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Correction to: The dietary inflammatory index is associated with anti and pro‑inflammatory adipokines in Brazilian schoolchildren

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European journal of nutrition 2021年第5期60卷 2851-2853页

作者： Lara Gomes Suhett H H M Hermsdorff Sarah Aparecida Vieira Ribeiro Mariana De Santis Filgueiras Nitin Shivappa James R Hébert Juliana Farias de Novaes Department of Nutrition and Health Universidade Federal de Viçosa (UFV) Av. P.H. Rolfs s/n Campus Universitário Viçosa Minas Gerais 36570-000 Brazil. nutrilarasuhett@***. Department of Nutrition and Health Universidade Federal de Viçosa (UFV) Av. P.H. Rolfs s/n Campus Universitário Viçosa Minas Gerais 36570-000 Brazil. Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia SC USA. Statewide Cancer Prevention and Control Program (CPCP) Arnold School of Public Health University of South Carolina 915 Greene Street Columbia SC 29208 USA. Department of Nutrition Connecting Health Innovations (CHI) 1417 Gregg Street Columbia SC 29201 USA.

A correction to this paper has been published: https://***/10.1007/s00394-021-02544-w

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A national survey of primary care physicians: Perceptions and practices of low-dose CT lung cancer screening

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Preventive Medicine Reports 2018年 11卷 93-99页

作者： Eberth, Jan M. McDonnell, Karen Kane Sercy, Erica Khan, Samira Strayer, Scott M. Dievendorf, Amy C. Munden, Reginald F. Vernon, Sally W. Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia SC United States Statewide Cancer Prevention and Control Program Arnold School of Public Health University of South Carolina Columbia SC United States South Carolina Rural Health Research Center Arnold School of Public Health University of South Carolina Columbia SC United States College of Nursing University of South Carolina Columbia SC United States Department of Family and Preventive Medicine School of Medicine University of South Carolina Columbia SC United States Department of Radiology Wake Forest Baptist Medical Center Winston Salem NC United States Department of Health Promotion & Behavioral Sciences School of Public Health University of Texas Health Sciences Center at Houston Houston TX United States

Soon after the National Lung Screening Trial, organizations began to endorse low-dose computed tomography (LCDT) screening for lung cancer in high-risk patients. Concerns about the risks versus benefits of screening, as well as the logistics of identifying and referring eligible patients, remained among physicians. This study aimed to examine primary care physicians' knowledge, attitudes, referral practices, and associated barriers regarding LDCT screening. We administered a national survey of primary care physicians in the United States between September 2016 and April 2017. Physicians received up to 3 mailings, 1 follow-up email, and received varying incentives to complete the survey. Overall, 293 physicians participated, for a response rate of 13%. We used weighted descriptive statistics to characterize participants and their responses. Over half of the respondents correctly reported that the US Preventive Services Task Force recommends LDCT screening for high-risk patients. Screening recommendations for patients not meeting high-risk criteria varied. Although 75% agreed that the benefits of LDCT screening outweigh the risks, fewer agreed that there is substantial evidence that screening reduces mortality (50%). The most commonly reported barriers to ordering screening included prior authorization requirements (57%), lack of insurance coverage (53%), and coverage denials (31%). The most frequently cited barrier to conducting LDCT screening shared decision making was patients' competing health priorities (42%). Given the impact of physician recommendations on cancer screening utilization, further understanding of physicians' LDCT screening attitudes and shared decision-making practices is needed. Clinical practice and policy changes are also needed to engage more patients in screening discussions. © 2018

关键词： Computed tomography Early detection of cancer Lung cancer Mass screening Physicians

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Addition of estimated cardiorespiratory fitness to the clinical assessment of 10-year coronary heart disease risk in asymptomatic men

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Preventive Medicine Reports 2017年 7卷 30-37页

作者： Gander, Jennifer C. Sui, Xuemei Hébert, James R. Lavie, Carl J. Hazlett, Linda J. Cai, Bo Blair, Steven N. Department of Surgery Emory University School of Medicine Atlanta GA United States Department of Exercise Science Arnold School of Public Health University of South Carolina Columbia SC United States Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia SC United States South Carolina Statewide Cancer Prevention and Control Program University of South Carolina Columbia SC United States Department of Cardiovascular Diseases John Ochsner Heart and Vascular Institute Ochsner Clinical School-the University of Queensland School of Medicine New Orleans LA United States

The Framingham Risk Score (FRS) was developed to quantify a patient's coronary heart disease (CHD) risk. Non-exercise estimated CRF (e-CRF) may provide a clinically practical method for describing cardiorespiratory fitness. We computed e-CRF and tested its association with the FRS and CHD. Male participants (n = 29,854) in the Aerobics Center Longitudinal Study (ACLS) who completed a baseline examination between 1979–2002 were followed for 12 years to determine incident CHD defined by self-report of myocardial infarction, revascularization, or CHD mortality. e-CRF was defined from a 7-item scale and categorized using age-specific tertiles. Multivariable survival analysis determined associations between FRS, e-CRF, and CHD. Interaction between e-CRF and FRS was tested by stratified analysis by ‘low’ and ‘moderate or high’ 10-year CHD risk. Men with high e-CRF were significantly (p-value < 0.0001) younger, and less likely to be smokers, compared to men with low e-CRF. Multivariable survival analysis reported men with high e-CRF were 29% (HR = 0.71;95% 0.56, 0.88) less likely to experience a CHD event compared to men with low e-CRF. Stratified analyses showed men with ‘low’ 10-year FRS predicted CHD risk and high e-CRF had a 28% (HR = 0.72;95% CI 0.57, 0.91) lower CHD-mortality risk compared to men with low e-CRF, no association was found in this group and men with moderate e-CRF. Men who were more fit had a decreased risk for CHD compared to men in the lowest third of fitness. Estimated CRF may add clinical value to the FRS and help clinicians better predict long-term CHD risk. © 2017 The Authors

关键词： Cardiorespiratory fitness Cardiovascular disease Chronic disease Exercise capacity Framingham risk score Men Risk

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Measuring constructs from the Consolidated Framework for Implementation Research in the context of increasing colorectal cancer screening at community health centers

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Implement Sci 2015年第SUPPL 1期10卷 A10-A10页

作者： Shuting Liang Michelle Kegler Michelle Carvalho Maria Fernandez Bryan Weiner Sara Jacobs Rebecca Williams Betsy Risendal Letoynia Coombs Daniela Friedman Beth Glenn Shin-Ping Tu Emory Prevention Research Center Department of Behavioral Sciences and Health Education Rollins School of Public Health Emory University Atlanta GA 30322 USA School of Public Health University of Texas Health Science Center at Houston Houston TX 77030 USA Department of Health Policy and Management UNC Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill NC 27599 USA Public Health Research Division RTI International Research Triangle Park NC 27709 USA Lineberger Comprehensive Cancer Center School of Medicine University of North Carolina at Chapel Hill Chapel Hill NC 27599 USA University of Colorado Comprehensive Cancer Center Aurora CO 80045 USA Department of Community and Behavioral Health Colorado School of Public Health Aurora CO 80045 USA Department of Health Promotion Education and Behavior Arnold School of Public Health University of South Carolina Columbia SC 29208 USA Statewide Cancer Prevention and Control Program Arnold School of Public Health University of South Carolina Columbia SC 29208 USA UCLA Kaiser Permanente Center for Health Equity University of California Los Angeles Los Angeles CA 90095-6900 USA Fielding School of Public Health University of California Los Angeles Los Angeles CA 90095 USA Jonsson Comprehensive Cancer Center University of California Los Angeles Los Angeles CA 90095 USA Department of Medicine Virginia Commonwealth University Richmond VA 23298 USA

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Reducing Colorectal cancer Incidence and Disparities: Performance and Outcomes of a Screening Colonoscopy program in South Carolina

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Advances in public health 2014年第1期2014卷 787282页

作者： Sudha Xirasagar Yi-Jhen Li James B Burch Virginie G Daguisé Thomas G Hurley James R Hébert Department of Health Services Policy and Management University of South Carolina Arnold School of Public Health 915 Greene Street Columbia SC 29208 USA. South Carolina Statewide Cancer Prevention & Control Program University of South Carolina 915 Greene Street Columbia SC 29208 USA Department of Epidemiology and Biostatistics University of South Carolina Arnold School of Public Health 915 Greene Street Columbia SC 29208 USA WJB Dorn Department of Veterans Affairs Medical Center 6439 Garners Ferry Road Columbia SC 29209-1639 USA. Division of Cancer Prevention and Control South Carolina Department of Health and Environmental Control 2100 Bull Street Columbia SC 29201 USA. South Carolina Statewide Cancer Prevention & Control Program University of South Carolina 915 Greene Street Columbia SC 29208 USA. Department of Epidemiology and Biostatistics University of South Carolina Arnold School of Public Health 915 Greene Street Columbia SC 29208 USA.

This study evaluated the efficiency, effectiveness, and racial disparities reduction potential of Screening Colonoscopies for People Everywhere in South Carolina (SCOPE SC), a state-funded program for indigent persons aged 50-64 years (45-64 years for African American (AA)) with a medical home in community health centers. Patients were referred to existing referral network providers, and the centers were compensated for patient navigation. Data on procedures and patient demographics were analyzed. Of 782 individuals recruited (71.2% AA), 85% (665) completed the procedure (71.1% AA). The adenoma detection rate was 27.8% (males 34.6% and females 25.1%), advanced neoplasm rate 7.7% (including 3 cancers), cecum intubation rate 98.9%, inadequate bowel preparation rate 7.9%, and adverse event rate 0.9%. All indicators met the national quality benchmarks. The adenoma rate of 26.0% among AAs aged 45-49 years was similar to that of older Whites and AAs. We found that patient navigation and a medical home setting resulted in a successful and high-quality screening program. The observed high adenoma rate among younger AAs calls for more research with larger cohorts to evaluate the appropriateness of the current screening guidelines for AAs, given that they suffer 47% higher colorectal cancer mortality than Whites.

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Scale and shape issues in focused cluster power for count data

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International Journal of Health Geographics 2005年第1期4卷 1-16页

作者： Puett, Robin C. Lawson, Andrew B. Clark, Allan B. Aldrich, Tim E. Porter, Dwayne E. Feigley, Charles E. Hebert, James R. Department of Epidemiology and Biostatistics Arnold School of Public Health University of South Carolina Columbia SC United States Department of Environmental Health Sciences Arnold School of Public Health University of South Carolina Columbia SC United States School of Medicine Health Policy and Practice University of East Anglia East Anglia United Kingdom South Carolina Statewide Cancer Prevention and Control Program Hollings Cancer Center Medical University of South Carolina Charleston SC United States

Background: Interest in the development of statistical methods for disease cluster detection has experienced rapid growth in recent years. Evaluations of statistical power provide important information for the selection of an appropriate statistical method in environmentally-related disease cluster investigations. Published power evaluations have not yet addressed the use of models for focused cluster detection and have not fully investigated the issues of disease cluster scale and shape. As meteorological and other factors can impact the dispersion of environmental toxicants, it follows that environmental exposures and associated diseases can be dispersed in a variety of spatial patterns. This study simulates disease clusters in a variety of shapes and scales around a centrally located single pollution source. We evaluate the power of a range of focused cluster tests and generalized linear models to detect these various cluster shapes and scales for count data. Results: In general, the power of hypothesis tests and models to detect focused clusters improved when the test or model included parameters specific to the shape of cluster being examined (i.e. inclusion of a function for direction improved power of models to detect clustering with an angular effect). However, power to detect clusters where the risk peaked and then declined was limited. Conclusion: Findings from this investigation show sizeable changes in power according to the scale and shape of the cluster and the test or model applied. These findings demonstrate the importance of selecting a test or model with functions appropriate to detect the spatial pattern of the disease cluster. © 2005 Puett et al;licensee BioMed Central Ltd.

关键词： Power Evaluation Power Curve Pollution Dispersion Cluster Shape Disease Cluster

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