A5012653950- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Genetic factors in colorectal cancer
- Economic and Financial Impacts of Cancer
- Cervical Cancer and HPV Research
- Health Systems, Economic Evaluations, Quality of Life
- Thyroid Cancer Diagnosis and Treatment
- Data-Driven Disease Surveillance
- Gastric Cancer Management and Outcomes
- Smoking Behavior and Cessation
- Health Literacy and Information Accessibility
- HIV-related health complications and treatments
- LGBTQ Health, Identity, and Policy
- Statistical Methods in Clinical Trials
- HIV Research and Treatment
- scientometrics and bibliometrics research
- Cardiac electrophysiology and arrhythmias
- Cardiac Arrest and Resuscitation
- Thyroid and Parathyroid Surgery
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Health Sciences Research and Education
- Healthcare cost, quality, practices
- COVID-19 and healthcare impacts
- Health and Medical Research Impacts
University of California, San Francisco
2020-2025
University of Puerto Rico System
2010-2024
Clinical Research Puerto Rico
2017
Central University of the Caribbean
2014-2017
University of Puerto Rico, Medical Sciences Campus
2017
Harvard University
2017
Center for Clinical Research (United States)
2017
Instituto Murciano de Investigación Biosanitaria
2015-2016
Instituto de Investigación Biosanitaria de Granada
2015-2016
Background: Puerto Rico, a United States (U.S.) territory with 99% of its inhabitants identifying as Hispanic/Latino, has one the most rapid aging populations in world. In this study, we quantified incidence and mortality cancer among 85+ year-old residents compared these rates Hispanic/Latino U.S. Methods: We accessed age-adjusted (2005-2021) from Cancer Statistics North American Association Centralized Registries datafiles. Cancers were restricted to males females age 85+. addition...
Anemia occurs frequently in HIV-infected patients and has been associated with an increased risk of death this population. For Hispanic subjects, information describing blood disorder during HIV is scarce. Therefore, the present study examined data from a cohort HIV-positive Hispanics to determine prevalence anemia, identify its factors, evaluate relationship one-year mortality.This included 1,486 who enrolled between January, 2000 December, 2010 HIV-cohort Bayamón, Puerto Rico. Data were...
The clinical impact of arrhythmias on the continuum critical illness is unclear, and data in medical intensive care units (ICU) lacking. In this study, we distinguish between different types evaluate if their distinction importance based ICU length stay mortality outcomes. We performed a retrospective analysis 215 patients community-based teaching hospital ICU. Variables gathered include sociodemographic data, identified interpreted by study team, admission diagnoses coded into mediator...
Despite some progress in recent years, colorectal cancer (CRC) screening adherence the United States is still suboptimal, particularly among disadvantaged groups. In this study, we assessed association between socioeconomic status (SES) and self-reported non-adherence (SNA) a sample of racial/ethnic minorities living San Francisco, California.
Pancytopenia is seen in late HIV infection; it associated with medical complications and decreased survival. We determined the prevalence of pancytopenia at baseline a cohort HIV-positive Hispanics living Puerto Rico, compared their socio-demographic, immunological clinical characteristics. A total 1202 patients enrolled between 2000 2010 were included. They grouped according to status, defined by having: platelets <150,000 μL, white cell count <4000 hemoglobin <12 g/dL (women) or <13 (men)....
Abstract Background: Colorectal cancer incidence and mortality have declined with increased screening scientific advances in treatment. However, improvement colorectal outcomes has not been equal for all groups disparities persisted over time. Methods: Data from the California Cancer Registry were used to estimate changes 5-year cancer–specific survival three diagnostic time periods: 1997–2002, 2003–2008, 2009–2014. Analyses included patients as a first primary malignancy. Multivariable Cox...
Background: The study describes the cancer trends in a Puerto Rican Hispanic HIV/AIDS cohort for three different time periods as defined by availability of combination antiretroviral therapy (cART) Island: Pre (1992-1995), early (1996-2002) and recent (2003-2009).Methodology: AIDS non-AIDS related malignancies risk, standardized incidence rate 1 year mortality were evaluated before after cART.Results: Of 281 found 265 persons; 72% men, 38% injecting drug users 42.3% cancers.The rates...
Cervical cancer incidence is rising in Puerto Rico (PR). Whether the increase real or reflective of increased diagnostic scrutiny remains unclear. Using data from PR Central Cancer Registry for 2001–2019, we estimated trends hysterectomy-corrected cervical and mortality rates, overall, by stage at diagnosis age. Overall, (per 100,000) 1.6%/year (95% CI, -0.5% to 3.8%) 12.5 15.3, with a prominent distant-stage disease (4.5%/year [95% 1.6% 8.0%]), particularly among screening age eligible...
This cross-sectional study evaluated the effects of hurricanes and coronavirus disease 2019 (COVID-19) pandemic on diagnosis cervical cancer in Puerto Rico. Interrupted time series analysis was performed monthly counts cases diagnosed between January 2012 December 2021. Before hurricanes, number per month stable, at an average 20 (95% CI, 18–22). After (end September 2017), dropped by 62.1% reached prehurricane levels subsequent 5 months. COVID-19 restrictions (April 2020), only one case...
Glioblastoma (GBM) treatment requires access to complex medical services, and the Patient Protection Affordable Care Act (ACA) sought expand health care, including oncologic care. Whether implementation of ACA was subsequently associated with changes in 1-year survival GBM is not known.A retrospective cohort study performed using Surveillance, Epidemiology, End Results (SEER) database. We identified patients primary diagnosis between 2008 2016. A multivariable-adjusted Cox proportional...
Sexual and gender minority (SGM) individuals in the United States are at increased risk of cancer compared to non-SGM population. Understanding how SGM persons perceive their practices preferences for accessing health information is key improving preventive care services they receive.In this cross-sectional study, we analyzed data from San Francisco Health Information National Trends Survey. were identified by self-report. Differences factors, beliefs, seeking evaluated status using...
Abstract We examined the association between racialized economic segregation and late-stage colorectal cancer (CRC) in US. All CRC cases diagnosed during 2009-2017 were identified using United States Cancer Statistics database. Late-stage was determined according to presence of distant involvement (node or site) tumor at diagnosis. Racialized measured county level by Index Concentration Extremes (ICE) 2013-2017 American Community Survey estimates. ICE calculated show extent which...
10565 Background: Talking About Prostate Cancer is a population-based cohort study on multilevel determinants of active surveillance (AS) and patient reported outcomes in racially ethnically diverse population men with low-risk prostate cancer. The includes qualitative one-on-one interviews patients physicians, quantitative cross-sectional provider longitudinal (baseline 12-month follow-up) surveys to address gaps the literature regarding patient-level factors associated AS, particularly...
Abstract Background Patients diagnosed with low-risk prostate cancer (PCa) are confronted a difficult decision regarding whether to undergo definitive treatment or pursue an active surveillance protocol. This is potentially further complicated by the possibility that patients and physicians may place different value on factors influence this decision. We conducted qualitative investigation better understand patient physician perceptions of influencing decisions for PCa. Methods...
In 2017, the San Francisco Cancer Initiative (SF CAN) established Colorectal (CRC) Screening Program to provide technical assistance and financial support improve CRC screening processes, outcomes in a consortium of community health centers (CHCs) serving low-income communities Francisco. The purpose this study was twofold: evaluate perceived influence provided by Program's Task Force on processes these settings identify facilitators barriers SF CAN-supported activities before after onset...
Tuesday, April 28April 14, 2020Free AccessImpact of the Patient Protection and Affordable Care Act on One-year Mortality Risk in Glioblastoma (2019)Nuriel Moghavem, Debby Oh, Eduardo Santiago-Rodríguez, Scarlett Lin Gomez, Reena ThomasAuthors Info & AffiliationsApril 2020 issue94 (15_supplement)https://doi.org/10.1212/WNL.94.15_supplement.2019 Letters to Editor
Abstract Background Compared to the general population, sexual and gender minorities (SGM) are at increased risk of some types cancer, in part due engagement high-risk behaviors lack adequate preventive care. Understanding how SGM perceive cancer their practices preferences for accessing health information is key improving healthcare services they receive. Methods In this cross-sectional study we analyzed data from San Francisco Health Information National Trends Survey. were identified by...