- Thyroid Cancer Diagnosis and Treatment
- Thyroid Disorders and Treatments
- Thyroid and Parathyroid Surgery
- BRCA gene mutations in cancer
- Bone health and osteoporosis research
- Patient-Provider Communication in Healthcare
- Vitamin D Research Studies
- Musculoskeletal pain and rehabilitation
- Radiation Dose and Imaging
- Growth Hormone and Insulin-like Growth Factors
- Head and Neck Anomalies
- Pituitary Gland Disorders and Treatments
- Bone health and treatments
- Pain Management and Opioid Use
- Neuroendocrine Tumor Research Advances
- Hip and Femur Fractures
- Hip disorders and treatments
- Opioid Use Disorder Treatment
- Neuroscience of respiration and sleep
- Nutrition, Genetics, and Disease
- Hormonal Regulation and Hypertension
- Healthcare cost, quality, practices
- Neonatal Health and Biochemistry
- Cancer Risks and Factors
- Diabetes Management and Education
University of Michigan
2015-2025
Michigan Medicine
2012-2023
Diabetes Australia
2017-2023
GTx (United States)
2022
University Medical Center of the Johannes Gutenberg University Mainz
2019
Johannes Gutenberg University Mainz
2019
Saint Peter's University Hospital
2009-2010
Cornell University
2008
Background: The primary goal of this interdisciplinary consensus statement is to provide a framework for the safe adoption and implementation ablation technologies benign thyroid nodules. Summary: This organized around three key themes: (1) safety techniques their implementation, (2) optimal skillset criteria proceduralists performing ablative procedures, (3) defining expectations success treatment option given its unique risks benefits. Ablation considerations in pre-procedural,...
Abstract Background The use of opioid medications as treatment for chronic non-cancer pain remains controversial. Little information is currently available regarding healthcare providers' attitudes and beliefs about this practice among older adults. This study aimed to describe primary care experiences towards, well perceived barriers facilitators prescribing opioids a Methods Six focus groups were conducted with total 23 physicians three nurse practitioners from two academically affiliated...
As thyroid cancer incidence rises, more patients undergo surgery. Although postoperative complication rates have been reported in single institution studies, population-based data are limited. To determine surgery and identify at-risk populations. Using the Surveillance, Epidemiology, End Results–Medicare database, we evaluated general complications within 30 days surgery–specific 1 year 27,912 who underwent for differentiated or medullary between 1998 2011. Multivariable analyses of patient...
<h3>Importance</h3> Cardiovascular disease is the leading cause of death in United States. Synthetic thyroid hormones are among 3 most commonly prescribed medications, yet studies evaluating association between intensity hormone treatment and cardiovascular mortality scarce. <h3>Objective</h3> To evaluate mortality. <h3>Design, Setting, Participants</h3> This retrospective cohort study used data on 705 307 adults who received from Veterans Health Administration Corporate Data Warehouse...
Background: Little is known about cancer-related worry in thyroid cancer survivors with favorable prognosis. Methods: A diverse cohort of patients diagnosed differentiated 2014–2015 from the Surveillance, Epidemiology, and End Results (SEER) Program registries Georgia Los Angeles County were surveyed two to four years after diagnosis. Main outcomes any versus no harms treatments, quality life, family at risk for cancer, recurrence, death. After excluding recurrent, persistent, distant...
Although bone is a common site for tumor metastases, the burden of events [bone metastases and skeletal-related (SREs)] in patients with thyroid cancer not well known.To measure prevalence their impact on mortality cancer.We identified diagnosed between 1991 2011 from linked Surveillance Epidemiology End Results-Medicare dataset. Multivariable logistic regression was used to identify risk factors SREs. We Cox proportional hazards regressions assess these mortality, after adjusting patient...
Increasing evidence supports the use of cognitive-behavioral therapy (CBT) for patients with chronic pain.This study determined whether physical therapists incorporate CBT techniques (eg, relaxation, activity pacing) when treating older pain, ascertained their interest in and barriers to using CBT, identified participant-related factors associated CBT.This cross-sectional used a telephone survey.One hundred fifty-two members Geriatrics Orthopaedics sections American Physical Therapy...
To describe characteristics of older adults who received opioids for chronic non-cancer pain (CP), ascertain types opioid treatments received, and examine associations between patient treatment outcomes.Retrospective cohort study.Primary care practice in New York City.Eligible patients were >or=65 newly started on an CP.Patient provider treatments, as well duration therapy, proportion discontinuing evidence reduction continued use more than 1 year. Other outcomes included the presence...
Death is uncommon in thyroid cancer patients, and the factors important predicting survival remain inadequately studied. The objective of this study was to assess prognostic effects patient, tumor, treatment determine groups for survival.
Background: Current guidelines recommend against thyrotropin (TSH) suppression in low-risk differentiated thyroid cancer patients; however, physician practices remain underexplored. Our objective was to understand treating physicians' approach TSH patients with papillary cancer. Methods: Endocrinologists and surgeons identified by from the Surveillance, Epidemiology, End Results registries of Georgia Los Angeles were surveyed 2018-2019. Physicians asked report how likely they (i.e., <0.5...
Background To the authors' knowledge, studies regarding risk perception among survivors of thyroid cancer are scarce. Methods The authors surveyed patients who were diagnosed with differentiated from Surveillance, Epidemiology, and End Results registries Georgia Los Angeles County (2632 patients; 63% response rate). analytic cohort was defined by a ≤5% disease recurrence mortality (1597 patients). Patients estimated their risks separately (increments 10% endpoints ≥95%). Both outcomes...
BRAF V600E mutation is the most frequent genetic alteration in papillary thyroid cancer (PTC) and main driver tumorigenesis of PTC through constitutive activation MAPK signaling pathway.b-catenin (encoded by CTNNB1) a key downstream component canonical Wnt pathway often overexpressed or mutated anaplastic cancer.BRAF -driven tumors have been speculated to rely on Wnt/bcatenin sustain its growth progression, although details this interaction remain be determined.The current study investigated...
Stroke is a leading cause of death and disability there need to identify modifiable risk factors.We aimed determine the relationship between thyroid hormone treatment intensity incidence atrial fibrillation stroke.We conducted retrospective cohort study using data from Veterans Health Administration 2004 2017, with median follow-up 59 months. The population comprised 733 208 users aged ≥18 years at least 2 stimulating (TSH) measurements initiation incident event (atrial or stroke) conclusion...
Background: Understanding the impact of comorbidities and competing risks death when caring for older adults with thyroid cancer is key personalized management. The objective this study was to determine whether are more likely die from or other etiologies, patient factors associated each. Methods: Surveillance, Epidemiology, End Results (SEER)-Medicare database used identify patients aged ≥66 years diagnosed (papillary, follicular, Hürthle cell, medullary, anaplastic, other) between 2000...