A5004085226- Primary Care and Health Outcomes
- Breast Cancer Treatment Studies
- Healthcare Policy and Management
- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Economic and Financial Impacts of Cancer
- Health disparities and outcomes
- Pharmaceutical studies and practices
- Pharmacogenetics and Drug Metabolism
- Food Security and Health in Diverse Populations
- Ethics in Clinical Research
- Advances in Oncology and Radiotherapy
- Pharmaceutical Practices and Patient Outcomes
- Multiple and Secondary Primary Cancers
- Racial and Ethnic Identity Research
- Breast Lesions and Carcinomas
- Colorectal Cancer Screening and Detection
- Cancer Risks and Factors
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Esophageal Cancer Research and Treatment
- Nicotinic Acetylcholine Receptors Study
- Race, Genetics, and Society
- Vaccine Coverage and Hesitancy
Chicago Department of Public Health
2019-2025
University of Chicago
2019-2025
Massachusetts General Hospital
2019
Harvard University Press
2014-2016
Johns Hopkins University
2011
There were over 45 000 suicides in the US 2020, making suicide 12th leading cause of death. If social vulnerability is associated with rates, targeted interventions for at-risk segments population may reduce rates.To determine association between and adults.This cohort study analyzed 2 county-level measures (the Social Vulnerability Index [SVI] Metric [SVM]) Centers Disease Control Prevention-reported from 2016 to 2020. Data November December 2022.County-level variability vulnerability.The...
Rising cancer care costs impose financial burdens on health systems. Applying artificial intelligence to diagnostic algorithms may reduce testing and avoid wasteful therapy-related expenditures. To evaluate the clinical impact of incorporating intelligence-based determination mismatch repair/microsatellite instability status into first-line metastatic colorectal carcinoma setting, we developed a deterministic model compare eight strategies: A) next-generation sequencing alone, B)...
Importance In 2024, the US Preventive Services Task Force (USPSTF) reversed a 2009 policy recommending only females aged 50 to 74 years complete biennial mammogram. Understanding whether facing heterogeneous breast cancer risks responded guidance may illuminate how they respond latest update. Objective To evaluate was associated with changes in mammography screening no longer recommended mammogram and these varied by factors risk. Design, Setting, Participants The difference-in-differences...
Tailoring pharmacogenomic (PGx) implementation to diverse populations is vital promoting health equity. We assessed prescriptions for medications with potentially actionable PGx information identify patient characteristics associated differential medication exposure. analyzed the nationally‐representative MEPS dataset of adults who reported receiving between 2014 and 2021. include those FDA CPIC designate as having drug‐gene associations supported by scientific evidence. With primary outcome...
To derive and validate a new ecological measure of the social determinants health (SDoH), calculable at zip code or county level.The most recent releases secondary, publicly available data were collected from national U.S. agencies as well state city public departments.The Social Vulnerability Metric (SVM) was constructed zip-code level measures (2018) survey using multidimensional Item Response Theory validated outcomes including all-cause mortality (2016), COVID-19 vaccination (2021),...
PurposeWe aim to assess geographic and physician-level variation for hypofractionated whole-breast irradiation (HF-WBI) use early-stage breast cancer patients in the United States. We further evaluate association between HF-WBI demographic factors after accounting these variations.Methods MaterialsWe performed a retrospective study of using private employer-sponsored insurance claims from 2008 2017. Patients were clustered according level by radiation oncologist. Bayesian cross-classified...
Community-level social vulnerability (SV) is associated with physical illness and premature mortality. Its association mental health (MH) substance use disorders (SUDs) needs further study.
Historically, colorectal cancer (CRC) screening rates have been lower among African Americans. Previous studies that examined the relationship between community characteristics and adherence to CRC generally focused on a single parameter, making it challenging evaluate overall impact of social built environment. In this study, we will estimate effect environment identify most important factors relevant screening. Data are from Multiethnic Prevention Surveillance Study (COMPASS), longitudinal...
Abstract Background Perceived discrimination in health care settings can have adverse consequences on mental minority groups. However, the association between perceived and is prone to unmeasured confounding. The study aims quantitatively evaluate influence of confounding this association, using g-estimation. Methods In a predominantly African American cohort, we applied g-estimation estimate health, adjusted unadjusted for measured confounders. Mental was clinical diagnoses anxiety,...
Abstract Within an institutional pharmacogenomics implementation program, we surveyed 463 outpatients completing preemptive pharmacogenomic testing whose genetic results were available to providers for guiding medication treatment. We compared views and experiences from self-reported White Black patients, including education level as a covariate across analyses. patients less confident about whether their made personalized treatment decisions, overwhelmingly wanted greater role information...
To examine the life experiences of African American and Hispanic adults whose personal chronic illness and/or that a family member is biggest health problem for their families.Telephone (landline cell phone) interviews random, nationally representative samples 1081 African-American 1478 adults, age 18 older. We evaluated responses 757 697 participants who reported as in families.Weighted analysis cross-sectional survey from adults.African Americans Hispanics with families experiencing...
Examine use of the Internet (eHealth) and mobile health (mHealth) technologies by privately insured, publicly insured (Medicare/Medicaid), or uninsured U.S. adults in 2012.Pew Charitable Trust telephone interviews a nationally representative, random sample 3,014 adult residents, age 18+.Estimate information seeking behavior overall segment (i.e., insurance type), then, adjust estimates for individual traits, clinical need, technology access using logistic regression.Most respondents prefer...
Objective: The objective of this study was to evaluate indicators diabetes quality care for US nonelderly, adult Medicaid enrollees with type 2 and compare federally qualified health centers (FQHCs) versus non-FQHCs. Research Design Methods: We analyzed process measures acute services utilization 2012 fee-for-service managed claims in all 50 states DC. compared FQHC (N=121,977) non-FQHC patients (N=700,401) using propensity scores balance covariates generalized estimating equation models....