Research Topics
| J Z AyanianSummaryAffiliation: Harvard University Country: USA Publications
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Detail Information
Publications
Predictors of health-related quality of life in patients with colorectal cancerKathleen J Yost
Center on Outcomes, Research and Education, Evanston Northwestern Healthcare, Evanston, IL 60201, USA
Health Qual Life Outcomes 6:66. 2008..The objectives of this study were to identify predictors of HRQL in patients with colorectal cancer and interpret the clinical importance of the results...- The effect on survival of continuing chemotherapy to near deathAkiko M Saito
Health Services Research Program, Cancer Care Ontario and the Ontario Institute for Cancer Research, Toronto, ON, Canada
BMC Palliat Care 10:14. 2011..abstract:.. - Variation in use of surveillance colonoscopy among colorectal cancer survivors in the United StatesTalya Salz
Health Outcomes Research Group, Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 307 E, 63rd St, New York, NY 10065, USA
BMC Health Serv Res 10:256. 2010..Using data from a large, multi-regional, population-based cohort, we describe the rate of surveillance colonoscopy and its association with geographic, sociodemographic, clinical, and health services characteristics... - A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot studyKaren E Lasser
Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA, USA
BMC Fam Pract 10:37. 2009..Patient navigation has been shown to increase breast and cervical cancer screening rates, but few studies have looked at the potential of patient navigation to increase colorectal cancer screening rates... - Barriers to colorectal cancer screening in community health centers: a qualitative studyKaren E Lasser
Department of Medicine, Cambridge Health Alliance Harvard Medical School, Cambridge, MA, USA
BMC Fam Pract 9:15. 2008..The purpose of this study was to describe barriers to/facilitators of colorectal cancer screening among diverse patients served by community health centers... - Determinants of racial/ethnic differences in blood pressure management among hypertensive patientsLeRoi S Hicks
Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
BMC Cardiovasc Disord 5:16. 2005..However, to date there are few data available regarding the confounders of racial/ethnic disparities in the intensity of hypertension treatment... - Early dissemination of bevacizumab for advanced colorectal cancer: a prospective cohort studyS Yousuf Zafar
Division of Medical Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, USA
BMC Cancer 11:354. 2011..We describe early dissemination patterns for first-line bevacizumab given for metastatic colorectal cancer treatment... - Patients' experiences with care for lung cancer and colorectal cancer: findings from the Cancer Care Outcomes Research and Surveillance ConsortiumJohn Z Ayanian
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
J Clin Oncol 28:4154-61. 2010..To assess patients' experiences with cancer care, ratings of their quality of care, and correlates of these assessments... 
Use of adjuvant chemotherapy and radiation therapy for colorectal cancer in a population-based cohortJohn Z Ayanian
Division of General Medicine and Channing Laboratory, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
J Clin Oncol 21:1293-300. 2003..This population-based study was designed to assess use of these treatments in clinical practice...- Physician reminders to promote surveillance colonoscopy for colorectal adenomas: a randomized controlled trialJohn Z Ayanian
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Gen Intern Med 23:762-7. 2008..Most colorectal cancers develop from adenomatous polyps. National guidelines recommend surveillance colonoscopy within 5 years after such polyps are removed... - Physicians' beliefs about racial differences in referral for renal transplantationJohn Z Ayanian
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
Am J Kidney Dis 43:350-7. 2004..A better understanding of physicians' views about racial differences in access to transplantation may help reduce disparities in care... 
Determinants of racial and ethnic disparities in surgical careJohn Z Ayanian
Department of Medicine, Center for Surgery and Public Health Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, United States
World J Surg 32:509-15. 2008....- Health insurance coverage and mortality among the near-elderlyJ Michael McWilliams
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Health Aff (Millwood) 23:223-33. 2004..Expanding coverage to the near-elderly uninsured may greatly improve health outcomes for these groups... - Enhancing research on cancer survivorsJohn Z Ayanian
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02115, USA
J Clin Oncol 24:5149-53. 2006..Research to understand the needs of cancer survivors will provide a foundation for effective programs to meet these needs... - Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and languageJohn Z Ayanian
Division of General Medicine and Channing Laboratory, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
J Clin Oncol 23:6576-86. 2005..To identify opportunities for improving care, we evaluated patients' perceptions of the quality of their cancer care by race, ethnicity, and language... - Specialty of ambulatory care physicians and mortality among elderly patients after myocardial infarctionJohn Z Ayanian
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 347:1678-86. 2002..The outcome after myocardial infarction may be influenced by the type of physician providing ambulatory care... - Teaching hospitals and quality of care: a review of the literatureJohn Z Ayanian
Harvard Medical School, USA
Milbank Q 80:569-93, v. 2002..Some factors related to teaching status, such as organizational culture, staffing, technology, and volume, may lead to higher-quality care... - Perceived risks of heart disease and cancer among cigarette smokersJ Z Ayanian
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Mass 02115, USA
JAMA 281:1019-21. 1999..Cigarette smoking causes more preventable deaths from cardiovascular disease and cancer than any other modifiable risk factor, but smokers may discount the increased personal risk they face from continued smoking... - The effect of patients' preferences on racial differences in access to renal transplantationJ Z Ayanian
Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 341:1661-9. 1999..In the United States, black patients undergo renal transplantation less often than white patients, but few studies have directly assessed the association between race and patients' preferences with respect to transplantation... - Quality of care by race and gender for congestive heart failure and pneumoniaJ Z Ayanian
Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
Med Care 37:1260-9. 1999..Variations in the rates of major procedures by race and gender are well described, but few studies have assessed the quality of care by race and gender for basic hospital services... - Undiagnosed hypertension and hypercholesterolemia among uninsured and insured adults in the Third National Health and Nutrition Examination SurveyJohn Z Ayanian
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA
Am J Public Health 93:2051-4. 2003 - Unmet health needs of uninsured adults in the United StatesJ Z Ayanian
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
JAMA 284:2061-9. 2000..In 1998, 33 million US adults aged 18 to 64 years lacked health insurance. Determining the unmet health needs of this population may aid efforts to improve access to care... - Use of cholesterol-lowering therapy and related beliefs among middle-aged adults after myocardial infarctionJohn Z Ayanian
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
J Gen Intern Med 17:95-102. 2002..To assess use of cholesterol-lowering therapy and related beliefs among middle-aged adults after myocardial infarction... - Responses of Massachusetts hospitals to a state mandate to collect race, ethnicity and language data from patients: a qualitative studySelena Jorgensen
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
BMC Health Serv Res 10:352. 2010..This study assessed implementation of the regulation and its impact on the use of race and ethnicity data in performance monitoring and quality improvement within hospitals... - Use of cholesterol-lowering therapy by elderly adults after myocardial infarctionJohn Z Ayanian
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Arch Intern Med 162:1013-9. 2002..Use of cholesterol-lowering drugs reduces mortality and adverse cardiac events among people aged 65 to 75 years with coronary heart disease, but previous studies have shown that most patients have not received this treatment... - Validating recommendations for coronary angiography following acute myocardial infarction in the elderly: a matched analysis using propensity scoresS T Normand
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
J Clin Epidemiol 54:387-98. 2001..Because of the magnitude of the benefit and of the number of patients involved, steps should be taken to replicate these findings... - Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?A M Epstein
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
N Engl J Med 343:1537-44, 2 p preceding 1537. 2000..Despite abundant evidence of racial disparities in the use of surgical procedures, it is uncertain whether these disparities reflect racial differences in clinical appropriateness or overuse or underuse of inappropriate care... - Quality of ambulatory care after myocardial infarction among Medicare patients by type of insurance and regionM E Seddon
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Am J Med 111:24-32. 2001..Future studies should assess the quality of ambulatory cardiac care in different types of HMOs and the reasons for geographic variations in cardiac drug use... - Trends in the quality of care and racial disparities in Medicare managed careAmal N Trivedi
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, USA
N Engl J Med 353:692-700. 2005..Future research should examine factors that contributed to the narrowing of racial disparities on some measures and focus on interventions to eliminate persistent disparities in the quality of care... - Access to renal transplantation among American Indians and HispanicsThomas D Sequist
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Am J Kidney Dis 44:344-52. 2004..Policies to address these disparities should address specific barriers within the transplant evaluation process... - Use of health services by previously uninsured Medicare beneficiariesJ Michael McWilliams
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 357:143-53. 2007..Previously uninsured adults who enroll in the Medicare program at the age of 65 years may have greater morbidity, requiring more intensive and costlier care over subsequent years, than they would if they had been previously insured... - Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary careThomas G McGuire
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Health Serv Res 43:531-51. 2008..To test for discrimination by race/ethnicity arising from clinical uncertainty in treatment for depression, also known as "statistical discrimination.".. - Profiling providers on use of adjuvant chemotherapy by combining cancer registry and medical record dataHui Zheng
Department of Health Care Policy, Harvard Medical School, and Division of Epidemiology and Outcomes Research, Partners AIDS Research Center, Massachusetts General Hospital, Boston 02115, USA
Med Care 44:1-7. 2006..Using additional information from a physician survey and applying rigorous statistical models, better inferences can be drawn about provider quality... - Effect of quality improvement on racial disparities in diabetes careThomas D Sequist
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Arch Intern Med 166:675-81. 2006..Racial disparities in care are well documented; information regarding solutions is limited. We evaluated whether generic quality improvement efforts were associated with changes in racial disparities in diabetes care... - Impact of underuse, overuse, and discretionary use on geographic variation in the use of coronary angiography after acute myocardial infarctionE Guadagnoli
Department of Health Care Policy, Harvard Medical School, Boston MA 02115 5899, USA
Med Care 39:446-58. 2001..Geographic variation in the use of medical procedures has been well documented. However, it is not known whether this variation is due to differences in use when procedures are indicated, discretionary, or contraindicated... - Hospital readmissions and quality of careJ S Weissman
Department of Medicine, Massachusetts General Hospital, Institute for Health Policy, Harvard Medical School, Boston 02114, USA
Med Care 37:490-501. 1999..Readmission rates are often proposed as markers for quality of care. However, a consistent link between readmissions and quality has not been established... - Perceptions of cancer-related information among cancer survivors: a report from the American Cancer Society's Studies of Cancer SurvivorsD Keith McInnes
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
Cancer 113:1471-9. 2008..Sources of cancer-related information are rapidly increasing, but little is known about whether the health information available to cancer survivors meets their needs... - Is hospital service associated with racial and ethnic disparities in experiences with hospital care?LeRoi S Hicks
Department of Medicine, Division of General Internal Medicine, Brigham and Women s Faulkner Hospitalist Program, Brigham and Women s Hospital Department of Health Care Policy, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA
Am J Med 118:529-35. 2005..Little is known about the influence of processes of hospital care on racial and ethnic differences in experiences with hospital care... - Impact of hospital volume on racial disparities in cardiovascular procedure mortalityAmal N Trivedi
Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA
J Am Coll Cardiol 47:417-24. 2006..Additional research is needed to determine why black patients have increased mortality after cardiovascular procedures and how these mortality rates can be reduced... - Impact of Medicare coverage on basic clinical services for previously uninsured adultsJ Michael McWilliams
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass 02115, USA
JAMA 290:757-64. 2003..An affordable option through which near-elderly uninsured adults could purchase Medicare coverage might have similar effects... - Impact of computerized decision support on blood pressure management and control: a randomized controlled trialLeRoi S Hicks
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 23:429-41. 2008..We conducted a cluster randomized controlled trial to examine the effectiveness of computerized decision support (CDS) designed to improve hypertension care and outcomes in a racially diverse sample of primary care patients... - Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trialThomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
Ann Intern Med 152:40-6. 2010..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients... - Understanding cancer patients' experience and outcomes: development and pilot study of the Cancer Care Outcomes Research and Surveillance patient surveyJennifer L Malin
Division of General Internal Medicine Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA
Support Care Cancer 14:837-48. 2006..The keystone to this effort is the baseline patient survey administered approximately 4 months after diagnosis... - Attitudes about treatment of coronary heart disease among women and men presenting for exercise testingJ Z Ayanian
Department of Medicine, Brigham and Women's Hospital, Boston, Mass, USA
J Gen Intern Med 12:311-4. 1997..5; 95% confidence interval 1.4-4.6). Patients' attitudes about risk should be explored further in studies of gender differences in the use of coronary procedures... - The effects of a National Breast and Cervical Cancer Early Detection Program on social disparities in breast cancer diagnosis and treatment in MassachusettsMelissa J Liu
Massachusetts Cancer Registry, Massachusetts Department of Public Health, 250 Washington Street, 6th Floor, Boston, MA 02108, USA
Cancer Causes Control 16:27-33. 2005.... - Understanding individual and small area variation in the underuse of coronary angiography following acute myocardial infarctionPushkal P Garg
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115-5899, USA
Med Care 40:614-26. 2002..The causes of regional variation in underuse do not appear to be related to regional differences in patient or hospital characteristics, and therefore, require further study... - Age-related differences in preventive care among adults with diabetesStephen D Persell
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
Am J Med 116:630-4. 2004 - Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal diseaseLeRoi S Hicks
Department of Medicine, Division of General Internal Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
Qual Life Res 13:1129-37. 2004..Racial differences in preferences for renal transplantation among men may be associated with their levels of physical activity... - Measuring the quality of diabetes care using administrative data: is there bias?Nancy L Keating
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Health Serv Res 38:1529-45. 2003..We assessed whether measuring processes of diabetes care using administrative data without medical record data is likely to underdetect compliance with accepted standards for certain groups of patients... - Health of previously uninsured adults after acquiring Medicare coverageJ Michael McWilliams
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
JAMA 298:2886-94. 2007..However, the health benefits of providing insurance coverage for uninsured adults have not been clearly demonstrated... - Aggressiveness of cancer care near the end of life: is it a quality-of-care issue?Craig C Earle
Division of Population Sciences, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA
J Clin Oncol 26:3860-6. 2008..Whether the concept of overly aggressive treatment represents a quality-of-care issue that is acceptable to all involved stakeholders is an open question... - Primary-care clinician perceptions of racial disparities in diabetes careThomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
J Gen Intern Med 23:678-84. 2008..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care... - Patient characteristics and hospital quality for colorectal cancer surgeryWei Zhang
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Int J Qual Health Care 19:11-20. 2007.... - Practice, clinical management, and financial arrangements of practicing generalistsNancy L Keating
Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
J Gen Intern Med 19:410-8. 2004.... - Differences in control of cardiovascular disease and diabetes by race, ethnicity, and education: U.S. trends from 1999 to 2006 and effects of medicare coverageJ Michael McWilliams
Harvard Medical School, Department of Health Care Policy, 180 Longwood Avenue, Boston, MA 02115, USA
Ann Intern Med 150:505-15. 2009..Efforts to improve the care of cardiovascular disease and diabetes or expand insurance coverage for adults with these conditions may reduce differences in clinical outcomes... - Association of region of residence and immigrant status with hypertension, renal failure, cardiovascular disease, and stroke, among African-American participants in the third National Health and Nutrition Examination Survey (NHANES III)LeRoi S Hicks
Division of General Internal Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Ethn Dis 13:316-23. 2003.... - Perspectives of non-Hispanic Black and Latino patients in Boston's urban community health centers on their experiences with diabetes and hypertensionBeverley E Russell
The Center for Community Health Education Research and Service CCHERS, 716 Columbus Ave, Suite 398, Boston, MA 02120, USA
J Gen Intern Med 25:504-9. 2010..S. A better understanding of the health beliefs and experiences of non-Hispanic Blacks and Latinos with these diseases could help to improve their care outcomes... - Trends in the aggressiveness of cancer care near the end of lifeCraig C Earle
MSc, Center for Outcomes and Policy Research, Dana Farber Cancer Center, 44 Binney St, 454 STE 21 24, Boston, MA 02115, USA
J Clin Oncol 22:315-21. 2004..To characterize the aggressiveness of end-of-life cancer treatment for older adults on Medicare, and its relationship to the availability of healthcare resources... - Physician performance and racial disparities in diabetes mellitus careThomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
Arch Intern Med 168:1145-51. 2008..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians... - Randomized trial of $20 versus $50 incentives to increase physician survey response ratesNancy L Keating
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Med Care 46:878-81. 2008..Recent experiences of survey researchers suggest that physicians are becoming less willing to complete surveys... - Impact of hospital procedure volume on surgical operation and long-term outcomes in high-risk curatively resected rectal cancer: findings from the Intergroup 0114 StudyJeffrey A Meyerhardt
Dana Farber Cancer Institute, 44 Binney St, Boston, MA 02115, USA
J Clin Oncol 22:166-74. 2004..However, because these studies often lack detailed information on tumor and treatment characteristics as well as cancer recurrence, the true nature of this relation remains uncertain... - Health risks, chronic diseases, and access to care among US Pacific IslandersAsaf Bitton
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
J Gen Intern Med 25:435-40. 2010..Because Pacific Islanders and Asian Americans have often been aggregated in federal health surveys, we assessed whether they differ substantially in important health measures... - Consultation with a medical oncologist before surgery and type of surgery among elderly women with early-stage breast cancerNancy L Keating
Department of Medicine, Brigham and Women s Hospital, and Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
J Clin Oncol 21:4532-9. 2003..We assessed whether consultation with a medical oncologist before surgery was associated with use of definitive surgery, axillary node dissection, and type of surgery... - Discussions with physicians about hospice among patients with metastatic lung cancerHaiden A Huskamp
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Arch Intern Med 169:954-62. 2009..Many terminally ill patients enroll in hospice only in the final days before death or not at all. Discussing hospice with a health care provider could increase awareness of hospice and possibly result in earlier use... - Medicare spending for previously uninsured adultsJ Michael McWilliams
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Ann Intern Med 151:757-66. 2009..Medicare spending after age 65 years may be higher for previously uninsured adults if suboptimal care before this age leads to irreversible complications, persistently elevated clinical risks, or delay of costly elective procedures... - Racial inequities in the timing of breast cancer detection, diagnosis, and initiation of treatmentJoann G Elmore
Department of Medicine, University of Washington School of Medicine, Seattle, Washington 98104 2499, USA
Med Care 43:141-8. 2005..Recent studies suggest differences in quality and timeliness of care received may be major contributing sources to the racial disparity in breast cancer detection and related outcomes... - Cardiac procedure use following acute myocardial infarction among American IndiansThomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, Boston, MA, USA
Am Heart J 151:909-14. 2006..We compared rates of cardiac catheterization, percutaneous coronary intervention (PCI), and coronary artery bypass graft (CABG) surgery between AI and whites with AMI... - Work resumption after newly diagnosed coronary heart disease: findings on the importance of paid leaveAlison Earle
Harvard School of Public Health, Boston, Massachusetts 02115, USA
J Womens Health (Larchmt) 15:430-41. 2006..This study examines if working conditions predict whether women who experience angina or a myocardial infarction (MI) return to work... - Creating a state minority health policy report cardAmal N Trivedi
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 24:388-96. 2005..Future research should be conducted on other predictors of state variation in minority health policy and connections between state policy and health outcomes for minorities... - Variations in hospice use among cancer patientsNancy L Keating
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Natl Cancer Inst 98:1053-9. 2006.... - Evaluating claims-based indicators of the intensity of end-of-life cancer careCraig C Earle
Division of Population Sciences, Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA 02115, USA
Int J Qual Health Care 17:505-9. 2005..To evaluate measures that could use existing administrative data to assess the intensity of end-of-life cancer care... - Factors related to underuse of surveillance mammography among breast cancer survivorsNancy L Keating
Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Clin Oncol 24:85-94. 2006..We identified factors associated with underuse of surveillance mammography and examined whether variation was explained by differences in follow-up care... - Determinants of JNC VI guideline adherence, intensity of drug therapy, and blood pressure control by race and ethnicityLeRoi S Hicks
Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
Hypertension 44:429-34. 2004..Interventions to reduce disparities in cardiovascular outcomes should consider the need to intensify drug therapy more aggressively among all high-risk populations... - Assessing the accuracy of hospital clinical performance measuresSharon Lise T Normand
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Med Decis Making 27:9-20. 2007..To control costs and improve quality, payers are designing new hospital reimbursement policies that link payment to quality. The authors determine the extent to which quality measures discriminate hospitals into tiers in 2 geographic areas... - Factors affecting influential discussions among physicians: a social network analysis of a primary care practiceNancy L Keating
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
J Gen Intern Med 22:794-8. 2007..Physicians often rely on colleagues for new information and advice about the care of their patients... - Quality of diabetes care among cancer survivors with diabetesNancy L Keating
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Med Care 45:869-75. 2007..Among patients with chronic medical conditions, unrelated conditions are often undertreated... - Patient characteristics and experiences associated with trust in specialist physiciansNancy L Keating
Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA, USA
Arch Intern Med 164:1015-20. 2004..Nearly half of all medical visits are to specialist physicians, yet little is known about patients' outpatient experiences with specialists or how patients' characteristics and experiences are related to trust in specialist physicians... - Physicians' reports of focused expertise in clinical practiceN L Keating
Division of General Internal Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
J Gen Intern Med 15:417-20. 2000..Learning how focused expertise affects processes and outcomes of care will contribute to decisions about physician training and staffing of medical groups... - Supplemental insurance and use of effective cardiovascular drugs among elderly medicare beneficiaries with coronary heart diseaseA D Federman
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
JAMA 286:1732-9. 2001..001). CONCLUSION: Elderly Medicare beneficiaries with CHD who lack drug coverage have disproportionately large drug expenditures and lower use rates of statins, a class of relatively expensive drugs that improve survival... - Measuring population health risks using inpatient diagnoses and outpatient pharmacy dataY Zhao
DxCG Inc, Boston, MA 02111, USA
Health Serv Res 36:180-93. 2001..Properly organized and in combination these data are promising predictors of future costs... - Relation of hospital volume to colostomy rates and survival for patients with rectal cancerDavid C Hodgson
Department of Radiation Oncology, Princess Margaret Hospital, Toronto, Ontario, Canada
J Natl Cancer Inst 95:708-16. 2003..Identifying processes of care that contribute to these differences may improve patients' outcomes in all hospitals... - Ambulatory hypercholesterolemia management in patients with atherosclerosis. Gender and race differences in processes and outcomesStephen D Persell
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611 2927, USA
J Gen Intern Med 20:123-30. 2005..To determine whether outpatient cholesterol management varies by gender or race among patients with atherosclerosis, and assess factors related to subsequent cholesterol control... - Completeness of information on adjuvant therapies for colorectal cancer in population-based cancer registriesRosemary D Cress
California Cancer Registry, Sacramento, California 95815, USA
Med Care 41:1006-12. 2003..Population-based cancer registries represent a potentially valuable tool to evaluate treatment; however, information on the completeness of registry treatment data is sparse... - Examining the relationship of patients' attitudes and beliefs with their self-reported level of participation in medical decision-makingNeeraj K Arora
Outcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland 20892 7344, USA
Med Care 43:865-72. 2005..We applied constructs from the transtheoretical model (TTM) of behavior change to identify modifiable determinants of patient participation in medical decision-making... - Relationship between quality of care and racial disparities in Medicare health plansAmal N Trivedi
Department of Community Health, Brown University, Providence, RI, USA
JAMA 296:1998-2004. 2006..Therefore, plan-specific performance reports of racial disparities on outcome measures would provide useful information not currently conveyed by standard HEDIS reports... - Risk factors for mortality in lower intestinal bleedingLisa L Strate
Division of Gastroenterology, University of Washington School of Medicine, Harborview Medical Center, Seattle, Washington 98104, USA
Clin Gastroenterol Hepatol 6:1004-10; quiz 955-. 2008..Previous studies of lower intestinal bleeding (LIB) have limited power to study mortality. We sought to identify characteristics associated with in-hospital mortality in a large cohort of patients with LIB... - Younger stroke survivors have reduced access to physician care and medications: National Health Interview Survey from years 1998 to 2002Deborah A Levine
Deep South Center on Effectiveness Research, Birmingham Veterans Affairs Medical Center, USA
Arch Neurol 64:37-42. 2007..Younger stroke survivors may have reduced access to physician care and medications because they are more frequently uninsured... - Access to care and use of preventive services by Hispanics: state-based variations from 1991 to 2004Minah Kang-Kim
Ewha Womans University, Seoul, Korea
Med Care 46:507-15. 2008..State-level disparities in access to physicians and preventive services between Hispanics and whites may have changed over time... - Impact of hospital volume on postoperative morbidity and mortality following a colectomy for ulcerative colitisGilaad G Kaplan
Inflammatory Bowel Disease Clinic, University of Calgary, Calgary, Alberta, Canada
Gastroenterology 134:680-7. 2008..We set out to evaluate postoperative morbidity and mortality using a nationally representative database and to determine the factors that influenced outcomes...
Research Grants
- Improving Surveillance for Colorectal PolypsJohn Ayanian; Fiscal Year: 2006..This study will provide a model for evaluating how data from electronic medical records can be used to improve screening of patients with prior colorectal polyps who are at increased risk of developing recurrent polyps or cancer. ..
- Improving Systems for Colorectal Cancer ScreeningJohn Ayanian; Fiscal Year: 2007..abstract_text> ..
- Cancer Care Outcomes Research & Surveillance ConsortiumJohn Ayanian; Fiscal Year: 2007..abstract_text> ..
- Cancer Care Outcomes Research & Surveillance ConsortiumJohn Ayanian; Fiscal Year: 2005..abstract_text> ..