Monika M Safford

Summary

Affiliation: University of Alabama at Birmingham
Country: USA

Publications

  1. pmc Hospital laboratory reporting may be a barrier to detection of 'microsize' myocardial infarction in the US: an observational study
    Monika M Safford
    Division of Preventive Medicine, University of Alabama at Birmingham School of Medicine, Medical Towers 621, 1717 11th Avenue South, Birmingham, AL 35294 4410, USA
    BMC Health Serv Res 13:162. 2013
  2. pmc Association of race and sex with risk of incident acute coronary heart disease events
    Monika M Safford
    School of Medicine, University of Alabama, Birmingham, AL 35294, USA
    JAMA 308:1768-74. 2012
  3. pmc Educational disparities in health behaviors among patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) Study
    Andrew J Karter
    Division of Research, Kaiser Permanente, Oakland, CA, USA
    BMC Public Health 7:308. 2007
  4. ncbi request reprint How much time do patients with diabetes spend on self-care?
    Monika M Safford
    University of Alabama at Birmingham Preventive Medicine, 35294, USA
    J Am Board Fam Pract 18:262-70. 2005
  5. ncbi request reprint Understanding racial disparities in hypertension control: intensity of hypertension medication treatment in the REGARDS study
    Monika M Safford
    University of Alabama at Birmingham, Birmingham, USA
    Ethn Dis 17:421-6. 2007
  6. pmc Reasons for not intensifying medications: differentiating "clinical inertia" from appropriate care
    Monika M Safford
    University of Alabama at Birmingham, Birmingham, AL, USA
    J Gen Intern Med 22:1648-55. 2007
  7. ncbi request reprint Making the most of the time we have
    Monika M Safford
    University of Alabama at Birmingham School of Medicine, 35294 4410, USA
    J Fam Pract 54:455-6. 2005
  8. pmc Patient complexity in quality comparisons for glycemic control: An observational study
    Monika M Safford
    Deep South Center on Effectiveness at Birmingham VA Medical Center and University of Alabama at Birmingham, Birmingham, AL, USA
    Implement Sci 4:2. 2009
  9. pmc Patient complexity: more than comorbidity. the vector model of complexity
    Monika M Safford
    Deep South Center on Effectiveness at the Birmingham VA Medical Center, Birmingham, AL, USA
    J Gen Intern Med 22:382-90. 2007
  10. pmc Assessment tools for unrecognized myocardial infarction: a cross-sectional analysis of the REasons for Geographic and Racial Differences in Stroke population
    Emily B Levitan
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
    BMC Cardiovasc Disord 13:23. 2013

Research Grants

  1. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2006
  2. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2007
  3. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2007
  4. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009
  5. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009
  6. REGARDS - MI Study
    Monika M Safford; Fiscal Year: 2010
  7. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009

Detail Information

Publications106 found, 100 shown here

  1. pmc Hospital laboratory reporting may be a barrier to detection of 'microsize' myocardial infarction in the US: an observational study
    Monika M Safford
    Division of Preventive Medicine, University of Alabama at Birmingham School of Medicine, Medical Towers 621, 1717 11th Avenue South, Birmingham, AL 35294 4410, USA
    BMC Health Serv Res 13:162. 2013
    ..To confirm past reports of the clinical importance of microsize MIs, we also contrasted in-hospital, 28-day and 1-year mortality among those with microsize and nonmicrosize MI...
  2. pmc Association of race and sex with risk of incident acute coronary heart disease events
    Monika M Safford
    School of Medicine, University of Alabama, Birmingham, AL 35294, USA
    JAMA 308:1768-74. 2012
    ..It is unknown whether long-standing disparities in incidence of coronary heart disease (CHD) among US blacks and whites persist...
  3. pmc Educational disparities in health behaviors among patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) Study
    Andrew J Karter
    Division of Research, Kaiser Permanente, Oakland, CA, USA
    BMC Public Health 7:308. 2007
    ..Our understanding of social disparities in diabetes-related health behaviors is incomplete. The purpose of this study was to determine if having less education is associated with poorer diabetes-related health behaviors...
  4. ncbi request reprint How much time do patients with diabetes spend on self-care?
    Monika M Safford
    University of Alabama at Birmingham Preventive Medicine, 35294, USA
    J Am Board Fam Pract 18:262-70. 2005
    ..Little is reported about how much time patients spend on self-management, a cornerstone of diabetes care...
  5. ncbi request reprint Understanding racial disparities in hypertension control: intensity of hypertension medication treatment in the REGARDS study
    Monika M Safford
    University of Alabama at Birmingham, Birmingham, USA
    Ethn Dis 17:421-6. 2007
    ..Intensity of hypertension treatment may play a role. We examined whether AA with treated hypertension received less-intense medication regimens than EA, as reflected in the number of antihypertensive medication classes...
  6. pmc Reasons for not intensifying medications: differentiating "clinical inertia" from appropriate care
    Monika M Safford
    University of Alabama at Birmingham, Birmingham, AL, USA
    J Gen Intern Med 22:1648-55. 2007
    ..Some have proposed that it accounts for up to 80% of cardiovascular events, potentially an important quality problem. However, reasons for so-called clinical inertia are poorly understood...
  7. ncbi request reprint Making the most of the time we have
    Monika M Safford
    University of Alabama at Birmingham School of Medicine, 35294 4410, USA
    J Fam Pract 54:455-6. 2005
  8. pmc Patient complexity in quality comparisons for glycemic control: An observational study
    Monika M Safford
    Deep South Center on Effectiveness at Birmingham VA Medical Center and University of Alabama at Birmingham, Birmingham, AL, USA
    Implement Sci 4:2. 2009
    ..Current performance measures of glycemic control may not be reliably identifying quality problems, and tying reimbursements to such measures may compromise the care of complex patients...
  9. pmc Patient complexity: more than comorbidity. the vector model of complexity
    Monika M Safford
    Deep South Center on Effectiveness at the Birmingham VA Medical Center, Birmingham, AL, USA
    J Gen Intern Med 22:382-90. 2007
    ..The conceptualization of patient complexity is just beginning in clinical medicine...
  10. pmc Assessment tools for unrecognized myocardial infarction: a cross-sectional analysis of the REasons for Geographic and Racial Differences in Stroke population
    Emily B Levitan
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
    BMC Cardiovasc Disord 13:23. 2013
    ..Assessment tools to identify high risk individuals may improve the harm versus benefit profile of screening ECGs. In particular, people with unrecognized myocardial infarction (UMI) have elevated risk for cardiovascular events and death...
  11. pmc Racial differences in the impact of elevated systolic blood pressure on stroke risk
    George Howard
    Departments of Biostatistics, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    JAMA Intern Med 173:46-51. 2013
    ..Between the ages 45 and 65 years, incident stroke is 2 to 3 times more common in blacks than in whites, a difference not explained by traditional stroke risk factors...
  12. ncbi request reprint Effect of sustaining lifestyle modifications (nonsmoking, weight reduction, physical activity, and mediterranean diet) after healing of myocardial infarction, percutaneous intervention, or coronary bypass (from the REasons for Geographic and Racial Differ
    John N Booth
    University of Alabama at Birmingham, Birmingham, Alabama
    Am J Cardiol 113:1933-40. 2014
    ..51 to 0.83), 0.57 (95% CI 0.43 to 0.74), and 0.41 (95% CI 0.26 to 0.64), respectively, for death. In conclusion, maintaining smoking cessation, physical activity, and Mediterranean diet adherence is important for secondary CHD prevention...
  13. pmc Association between urinary albumin excretion and coronary heart disease in black vs white adults
    ORLANDO M GUTIERREZ
    Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294 0006, USA
    JAMA 310:706-14. 2013
    ..Whether similar associations extend to coronary heart disease (CHD) is unclear...
  14. pmc Traditional risk factors as the underlying cause of racial disparities in stroke: lessons from the half-full (empty?) glass
    George Howard
    Department of Biostatistics, School of Public Health, 1665 University Blvd, University of Alabama at Birmingham, Birmingham, AL, USA
    Stroke 42:3369-75. 2011
    ..Black/white disparities in stroke incidence are well documented, but few studies have assessed the contributions to the disparity. Here we assess the contribution of "traditional" risk factors...
  15. pmc Trust in physicians and blood pressure control in blacks and whites being treated for hypertension in the REGARDS study
    Raegan W Durant
    Division of Preventive Medicine University of Alabama at Birmingham, Birmingham, AL 35294, USA
    Ethn Dis 20:282-9. 2010
    ..The primary objective of this study was to assess the relationship between trust in physicians and blood pressure control among Blacks and Whites being treated for hypertension...
  16. pmc Advancing the hypothesis that geographic variations in risk factors contribute relatively little to observed geographic variations in heart disease and stroke mortality
    George Howard
    Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
    Prev Med 49:129-32. 2009
    ..Geographic variation in risk factors may underlie geographic disparities in coronary heart disease (CHD) and stroke mortality...
  17. pmc Perceived stress is associated with incident coronary heart disease and all-cause mortality in low- but not high-income participants in the Reasons for Geographic And Racial Differences in Stroke study
    Nicole Redmond
    Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
    J Am Heart Assoc 2:e000447. 2013
    ..We sought to determine the association of perceived stress with incident CHD and all-cause mortality...
  18. pmc Awareness, treatment and control of hypertension, diabetes and hyperlipidemia and area-level mortality regions in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study
    Faisal M Shuaib
    University of Alabama at Birmingham School of Medicine, USA
    J Health Care Poor Underserved 23:903-21. 2012
    ..Health Professional Shortage Areas (HPSA) receive extra federal resources, but recent reports suggest that HPSA may not consistently identify areas of need...
  19. pmc Health Professional Shortage Areas, insurance status, and cardiovascular disease prevention in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study
    Todd M Brown
    University of Alabama at Birmingham, Division of Cardiovascular Diseases, USA
    J Health Care Poor Underserved 22:1179-89. 2011
    ..Less medication use for CVD prevention was not associated with HPSA status, but less statin use was associated with lack of insurance...
  20. pmc Nondisease-specific problems and all-cause mortality in the REasons for Geographic and Racial Differences in Stroke study
    C Barrett Bowling
    Birmingham Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Center, Birmingham, Alabama 35233, USA
    J Am Geriatr Soc 61:739-46. 2013
    ..To evaluate the association between six nondisease-specific problems (problems that cross multiple domains of health) and mortality in middle-aged and older adults...
  21. pmc Awareness and management of chronic disease, insurance status, and health professional shortage areas in the REasons for Geographic And Racial Differences in Stroke (REGARDS): a cross-sectional study
    Raegan W Durant
    University of Alabama at Birmingham School of Medicine, 1717 11th Avenue South, Birmingham, AL 35294, USA
    BMC Health Serv Res 12:208. 2012
    ..We examined variation in awareness, treatment, and control of hypertension, diabetes, and hyperlipidemia according to both geographic and financial access to care...
  22. ncbi request reprint Risk for recurrent coronary heart disease and all-cause mortality among individuals with chronic kidney disease compared with diabetes mellitus, metabolic syndrome, and cigarette smokers
    Usman Baber
    Department of Epidemiology, University of Alabama at Birmingham, 1665 University Blvd, Ryals Public Health Building, Suite 230J, Birmingham, AL 35294 0022, USA
    Am Heart J 166:373-380.e2. 2013
    ..Whether chronic kidney disease (CKD) confers a similar risk for recurrent CHD events is unknown...
  23. pmc What stroke symptoms tell us: association of risk factors and individual stroke symptoms in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study
    Liyan Gao
    Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA
    J Stroke Cerebrovasc Dis 21:411-6. 2012
    ..Stroke symptoms are common among people without a history of stroke or transient ischemic attack; however, it is unknown if particular attention should be focused on specific symptoms for subgroups of patients...
  24. pmc A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial
    Carlos A Estrada
    Veterans Affairs National Quality Scholars Program, Birmingham, AL, USA
    Int J Qual Health Care 23:682-9. 2011
    ..To determine the effectiveness of a provider-based education and implementation intervention for improving diabetes control...
  25. pmc Low medication adherence and the incidence of stroke symptoms among individuals with hypertension: the REGARDS study
    Paul Muntner
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
    J Clin Hypertens (Greenwich) 13:479-86. 2011
    ..20 (1.04-1.39), 1.23 (0.94-1.60), and 1.59 (1.08-2.33), respectively (P<.001). Worse adherence was also associated with higher multivariable adjusted hazard ratios for each of the 6 stroke symptoms...
  26. pmc Imputation of incident events in longitudinal cohort studies
    George Howard
    Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Ryals Building, Room 327D, 1665 University Boulevard, Birmingham, AL 35294 0022, USA
    Am J Epidemiol 174:718-26. 2011
    ....
  27. ncbi request reprint Achievement of optimal medical therapy goals for U.S. adults with coronary artery disease: results from the REGARDS Study (REasons for Geographic And Racial Differences in Stroke)
    Todd M Brown
    Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama Electronic address
    J Am Coll Cardiol 63:1626-33. 2014
    ....
  28. ncbi request reprint Refractory hypertension: determination of prevalence, risk factors, and comorbidities in a large, population-based cohort
    David A Calhoun
    Vascular Biology and Hypertension Program, Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, 430 BMR3, 1530 3rd Ave South, Birmingham, AL 35242
    Hypertension 63:451-8. 2014
    ..These data indicate that although resistant hypertension is relatively common among treated patients with hypertension, true antihypertensive treatment failure is rare. ..
  29. pmc Quality of diabetes mellitus care by rural primary care physicians
    Stephen A Tonks
    The University of Alabama, Birmingham, Alabama 35294 3407, USA
    J Rural Health 28:364-71. 2012
    ..To explore the relationship between degree of rurality and glucose (hemoglobin A1c), blood pressure (BP), and lipid (LDL) control among patients with diabetes...
  30. pmc Cardioprotective medication use and risk factor control among US adults with unrecognized myocardial infarction: the REasons for Geographic And Racial Differences in Stroke (REGARDS) study
    Emily B Levitan
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
    Vasc Health Risk Manag 9:47-55. 2013
    ..The prevalence of cardioprotective medication use and blood pressure and low-density lipoprotein cholesterol control among individuals with UMI is unknown...
  31. pmc Predictors of overnight hospital admission in older African American and Caucasian Medicare beneficiaries
    Olivio J Clay
    Department of Psychology, University of Alabama at Birmingham, 1300 University Boulevard, Birmingham, AL 35294 1170, USA
    J Gerontol A Biol Sci Med Sci 66:910-6. 2011
    ..Potential disparities in health care utilization were examined using overnight hospitalization data from the University of Alabama at Birmingham Study of Aging, a longitudinal investigation of a stratified sample of Medicare beneficiaries...
  32. pmc Racial differences in albuminuria, kidney function, and risk of stroke
    ORLANDO M GUTIERREZ
    Departments of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
    Neurology 79:1686-92. 2012
    ..The objective of this study was to examine the joint associations of estimated glomerular filtration rate (eGFR) and urinary albumin excretion with incident stroke in a large national cohort study...
  33. pmc Association of prediabetes and diabetes with stroke symptoms: the REasons for Geographic and Racial Differences in Stroke (REGARDS) study
    April P Carson
    Department of Epidemiology, University of Alabama, Birmingham, AL, USA
    Diabetes Care 35:1845-52. 2012
    ..Few studies have assessed whether individuals with diabetes or prediabetes, but no physician diagnosis of stroke, have an increased prevalence of stroke symptoms...
  34. pmc Alcohol consumption in young adults and incident hypertension: 20-year follow-up from the Coronary Artery Risk Development in Young Adults Study
    Jewell H Halanych
    University of Alabama at Birmingham, Birmingham, Alabama 35294 4410, USA
    Am J Epidemiol 171:532-9. 2010
    ..Future studies should include social factors, such as income and education, and consider additional characteristics that may modify or confound associations between alcohol and blood pressure...
  35. pmc Geographic variation in CKD prevalence and ESRD incidence in the United States: results from the reasons for geographic and racial differences in stroke (REGARDS) study
    Rikki M Tanner
    University of Alabama at Birmingham, Birmingham, AL 35294, USA
    Am J Kidney Dis 61:395-403. 2013
    ..It is not known whether geographic differences in the prevalence of chronic kidney disease exist and are associated with end-stage renal disease (ESRD) incidence rates across the United States...
  36. ncbi request reprint Apparent treatment-resistant hypertension and risk for stroke, coronary heart disease, and all-cause mortality
    Marguerite R Irvin
    Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA Electronic address
    J Am Soc Hypertens 8:405-13. 2014
    ..21-4.48), but not stroke or mortality. Comparing controlled aTRH with no aTRH, risk of stroke, CHD, and all-cause mortality was not elevated. aTRH was associated with an increased risk for coronary heart disease and all-cause mortality...
  37. pmc Inflammatory and endothelial activation biomarkers and risk of sepsis: a nested case-control study
    Henry E Wang
    Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, Alabama, AL Electronic address
    J Crit Care 28:549-55. 2013
    ..Elevated biomarkers of inflammation and endothelial cell activation have been associated with severity of sepsis. We sought to determine the association between these baseline markers and subsequent episodes of sepsis...
  38. pmc Agreement on cause of death between proxies, death certificates, and clinician adjudicators in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study
    Jewell H Halanych
    School of Medicine, University of Alabama at Birmingham, 1530 3rd Avenue South, Birmingham, AL 35294 4410, USA
    Am J Epidemiol 173:1319-26. 2011
    ..In many settings, proxy reports may represent a better strategy for determining cause of death than reliance on death certificates...
  39. ncbi request reprint Claims-based algorithms for identifying Medicare beneficiaries at high estimated risk for coronary heart disease events: a cross-sectional study
    Evan L Thacker
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
    BMC Health Serv Res 14:195. 2014
    ....
  40. pmc Caregiving strain and all-cause mortality: evidence from the REGARDS study
    Martinique Perkins
    Department of Health Behavior, UAB, Birmingham, AL 35294 0022, USA
    J Gerontol B Psychol Sci Soc Sci 68:504-12. 2013
    ..Using a large, national sample, this study examined perceived caregiving strain and other caregiving factors in relation to all-cause mortality...
  41. pmc Variations in prevalent cardiovascular disease and future risk by metabolic syndrome classification in the REasons for Geographic and Racial Differences in Stroke (REGARDS) study
    Todd M Brown
    Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, AL, USA
    Am Heart J 159:385-91. 2010
    ..The International Diabetes Federation (IDF) and Adult Treatment Panel (ATP) III define metabolic syndrome (MetSyn) differently, with unclear implications for cardiovascular disease (CVD) risk...
  42. pmc Perceptions of and barriers to use of generic medications in a rural African American population, Alabama, 2011
    Keri Sewell
    University of Alabama at Birmingham School of Medicine, 1717 11th Ave S, Ste 510D, Birmingham, AL 35233, USA
    Prev Chronic Dis 9:E142. 2012
    ..We sought to obtain qualitative insight into beliefs about generic medication use among African Americans in the rural South...
  43. pmc Disparities in stroke incidence contributing to disparities in stroke mortality
    Virginia J Howard
    Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Birmingham, AL 35294 0022, USA
    Ann Neurol 69:619-27. 2011
    ..We provide national estimates of stroke incidence by race and region, contrasting these to publicly available stroke mortality data...
  44. pmc Assessing quality of diabetes care by measuring longitudinal changes in hemoglobin A1c in the Veterans Health Administration
    Wes Thompson
    Deep South Center on Effectiveness at the Birmingham VA Medical Center and the University of Alabama, 35294, USA
    Health Serv Res 40:1818-35. 2005
    ..A1c levels are widely used to assess quality of diabetes care provided by health care systems. Currently, cross-sectional measures are commonly used for such assessments...
  45. ncbi request reprint The association between income, education, and experiences of discrimination in older African American and European American patients
    Jewell H Halanych
    Department of Medicine, University of Alabama at Birmingham, USA
    Ethn Dis 21:223-9. 2011
    ..In this study, we describe the associations of discrimination with income and education in elderly African Americans (AA) and European Americans (EA)...
  46. ncbi request reprint Statin Underuse and Low Prevalence of LDL-C Control Among U.S. Adults at High Risk of Coronary Heart Disease
    Christopher M Gamboa
    Department of Epidemiology CMG, EBL, HY, PM, University of Alabama at Birmingham, Birmingham, Alabama Division of Preventive Medicine CMG, MMS, SG, University of Alabama at Birmingham, Birmingham, Alabama Department of Medicine Section of Preventive Medicine and Epidemiology DMM, Boston University, Boston, Massachusetts Center for Observational Research JMW, Amgen, Inc, Thousand Oaks, California Mount Sinai Heart RR, MK, Icahn School of Medicine at Mount Sinai, New York City, New York
    Am J Med Sci 348:108-14. 2014
    ..Statin use and low-density lipoprotein cholesterol (LDL-C) control were examined among participants with CHD or risk equivalents in the nationwide Reasons for Geographic and Racial Differences in Stroke study (n = 8812)...
  47. pmc Awareness, treatment, and control of LDL cholesterol are lower among U.S. adults with undiagnosed diabetes versus diagnosed diabetes
    Todd M Brown
    Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Diabetes Care 36:2734-40. 2013
    ..S. adults with undiagnosed diabetes...
  48. pmc Value of orthopnea, paroxysmal nocturnal dyspnea, and medications in prospective population studies of incident heart failure
    O James Ekundayo
    University of Alabama at Birmingham, Birmingham, AL, USA
    Am J Cardiol 104:259-64. 2009
    ....
  49. pmc Cardiovascular outcome ascertainment was similar using blinded and unblinded adjudicators in a national prospective study
    Gaurav Parmar
    Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, AL, USA
    J Clin Epidemiol 63:1159-63. 2010
    ..Observational studies can avoid biases by blinding medical records to characteristics of interest before outcome adjudication. However, blinding is costly. We assessed the effect of blinding race and geography on outcome ascertainment...
  50. pmc Pay for performance: will dentistry follow?
    ANDREEA VOINEA-GRIFFIN
    Department of General Dental Sciences, University of Alabama, Birmingham, USA
    BMC Oral Health 10:9. 2010
    ..Therefore, we adopted a quality-oriented approach in reviewing those factors which could influence whether it will be embraced by the dental profession...
  51. pmc Racial and regional differences in age at menopause in the United States: findings from the REasons for Geographic And Racial Differences in Stroke (REGARDS) study
    Katherine K McKnight
    Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Alabama School of Medicine at Birmingham, Birmingham, AL, USA
    Am J Obstet Gynecol 205:353.e1-8. 2011
    ..We sought to examine regional and black-white differences in mean age at self-reported menopause among community-dwelling women in the United States...
  52. pmc Patterns of postoperative pain medication prescribing after invasive dental procedures
    Andrei Barasch
    Department of General Dental Sciences, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama, USA
    Spec Care Dentist 31:53-7. 2011
    ..004) were more likely to receive narcotic analgesics. Students prescribed more narcotics than residents (p = .001). No differences were found by race in prescribing analgesics...
  53. pmc Is physician engagement with Web-based CME associated with patients' baseline hemoglobin A1c levels? The Rural Diabetes Online Care study
    Katie Crenshaw
    Division of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, Alabama 35294 0019, USA
    Acad Med 85:1511-7. 2010
    ..To investigate the association between physician participants' levels of engagement in a Web-based educational intervention and their patients' baseline diabetes measures...
  54. pmc Comparison of Medicare claims versus physician adjudication for identifying stroke outcomes in the Women's Health Initiative
    Kamakshi Lakshminarayan
    From the Divisions of Epidemiology and Community Health K L, C F and Health Services Research and Policy B V, University of Minnesota School of Public Health, Minneapolis, MN Women s Health Initiative Clinical Coordinating Center, Fred Hutchinson Cancer Research Center, Seattle, WA J C L Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL N B A Division of Cardiovascular Medicine, University of Florida, Gainesville, FL M L Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA W C W Department of Medicine, Division of Preventive Medicine, University of Alabama, Birmingham, AL M M S and National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD D R B
    Stroke 45:815-21. 2014
    ..This is resource-intensive. Herein, we assess whether Medicare data can reliably assess stroke events in the WHI...
  55. pmc Management of osteoporosis among the elderly with other chronic medical conditions
    Jeffrey R Curtis
    Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, AL 35294, USA
    Drugs Aging 29:549-64. 2012
    ....
  56. ncbi request reprint Burden of comorbid medical conditions and quality of diabetes care
    Jewell H Halanych
    Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Diabetes Care 30:2999-3004. 2007
    ..We sought to examine the relationship between comorbidity and commonly assessed services for diabetic patients in a managed care organization...
  57. doi request reprint Recruitment of a rural, southern, predominantly African-American population into a diabetes self-management trial
    Susan J Andreae
    Division of Preventive Medicine, University of Alabama at Birmingham, USA
    Contemp Clin Trials 33:499-506. 2012
    ..Providing diabetes education to all participants, including intervention and control, helped ensure that everyone stood to benefit and likely enhanced overall participation...
  58. ncbi request reprint The association between inflammatory markers, serum lipids and the risk of cardiovascular events in patients with rheumatoid arthritis
    Jie Zhang
    Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, Alabama, USA Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Ann Rheum Dis 73:1301-8. 2014
    ....
  59. pmc The geographic distribution of obesity in the US and the potential regional differences in misreporting of obesity
    Anh Le
    Department of Biostatistics, UAB School of Public Health, Birmingham, Alabama, USA
    Obesity (Silver Spring) 22:300-6. 2014
    ..Conclusions: Geographic patterns in the prevalence of obesity based on self-reported height and weight may be misleading, and have implications for current policy proposals. ..
  60. pmc Obesity and risk of sepsis: a population-based cohort study
    Henry E Wang
    Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham, Alabama, USA
    Obesity (Silver Spring) 21:E762-9. 2013
    ..Sepsis, the syndrome of microbial infection complicated by systemic inflammation, is associated with significant morbidity and mortality. To determine if obesity increases risk of sepsis events...
  61. pmc Trajectories of drug use and mortality outcomes among adults followed over 18 years
    Stefan G Kertesz
    Center for Surgical Medical and Acute Care Research at the Birmingham VA Medical Center, Birmingham, AL, USA
    J Gen Intern Med 27:808-16. 2012
    ..For adults in general population community settings, data regarding long-term course and outcomes of illicit drug use are sparse, limiting the formulation of evidence-based recommendations for drug use screening of adults in primary care...
  62. pmc Low medication adherence and hypertension control among adults with CKD: data from the REGARDS (Reasons for Geographic and Racial Differences in Stroke) Study
    Paul Muntner
    Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    Am J Kidney Dis 56:447-57. 2010
    ..Low adherence to antihypertensive medication is an important barrier to achieving blood pressure control. Few data are available for medication adherence in adults with chronic kidney disease (CKD)...
  63. ncbi request reprint Obtaining medical records from healthcare facilities under the HIPAA Privacy Rule: the experience of a national longitudinal cohort study
    Shannon H Houser
    Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Webb 5101530 3rd Avenue South, Birmingham, AL 35294 3361, USA
    Neuroepidemiology 28:162-8. 2007
    ..46 days, p = 0.048). Medical records retrieval in prospective research studies is still feasible under HIPAA regulation...
  64. pmc Prehypertension and incident acute coronary heart disease in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) study
    Stephen P Glasser
    Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, Alabama
    Am J Hypertens 27:245-51. 2014
    ..We examined associations between prehypertension (systolic blood pressure of 130-139.9 and/or diastolic blood pressure of 80-89mm Hg) and incident acute CHD and cardiovascular disease (CVD) death...
  65. pmc Random blood glucose testing in dental practice: a community-based feasibility study from The Dental Practice-Based Research Network
    Andrei Barasch
    Department of General Dental Sciences, School of Dentistry, University of Alabama at Birmingham, USA
    J Am Dent Assoc 143:262-9. 2012
    ..Instances of patients' not having received a diagnosis have been reported widely, as have instances of poor control of DM or prediabetes among patient's who have the disease. These facts indicate that blood glucose screening is needed...
  66. ncbi request reprint Validation of diagnostic codes for subtrochanteric, diaphyseal, and atypical femoral fractures using administrative claims data
    Pongthorn Narongroeknawin
    Department of Medicine, University of Alabama, Birmingham, AL, USA
    J Clin Densitom 15:92-102. 2012
    ..These claims algorithms will be useful in future population-based observational studies to evaluate associations between osteoporosis medications and subtrochanteric and diaphyseal femoral fractures...
  67. pmc Multiple uncontrolled conditions and blood pressure medication intensification: an observational study
    Amanda H Salanitro
    VA National Quality Scholars Program, Department of Veterans Affairs Medical Center, Birmingham, AL, USA
    Implement Sci 5:55. 2010
    ..We hypothesized that multiple uncontrolled cardiovascular risk factors would decrease blood pressure (BP) medication intensification among uncontrolled hypertensive patients...
  68. pmc Pay-for-performance in dentistry: what we know
    ANDREEA VOINEA-GRIFFIN
    Department of General Dental Sciences, University of Alabama at Birmingham, AL, USA
    J Healthc Qual 32:51-8. 2010
    ..We conclude that large-scale implementation of P4P for dentistry may not be a realistic option before significant progress is achieved in quality of dental care indicators...
  69. pmc The relationship between bisphosphonate adherence and fracture: is it the behavior or the medication? Results from the placebo arm of the fracture intervention trial
    Jeffrey R Curtis
    Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL, USA
    J Bone Miner Res 26:683-8. 2011
    ..Nonrandomized studies of interventions designed to maintain or improve bone density and/or hip fracture may need to consider medication compliance as a confounder to better estimate true intervention effects...
  70. doi request reprint Risk factors for oral postoperative infection in patients with diabetes
    Andrei Barasch
    Department of Diagnostic Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Spec Care Dentist 28:159-66. 2008
    ..The growing number of dental patients with diabetes warrants strengthening the evidence base to guide their dental care and prevent possible morbid complications...
  71. ncbi request reprint Stroke symptoms in individuals reporting no prior stroke or transient ischemic attack are associated with a decrease in indices of mental and physical functioning
    George Howard
    Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    Stroke 38:2446-52. 2007
    ..Stroke symptoms in the absence of recognized stroke are common, but potential associated dysfunctions have not been described...
  72. doi request reprint Exploring barriers and facilitators to clinical trial enrollment in the context of sickle cell anemia and hydroxyurea
    Jeffrey D Lebensburger
    Department of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA
    Pediatr Blood Cancer 60:1333-7. 2013
    ..To limit the early cessation of a proposed clinical trial due to low accrual rates, we sought to better understand barriers and facilitators to enrolling parents of children with sickle cell anemia (SCD) into clinical trials...
  73. pmc Predictors of cardiac rehabilitation referral in coronary artery disease patients: findings from the American Heart Association's Get With The Guidelines Program
    Todd M Brown
    University of Alabama at Birmingham, Birmingham, AL 35294, USA
    J Am Coll Cardiol 54:515-21. 2009
    ..Our purpose was to determine factors independently associated with cardiac rehabilitation referral, which are currently not well described at a national level...
  74. pmc National variation in United States sepsis mortality: a descriptive study
    Henry E Wang
    Department of Emergency Medicine, University of Alabama at Birmingham, USA
    Int J Health Geogr 9:9. 2010
    ..We defined sepsis deaths as deaths attributed to an infection, classified according to the International Classification of Diseases, Version 10. We calculated national and state age-adjusted sepsis-attributed mortality rates...
  75. pmc Sensitivity and specificity of stroke symptom questions to detect stroke or transient ischemic attack
    Victor W Sung
    Birmingham Veterans Administration Medical Center, University of Alabama at Birmingham, Birmingham, AL 35233, USA
    Neuroepidemiology 36:100-4. 2011
    ..Its six symptom-related questions could potentially be used to screen for undiagnosed stroke or transient ischemic attack (TIA), but the sensitivity and specificity of just the six symptom-related questions are unknown...
  76. pmc Is withholding osteoporosis medication after fracture sometimes rational? A comparison of the risk for second fracture versus death
    Jeffrey R Curtis
    Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    J Am Med Dir Assoc 11:584-91. 2010
    ..Among US Medicare beneficiaries, we evaluated the risk for second fracture versus death in the 5 years following a hip, clinical vertebral, and wrist/forearm fracture...
  77. ncbi request reprint The association between clinical care strategies and the attenuation of racial/ethnic disparities in diabetes care: the Translating Research Into Action for Diabetes (TRIAD) Study
    O Kenrik Duru
    David Geffen School of Medicine, University of California, Los Angeles, California 90024, USA
    Med Care 44:1121-8. 2006
    ..We sought to determine whether greater implementation of clinical care strategies in managed care is associated with attenuation of known racial/ethnic disparities in diabetes care...
  78. ncbi request reprint Is the number of documented diabetes process-of-care indicators associated with cardiometabolic risk factor levels, patient satisfaction, or self-rated quality of diabetes care? The Translating Research into Action for Diabetes (TRIAD) study
    Ronald T Ackermann
    Department of Medicine, Indiana University School of Medicine, 250 University Blvd, Suite 122, Indianapolis, IN 46202, USA
    Diabetes Care 29:2108-13. 2006
    ....
  79. ncbi request reprint Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care: the Translating Research Into Action for Diabetes (TRIAD) study
    Arleen F Brown
    Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095 1736, USA
    Diabetes Care 28:2864-70. 2005
    ..To examine racial/ethnic and socioeconomic variation in diabetes care in managed-care settings...
  80. ncbi request reprint Agreement between self-reports and medical records was only fair in a cross-sectional study of performance of annual eye examinations among adults with diabetes in managed care
    Gloria L A Beckles
    Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA
    Med Care 45:876-83. 2007
    ..Despite consensus about the importance of measuring quality of diabetes care and the widespread use of self-reports and medical records to assess quality, little is known about the degree of agreement between these data sources...
  81. ncbi request reprint Race/ethnicity, socioeconomic status, and lifetime morbidity burden in the women's health initiative: a cross-sectional analysis
    Rachel Gold
    Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon 97227, USA
    J Womens Health (Larchmt) 15:1161-73. 2006
    ....
  82. doi request reprint Suboptimal control of glycemia, blood pressure, and LDL cholesterol in overweight adults with diabetes: the Look AHEAD Study
    Alain G Bertoni
    Division of Public Health Sciences, Department of Epidemiology and Prevention, Wake Forest University Health Sciences, Winston Salem, NC 27157, USA
    J Diabetes Complications 22:1-9. 2008
    ..The characteristics associated with meeting goals for glycemia, blood pressure (BP), and low-density lipoprotein (LDL) cholesterol for participants with diabetes were examined...
  83. ncbi request reprint The association between quality of care and the intensity of diabetes disease management programs
    Carol M Mangione
    Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California 90095 1736, USA
    Ann Intern Med 145:107-16. 2006
    ..Although disease management programs are widely implemented, little is known about their effectiveness...
  84. pmc Educational disparities in rates of smoking among diabetic adults: the translating research into action for diabetes study
    Andrew J Karter
    Division of Research, Kaiser Permanente, Oakland, Calif, and Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, USA
    Am J Public Health 98:365-70. 2008
    ..We assessed educational disparities in smoking rates among adults with diabetes in managed care settings...
  85. doi request reprint Can ambulatory care prevent hospitalization for metabolic decompensation?
    Drew A Helmer
    Center for Healthcare Knowledge Management, Veterans Administration New Jersey Health Care System, East Orange, New Jersey, USA
    Med Care 46:148-57. 2008
    ..Metabolic decompensations (MD) are hospitalizations considered preventable with appropriate ambulatory care. We tested for associations between diabetes care and MD...
  86. ncbi request reprint Managed care organization and the quality of diabetes care: the Translating Research Into Action for Diabetes (TRIAD) study
    Catherine Kim
    Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
    Diabetes Care 27:1529-34. 2004
    ..To examine the association between the organizational model and diabetes processes of care...
  87. ncbi request reprint Who has diabetes? Best estimates of diabetes prevalence in the Department of Veterans Affairs based on computerized patient data
    Donald R Miller
    Boston University, School of Public Health, Boston, Massachusetts, USA
    Diabetes Care 27:B10-21. 2004
    ..To optimize methods for identifying patients with diabetes based on computerized records and to obtain best estimates of diabetes prevalence in Department of Veterans Affairs (VA) patients...
  88. ncbi request reprint The importance of recognizing patients' time as a cost of self-management
    Louise B Russell
    Am J Manag Care 14:395-6. 2008
  89. ncbi request reprint Referral management and the care of patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) study
    Catherine Kim
    Division of General Internal Medicine, Department of Medicine, University of Michigan, Ann Arbor, Mich, USA
    Am J Manag Care 10:137-43. 2004
    ..To examine the effect of referral management on diabetes care...
  90. ncbi request reprint Impact of self-reported patient characteristics upon assessment of glycemic control in the Veterans Health Administration
    Miriam Maney
    VA HSR and D Center for Healthcare Knowledge Management Research, VA New Jersey Healthcare System, 385 Tremont Avenue, East Orange, NJ, USA
    Diabetes Care 30:245-51. 2007
    ..The purpose of this article was to evaluate the impact of self-reported patient factors on quality assessment of Veterans Health Administration medical centers in achieving glycemic control...
  91. ncbi request reprint Efficacy of chlorhexidine gluconate rinse for treatment and prevention of oral candidiasis in HIV-infected children: a pilot study
    Andrei Barasch
    Department of Diagnostic Sciences, University of Detroit Mercy School of Dentistry, Detroit, MI 48219 0900, USA
    Oral Surg Oral Med Oral Pathol Oral Radiol Endod 97:204-7. 2004
    ..We evaluated the effect of chlorhexidine (CHX) 0.12% rinses on the clinical and microbiologic manifestations of oral candidiasis in HIV-infected children...
  92. ncbi request reprint Out-of-pocket costs and diabetes preventive services: the Translating Research Into Action for Diabetes (TRIAD) study
    Andrew J Karter
    Division of Research, Kaiser Permanente, Oakland, California 94612, USA
    Diabetes Care 26:2294-9. 2003
    ..This study investigated the effect of out-of-pocket expenditures on the utilization of recommended diabetes preventive services...
  93. pmc Validity of diabetes self-reports in the Women's Health Initiative: comparison with medication inventories and fasting glucose measurements
    Karen L Margolis
    HealthPartners Research Foundation, Minneapolis, MN 55440 1524, USA
    Clin Trials 5:240-7. 2008
    ..Therefore, we studied whether self-report of prevalent and incident diabetes in Women's Health Initiative (WHI) participants was concordant with other diagnostic evidence of diabetes...
  94. ncbi request reprint Risk factor clustering in the insulin resistance syndrome and its relationship to cardiovascular disease in postmenopausal white, black, hispanic, and Asian/Pacific Islander women
    Barbara V Howard
    MedStar Research Institute, Washington, DC, USA
    Metabolism 52:362-71. 2003
    ..0434) and strongly in black women (P =.0095). Components of the IR syndrome appear to be associated with CVD in postmenopausal women, although the magnitude of these relationships differed by ethnicity...
  95. pmc Screening for type 2 diabetes: Self monitoring of blood glucose: the cost to patients
    Monika M Safford
    BMJ 336:1263. 2008
  96. pmc Treating chronic pain in the presence of substance abuse
    Ava H Stanley
    Institute for Health, Healthcare, and Aging Research, Rutgers University, New Brunswick, NJ 08901 1293, USA
    J Natl Med Assoc 96:1102-4. 2004
    ..It is difficult to treat these disorders when they co-occur. We discuss such a case in the context of relevant literature and make recommendations for assessment, management, and documentation...
  97. ncbi request reprint Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD study
    Eve A Kerr
    Veterans Affairs Ann Arbor Healthcare System, Center for Practice Management and Outcomes Research, and University of Michigan, Ann Arbor, Michigan 48113 0170, USA
    Ann Intern Med 141:272-81. 2004
    ..No studies have compared care in the Department of Veterans Affairs (VA) with that delivered in commercial managed care organizations, nor have studies focused in depth on care comparisons for chronic, outpatient conditions...
  98. ncbi request reprint Impact of oral antihyperglycemic therapy on all-cause mortality among patients with diabetes in the Veterans Health Administration
    Kristijan H Kahler
    Center for Health Care Knowledge and Management, VA New Jersey Health Care System, East Orange, New Jersey, USA
    Diabetes Care 30:1689-93. 2007
    ....
  99. ncbi request reprint Perception of neighborhood problems, health behaviors, and diabetes outcomes among adults with diabetes in managed care: the Translating Research Into Action for Diabetes (TRIAD) study
    Tiffany L Gary
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
    Diabetes Care 31:273-8. 2008
    ..Recent data suggest that residential environment may influence health behaviors and outcomes. We assessed whether perception of neighborhood problems was associated with diabetes behaviors and outcomes...
  100. ncbi request reprint Lifestyle-related risk factors and risk of future nursing home admission
    Elmira Valiyeva
    Institute for Health, Health Care Policy, and Aging Research, Rutgers University, 30 College Avenue, New Brunswick, NJ 08901, USA
    Arch Intern Med 166:985-90. 2006
    ..These risk factors are usually established by middle age, but nothing is known about how they relate to long-term risk of nursing home admission in this age group...
  101. ncbi request reprint Diet medications and valvular heart disease: the current evidence
    Andrei Barasch
    University of Medicine and Dentistry of New Jersey New Jersey Medical School, Newark, USA
    Spec Care Dentist 22:108-14. 2002
    ..This article reviews relevant evidence and discusses concerns for the dental practitioner...

Research Grants8

  1. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2006
    ..Our results will contribute significantly to the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  2. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2007
    ..Our results will contribute significantly to the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  3. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2007
    ..Our results will contribute significantlyto the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  4. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009
    ..Our results will contribute significantlyto the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  5. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009
    ..Our results will contribute significantlyto the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  6. REGARDS - MI Study
    Monika M Safford; Fiscal Year: 2010
    ..Our results will contribute significantlyto the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..
  7. REGARDS - MI Study
    Monika Safford; Fiscal Year: 2009
    ..Our results will contribute significantlyto the knowledge base essential for attaining the Healthy People 2010 goal of reducing health disparities. ..