Research Topics
| D A RedelmeierSummaryAffiliation: Institute for Clinical Evaluative Sciences Country: Canada Publications
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Publications
Judging Whether a Patient is Actually Improving: More Pitfalls from the Science of Human PerceptionDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, ON, Canada
J Gen Intern Med 27:1195-9. 2012..An awareness of these five pitfalls may help clinicians avoid some errors in medical care when determining whether a patient is improving...
Intensive care outcomes in bone marrow transplant recipients: a population-based cohort analysisDamon C Scales
Department of Critical Care, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Room D108, Toronto, Ontario, Canada, M4N 3M5
Crit Care 12:R77. 2008..Our objective was to determine the long-term outcome of bone marrow transplant recipients admitted to an ICU during subsequent hospitalizations...
Drug problems among homeless individuals in Toronto, Canada: prevalence, drugs of choice, and relation to health statusMichelle N Grinman
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St, Michael s Hospital, Toronto, Canada
BMC Public Health 10:94. 2010..The objective of this study was to determine the prevalence and characteristics of drug use among a representative sample of homeless individuals and to examine the association between drug problems and physical and mental health status...
Problems for clinical judgement: 2. Obtaining a reliable past medical historyD A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ont
CMAJ 164:809-13. 2001..An awareness of these specific human fallibilities might help clinicians avoid some errors when eliciting a patient's past medical history...
The beguiling pursuit of more informationD A Redelmeier
Department of Medicine, University of Toronto, Ontario, Canada
Med Decis Making 21:376-81. 2001..The authors tested whether clinicians make different decisions if they pursue information than if they receive the same information from the start...
Longevity of screenwriters who win an academy award: longitudinal studyD A Redelmeier
Sunnybrook and Women s Hospital, Toronto, ON, Canada M4N 3M5
BMJ 323:1491-6. 2001..To determine whether the link between high success and longevity extends to academy award winning screenwriters...
Problems for clinical judgement: 5. Principles of influence in medical practiceDonald A Redelmeier
Department of Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Ont
CMAJ 166:1680-4. 2002..An awareness of these principles can provide a framework for physicians to help patients change their behaviour and to understand how others in society sometime alter patients' choices...
Introducing a methodology for estimating duration of surgery in health services researchDonald A Redelmeier
Department of Medicine, Infectious Disease, and Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
J Clin Epidemiol 61:882-9. 2008..We introduce a new methodology for assessing the duration of surgery based on anesthesiology billing records, along with reviewing its fundamental logic and limitations...
Competing risks of mortality with marathons: retrospective analysisDonald A Redelmeier
Department of Medicine, University of Toronto, and Sunnybrook Health Sciences Centre, Ontario, Canada M4N 3M5
BMJ 335:1275-7. 2007....
Beta blockers for elective surgery in elderly patients: population based, retrospective cohort studyDonald Redelmeier
Sunnybrook and Women s College Health Sciences Centre, G 151, 2075 Bayview Ave, Ontario, Canada M4N 3M5
BMJ 331:932. 2005..To test whether atenolol (a long acting beta blocker) and metoprolol (a short acting beta blocker) are associated with equivalent reductions in risk for elderly patients undergoing elective surgery...
Major trauma in pregnant women during the summerDonald A Redelmeier
Department of Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Ontario, Canada
J Trauma 59:112-6. 2005..Pregnant women represent a major challenge in trauma care because of the risks to both mother and child and because of the difficulties in following standard protocols...
Death rates of medical school class presidentsDonald A Redelmeier
Department of Medicine, University of Toronto, The Clinical Epidemiology and Health Care Research Program, Sunnybrook and Women s College Health Sciences Centre, The Institute for Clinical Evaluative Sciences Ontario, Canada
Soc Sci Med 58:2537-43. 2004..001 ). We suggest that the type of medical professional who sacrifices themselves for this type of professional prestige may also be the type who fails to look after their health or is otherwise prone to early mortality...
Association between mortality and occupation among movie directors and actorsDonald A Redelmeier
Department of Medicine, University of Toronto; the Clinical Epidemiology and Health Care Research Program, Sunnybrook and Women's College Health Sciences Centre; and the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Am J Med 115:400-3. 2003
Improving patient care. The cognitive psychology of missed diagnosesDonald A Redelmeier
University of Toronto, Institute for Clinical Evaluative Sciences, and Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Ann Intern Med 142:115-20. 2005..Rather than trying to completely eliminate cognitive shortcuts (which often serve clinicians well), becoming aware of common errors might lead to sustained improvement in patient care...
Memories of colonoscopy: a randomized trialDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Pain 104:187-94. 2003..Memory failures observed in experimental conditions can be found in clinical settings involving awake patients and may offer opportunities for improving patients' willingness to undergo future unpleasant medical procedures...
Delirium after elective surgery among elderly patients taking statinsDonald A Redelmeier
Department of Medicine, University of Toronto, Ontario, Toronto, Canada
CMAJ 179:645-52. 2008..We sought to determine whether the use of statin medications was associated with a higher risk of postoperative delirium than other medications that do not alter microvascular autoregulation...
Holiday review. Rainy weather and medical school admission interviewsDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ontario
CMAJ 181:933. 2009..We found that such cognitive influences extend to candidate admission interviews at a Canadian medical school. We suggest that an awareness of this fallibility might lead to more reasonable medical school admission practices...
Survival in Academy Award-winning actors and actressesD A Redelmeier
Sunnybrook and Women s College Health Sciences Centre, Room G 151, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
Ann Intern Med 134:955-62. 2001..Social status is an important predictor of poor health. Most studies of this issue have focused on the lower echelons of society...
Guidelines for verbal presentations of medical decision analysesD A Redelmeier
University of Toronto Programme in Clinical Epidemiology and Health Care Research The Toronto Hospital and Sunnybrook Health Science Centre, Ontario, Canada
Med Decis Making 17:228-30. 1997..The guidelines do not replace general instruction in public speaking (or rigorous training in decision analysis), but may help students present research projects effectively...
Cost-effectiveness of regulations against using a cellular telephone while drivingD A Redelmeier
Department of Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, Ontario, Canada
Med Decis Making 19:1-8. 1999..To evaluate the cost-effectiveness of regulations that prohibit using a cellular telephone while driving a motor vehicle...
Emergency department visits during an Olympic gold medal television broadcastDonald A Redelmeier
University of Toronto, Toronto, Ontario, Canada
Open Med 5:e112-9. 2011..Practice pattern variations are often attributed to physician decision-making with no accounting for patient preferences...
Charges for medical care at different hospitalsD A Redelmeier
Department of Medicine, University of Toronto, Ontario, Canada
Arch Intern Med 160:1417-22. 2000..We tested whether hospitals charge similar prices for well-specified elective services to individuals paying out-of-pocket for medical care...
Roadway crash risks in recent immigrantsDonald A Redelmeier
Department of Medicine, University of Toronto, Canada
Accid Anal Prev 43:2128-33. 2011..These findings suggest that, contrary to popular opinion, recent immigrants are less prone to be drivers in serious motor vehicle crashes...
Determining whether a patient is feeling better: pitfalls from the science of human perceptionDonald A Redelmeier
Department of Medicine, University of Toronto, Ontario, Canada
J Gen Intern Med 26:900-6. 2011..An awareness of specific pitfalls might help clinicians avoid some mistakes when providing follow-up and interpreting changes in patient symptoms...
Road trauma in teenage male youth with childhood disruptive behavior disorders: a population based analysisDonald A Redelmeier
Department of Medicine, University of Toronto, Ontario, Canada
PLoS Med 7:e1000369. 2010..We examined the amount of road trauma involving teenage male youth that might be explained by prior disruptive behavior disorders (attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder)...
Time lost by driving fast in the United StatesDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ontario, Canada, Department of Health Policy, Management, and Evaluation University of Toronto, Toronto, Ontario, Canada
Med Decis Making 30:E12-9. 2010..Motor vehicle drivers make decisions about speed while traveling and thereby trade off a potential saving from shorter travel time (if the trip is uneventful) against a potential loss of time (if the trip results in a crash)...
Problems for clinical judgement: 1. Eliciting an insightful history of present illnessD A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ont
CMAJ 164:647-51. 2001..These insights might help clinicians avoid mistakes when eliciting a patient's history of present illness...
Motor vehicle crashes in diabetic patients with tight glycemic control: a population-based case control analysisDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
PLoS Med 6:e1000192. 2009..We studied the association between glycosylated hemoglobin (HbA1c) and the risk of a motor vehicle crash using a population-based case control analysis...
Traffic-law enforcement and risk of death from motor-vehicle crashes: case-crossover studyDonald A Redelmeier
Department of Medicine, University of Toronto, Sunnybrook and Women s College Health Sciences Centre, and Institute for Clinical Evaluative Sciences in Ontario, ON, Toronto, Canada
Lancet 361:2177-82. 2003..We tested whether traffic convictions, because of their direct effect on the recipient, might be associated with a reduced risk of fatal motor-vehicle crashes...
Myocardial infarction associated with recency of immigration to OntarioG Saposnik
Department of Medicine, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
QJM 103:253-8. 2010..OBJECTIve: To determine the risk of AMI among new immigrants compared to long-term residents, and, among those who develop AMI, their short- and long-term mortality rate...
Primer on medical decision analysis: Part 1--Getting startedA S Detsky
University of Toronto Programme in Clinical Epidemiology and Health Care Research The Toronto Hospital and The Sunnybrook Health Science Centre Units, Ontario, Canada
Med Decis Making 17:123-5. 1997..Part 1 introduces the topic and covers questions such as choosing an appropriate question, determining the tradeoff between accuracy and simplicity, and deciding on a time frame...
Primer on medical decision analysis: Part 2--Building a treeA S Detsky
University of Toronto Programme in Clinical Epidemiology and Health Care Research The Toronto Hospital and The Sunnybrook Health Science Centre Units, Ontario, Canada
Med Decis Making 17:126-35. 1997..The first is to find modeling or programming errors, a process known as "debugging" the tree. The second is to determine the robustness of the qualitative conclusions drawn from the analysis...
Care of children isolated for infection control: a prospective observational cohort studyEyal Cohen
Department of Pediatrics, University of Toronto, Ontario, Canada
Pediatrics 122:e411-5. 2008..Given the high prevalence and substantial inconvenience associated with implementation of isolation precautions in pediatric settings, we explored the impact of this intervention on the care provided to children and their families...
Risk of premature stroke in recent immigrants (PRESARIO): population-based matched cohort studyG Saposnik
Division of Neurology, Department of Medicine, St Michael s Hospital, University of Toronto, 55 Queen St E, Toronto, Ontario, M5C 1R6, Canada
Neurology 74:451-7. 2010..We determined the risk of acute stroke associated with recency of immigration...
Problems for clinical judgement: 3. Thinking clearly in an emergencyM J Schull
Division of Emergency Medicine, University of Toronto, Toronto, Ont
CMAJ 164:1170-5. 2001..Better training and teamwork may allow for clearer thinking in emergencies, so that knowledge can be translated into effective action and better patient outcomes...
Problems for clinical judgement: 4. Surviving in the report card eraJ V Tu
Department of Medicine, University of Toronto, Toronto, Ont
CMAJ 164:1709-12. 2001..We offer a number of tips ranging from knowing your outcomes first to proactively getting involved in developing report cards...
Emergency department overcrowding following systematic hospital restructuring: trends at twenty hospitals over ten yearsM J Schull
Department of Emergency Services, Clinical Epidemiology Unit, and Division of Pre Hospital Care Research Program, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Acad Emerg Med 8:1037-43. 2001..The authors sought to determine the impact of systematic hospital restructuring on ED overcrowding...
Mortality among patients admitted to hospitals on weekends as compared with weekdaysC M Bell
Department of Medicine, University of Toronto, Sunnybrook and Women's College Health Sciences Centre, ON, Canada
N Engl J Med 345:663-8. 2001..CONCLUSIONS: Patients with some serious medical conditions are more likely to die in the hospital if they are admitted on a weekend than if they are admitted on a weekday...
Decision analysis with cumulative prospect theoryA M Bayoumi
Department of Medicine, University of Toronto, Ontario, Canada
Med Decis Making 20:404-12. 2000..Individuals sometimes express preferences that do not follow expected utility theory. Cumulative prospect theory adjusts for some phenomena by using decision weights rather than probabilities when analyzing a decision tree...
Influenza morbidity and mortality in elderly patients receiving statins: a cohort studyJeffrey C Kwong
The Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
PLoS ONE 4:e8087. 2009..Statins possess immunomodulatory properties and have been proposed for reducing morbidity during an influenza pandemic. We sought to evaluate the effect of statins on hospitalizations and deaths related to seasonal influenza outbreaks...
Microalbuminuria screening for patients having type 2 diabetes mellitus: who wants to participate?G M Leung
Department of Family and Community Medicine, Sunnybrook and Women s College Health Science Centre, University of Toronto, Ont
Clin Invest Med 24:37-43. 2001..They also tend to be excluded from clinical trials. The aim of this paper was to evaluate whether such differences extend to patients' willingness to be screened for diabetic nephropathy in a family practice setting...
Validation of a modified version of the national nosocomial infections surveillance system risk index for health services researchNick Daneman
Institute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Infect Control Hosp Epidemiol 30:563-9. 2009..To validate the National Nosocomial Infections Surveillance system risk index through administrative data to predict surgical site infections...
Statins and sepsis in patients with cardiovascular disease: a population-based cohort analysisDaniel G Hackam
Division of Clinical Pharmacology and Toxicology, Sunnybrook and Women's College Health Sciences Centre, Toronto, Canada
Lancet 367:413-8. 2006..95; 0.75-1.22). IMPLICATIONS: Use of statins in patients with atherosclerosis is associated with a reduced risk of subsequent sepsis. Randomised trials of statins for prevention of sepsis are warranted...
The effect of traumatic brain injury on the health of homeless peopleStephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ont
CMAJ 179:779-84. 2008..We sought to determine the lifetime prevalence of traumatic brain injury and its association with current health conditions in a representative sample of homeless people in Toronto, Ontario...
The FLAMES score accurately predicts mortality risk in burn patientsManuel Gomez
Tilley Burn Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Suite D718, Toronto, Ontario M4N3M5, Canada
J Trauma 65:636-45. 2008....
The risk of suicide with selective serotonin reuptake inhibitors in the elderlyDavid N Juurlink
Institute for Clinical Evaluative Sciences, G Wing 106, 2075 Bayview Ave, Toronto, Ont, Canada M4N 3M5
Am J Psychiatry 163:813-21. 2006..The authors explored the relationship between the initiation of therapy with selective serotonin reuptake inhibitor (SSRI) antidepressants and completed suicide in older patients...
Angiotensin-converting enzyme inhibitors and aortic rupture: a population-based case-control studyDaniel G Hackam
Clinical Epidemiology and Health Care Research Program, Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada
Lancet 368:659-65. 2006..Angiotensin-converting enzyme (ACE) inhibitors prevent the expansion and rupture of aortic aneurysms in animals. We investigated the association between ACE inhibitors and rupture in patients with abdominal aortic aneurysms...
Diabetes care in the U.S. and CanadaGillian L Booth
Department of Medicine, Division of Endocrinology and Metabolism, St Michael s Hospital, Toronto, Ontario, Canada
Diabetes Care 25:1149-53. 2002..To compare the glycemic control of patients with type 1 diabetes treated in the U.S. and Canada...
Emergency department gridlock and out-of-hospital delays for cardiac patientsMichael J Schull
Department of Emergency Services, Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
Acad Emerg Med 10:709-16. 2003..To determine the effect of simultaneous ambulance diversion at multiple emergency departments (EDs) (gridlock) on transport delays for patients with chest pain...
Emergency department overcrowding and ambulance transport delays for patients with chest painMichael J Schull
Department of Emergency Services, Toronto, ON, Canada
CMAJ 168:277-83. 2003..Emergency department overcrowding sometimes results in diversion of ambulances to other locations. We sought to determine the resulting prehospital delays for cardiac patients...
Drug-induced lithium toxicity in the elderly: a population-based studyDavid N Juurlink
Clinical Epidemiology and Healthcare Research Program, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
J Am Geriatr Soc 52:794-8. 2004..To study the association between hospital admission for lithium toxicity and the use of diuretics, angiotensin-converting enzyme (ACE) inhibitors, and nonsteroidal antiinflammatory drugs (NSAIDs) in the elderly...
Preventing deaths in the Canadian militaryHomer C N Tien
Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, Canada
Am J Prev Med 38:331-9. 2010..Combat fatalities are reported by the media as a frequent cause of military deaths, yet they may not reflect the most common and preventable ways that soldiers die...
Medical illness and the risk of suicide in the elderlyDavid N Juurlink
Clinical Epidemiology and Healthcare Research Program, University of Toronto, and the Institute for Clinical Evaluative Sciences, Toronto, Ontario
Arch Intern Med 164:1179-84. 2004..We explored the relationship between treatment for several illnesses and the risk of suicide in elderly patients using a population-based approach...
Drug-drug interactions among elderly patients hospitalized for drug toxicityDavid N Juurlink
Sunnybrook and Women s College Health Sciences Centre, Toronto, Ontario, Canada
JAMA 289:1652-8. 2003..Drug-drug interactions are a preventable cause of morbidity and mortality, yet their consequences in the community are not well characterized...
Iron poisoning in young children: association with the birth of a siblingDavid N Juurlink
Department of Medicine, University of Toronto, Toronto, Ont
CMAJ 168:1539-42. 2003..We explored the association between iron poisoning in young children and the birth of a sibling...
Infection control for the disinterestedMichael J Schull
Department of Emergency Services, Clinical Epidemiology Unit, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, ON
CMAJ 169:122-3. 2003
Rates of hyperkalemia after publication of the Randomized Aldactone Evaluation StudyDavid N Juurlink
Department of Medicine University of Toronto, Toronto
N Engl J Med 351:543-51. 2004..Use of angiotensin-converting-enzyme (ACE) inhibitors is also indicated in these patients. However, life-threatening hyperkalemia can occur when these drugs are used together...
Quality of life and utility in irradiated laryngeal cancer patientsJ Ringash
Princess Margaret Hospital University Health Network University of Toronto, Toronto, Ontario, Canada
Int J Radiat Oncol Biol Phys 47:875-81. 2000..To determine quality of life (QOL) and health utility in irradiated laryngeal cancer survivors...
Economic methods for measuring the quality of life associated with HIV infectionA M Bayoumi
Department of Medicine, University of Toronto, Canada
Qual Life Res 8:471-80. 1999..Quality of life is measured as utilities for cost-effectiveness analyses...
Continuous electrocardiographic monitoring and cardiac arrest outcomes in 8,932 telemetry ward patientsM J Schull
Clinical Epidemiology Unit, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, Ontario, Canada
Acad Emerg Med 7:647-52. 2000..To estimate the benefit of routine electrocardiographic (ECG) telemetry monitoring on in-hospital cardiac arrest survival...
Availability of antidotes at acute care hospitals in OntarioD N Juurlink
Department of Medicine, University of Toronto, Canada
CMAJ 165:27-30. 2001..Acutely poisoned patients sometimes require immediate treatment with an antidote, and delays in treatment can be fatal. We sought to determine the availability of 10 antidotes at acute care hospitals in Ontario...
Major trauma in elderly adults receiving lipid-lowering medicationsD A Redelmeier
Department of Medicine at the University of Toronto, Ontario, Canada
J Trauma 50:678-83. 2001..Some clinical trials, laboratory experiments, and in vitro studies suggest that lipid-lowering medications predispose a person to traumatic injury...
The health of homeless immigrantsS Chiu
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, Ontario, Canada
J Epidemiol Community Health 63:943-8. 2009..This study examined the association between immigrant status and current health in a representative sample of 1189 homeless people in Toronto, Canada...
Statin use and the risk of surgical site infections in elderly patients undergoing elective surgeryNick Daneman
Institute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, G Wing Room 106, Toronto, ON M4N 3M5, Canada
Arch Surg 144:938-45. 2009..To examine whether preoperative statin use is associated with a reduced risk of surgical site infections...
Results of the Recent Immigrant Pregnancy and Perinatal Long-term Evaluation Study (RIPPLES)Joel G Ray
Department of Medicine, St Michael s Hospital, University of Toronto, Toronto, Ont
CMAJ 176:1419-26. 2007..We tested whether the "healthy immigrant effect" extends to the risk of placental dysfunction during the short interval of pregnancy...
Discharge after discharge: predicting surgical site infections after patients leave hospitalN Daneman
Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada
J Hosp Infect 75:188-94. 2010..Post-discharge SSIs are frequent, severe, scattered over time and location, and hard to predict using common risk indices. They represent an important hidden burden in our healthcare system...
Outcomes following appeal and reversal of civil commitmentJay H Moss
Department of Psychiatry, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada M4N 3M5
Gen Hosp Psychiatry 32:94-8. 2010..We tested whether adjudicated decisions over whether to uphold or rescind the detention have implications in subsequent patient morbidity...
Prognostic implications of warfarin cessation after major trauma: a population-based cohort analysisDaniel G Hackam
Division of Clinical Pharmacology, University of Toronto, Toronto, ON, Canada
Circulation 111:2250-6. 2005..CONCLUSIONS: Cessation of warfarin in elderly patients after major trauma was not associated with an increased risk of arterial thrombotic events but was associated with a significantly increased risk of venous thromboembolism...
Waiting for urgent procedures on the weekend among emergently hospitalized patientsChaim M Bell
Department of Medicine, University of Toronto, Canada
Am J Med 117:175-81. 2004..We evaluated the use of selected urgent procedures for emergently hospitalized patients and measured the time until procedure based upon the day of hospital admission...
Kidney transplantation in the elderly: a decision analysisSarbjit V Jassal
Division of Nephrology, University Health Network, Toronto, Ontario, Canada
J Am Soc Nephrol 14:187-96. 2003..Prolonged waiting times dramatically decrease the clinical benefits and economic attractiveness of transplantation, suggesting that living donor transplantation may be of particular benefit in this population...
Universal health insurance and health care access for homeless personsStephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
Am J Public Health 100:1454-61. 2010..We examined the extent of unmet needs and barriers to accessing health care among homeless people within a universal health insurance system...
Postoperative pneumonia in elderly patients receiving acid suppressants: a retrospective cohort analysisDonald A Redelmeier
Department of Medicine, University of Toronto, Toronto, Canada
BMJ 340:c2608. 2010..To test whether gastric acid suppressants are associated with an increased risk of postoperative pneumonia in patients undergoing elective surgery...
Administrative data accurately identified intensive care unit admissions in OntarioDamon C Scales
Department of Critical Care, Sunnybrook and Women s College Health Sciences Centre, University of Toronto, G1 06, 2075 Bayview Avenue, Toronto, Ontario, Canada
J Clin Epidemiol 59:802-7. 2006..To evaluate the accuracy of Ontario administrative health data for identifying intensive care unit (ICU) patients...
Safety of patients isolated for infection controlHenry Thomas Stelfox
Department of Medicine, University of Toronto, Toronto, Ontario
JAMA 290:1899-905. 2003..Hospital infection control policies that use patient isolation prevent nosocomial transmission of infectious diseases, but may inadvertently lead to patient neglect and errors...
Alcohol sales and risk of serious assaultJoel G Ray
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
PLoS Med 5:e104. 2008..We assessed the risk of being hospitalized due to assault in association with retail alcohol sales across Ontario...
How to read clinical journals: X. How to react when your colleagues haven't read a thingS L Shumak
Sunnybrook and Women s College Health Sciences Centre, A442 2075 Bayview Ave, Toronto, ON M4G 3M5
CMAJ 163:1570-2. 2000..If employed properly and used judiciously, these techniques may help avoid embarrassment for all and may also improve the exchange of valuable information between professionals...
The impact of home nocturnal hemodialysis on end-stage renal disease therapies: a decision analysisP A McFarlane
St Michael s Hospital, 61 Queen Street East, 9th Floor, Toronto, Ontario, Canada M5C 2T2
Kidney Int 69:798-805. 2006..Our model suggests that HNHD improves quality-adjusted survival over IHD at an economically attractive cost-effectiveness ratio...
Evaluating paramedic comfort with field pronouncement: development and validation of an outcome measureLaurie J Morrison
Department of Emergency Services, Sunnybrook and Women s Health Sciences Center, Division of Emergency Medicine, Department of Medicine, University of Toronto, Ontario, Canada
Acad Emerg Med 10:633-7. 2003..The authors developed and evaluated the reliability and validity of a survey instrument measuring paramedic comfort with field pronouncement...
An analysis of one potential form of health care fraud in CanadaHenry Thomas Stelfox
Department of Medicine, University of Toronto, Toronto, ON
CMAJ 169:118-9. 2003..Our findings suggest that this type of health care fraud occurs infrequently and that countermeasures are unlikely to substantially reduce medication abuse in Canada...
The quality of life and cost utility of home nocturnal and conventional in-center hemodialysisPhilip A McFarlane
Department of Medicine, Home Dialysis Clinic, Inner City Health Research Unit, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
Kidney Int 64:1004-11. 2003..We hypothesized that individuals performing home nocturnal hemodialysis would have a higher quality of life and superior cost utility than in-center hemodialysis patients...
The increasing incidence of severe pelvic injury in motor vehicle collisionsKenji Inaba
Trauma Program, Departments of Surgery and Medicine, Sunnybrook and Women's College Health Sciences Centre, C-135, 2075 Bayview Avenue, Toronto, Ont, Canada M4N 3M5
Injury 35:759-65. 2004..The role of side impact protection and side airbags, introduced to decrease injury severity in lateral impact collisions will require further study...
The effect of tracheostomy timing during critical illness on long-term survivalDamon C Scales
Department of Critical Care, Sunnybrook Health Sciences Centre, University of Toronto, ON, Canada
Crit Care Med 36:2547-57. 2008..Tracheostomy is common in intensive care unit patients, but the appropriate timing is controversial...
Enhanced weekend service: an affordable means to increased hospital procedure volumeChaim M Bell
Department of Medicine, University of Toronto, Toronto, Ont
CMAJ 172:503-4. 2005
Cost savings of home nocturnal versus conventional in-center hemodialysisPhilip A McFarlane
Home Dialysis, St Michael s Hospital, Toronto, Ontario, Canada
Kidney Int 62:2216-22. 2002..We hypothesized that HNHD would provide more dialysis treatments at a lower total cost than IHD...
Clinical teaching and clinical outcomes: teaching capability and its association with patient outcomesOphyr Mourad
St Michael s Hospital, Toronto, Ontario, Canada
Med Educ 40:637-44. 2006..There is little research on the impact of medical education on patient outcome. We studied whether teaching capability is associated with altered short-term patient outcomes...
Metabolic syndrome and the risk of placental dysfunctionJoel G Ray
Department of Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON
J Obstet Gynaecol Can 27:1095-101. 2005..Studies are needed to determine whether modifying a woman's metabolic profile before pregnancy, through modest caloric restriction and increased physical activity, can lower her future risk of PD...
Cardiovascular health after maternal placental syndromes (CHAMPS): population-based retrospective cohort studyJoel G Ray
Department of Medicine, St Michael s Hospital, University of Toronto, Toronto, Ontario M5B 1W8, Canada
Lancet 366:1797-803. 2005..Our aim was to assess the risk of premature vascular disease in women who had had a pregnancy affected by maternal placental syndromes...
Interpreting differences in quality of life: the FACT-H&N in laryngeal cancer patientsJolie Ringash
Department of Radiation Oncology, Princess Margaret Hospital, University Health Network, Toronto, ON, Canada
Qual Life Res 13:725-33. 2004..Quality of life (QOL) scores can be difficult to interpret, because small statistically significant differences can be clinically unimportant. Our goal was to estimate the magnitude of difference in QOL that is noticeable to patients...
Interpreting clinically significant changes in patient-reported outcomesJolie Ringash
Department of Radiation Oncology, Princess Margaret Hospital and University of Toronto, Toronto, Ontario, Canada
Cancer 110:196-202. 2007....
Weekend worriersDonald A Redelmeier
N Engl J Med 356:1164-5. 2007
Politics and independence--the collapse of the Canadian Medical Association JournalMiriam Shuchman
Department of Psychiatry at SUNY-Buffalo, USA
N Engl J Med 354:1337-9. 2006
Driving fatalities on US presidential election daysDonald A Redelmeier
JAMA 300:1518-20. 2008
Editorial autonomy of CMAJJerome P Kassirer
Tufts University School of Medicine, Boston, Mass, USA
CMAJ 174:945-50. 2006
Use of antibiotics and risk of cancerNeil H Shear
JAMA 291:2699; author reply 2700. 2004
Driving fatalities on Super Bowl SundayDonald A Redelmeier
N Engl J Med 348:368-9. 2003
A letter from CMAJ's editorial board to the CMAPaul Armstrong
CMAJ 167:1230; author reply 1230-1. 2002
