Research Topics
| Ann GeigerSummaryAffiliation: Wake Forest University School of Medicine Country: USA Publications
Research Grants
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Detail Information
Publications
Declining recurrence among ductal carcinoma in situ patients treated with breast-conserving surgery in the community settingLaurel A Habel
Division of Research, Kaiser Permanente, Northern California, 2000 Broadway, Oakland, CA 94612, USA
Breast Cancer Res 11:R85. 2009..The aims of this study were to examine the use and impact of these therapies on risk of recurrence among ductal carcinoma in situ patients diagnosed and treated in the community setting...
Webinar Training: an acceptable, feasible and effective approach for multi-site medical record abstraction: the BOWII experienceChantal C Avila
Kaiser Permanente Southern California, Research and Evaluation, Pasadena, CA, USA
BMC Res Notes 4:430. 2011..abstract:..
Survivorship research based in integrated healthcare delivery systems: the Cancer Research NetworkAnn M Geiger
Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
Cancer 112:2617-26. 2008..The National Cancer Institute funds the Cancer Research Network (CRN) to leverage these capabilities for all types of cancer research, including survivorship...
Recurrences and second primary breast cancers in older women with initial early-stage diseaseAnn M Geiger
Division of Public Health Sciences, Department of Social Sciences and Health Policy, Wake Forest University Health Sciences, Winston Salem, North Carolina 27157, USA
Cancer 109:966-74. 2007..The association between common breast cancer therapies and recurrences and second primary breast cancers in older women is unclear, although older women are less likely to receive common therapies...
Quality of life after bilateral prophylactic mastectomyAnn M Geiger
Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, California 91188, USA
Ann Surg Oncol 14:686-94. 2007..Bilateral prophylactic mastectomy in women with increased breast cancer risk dramatically reduces breast cancer occurrence but little is known about psychosocial outcomes...
Contentment with quality of life among breast cancer survivors with and without contralateral prophylactic mastectomyAnn M Geiger
Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, USA
J Clin Oncol 24:1350-6. 2006..To understand psychosocial outcomes after prophylactic removal of the contralateral breast in women with unilateral breast cancer...
Breast cancer treatment of older women in integrated health care settingsShelley M Enger
Department of Research and Evaluation, Kaiser Permanente Medical Care Program, Pasadena, CA, USA
J Clin Oncol 24:4377-83. 2006..Information regarding treatment effectiveness in this age group and tools that allow physicians and patients to estimate the benefits versus the risks of therapies, taking into account age and comorbidity burden, are critically needed...
Physical performance and subsequent disability and survival in older adults with malignancy: results from the health, aging and body composition studyHeidi D Klepin
Comprehensive Cancer Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
J Am Geriatr Soc 58:76-82. 2010..To evaluate objective physical performance measures as predictors of survival and subsequent disability in older patients with cancer...
Morbidity and mortality in long-term survivors of Hodgkin lymphoma: a report from the Childhood Cancer Survivor StudySharon M Castellino
Department of Pediatrics, Wake Forest University Health Sciences, Winston Salem, NC 27157, USA
Blood 117:1806-16. 2011..6; 95% CI 1.4-5.1), or a serious cardiovascular condition (HR, 4.4; 95% CI 2.7-7.3). Excess mortality from second neoplasms and cardiovascular disease vary by sex and persist > 20 years of follow-up in childhood HL survivors...
Stroke risk and tamoxifen therapy for breast cancerAnn M Geiger
Research and Evaluation Department, Kaiser Permanente Southern California, 100 S Los Robles, Pasadena, CA 91188, USA
J Natl Cancer Inst 96:1528-36. 2004..We assessed the impact of tamoxifen treatment for breast cancer on the risk of stroke, considering dose, duration, and recency of use of tamoxifen and known stroke risk factors...
Trends in the outcomes for patients with limited stage small cell lung cancer: An analysis of the Surveillance, Epidemiology, and End Results databaseBrian E Lally
Wake Forest University Health Sciences, Department of Radiation Oncology, Medical Center Boulevard, Winston Salem, NC 27157, United States
Lung Cancer 64:226-31. 2009..In order to continue to improve clinical outcomes, clinical trials investigating new treatment paradigms are needed...
A population-based study of bilateral prophylactic mastectomy efficacy in women at elevated risk for breast cancer in community practicesAnn M Geiger
Research and Evaluation Department, Southern California Permanente Medical Group, 100 S Los Robles, Pasadena, CA 91101, USA
Arch Intern Med 165:516-20. 2005..We studied the efficacy of bilateral prophylactic mastectomy in women with elevated breast cancer risk cared for in community practices...
A computerized system to facilitate medical record abstraction in cancer research (United States)Ann M Geiger
Department of Research and Evaluation, Southern California Permanente Medical Group, Pasadena, CA 91188, USA
Cancer Causes Control 14:469-76. 2003..To implement a computerized system to gather and transmit medical record information from six sites to a centralized database for two cancer prevention studies...
The risk of death from heart disease in patients with nonsmall cell lung cancer who receive postoperative radiotherapy: analysis of the Surveillance, Epidemiology, and End Results databaseBrian E Lally
Department of Radiation Oncology, Wake Forest University Health Sciences, Winston Salem, NC 27157 1030, USA
Cancer 110:911-7. 2007..This study was designed to investigate whether the mortality from heart disease, a manifestation of intercurrent disease after postoperative radiotherapy (PORT), has decreased over time for patients with nonsmall cell lung cancer (NSCLC)...
Mammography surveillance and mortality in older breast cancer survivorsTimothy L Lash
Department of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA
J Clin Oncol 25:3001-6. 2007..Our purpose is to estimate the effectiveness of surveillance mammography in a cohort of breast cancer survivors with complete ascertainment of surveillance mammograms and negligible losses to follow-up...
Under utilization of surveillance mammography among older breast cancer survivorsTerry S Field
Meyers Primary Care Institute, Worcester, MA 01605, USA
J Gen Intern Med 23:158-63. 2008..Annual surveillance mammography is recommended for follow-up of women with a history of breast cancer. We examined surveillance mammography among breast cancer survivors who were enrolled in integrated healthcare systems...
Predictors of tamoxifen discontinuation among older women with estrogen receptor-positive breast cancerCynthia Owusu
Division of Hematology Oncology, Case Western Reserve University, University Hospitals Health System Ireland Cancer Center BHC 5055, 11100 Euclid Ave, Cleveland, OH 44106 5055, USA
J Clin Oncol 26:549-55. 2008..However, information on tamoxifen discontinuation is scanty. We sought to identify predictors of tamoxifen discontinuation among older women with breast cancer...
Mortality impact of less-than-standard therapy in older breast cancer patientsMarianne Ulcickas Yood
Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA
J Am Coll Surg 206:66-75. 2008....
Using probabilistic corrections to account for abstractor agreement in medical record reviewsTimothy L Lash
Boston University School of Public Health, Boston, MA 02118, USA
Am J Epidemiol 165:1454-61. 2007..While many investigators use reliability data only as a metric for data quality, a more thorough approach can also quantitatively depict the uncertainty in the observed associations...
Efficacy of prophylactic mastectomy in women with unilateral breast cancer: a cancer research network projectLisa J Herrinton
Cancer Research Network, Division of Research, Northern California Kaiser Permanente, 2000 Broadway Ave, Oakland, CA 94612, USA
J Clin Oncol 23:4275-86. 2005..We investigated the efficacy of contralateral prophylactic mastectomy (CPM) in reducing contralateral breast cancer incidence and breast cancer mortality among women who have already been diagnosed with breast cancer...
Reason for late-stage breast cancer: absence of screening or detection, or breakdown in follow-up?Stephen H Taplin
Group Health Cooperative, Seattle, WA, USA
J Natl Cancer Inst 96:1518-27. 2004..However, despite high national mammography screening rates, late-stage breast cancers still occur, possibly because of failures in screening implementation...
Specificity of clinical breast examination in community practiceJoshua J Fenton
Department of Family and Community Medicine, University of California, Davis, Sacramento, CA 95817, USA
J Gen Intern Med 22:332-7. 2007....
Racial and ethnic variation in response to mailed and telephone surveys among women in a managed care populationKarin M Nelson
Primary and Specialty Medical Care Service, VA Puget Sound Health Care System and the Department of Medicine, University of Washington, Seattle, Washington 98108 1597, USA
Ethn Dis 14:580-3. 2004..We used bivariate and multivariate analyses to describe the population characteristics of respondents who replied by mail, as compared to those who completed the survey by telephone...
Re: Breast cancer screening comes full circleStephen H Taplin
J Natl Cancer Inst 97:461. 2005
Impact of IRB requirements on a multicenter survey of prophylactic mastectomy outcomesSarah M Greene
Group Health Cooperative Center for Health Studies, Seattle, WA 98101, USA
Ann Epidemiol 16:275-8. 2006..This study assesses the variability in requirements among six institutional review boards (IRBs) and the resulting protocol variations for a multicenter mailed survey...
Guidelines for breast and ovarian cancer genetic counseling referral: adoption and implementation in HMOsJudy Mouchawar
Kaiser Permanente Colorado, Denver, Colorado, USA
Genet Med 5:444-50. 2003....
Positive, negative, and disparate--women's differing long-term psychosocial experiences of bilateral or contralateral prophylactic mastectomyAndrea Altschuler
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA
Breast J 14:25-32. 2008..This dichotomy could be an important factor to discuss in counseling women considering the procedure...
Efficacy of breast cancer screening in the community according to risk levelJoann G Elmore
School of Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA
J Natl Cancer Inst 97:1035-43. 2005..The efficacy of breast cancer screening in the community may differ from that suggested by the results of randomized trials, and no data have been available on efficacy among women who have different levels of breast cancer risk...
Organizational barriers to physician participation in cancer clinical trialsCarol P Somkin
Division of Research, Kaiser Permanente Northern California, Oakland, California 94612, USA
Am J Manag Care 11:413-21. 2005..To assess barriers to physician participation in cancer clinical trials among oncologists, oncology leaders, and health plan leaders...
Tamoxifen-treated breast carcinoma patients and the risk of acute myocardial infarction and newly diagnosed anginaAnn M Geiger
Cancer 106:480-1; author reply 481. 2006
Receipt of appropriate primary breast cancer therapy and adjuvant therapy are not associated with obesity in older women with access to health careDiana S M Buist
Group Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
J Clin Oncol 25:3428-36. 2007..The purpose of this study was to examine the association between BMI at breast cancer diagnosis and receipt of appropriate primary tumor therapy and adjuvant therapy...
What women wish they knew before prophylactic mastectomySharon J Rolnick
HealthPartners Research Foundation, Minneapolis, MN 55440 1524, USA
Cancer Nurs 30:285-91; quiz 292-3. 2007..Clinicians and health educators should be aware of patient needs and must counsel women accordingly...
Comparing breast cancer case identification using HMO computerized diagnostic data and SEER dataSharon J Rolnick
HealthPartners Research Foundation, PO Box 1524, MS 21111R, Minneapolis, MN 55440 1524, USA
Am J Manag Care 10:257-62. 2004..To determine the sensitivity and positive predictive value (PPV) of computerized diagnostic data from health maintenance organizations (HMOs) in identifying incident breast cancer cases...
Implementation of systems strategies for breast and cervical cancer screening services in health maintenance organizationsKarin Valentine Goins
Division of Preventive and Behavioral Medicine, Meyers Primary Care Institute University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655, USA
Am J Manag Care 9:745-55. 2003..To describe the systems strategies used to reduce failures in delivery of breast and cervical cancer screening services in HMOs with high performance rates for these services...
Diffusion of aromatase inhibitors for breast cancer therapy between 1996 and 2003 in the Cancer Research NetworkErin J Aiello
Group Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
Breast Cancer Res Treat 107:397-403. 2008..We evaluated diffusion of aromatase inhibitor dispensings for breast cancer treatment in integrated healthcare delivery systems across the United States...
Training, quality assurance, and assessment of medical record abstraction in a multisite studyLisa M Reisch
Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104-2499, USA
Am J Epidemiol 157:546-51. 2003..Additionally, a masking study with a subsample of subjects may be a feasible and cost-effective alternative to the time- and cost-intensive methodological approach of masking all medical records...
Research Grants
- Patient Oriented Outcomes of Prophylactic MastectomyAnn Geiger; Fiscal Year: 2003..This study will provide critical information for women and their health care providers considering prophylactic mastectomy, a decision currently based on a dearth of information on long-term patient-oriented outcomes. ..
- Is Stroke a Late Effect of Chemotherapy?Ann Geiger; Fiscal Year: 2006..In addition, verifying and better characterizing the association will guide determinations of the need for and design of further research to improve our understanding of the impact of specific chemotherapy regimens on stroke. ..
