Research Topics
| N J WaldSummaryAffiliation: Queen Mary Country: UK Publications
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Publications
Assay precision of serum alpha fetoprotein in antenatal screening for neural tube defects and Down's syndromeN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, Queen Mary and Westfield College, UK
J Med Screen 7:74-7. 2000..To assess the impact of current serum alpha fetoprotein (AFP) assays on the performance of screening for open neural tube defects and Down's syndrome...
Chlamydia pneumoniae infection and mortality from ischaemic heart disease: large prospective studyN J Wald
BUPA Epidemiological Research Group, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, London EC1M 6BQ
BMJ 321:204-7. 2000..To determine whether there is an independent association between infection with Chlamydia pneumoniae and ischaemic heart disease...
Maternal serum prostate-specific antigen and Down syndrome in the first and second trimesters of pregnancy. International Prenatal Screening Research GroupN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomews and the Royal London School of Medicine and Dentistry, Charterhouse Square, London, EC1M 6BQ, U K
Prenat Diagn 19:674-6. 1999..1 and 0.9 multiple of the normal median, respectively, in affected pregnancies. There was no indication that PSA would be a useful screening marker...
SP1 in pregnancies with Down syndrome in the first trimester of pregnancy. International Prenatal Screening Research GroupN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, Charterhouse Square, UK
Prenat Diagn 19:517-20. 1999..76 to 0.97). This difference, though statistically significant, was not large enough for SP1 to be a useful marker in screening, at least from 10 weeks onwards where most of our data lie...
Routine ultrasound scanning for congenital abnormalitiesN Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s, London, United Kingdom
Ann N Y Acad Sci 847:173-80. 1998....
Quantifying the effect of folic acidN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts, Charterhouse Square, London, UK
Lancet 358:2069-73. 2001..Folic acid is known to prevent neural-tube defects (NTDs) but the size of the effect for a given dose is unclear. We aimed to quantify such an effect...
Multiple marker second trimester serum screening for pre-eclampsiaN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, UK
J Med Screen 8:65-8. 2001....
SURUSS in perspectiveN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, UK
Semin Perinatol 29:225-35. 2005..We here present the main results from SURUSS, updated to take account of recent information on nuchal translucency in Down's Syndrome pregnancies, and discuss their implications...
Inaccurate estimation of risk in second trimester serum screening for Down syndrome among women who have already had first trimester screeningA K Hackshaw
Department of Environmental and Preventive Medicine, The Wolfson Institute of Preventive Medicine, Queen Mary and Westfield College, University of London, UK
Prenat Diagn 21:741-6. 2001..The practice of offering second trimester serum screening to women who have already been screened is best avoided...
Assessment of the value of reporting partial screening results in prenatal screening for Down syndromeA K Hackshaw
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Queen Mary and Westfield College, University of London, London, UK
Prenat Diagn 21:737-40. 2001..It is therefore not worthwhile reporting partial risk estimates in screening programmes using the Combined Test or Integrated Test...
SURUSS in perspectiveN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, UK
BJOG 111:521-31. 2004..There is no justification for retaining the Double (alpha-fetoprotein and hCG) or Triple (alpha-fetoprotein, uE(3), and hCG) tests, or nuchal translucency alone (with or without maternal age) in antenatal screening for Down's Syndrome...
First and second trimester antenatal screening for Down's syndrome: the results of the Serum, Urine and Ultrasound Screening Study (SURUSS)N J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Bart's and The London School of Medicine and Dentistry, London EC1M 6BQ, UK
J Med Screen 10:56-104. 2003
Multiple-marker screening for Down's syndrome: a method of assessing the statistical robustness of proposed testsJ K Morris
Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 15:55-61. 2008..We used the maximum variance inflation factor (VIF(max)) to determine whether a screening test using multiple markers was robust to imprecision in the estimation of the marker distribution parameters...
Validation plots in antenatal screening for Down's syndromeN J Wald
Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 13:166-71. 2006....
Repeat testing in antenatal screening for Down syndrome using dimeric inhibin-A in combination with other maternal serum markersA K Hackshaw
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew's and the Royal London School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
Prenat Diagn 21:58-61. 2001..For a 5% false-positive rate the increase in detection rate was only about 3-5 percentage points; a modest increase which is probably not worthwhile in the light of the extra cost and delay...
Value of low dose combination treatment with blood pressure lowering drugs: analysis of 354 randomised trialsM R Law
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London, Queen Mary s School of Medicine and Dentistry, University of London, London EC1M 6BQ
BMJ 326:1427. 2003....
Using Down syndrome serum screening results to predict low birthweightT Huang
Wolfson Institute of Preventive Medicine, Bart s and The London School of Medicine and Dentistry, Charterhouse Square, London, UK
Prenat Diagn 23:420-6. 2003..To investigate the use of prenatal maternal serum screening results for Down syndrome, for the prediction of low (<2500 g) and very low (<1500 g) birthweight...
First and second trimester antenatal screening for Down's syndrome: the results of the Serum, Urine and Ultrasound Screening Study (SURUSS)N J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Bart's and The London School of Medicine and Dentistry, UK
Health Technol Assess 7:1-77. 2003
The effect of correlations between screening markers on screening performanceJ K Morris
Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 14:151-7. 2007....
The performance of blood pressure and other cardiovascular risk factors as screening tests for ischaemic heart disease and strokeM R Law
Centre for Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London, Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ
J Med Screen 11:3-7. 2004..Among persons with no history of cardiovascular disease, age is a better screening test than the reversible risk factors, and the best policy is to offer treatment to all persons above a specified age such as 55 years...
Insulin-like growth factors and cancer: no role in screening. Evidence from the BUPA study and meta-analysis of prospective epidemiological studiesJ K Morris
Centre for Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
Br J Cancer 95:112-7. 2006..Our results suggest that IGF-1, IGF-2, and IGFBP-3 measurements have no value in cancer screening, although IGF-1 and IGF-2 may be of aetiological significance in relation to colorectal and prostate cancer...
Helicobacter pylori infection and mortality from ischaemic heart disease: negative result from a large, prospective studyN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s, London
BMJ 315:1199-201. 1997..To determine whether there is an independent association between Helicobacter pylori infection of the stomach and ischaemic heart disease...
The dose-response relationship between cigarette consumption, biochemical markers and risk of lung cancerM R Law
BUPA Epidemiology Research Group, Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and The Royal London School of Medicine, UK
Br J Cancer 75:1690-3. 1997..The anomaly is explained by the observation that heavier smokers inhale less smoke from each cigarette...
Estimating the risk of Down's syndrome in antenatal screening and the gestation at which this risk appliesJ K Morris
Wolfson Institute of Preventive Medicine, Barts and the Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 14:5-7. 2007..Therefore the early second trimester of pregnancy is the gestational age at which all screening performances should be given for the different antenatal screening programmes for Down's syndrome...
Use of blood pressure lowering drugs in the prevention of cardiovascular disease: meta-analysis of 147 randomised trials in the context of expectations from prospective epidemiological studiesM R Law
Centre for Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine, Queen Mary University of London, London EC1M 6BQ
BMJ 338:b1665. 2009..To determine the quantitative efficacy of different classes of blood pressure lowering drugs in preventing coronary heart disease (CHD) and stroke, and who should receive treatment...
Distribution of nuchal translucency in antenatal screening for Down's syndromeJ P Bestwick
Wolfson Institute of Preventive Medicine, Barts and the London Queen Marys School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 17:8-12. 2010....
Graphical presentation of distributions of risk in screeningJ K Morris
Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, London EC1M 6BQ, UK
J Med Screen 12:155-60. 2005..However, this approximation sometimes fails. Here we examine the circumstances when this occurs...
Environmental tobacco smoke exposure and ischaemic heart disease: an evaluation of the evidenceM R Law
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s, London
BMJ 315:973-80. 1997....
Is cascade testing a sensible method of screening a population for autosomal recessive disorders?J K Morris
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London, Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London, United Kingdom
Am J Med Genet A 128:271-5. 2004..The performance of cascade testing is too poor to justify its introduction into practice as a screening test for any autosomal recessive disorder...
Evaluation of a proposed mixture model to specify the distributions of nuchal translucency measurements in antenatal screening for Down's syndromeJ P Bestwick
Wolfson Institute of Preventive Medicine, Barts and the London Queen Marys School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 17:13-8. 2010..Settings A routine antenatal screening programme for Down's syndrome comprising 104 affected and 22,284 unaffected pregnancies...
Adding free to total prostate-specific antigen levels in trials of prostate cancer screeningN J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, UK
Br J Cancer 82:731-6. 2000..Over a 6-year period (based on 41 cancers) a similar difference occurred (52% and 56% detection rates respectively). We conclude that there is no material advantage in adding free to total PSA in prostate cancer screening trials...
Serum cholesterol and subsequent risk of cancer: results from the BUPA studyN J Wald
Department of Environmental and Preventive Medicine, St Bartholomew s Hospital Medical College, London, UK
Br J Cancer 59:936-8. 1989..Our results, which are consistent with the majority of other published studies, indicate that a low serum cholesterol is not a cause of cancer...
Quantifying effect of statins on low density lipoprotein cholesterol, ischaemic heart disease, and stroke: systematic review and meta-analysisM R Law
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London, Queen Mary s School of Medicine and Dentistry, University of London, London EC1M 6BQ
BMJ 326:1423. 2003..To determine by how much statins reduce serum concentrations of low density lipoprotein (LDL) cholesterol and incidence of ischaemic heart disease (IHD) events and stroke, according to drug, dose, and duration of treatment...
Antenatal screening for Down's syndrome using the Integrated test at two London hospitalsN J Wald
Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, London
J Med Screen 16:7-10. 2009..The audit demonstrated that it is feasible to conduct integrated screening within the NHS with a high acceptance rate and a screening performance consistent with that determined from previous research studies...
A new approach to antenatal screening for Fragile X syndromeN J Wald
Department of Environmental Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts the London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London, UK
Prenat Diagn 23:345-51. 2003..To describe a new approach to antenatal screening for Fragile X syndrome and to evaluate its effectiveness...
Prevalence of neural tube defect pregnancies in England and Wales from 1964 to 2004J K Morris
Wolfson Institute of Preventive Medicine, Barts and The London Queen Mary s School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 14:55-9. 2007....
A strategy to reduce cardiovascular disease by more than 80%N J Wald
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, Barts and The London, Queen Mary s School of Medicine and Dentistry, University of London, London EC1M 6BQ
BMJ 326:1419. 2003..The strategy was to simultaneously reduce four cardiovascular risk factors (low density lipoprotein cholesterol, blood pressure, serum homocysteine, and platelet function) regardless of pretreatment levels...
Cystic fibrosis: selecting the prenatal screening strategy of choiceN J Wald
Wolfson Institute of Preventive Medicine, Barts and the London Queen Mary School of Medicine and Dentistry, London, UK
Prenat Diagn 23:474-83. 2003..Setting up a national prenatal screening programme for cystic fibrosis is timely and should be implemented using the couple screening method...
Guidance on terminologyN J Wald
Wolfson Institute of Preventive Medicine, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 13:53. 2006
A randomized double-blind crossover trial to investigate the efficacy of screening for adult hypothyroidismM Abu-Helalah
Centre for Environmental and Preventive Medicine, Barts and the London School of Medicine, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK
J Med Screen 17:164-9. 2010..To assess the value of population screening for adult hypothyroidism...
Serum beta-carotene and subsequent risk of cancer: results from the BUPA StudyN J Wald
Department of Environmental and Preventive Medicine, St Bartholomew s Hospital Medical College, London, UK
Br J Cancer 57:428-33. 1988....
Comparison of models of maternal age-specific risk for Down syndrome live birthsJ K Morris
Department of Environmental and Preventive Medicine, Wolfson Institute of Preventive Medicine, St Bartholomew s and the Royal London School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK
Prenat Diagn 23:252-8. 2003..To display and compare the different published formulae that specify the association between maternal age and the risk of a Down syndrome live birth...
