Research Topics
| ANN M O'HARESummaryCountry: USA Publications
Research Grants
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Detail Information
Publications
Trajectories of kidney function decline in the 2 years before initiation of long-term dialysisANN M O'HARE
Department of Medicine, VA Puget Sound Healthcare System and University of Washington, Seattle, WA 98108, USA
Am J Kidney Dis 59:513-22. 2012..Little is known about patterns of kidney function decline leading up to the initiation of long-term dialysis...
Patient and provider determinants of nephrology referral in older adults with severe chronic kidney disease: a survey of provider decision makingKellie H Campbell
University of Chicago, Section of Geriatrics and Palliative Medicine, 6098, Chicago, IL 60637, USA
BMC Nephrol 12:47. 2011..This study evaluated the role of patient and PCP factors in the referral decisions for older adults with stage 4 CKD...
Age affects outcomes in chronic kidney diseaseANN M O'HARE
Department of Medicine, University of Washington, VA Puget Sound Healthcare System, Division of Nephrology, Building 100 Room 5B113, 1660 S Columbian Way, Seattle, WA 98108, USA
J Am Soc Nephrol 18:2758-65. 2007..73 m(2). In conclusion, age is a major effect modifier among patients with an eGFR of <60 ml/min per 1.73 m(2), challenging us to move beyond a uniform stage-based approach to managing CKD...
Current guidelines for using angiotensin-converting enzyme inhibitors and angiotensin II-receptor antagonists in chronic kidney disease: is the evidence base relevant to older adults?ANN M O'HARE
Division of Nephrology, Department of Medicine, University of Washington and Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
Ann Intern Med 150:717-24. 2009....
Prognostic implications of the urinary albumin to creatinine ratio in veterans of different ages with diabetesANN M O'HARE
Division of Nephrology, Primary and Specialty Medicine Service Line, VA Puget Sound Medical Center, Nephrology and Renal Dialysis Unit, Bldg 100, Room 5B113, 1660 S Columbian Way, Seattle, WA 98108, USA
Arch Intern Med 170:930-6. 2010..Albuminuria is associated with an increased risk of death independent of level of renal function. Whether this association is similar for adults of all ages is not known...
Regional variation in health care intensity and treatment practices for end-stage renal disease in older adultsANN M O'HARE
Department of Medicine, University of Washington, and VA Puget Sound Healthcare System, Seattle, WA 98108, USA
JAMA 304:180-6. 2010..An increasing number of older adults are being treated for end-stage renal disease (ESRD) with long-term dialysis...
Trends in timing of initiation of chronic dialysis in the United StatesANN M O'HARE
Department of Medicine, University of Washington, Seattle, WA, USA
Arch Intern Med 171:1663-9. 2011..This likely reflects secular trends in the composition of the dialysis population and a tendency toward initiation of dialysis earlier in the course of kidney disease...
Mortality risk stratification in chronic kidney disease: one size for all ages?ANN M O'HARE
Department of Medicine, University of California San Francisco, VA Medical Center, San Francisco, 111J Nephrology, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 17:846-53. 2006..73 m2 eGFR group...
Impact of renal insufficiency on mortality in advanced lower extremity peripheral arterial diseaseANN M O'HARE
Division of Nephrology, Box 111J, Nephrology, VA Medical Center San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 16:514-9. 2005..Death rates were particularly high among those with a GFR <30 ml/min per 1.73 m(2). This finding may be partly explained by their more frequent presentation with ischemic ulceration or gangrene rather than rest pain...
Racial differences in end-stage renal disease rates in HIV infection versus diabetesAndy I Choi
Department of Medicine, San Francisco General Hospital, San Francisco, CA 94110, USA
J Am Soc Nephrol 18:2968-74. 2007..HIV and diabetes carry a similar risk of ESRD among black patients, highlighting the importance of developing strategies to prevent and treat renal disease among HIV-infected black individuals...
Renal insufficiency and use of revascularization among a national cohort of men with advanced lower extremity peripheral arterial diseaseANN M O'HARE
Department of Medicine, VA Medical Center, San Francisco, San Francisco, CA 94121, USA
Clin J Am Soc Nephrol 1:297-304. 2006..However, among patients with renal insufficiency, mortality is lowest for patients who receive a revascularization. Further studies are needed to determine the optimal care for this high-risk patient group...
Influence of renal insufficiency on limb loss and mortality after initial lower extremity surgical revascularizationANN M O'HARE
Department of Medicine, Veterans Affairs Medical Center and University of California, San Francisco 94121, USA
J Vasc Surg 39:709-16. 2004..The goal of the present study was to determine whether patients with milder degrees of renal insufficiency are also at risk for this complication...
White/black racial differences in risk of end-stage renal disease and deathAndy I Choi
Department of Medicine, San Francisco Veterans Affairs VA Medical Center and University of California, San Francisco, CA 94121, USA
Am J Med 122:672-8. 2009..Understanding the natural history of racial differences in kidney disease may help guide efforts to reduce disparities...
Postoperative mortality after nontraumatic lower extremity amputation in patients with renal insufficiencyANN M O'HARE
Department of Medicine, San Francisco VAMC, San Francisco, California 94121, USA
J Am Soc Nephrol 15:427-34. 2004..This finding highlights the need for a targeted approach to improving the care of patients with renal insufficiency undergoing lower extremity amputation...
Low rates of antiretroviral therapy among HIV-infected patients with chronic kidney diseaseAndy I Choi
Department of Medicine, San Francisco General Hospital, San Francisco, CA 94110, USA
Clin Infect Dis 45:1633-9. 2007....
Peripheral vascular disease risk factors among patients undergoing hemodialysisANN M O'HARE
Division of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California 94143 0532, USA
J Am Soc Nephrol 13:497-503. 2002..Future studies should prospectively examine the association of these variables identified in cross-sectional analyses with the de novo development of PVD in this population...
Association of hepatitis C seropositivity with increased risk for developing end-stage renal diseaseJudith I Tsui
Department of Medicine, University of California, San Francisco, and San Francisco General Hospital, CA 94124, USA
Arch Intern Med 167:1271-6. 2007..We undertook this study to determine whether having a positive HCV test result was associated with an increased risk for developing treated end-stage renal disease (ESRD)...
Mortality and cardiovascular risk across the ankle-arm index spectrum: results from the Cardiovascular Health StudyANN M O'HARE
Nephrology Division, Department of Medicine, VA Medical Center San Francisco, University of California, San Francisco, CA, USA
Circulation 113:388-93. 2006..A high AAI also appears to be associated with higher mortality risk in select populations. However, mortality and cardiovascular risk across the AAI spectrum have not been described in a more broadly defined population...
Impact of renal insufficiency on short-term morbidity and mortality after lower extremity revascularization: data from the Department of Veterans Affairs' National Surgical Quality Improvement ProgramANN M O'HARE
Department of Medicine, San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 14:1287-95. 2003..Further studies are needed to explore reasons for the higher rate of limb-threatening infection in patients with renal insufficiency undergoing revascularization...
Racial ethnic differences in rates and determinants of deceased donor kidney transplantationYoshio N Hall
University of Washington, Kidney Research Institute, Department of Medicine, 325 9th Avenue, Box 359606, Seattle, WA 98104, USA
J Am Soc Nephrol 22:743-51. 2011..Area-based efforts targeted to address racial- and ethnic-specific delays in transplantation may help to reduce overall disparities in deceased donor kidney transplantation in the United States...
Signs and symptoms associated with earlier dialysis initiation in nursing home residentsManjula Kurella Tamura
Division of Nephrology, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA
Am J Kidney Dis 56:1117-26. 2010..We wanted to determine the association of the number and type of signs and symptoms with timing of initiation of dialysis in US nursing home residents...
Influence of race on kidney transplant outcomes within and outside the Department of Veterans AffairsHarini A Chakkera
Department of Medicine, Division of Nephrology, University of California, San Francisco, California, 94143 0532, USA
J Am Soc Nephrol 16:269-77. 2005..26 to 1.36). In conclusion, racial disparities in kidney transplant outcomes seem to persist even in a universal access-to-care system such as the VA. Reasons for worse outcomes among African Americans require further investigation...
Low ankle-brachial index associated with rise in creatinine level over time: results from the atherosclerosis risk in communities studyANN M O'HARE
Department of Medicine, University of California, San Francisco, USA
Arch Intern Med 165:1481-5. 2005..A low ankle-brachial index (ABI) predicts risk of cardiovascular death, myocardial infarction, peripheral arterial disease events, and stroke. However, it is unknown whether a low ABI also predicts a decline in renal function...
Creatinine levels among Mexican Americans, Puerto Ricans, and Cuban Americans in the Hispanic Health and Nutrition Examination SurveyRudolph A Rodriguez
Division of Nephrology, Department of Medicine, San Francisco General Hospital, San Francisco, California, USA
Kidney Int 66:2368-73. 2004..Although Latinos constitute the largest and fastest growing minority group in the United States, little is known about the prevalence of renal disease among different Latino subgroups...
Characteristics of uninsured Americans with chronic kidney diseaseYoshio N Hall
Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way, 111M, Seattle, WA 98108, USA
J Gen Intern Med 24:917-22. 2009..Little is known about the extent of health insurance coverage for persons with non-dialysis dependent chronic kidney disease (CKD)...
Renin-angiotensin system blockade in older adults with chronic kidney disease: a review of the literatureJessica W Weiss
Department of Medicine, Division of Nephrology and Hypertension, Oregon Health and Science University, Portland, OR 97239 3098, USA
Curr Opin Nephrol Hypertens 19:413-9. 2010....
Impact of surgeon and surgical center characteristics on choice of permanent vascular accessANN M O'HARE
Department of Medicine, VA Medical Center, San Francisco, California 94121, USA
Kidney Int 64:681-9. 2003..The impact of the surgeon and surgical center characteristics on choice of autogenous arteriovenous (AV) fistula versus artificial AV graft as permanent vascular access for hemodialysis has not been studied...
Cystatin C and incident peripheral arterial disease events in the elderly: results from the Cardiovascular Health StudyANN M O'HARE
Nephrology Division, Department of Medicine, and General Internal Medicine Section, Veterans Affairs Medical Center San Francisco, 4150 Clement Street, San Faancisco, CA 94121, USA
Arch Intern Med 165:2666-70. 2005..The association of cystatin C, a novel marker of renal function, with risk for developing complications related to peripheral arterial disease (PAD) has not been examined...
Predialysis nephrology care and costs in elderly patients initiating dialysisKevin T Stroupe
Center for Management of Complex Chronic Care, Hines VA Hospital, Hines, IL 60141 5151, USA
Med Care 49:248-56. 2011..Access to nephrology care before initiation of chronic dialysis is associated with improved outcomes after initiation. Less is known about the effect of predialysis nephrology care on healthcare costs and utilization...
Renal insufficiency and the risk of lower extremity peripheral arterial disease: results from the Heart and Estrogen/Progestin Replacement Study (HERS)ANN M O'HARE
Department of Medicine, Box 111J, VA Medical Center San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
J Am Soc Nephrol 15:1046-51. 2004..Future studies should determine whether this association is present in other populations and investigate its potential mechanisms...
Factors associated with future amputation among patients undergoing hemodialysis: results from the Dialysis Morbidity and Mortality Study Waves 3 and 4ANN M O'HARE
Department of Medicine, Nephrology Division, University of California, San Francisco, CA 94143 0532, USA
Am J Kidney Dis 41:162-70. 2003..Amputation is more common in hemodialysis patients than in the general population, but risk factors for amputation in this population have not been studied extensively...
Research Grants
- Targeting Nephrology Referral Among Elderly Patients with Chronic Kidney DiseaseANN O HARE; Fiscal Year: 2006....
