Molecular markers and mortality in prostate cancerJohn Concato
Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT, USA
BJU Int 100:1259-63. 2007
..g. markers of cell-cycle regulation), in addition to the effect of traditional clinical factors (e.g. anatomical stage, histological grade), in predicting long-term mortality among men newly diagnosed with prostate cancer...
Impact of biochemical recurrence in prostate cancer among US veteransEdward M Uchio
Surgical Urology and Medical Service, VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, 950 Campbell Ave, 151B, West Haven, CT 06516, USA
Arch Intern Med 170:1390-5. 2010
..The impact of BCR on subsequent mortality is uncertain, however, especially given competing causes of death...
Staging the severity of chronic obstructive pulmonary disease in older persons based on spirometric Z-scoresCarlos A Vaz Fragoso
Veterans Affairs Clinical Epidemiology Research Center, West Haven, Connecticut 06516, USA
J Am Geriatr Soc 59:1847-54. 2011
..The current study has therefore evaluated the association between LMS-staged COPD and health outcomes, in two separate cohorts of older persons...
Use of lambda-mu-sigma-derived Z score for evaluating respiratory impairment in middle-aged personsCarlos A Vaz Fragoso
Clinical Epidemiology Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
Respir Care 56:1771-7. 2011
..Evidence is limited, however, on whether the LMS method is valid for evaluating respiratory impairment in middle-aged persons...
Observational methods in comparative effectiveness researchJohn Concato
VA Clinical Epidemiology Research Center and VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Am J Med 123:e16-23. 2010
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Molecular markers and death from prostate cancerJohn Concato
Veterans Affairs Clinical Epidemiology Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut 06516, USA
Ann Intern Med 150:595-603. 2009
..Current methods to assess the prognosis of prostate cancer at the time of diagnosis are limited...
Respiratory impairment and COPD hospitalisation in older persons: a competing risk analysisCarlos A Vaz Fragoso
Clinical Epidemiology Research Center, VA Connecticut Healthcare System, 950 Campbell Ave, Mailcode 151B, West Haven, CT, USA
Eur Respir J 40:37-44. 2012
..32)). In older white persons, LMS-defined respiratory impairment is strongly associated with an increased risk of COPD hospitalisation. These results support the LMS method as a basis for defining respiratory impairment in older persons...
Changes in Gleason scores for prostate cancer: what should we expect from a measurement?Jorge Ramos
Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
J Investig Med 58:625-8. 2010
..An upward shift has occurred in the distribution of Gleason scores during the past decade; this change was influenced by reports suggesting that lower scores (range, 2-4) should not be assigned to biopsy specimens...
Respiratory impairment and mortality in older persons: a novel spirometric approachCarlos A Vaz Fragoso
Veterans Affairs Clinical Epidemiology Research Center, West Haven, CT, USA
J Investig Med 59:1089-95. 2011
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To count and how to count, that is the question: interobserver and intraobserver variability among pathologists in lymph node countingVinita Parkash
Dept of Pathology, Yale University School of Medicine, New Haven, CT, USA
Am J Clin Pathol 134:42-9. 2010
..6, which could be clinically significant when the count approaches the set minimum. Uniform criteria are necessary to allow for meaningful comparisons between studies on minimal nodal counts for cancer lymphadenectomies...
Prostate cancer, comorbidity, and participation in randomized controlled trials of therapyHerta H Chao
VA Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CT 06516, USA
J Investig Med 58:566-8. 2010
..Our objective was to determine the proportion of men with castrate-resistant prostate cancer (CRPC) in a clinical setting that would have been excluded from major phase 3 RCTs...
Obstructive sleep apnea as a risk factor for coronary events or cardiovascular deathNeomi A Shah
Yale Center for Sleep Medicine, New Haven, CT, USA
Sleep Breath 14:131-6. 2010
..This study aims to determine whether obstructive sleep apnea independently increases the risk of coronary events, including death from cardiovascular causes...
What will the emperor say? Screening for prostate cancer as of 2008John Concato
Veterans Affairs VA Clinical Epidemiology Research Center CERC, VA Connecticut Healthcare System, West Haven, CT, USA
Cancer J 15:7-12. 2009
..As of 2008, the need to counsel patients regarding the possible benefits and harms that can result from screening for (and treating) prostate cancer remains justified...
Prostate-specific antigen 'velocity' as a diagnostic test for prostate cancerJohn Concato
Department of Medicine, Clinical Epidemiology Research Center, VA Connecticut Healthcare System, New Haven 06516, USA
J Investig Med 54:361-4. 2006
..Accordingly, we evaluated the sensitivity of prostate-specific antigen (PSA) velocity among men who are diagnosed subsequently with prostate cancer...
Acetylcholinesterase activity in veterans of the first Gulf WarJohn Concato
VA Connecticut Healthcare System, Clinical Epidemiology Research Center, West Haven, CT 06516, USA
J Investig Med 55:360-7. 2007
..This study was designed to examine relationships of deployment to the Gulf, as well as symptoms after military service, with postdeployment activity of acetylcholinesterase (AChE) and related enzymes...
Dietary fish or seafood consumption is not related to cerebrovascular disease risk in twin veteransDawn M Bravata
Clinical Epidemiology Research Center, VA Connecticut Healthcare System, West Haven, CN 06516, USA
Neuroepidemiology 28:186-90. 2007
..The results of studies about dietary fish consumption and stroke risk have been conflicting. We sought to examine the relationship between dietary fish and seafood consumption and the risk of stroke or transient ischemic attack (TIA)...
Delayed presentation for human immunodeficiency virus (HIV) care among veterans: a problem of access or screening?Neel R Gandhi
Robert Wood Johnson Clinical Scholars Program and Section of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
Med Care 45:1105-9. 2007
..Others argue that delays will persist until routine screening is adopted. The Veterans Health Administration (VA) is a unique laboratory to examine whether access to comprehensive health benefits results in earlier entry into HIV care...
Reporting of multivariable methods in the medical literatureJeanette M Tetrault
Veterans Affairs Clinical Epidemiology Research Center, 950 Campbell Avenue, West Haven, CT 06516, USA
J Investig Med 56:954-7. 2008
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Comparative effectiveness research: what kind of studies do we need?John Concato
Clinical Epidemiology Research Center, Veterans Affairs VA Connecticut Healthcare System, West Haven, CT 06516, USA
J Investig Med 58:764-9. 2010
..A review of these (and other) selected projects, based on their type of study design, serves to highlight the strengths, limitations, and potential of CER...
The effectiveness of screening for prostate cancer: a nested case-control studyJohn Concato
Clinical Epidemiology Research Center and Cooperative Studies Program Coordinating Center, Department of Veterans Affairs Connecticut Healthcare System, West Haven Veterans Affairs Medical Center 06516, USA
Arch Intern Med 166:38-43. 2006
..Evidence is lacking, however, to confirm a survival benefit among screened patients. We evaluated the effectiveness of PSA, with or without DRE, in reducing mortality...
Race independently predicts prostate specific antigen testing frequency following a prostate carcinoma diagnosisSteven B Zeliadt
Fred Hutchinson Cancer Research Center, Seattle, Washington 98109-1024, USA
Cancer 98:496-503. 2003
..Further research is needed to identify the reasons for the racial disparity in PSA surveillance and to design interventions to lessen these differences...