chin,4 who stated that the tool: a) should be valid, implying that the tool adjusts for factors affecting the particular indicator beyond the provider's reasonable control; b) needs to have clinical face validity, meaning that it does not lack key factors. With such validity, incorporation of relevant factors is ensured and the factor does not wrongly pardon a difference in the quality of care for which the provider should be accountable (eg, see gender example in introduction section); c) must be feasible, in terms of simplicity and affordability; and d) must be applicable to the target population; that is, the tool is developed on a similar set of patients.
Finally, we studied the impact of the case-mix variables on outcome. A factor was thought to have impact on outcome when an association between factor and indicator was shown in at least 3 studies, and no study reported otherwise. A similar reasoning was adopted for defining no impact. Impact was considered inconsistent when different studies reported both the presence and absence of an association between factor and indicator.
Selection of Studies
After applying the selection criteria, 13 studies were included in the review (Figure).
Characteristics and Quality Assessment of the Studies
eAppendix Table 2 provides a comprehensive overview of the study characteristics. In summary (see also eAppendix Table 3), the 13 studies were published between 1998 and 2012. Most of the studies were conducted in the Unites States (n = 10), 2 in the United Kingdom, and 1 in The Netherlands, and each of them had a retrospective observational design. The study samples ranged from 208 to 118,167 patients with diabetes.6,15 Six studies reported on both process and outcome indicators,7,8,16,18,20,21 6 on outcome indicators,5,6,9,11,15,19 and 1 on process indicators,17 with the outcome indicator for A1C value being the most frequently studied. Each study reported on more than 1 case-mix variable (see also next section). Effects of case-mix adjustment were studied across facilities5-8,11,15,16,18,20,21 or individual physicians.9,19 One study reported effects on both levels.16 The criterion "selection method of case-mix variables described" could be applied to 6 studies,5,6,8,9,11,17 while the other quality criteria were satisfied by all studies (except the study design description17).
Case-Mix Factors Included in Adjustment Models and Rationales for Their Selection
Table 1 provides an overview of the factors included in case-mix adjustment models for quality indicator scores, stratified by domain and indicator. Altogether, 23 different case-mix factors were identified in the 13 studies. Demographic factors, especially age and gender, were most frequently included, followed by diabetes duration and comorbidity. The more extensive and diverse case-mix models were found for the outcome indicators, in particular for A1C value. The rationale for selection of case-mix factors was reported in 6 studies (eAppendix Table 3),5,6,8,9,11,17 mainly covering the elements of clinical face validity (eg, evidence from other studies) and feasibility (eg, data availability).
Impact of Case-Mix Factors: Outcome Indicators
A1C value. Twelve studies investigated case-mix factors for this quality indicator. Impact on indicator scores (Table 2) were found for marital status (demographic domain) and body mass index (BMI; diabetes-related domain); married patients with diabetes5-7 and those with lower BMI5,7,15 generally had lower A1C values compared with patients who were not married and those with higher BMI. For the factors of age,5-9,11,15,16,18-21 gender,5,7-9,11,18-21 ethnicity,7,11,21 education,5,9,19-21 diabetes duration,5,9,11,19-21 comorbidity,5,7,8,11,16 and health status,5,9,19,21 inconsistent impact on outcome was reported. Other factors were rarely (n ≤2) studied. The percentages explained variance (eAppendix Table 2) induced by case-mix correction were generally small (3%-10.5%).5,9,11,16,18,19 Effects of case-mix correction on ranking particularly affected outliers and bottom- and top-performing hospitals in 3 studies.5,6,11 Joish et al7 reported that after case-mix correction, clear differences among the 4 participating facilities emerged, while Berlowitz et al15 showed that case-mix correction reduced differences among facilities. Four studies were unable to demonstrate ranking effects after case-mix adjustment for A1C value.8,9,20,21
LDL-C value. Six studies investigated case-mix factors for this indicator7-9,16,20,21: inconsistent impact was found for the factors of age, gender, and comorbidity7-9,16,20,21; no association was found for diabetes duration.9,20,21 Other factors were rarely (n ≤2) studied and no data on explained variance was reported. Two studies showed a ranking effect of case-mix correction on facilities and healthcare providers,7,21 while 1 study showed no significant difference in ranking after case-mix adjustment.16
Blood pressure. No impact was found for age,8,9,20,21 gender,8,9,20,21 education,9,11,20 and diabetes duration.9,20,21 Other factors (as mentioned in Tables 1 and 2) were rarely (n ≤2) studied. No data on explained variance were reported. Although Greenfield et al21 demonstrated significant differences between unadjusted and adjusted indicator scores across healthcare providers, Gorter et al20 were unable to detect a difference.
Impact of Case-Mix Factors: Process Indicators
A1C measurement. Eight studies investigated case-mix factors for this indicator (Table 2).7,8,11,12,15,16,19,20 The impact of age7,8,16,18,20,21 and comorbidity7,8,16,17 was inconsistent across studies, while no impact was found for gender.7,8,11,18,20 Other factors (as mentioned in Tables 1 and 2) were rarely (n ≤2) studied. In terms of explained variance, the difference in adjusted versus unadjusted results was 2.6% in 1 study on plan level.17 An increase of comorbidity from 5% to 10% in patients with type 2 diabetes appeared to be associated with an increase of 1.3% in the screening rate of A1C. The regression model (using Healthcare Effectiveness Data and Information Set data) also included the total number of enrollees with diabetes, health plan type, and regions, overall explaining 24.2% of variation across health plans. No other data on explained variance or ranking were reported.8,16,18,21
LDL-C measurement. Three studies investigated the impact of case-mix on this process indicator.8,16,17 The impact of comorbidity was found to be absent.8,16,17 Abraham et al17 found that the overall regression model on LDL-C measurement explained 26.9% of variation across health plans. No other data on explained variance or ranking were reported.
Blood pressure measurement. Two studies investigated the effect of case-mix correction on this process indicator.20,21 Therefore, all factors were rarely (n ≤2) studied. No data on ranking or explained variance of case-mix adjustment models were reported.
Overview of the Results
Twenty-three case-mix factors were identified; the most frequently considered factors were demographics (especially age and gender), diabetes duration, and comorbidity, and there was a predominant focus on outcome indicators (A1C in particular). The rationale for selection of case-mix factors in adjustment models was reported in 6 studies (42%): Face validity and feasibility of measurement were most commonly noted. There is evidence that marital status and BMI do affect outcome indicator scores for A1C. For the other case-mix factors, associations with indicators were inconsistent, absent, or marginally studied. Six studies showed impact on ranking,5,6,7,15,11,21 while 5 did not8,9,16,20,21 (2 of the 13 studies are not included here as ranking was not always studied).
To the best of our knowledge, this is the first systematic review aimed at identifying relevant case-mix factors for the 6 most commonly used quality indicators for diabetes care, which are outcome and process indicators for A1C, LDL-C, and blood pressure.
We found a consistent impact—ie, at least 3 studies reporting impact and no studies reporting otherwise—of marital status5-7 and BMI5,7,15 on the outcome indicator A1C. The demographic factor of marital status probably relates to a more regular lifestyle or getting support from a partner for self-management tasks, both resulting in better A1C values22,23 as an outcome indicator. Also BMI, a diabetes-related factor, appeared to be consistently associated with this indicator.5,7,15 Despite evidence of the association of BMI with hypertension and dyslipidemia,24 the relevance of this factor was rarely studied for the other diabetes indicators.
Inconsistent impact was found for age (on outcome and process indicators for A1C, outcome indicator LDL-C), gender (outcome indicators A1C and LDL-C), ethnicity, education, diabetes duration, health status (outcome indicator A1C), and comorbidity (on outcome and process indicators for A1C and LDL-C). Age and gender were among the factors studied most often, but their relevance was not clearly shown. It is worth highlighting that ethnicity has been considered a case-mix factor for outcome7,11,21 and process indicators,7,21 although its impact appeared inconsistent. Inclusion of this factor in case-mix adjustment models is controversial, as it suggests that ethnicity causes differences in outcome of healthcare which are beyond the control of the healthcare provider.8,25 Indeed, differences in blood-pressure levels exist across ethnicities; for example, black Africans generally have higher blood pressure, which is usually more difficult to treat,26 favoring case-mix adjustment on these grounds. However, it cannot be ruled out that ethnic minorities, due to prejudices, language barriers, or other factors, receive suboptimal medical care. Correction for ethnicity then masks poor quality of care.
The inconsistent results for diabetes duration may be explained by different measurement methods.5,9,11,19,20,21 One could question the relevance of diabetes-related factors, such as creatinine clearance, when case-mix adjustment is used for profiling reasons, as kidney function is subject to many influences.27 Although nephropathy is directly associated with diabetes management, the relative contribution of this specific variable to the quality of diabetes care needs more research. The inconsistent results for comorbidity regarding A1C indicators might be explained by variability in operationalization. While some studies used the Charlson comorbidity index,8 others used the US National Committee for Quality Assurance's definition17 or a list of comorbidity conditions,16 which hampers direct comparison.
Finally, it is worth noting that for the case-mix factors of diabetes duration (for the outcome indicators for LDL-C and blood pressure), gender (outcome indicator blood pressure and process indicator A1C), and age and education (outcome indicator blood pressure) no impact was found in at least 3 studies. Researchers and quality assessors may consider omitting these variables from their specific case-mix adjustment models, which will be beneficial for the statistical power of their analysis. Also, stakeholders or users of quality information should be aware of the value of case-mix and case-mix factors, that case-mix models may vary across different quality indicators, and that it may not be self-evident that background characteristics such as age and gender need to be included.
Because the case-mix adjustment models varied widely, it is hard to draw any conclusions on the final impact of ranking. Researchers are encouraged to further explore this issue.
The review was subject to some limitations. The included studies were cross-sectional, which makes it impossible to address causality. We judged the impact of a case-mix factor as robust when at least 3 studies showed the same (statistically significant) impact, or no impact, without other studies showing opposite results. This cut-off was arbitrarily set and we realize that robustness may require more studies showing similar results. In addition, in the case of 1 or more studies showing opposite results, this was classified as inconsistent results. Some of these inconsistent results could possibly be attributed to the variety in the study populations included—that is, primary versus secondary care, which may be related to the severity of the diabetes and might have affected the impact of case-mix factors. Again, the number of studies included in this review is too small to draw firm conclusions. Finally, in reviewing the scientific literature, we did not seek to limit the relevance of the results for research aims, but we did seek to expand the relevance, when possible, for use in real-world quality assessment and benchmarking.
Despite the compelling call for public transparency on quality of healthcare—for which case-mix adjustment on quality indicators is generally considered essential for fair comparison among healthcare providers—there still are large interstices in this field of research, as was shown by the current review. There appears to be a tendency for inclusion of factors based on face validity, often without a clear rationale, and scientific evidence on relevance and impact of these factors is still limited. From the available studies, we only found evidence for 2 factors—marital status and BMI—to be used in case-mix models for the outcome indicator A1C. Simple advice to the developers of diabetes quality indicators is therefore not possible. Author Affiliations: Radboud University Medical Center, Radboud Institute for Health Sciences, Scientific Institute for Quality of Healthcare (IQ healthcare) (HC, GEV, JCCB), Nijmegen, The Netherlands; Rijnstate Hospital (JGMM), Arnhem, The Netherlands.
Source of Funding: None.
Author Disclosures: The authors report no relationship or financial interest with any entity that would pose a conflict of interest with the subject matter of this article.
Authorship Information: Concept and design (HC, JGMM, GEV, JCCB); acquisition of data (HC, GEV); analysis and interpretation of data (HC, JGMM, GEV, JCCB); drafting of the manuscript (HC, JGMM, GEV, JCCB); critical revision of the manuscript for important intellectual content (HC, JGMM, JCCB); provision of patients or study materials (JGMM); administrative, technical, or logistic support (JGMM); and supervision (JCCB). Note: HC and JGMM share first authorship.
Address correspondence to: Hiske Calsbeek, PhD, RN, Radboud University Medical Center, IQ Healthcare, Geert Grooteplein 21, 114 IQ Healthcare, 6525 EZ Nijmegen, The Netherlands. E-mail: h.calsbeek@radboudumc.nl.1. Renders CM, Valk GD, Griffin SJ, Wagner EH, Eijk Van JT, Assendelft WJ. Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. Diabetes Care. 2001;24(10):1821-1833.
2. Engelgau MM, Geiss LS, Saaddine JB, et al. The evolving diabetes burden in the United States. Ann Intern Med. 2004;140(11):945-950.
3. Saydah SH, Fradkin J, Cowie CC. Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA. 2004;291(3):335-342.
4. Chin MH. Risk-adjusted quality of care rating for diabetes: ready for prime time? Diabetes Care. 2000;23(7):884-886.
5. Maney M, Tseng CL, Safford MM, Miller DR, Pogach LM. Impact of self-reported patient characteristics upon assessment of glycemic control in the Veterans Health Administration. Diabetes Care. 2007;30(2):245-251.

6. Safford MM, Brimacombe M, Zhang Q, et al. Patient complexity in quality comparisons for glycemic control: an observational study. Implement Sci. 2009;4:2.
7. Joish VN, Malone DC, Wendel C, Mohler MJ. Profiling quality of diabetes care in a Veterans Affairs Healthcare System. Am J Med Qual. 2004;19(3):112-120.
8. Ta S, Goldzweig C, Juzba M, et al. Addressing physician concerns about performance profiling: experience with a local Veterans Affairs quality evaluation program. Am J Med Qual. 2009;24(2):123-131.
9. Kaplan SH, Griffith JL, Price LL, Pawlson LG, Greenfield S. Improving the reliability of physician performance assessment: identifying the "physician effect" on quality and creating composite measures. Med Care. 2009;47(4):378-387.
10. Iezzoni LI. The risks of risk adjustment. JAMA. 1997;278(19):1600-1607.
11. Zhang Q, Safford M, Ottenweller J, et al. Performance status of health care facilities changes with risk adjustment of HbA1c. Diabetes Care. 2000;23(7):919-927.
12. Calsbeek H, Ketelaar NA, Faber MJ, Wensing M, Braspenning J. Performance measurements in diabetes care: the complex task of selecting quality indicators. Int J Qual Health Care. 2013;25(6):704-709.
13. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.
14. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008-2012.
15. Berlowitz DR, Ash AS, Hickey EC, Kader B, Friedman R, Moskowitz MA. Profiling outcomes of ambulatory care: casemix affects perceived performance. Med Care. 1998;36(6):928-933.
16. Krein SL, Hofer TP, Kerr EA, Hayward RA. Whom should we profile? examining diabetes care practice variation among primary care providers, provider groups, and health care facilities. Health Serv Res. 2002;37(5):1159-1180.
17. Abraham JM, Marmor S, Knutson D, Zeglin J, Virnig B. Variation in diabetes care quality among Medicare Advantage plans: understanding the role of case mix. Am J Med Qual. 2012;27(5):377-382.
18. Guthrie B, Emslie-Smith A, Morris A, Fahey T, Sullivan F. Quality measurement of care for people with type 2 diabetes in Tayside, Scotland: implications for the new UK general practice contract. Br J Gen Pract. 2003;53(494):709-713.
19. Hofer TP, Hayward RA, Greenfield S, Wagner EH, Kaplan SH, Manning WG. The unreliability of individual physician "report cards" for assessing the costs and quality of care of a chronic disease. JAMA. 1999;281(22):2098-2105.
20. Gorter K, van Bruggen R, Stolk R, Zuithoff P, Verhoeven R, Rutten G. Overall quality of diabetes care in a defined geographic region: different sides of the same story. Br J Gen Pract. 2008;58(550):339-345.
21. Greenfield S, Kaplan SH, Kahn R, Ninomiya J, Griffith JL. Profiling care provided by different groups of physicians: effects of patient case-mix (bias) and physician-level clustering on quality assessment results. Ann Intern Med. 2002;136(2):111-121.
22. Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care. 2002;25(7):1159-1171.
23. Glasgow RE, Toobert DJ. Social environment and regimen adherence among type II diabetic patients. Diabetes Care. 1988;11(5):377-386.
24. Bays HE, Chapman RH, Grandy S; SHIELD Investigators' Group. The relationship of body mass index to diabetes mellitus, hypertension and dyslipidaemia: comparison of data from two national surveys. Int J Clin Pract. 2007;61(5):737-747.
25. Schmittdiel J, Vijan S, Fireman B, Lafata JE, Oestreicher N, Selby JV. Predicted quality-adjusted life years as a composite measure of the clinical value of diabetes risk factor control. Med Care. 2007;45(4):315-321.
26. Carson AP, Howard G, Burke GL, Shea S, Levitan EB, Muntner P. Ethnic differences in hypertension incidence among middle-aged and older adults: the multi-ethnic study of atherosclerosis. Hypertension. 2011;57(6):1101-1107.
27. Costa J, Crausman RS, Weinberg MS. Acute and chronic renal failure. J Am Podiatr Med Assoc. 2004;94(2):168-176.
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