Research Topics
| M J BarrySummaryAffiliation: Massachusetts General Hospital Country: USA Publications
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Publications
Relationships among participant international prostate symptom score, benign prostatic hyperplasia impact index changes and global ratings of change in a trial of phytotherapy in men with lower urinary tract symptomsMichael J Barry
Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Urol 189:987-92. 2013..We related changes in American Urological Association symptom index scores with bother measures and global ratings of change in men with lower urinary tract symptoms who were enrolled in a saw palmetto trial...
Adverse effects of robotic-assisted laparoscopic versus open retropubic radical prostatectomy among a nationwide random sample of medicare-age menMichael J Barry
Massachusetts General Hospital, Boston, MA 02114, USA
J Clin Oncol 30:513-8. 2012..The objective of this study was to compare the risks of problems with continence and sexual function following these procedures among Medicare-age men...
Effect of increasing doses of saw palmetto extract on lower urinary tract symptoms: a randomized trialMichael J Barry
Department of Medicine, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
JAMA 306:1344-51. 2011..Saw palmetto fruit extracts are widely used for treating lower urinary tract symptoms attributed to benign prostatic hyperplasia (BPH); however, recent clinical trials have questioned their efficacy, at least at standard doses (320 mg/d)...
Performance of the American Urological Association Symptom Index with and without an additional urge incontinence itemMichael J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital, and Department of Medicine, Harvard Medical School, Boston, Massachusetts 02114, USA
Urology 78:550-4. 2011..To examine the value of adding an urge incontinence question to the American Urological Association Symptom Index (AUASI) among men in the Complementary and Alternative Medicine for Urological Symptoms (CAMUS) trial...
Health decision aids to facilitate shared decision making in office practiceMichael J Barry
Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Ann Intern Med 136:127-35. 2002....
Overlap of different urological symptom complexes in a racially and ethnically diverse, community-based population of men and womenMichael J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, MA 02114, USA
BJU Int 101:45-51. 2008....
Commentary: how serious is getting a diagnosis of prostate cancer?Michael J Barry
Medical Practices Evaluation Center, General Medicine Unit, Massachusetts General Hospital, Harvard Medical School, 50 Staniford Street 9th Floor, Boston, MA 02114, USA
Oncologist 13:306-8. 2008
Outcomes for men with clinically nonmetastatic prostate carcinoma managed with radical prostactectomy, external beam radiotherapy, or expectant management: a retrospective analysisM J Barry
General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Cancer 91:2302-14. 2001..The authors sought to define the outcomes of three common strategies for managing patients with nonmetastatic prostate carcinoma: expectant management, radiotherapy, and radical prostatectomy...
The rising prevalence of androgen deprivation among older American men since the advent of prostate-specific antigen testing: a population-based cohort studyMichael J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital and the Center for Outcomes Research and Evaluation, Maine Medical Center, MA 02114, USA
BJU Int 98:973-8. 2006....
Revisiting my personal decision about prostate-specific antigen testing in 2005Michael J Barry
Harvard Medical School, Boston, MA, USA
BJU Int 96:954-6. 2005
Fecal occult blood testing for colorectal cancer: a perspectiveM J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, USA
Ann Oncol 13:61-4. 2002..Whether and how to implement population-based screening for colorectal cancer depends largely on available resources...
PSA screening for prostate cancer: the current controversy--a viewpoint. Patient Outcomes Research Team for Prostatic DiseasesM J Barry
General Medicine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, USA
Ann Oncol 9:1279-82. 1998..A shared approach to decisions about screening individual patients pending better evidence is one strategy for clinicians to consider in dealing with this controversial problem...
Interpreting results of prostate-specific antigen testing for early detection of prostate cancerJ B Meigs
General Internal Medicine Unit, Massachusetts General Hospital, Boston 02114, USA
J Gen Intern Med 11:505-12. 1996..Likelihood ratios demonstrate that the ability of the PSA test to discriminate potentially curable prostate cancer from BPH is dramatically lower in men selected with lower urinary tract symptoms than in randomly selected men...
Risk factors for clinical benign prostatic hyperplasia in a community-based population of healthy aging menJ B Meigs
General Medicine Unit, Medical Services, Massachusetts General Hospital and Harvard Medical School, 50 Staniford Street, Boston, MA 02114, USA
J Clin Epidemiol 54:935-44. 2001..Risk associated with heart disease does not appear to be due solely to detection bias or to effects of heart disease medications. A wide variety of other characteristics appear to have no influence on risk for clinical BPH...
Diagnosis and treatment of benign prostatic hyperplasia. Practice patterns of primary care physiciansM M Collins
General Medicine Division, Massachusetts General Hospital, Boston 02114, USA
J Gen Intern Med 12:224-9. 1997..Some of their diagnostic evaluations vary from the recommendations of a national guideline and urologists' practices. Referral thresholds appear to vary considerably...
Clinical inertia in the management of Type 2 diabetes metabolic risk factorsR W Grant
General Medicine Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA
Diabet Med 21:150-5. 2004..We assessed intensification of medical therapy over time, comparing the management of hyperglycaemia, hypertension, and hyperlipidaemia...
Evaluation of symptoms and quality of life in men with benign prostatic hyperplasiaM J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts, USA
Urology 58:25-32; discussion 32. 2001..Men with a severe burden of lower urinary tract symptoms often have measurable decrements in overall health-related quality of life, which can be ameliorated by treatment...
Measurement of overall and disease-specific health status: does the order of questionnaires make a difference?M J Barry
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, USA
J Health Serv Res Policy 1:20-7. 1996..This study was designed to detect any effect of order when modules on disease-specific and overall health status are combined in an outcomes research questionnaire...
The prevalence and implications of incidental findings on ED abdominal CT scansW A Messersmith
Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
Am J Emerg Med 19:479-81. 2001..Although work-up of these 11 cases did not yield any serious diagnoses, many potentially serious incidental findings without follow-up remain worrisome...
A controlled trial of web-based diabetes disease management: the MGH diabetes primary care improvement projectJames B Meigs
Department of Medicine, Harvard Medical School, Boston, Massachusetts 02114, USA
Diabetes Care 26:750-7. 2003..To test effects of a web-based decision support tool, the diabetes Disease Management Application (DMA), developed to improve evidence-based management of type 2 diabetes...
Association between past urinary tract infections and current symptoms suggestive of chronic prostatitis/chronic pelvic pain syndromeNicholas A Daniels
University of California, San Francisco, Department of Medicine, Division of General Internal Medicine, San Francisco, CA 94115, USA
J Natl Med Assoc 99:509-16. 2007..01). There is a strong association between current symptoms of CP/CPPS and a history of urinary tract infections, particularly of multiple infections. The causality between chronic UTIs and CP/CPPS needs to be clarified by further study...
Prostate-specific antigen screening for prostate cancer: a decision-analytical perspectiveJulia H Hayes
Diana-Farber Cancer Institute, Center for Genitourinary Oncology, Massachusetts General Hospital, Boston, MA, USA
BJU Int 100:486-8. 2007
The impact of androgen deprivation on quality of life after radical prostatectomy for prostate carcinomaFloyd J Fowler
Center for Survey Research, University of Massachusetts, Boston, Massachusetts, USA
Cancer 95:287-95. 2002....
Detection of prostate cancer via biopsy in the Medicare-SEER population during the PSA eraH Gilbert Welch
VA Outcomes Group 111B, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
J Natl Cancer Inst 99:1395-400. 2007..We sought national estimates on the proportion of men found to have prostate cancer after a needle biopsy of the prostate and the risk of subsequent biopsies among those not found to have prostate cancer...
Prostate biopsies in men with limited life expectancyJohn H Wasson
Center for the Aging, Dartmouth Medical School, Hanover, NH 03755 3862, USA
Eff Clin Pract 5:137-42. 2002..Authorities discourage prostate screening in men who are likely to die from causes other than prostate cancer...
Communication and decision making in cancer care: setting research priorities for decision support/patients' decision aidsAmber E Barnato
Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Med Decis Making 27:626-34. 2007..Finally, Dr. Amber Barnato conducted a simple vote count (see Table 1) to prioritize the panelists' and the audience's recommendations...
Editorial comment on: poor overall survival in septa- and octogenarian patients after radical prostatectomy and radiotherapy for prostate cancer: a population-based study of 6183 menMichael J Barry
Eur Urol 54:116-7. 2008
Automated identification of a physician's primary patientsThomas A Lasko
MIT CSAIL, 32 Vassar Street, 32 252, Cambridge, MA 02139, USA
J Am Med Inform Assoc 13:74-9. 2006..To develop and validate an automated method for determining the set of patients for whom a given primary care physician holds overall clinical responsibility...
Case records of the Massachusetts General Hospital. Case 15-2008. A 55-year-old man with an elevated prostate-specific antigen level and early-stage prostate cancerMichael J Barry
Department of Medicine, Massachusetts General Hospital, USA
N Engl J Med 358:2161-8. 2008
Reactions of potential jurors to a hypothetical malpractice suit: alleging failure to perform a prostate-specific antigen testMichael J Barry
General Medicine Unit at Massachusetts General Hospital, MA, USA
J Law Med Ethics 36:396-402, 214. 2008..Better documentation that a patient made an informed decision to decline a PSA test appeared to provide more medical-legal protection for physicians, especially with the use of a decision aid...
Quality-of-life impact of lower urinary tract symptom severity: results from the Health Professionals Follow-up StudyGarry Welch
Behavioral and Mental Health Research Division, Joslin Diabetes Center, Boston, Massachusetts 02215, USA
Urology 59:245-50. 2002..S. cohort have a poorer health status in several important quality-of-life dimensions. The detection and effective treatment of LUTS may substantially improve the health status for these men in these dimensions...
Prevalence and correlates of prostatitis in the health professionals follow-up study cohortMary McNaughton Collins
General Medicine Division, Medical Services, Massachusetts General Hospital, Boston, USA
J Urol 167:1363-6. 2002..CONCLUSIONS: Self-reported prostatitis was common among healthy men of all ages but there was considerable overlap with self-reported BPH. Prostatitis had several identifiable correlates that may aid in its recognition...
The association of abuse and symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome: results from the Boston Area Community Health surveyJim C Hu
Division of Urologic Surgery, Brigham and Women s Hospital, Boston, MA, USA
J Gen Intern Med 22:1532-7. 2007..To determine the effect of reported sexual, physical, or emotional abuse on the symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to determine the effect of race/ethnicity on these patterns...
Is this "my" patient? Development and validation of a predictive model to link patients to primary care providersSteven J Atlas
General Medicine Division, Medical Services, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Gen Intern Med 21:973-8. 2006..Evaluating the quality of care provided by individual primary care physicians (PCPs) may be limited by failing to know which patients the PCP feels personally responsible for...
Validity of primary care patient self-report of abnormal (but not cancer) prostate biopsy resultsMary McNaughton-Collins
General Medicine Division, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
J Urol 172:2366-8. 2004..We assessed the validity of patient self-report of abnormal (but not cancer) prostate biopsy results, ie, atypical cells or prostatic intraepithelial neoplasia...
Psychological effects of a suspicious prostate cancer screening test followed by a benign biopsy resultMary McNaughton-Collins
General Medicine Division, Massachusetts General Hospital, Boston 02114, USA
Am J Med 117:719-25. 2004..To evaluate the psychological implications of an apparently false-positive screening result for prostate cancer...
The role of point of care testing for patients with acute pharyngitisSteven J Atlas
General Medicine Division, Medical Services, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
J Gen Intern Med 20:759-61. 2005..There is no consensus favoring a particular strategy for evaluating patients with pharyngitis...
Overcoming information overload: an information system for the primary care physicianG Octo Barnett
Laboratory of Computer Science, Massachusetts General Hospital, 50 Staniford Street, 5th Floor, Boston, MA 02114, USA
Stud Health Technol Inform 107:273-6. 2004..This paper discusses the important characteristics of the Web site, specific functions that improve the workflow of the practicing clinician, and limitations of the present implementation...
United States radiation oncologists' and urologists' opinions about screening and treatment of prostate cancer vary by regionMary McNaughton Collins
Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Urology 60:628-33. 2002..Whether the distinctive style of prostate cancer diagnosis and treatment in Florida results in improved outcomes has yet to be proved...
Managing patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasiaMary McNaughton-Collins
General Medicine Division, Massachusetts General Hospital, Boston, Mass 02114, USA
Am J Med 118:1331-9. 2005..The purpose of this review is to provide primary care providers with an approach to the management of men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia...
The PSA ConundrumMichael J Barry
Arch Intern Med 166:7-8. 2006
Brief report: physicians and their personal prostate cancer-screening practices with prostate-specific antigen. A national surveyEvelyn C Y Chan
Division of General Internal Medicine, Department of Medicine, The University of Texas Houston Medical School, Houston, TX 77030, USA
J Gen Intern Med 21:257-9. 2006..There is inconclusive evidence that prostate cancer screening with prostate-specific antigen (PSA) reduces mortality. Although PSA testing is widespread, it is unknown how many physicians have taken the PSA test themselves...
Health outcomes in older men with localized prostate cancer: results from the Prostate Cancer Outcomes StudyRichard M Hoffman
Medicine Service, New Mexico VA Health Care System, Albuquerque, NM 87108, USA
Am J Med 119:418-25. 2006..We compared health-related quality-of-life (HRQOL) outcomes and survival of men with localized prostate cancer who received aggressive treatment with those receiving conservative management...
The impact of a suspicious prostate biopsy on patients' psychological, socio-behavioral, and medical care outcomesFloyd J Fowler
The General Medicine Division, Massachusetts General Hospital, Boston, MA 02114, USA
J Gen Intern Med 21:715-21. 2006..These hidden tolls associated with screening should be considered in the discussion about the benefits and risks of prostate cancer screening...
Natural experiment examining impact of aggressive screening and treatment on prostate cancer mortality in two fixed cohorts from Seattle area and ConnecticutGrace Lu-Yao
HealthStat, Princeton, NJ 08543, USA
BMJ 325:740. 2002....
Presidential reflections on the 25th anniversary of the society for medical decision makingArthur S Elstein
Department of Medical Education, University of Illinois at Chicago, USA
Med Decis Making 24:408-20. 2004
Prostate cancer prevention and finasterideAnthony V D'Amico
Department of Radiation Oncology, Brigham and Women s Hospital, Boston, Massachusetts 02215, USA
J Urol 176:2010-2; discussion 2012-3. 2006....
NSAIDs and a lower risk of prostate cancer: causation or confounding?Michael J Barry
Mayo Clin Proc 77:217-8. 2002
Indwelling ureteral stents: evaluation of symptoms, quality of life and utilityH B Joshi
Bristol Urological Institute, Southmead Hospital, United Kingdom
J Urol 169:1065-9; discussion 1069. 2003..Stents are associated with negative functional capacity and reduced utility values. The results have implications in terms of routine clinical practice, patient counseling and future stent research...
Do patient decision aids meet effectiveness criteria of the international patient decision aid standards collaboration? A systematic review and meta-analysisAnnette M O'Connor
Ottawa Health Research Institute, Canada
Med Decis Making 27:554-74. 2007..To describe the extent to which patient decision aids (PtDAs) meet effectiveness standards of the International Patient Decision Aids Collaboration (IPDAS)...
Outcomes of treatment vs observation of localized prostate cancer in elderly menGrace L Lu-Yao
JAMA 297:1651; author reply 1652-3. 2007
Research Grants
- PROSTATE CANCER SCREENING & MORTALITY: SEATTLE VS. CT.Michael Barry; Fiscal Year: 2004....
- Breast Cancer Screening and Follow-up in a PBRN: The Ma*Michael Barry; Fiscal Year: 2007..We will create a process to track all patients within our PBRN and to reduce current barriers to ordering and following up of abnormal mammogram results. ..
