Author Interviews, JAMA, Mayo Clinic, Race/Ethnic Diversity, USPSTF / 20.11.2021

MedicalResearch.com Interview with: Chyke A. Doubeni, M.D., M.P.H. Member of the U.S. Preventive Services Task Force since 2017 Director, the Mayo Clinic Center Health Equity and Community Engagement Research Department of Family Medicine Mayo Clinic in Rochester, MN  MedicalResearch.com: What is the background for this study? What are the main findings? Response: People who experience systemic racism generally have shorter life expectancies and experience more health problems. Racism can increase the chances of getting preventable conditions, limit access to health information, and restrict access to actual preventive care. To confront these issues and promote antiracism and health equity, the Task Force commissioned a review of the evidence around how systemic racism currently undermines preventive healthcare. Based on that review, the Task Force has developed an initial set of strategies to reduce the effects of systemic racism, which includes prioritizing topics that are likely to advance health equity, assessing the Task Force’s language to ensure it is culturally appropriate, and calling for more research in people of color.  (more…)
Author Interviews, Heart Disease, JAMA, Race/Ethnic Diversity, University of Pennsylvania / 18.11.2021

MedicalResearch.com Interview with: Ashwin Nathan, MD, MSHP Assistant Professor, Medicine, Perelman School of Medicine Interventional Cardiologist Hospital of the University of Pennsylvania and at the Corporal Michael C. Crescenz VA Medical Center in Philadelphia Penn Cardiovascular Outcomes, Quality & Evaluative Research Center MedicalResearch.com: What is the background for this study? What are the main findings? Response: We found that the rates of TAVR were lower in areas with higher proportions of Black, Hispanic and socioeconomically disadvantaged patients. Inequities in access in areas with higher proportions of Black and Hispanic patients existed despite adjusting for socioeconomic status. (more…)
Author Interviews, Brigham & Women's - Harvard, Heart Disease, JAMA, Lipids / 16.11.2021

MedicalResearch.com Interview with: Nicholas A. Marston, MD, MPH Thrombolysis in Myocardial Infarction (TIMI) Study Group Brigham and Women’s Hospital Harvard Medical School Boston, Massachusetts MedicalResearch.com: What is the background for this study? Response: There has been recent debate about how much of lipid-associated cardiovascular risk is from LDL cholesterol versus triglycerides. However, genetic studies suggest that apolipoprotein B is actually the primary driver of atherosclerotic risk. Since there is exactly one apoB lipoprotein on each lipid particle (LDL, IDL, VLDL), its measurement is a surrgate for the total number of apoB-containing lipoproteins. So in this study, we asked the question: Do common measures of cholesterol concentration, triglyceride concentration, or their ratio carry predictive value for cardiovascular risk beyond the number of apo-B containing lipoproteins? (more…)
Author Interviews, Cancer Research, Dermatology, Lancet, Melanoma, Technology / 11.11.2021

MedicalResearch.com Interview with: Dr David Wen BM BCh NIHR Academic Clinical Fellow in Dermatology University of Oxford MedicalResearch.com: What is the background for this study? Response: Publicly available skin image datasets are commonly used to develop machine learning (ML) algorithms for skin cancer diagnosis. These datasets are often utilised as they circumvent many of the barriers associated with large scale skin lesion image acquisition. Furthermore, publicly available datasets can be used as a benchmark for direct comparison of algorithm performance. Dataset and image metadata provide information about the disease and population upon which the algorithm was trained or validated on. This is important to know because machine learning algorithms heavily depend on the data used to train them; algorithms used for skin lesion classification frequently underperform when tested on independent datasets to which they were trained on. Detailing dataset composition is essential for extrapolating assumptions of generalisability of algorithm performance to other populations. At the time this review was conducted, the total number of publicly available datasets globally and their respective content had not previously been characterised. Therefore, we aimed to identify publicly available skin image datasets used to develop ML algorithms for skin cancer diagnosis, to categorise their data access requirements, and to systematically evaluate their characteristics including associated metadata.   (more…)
Author Interviews, Genetic Research, NEJM / 10.11.2021

MedicalResearch.com Interview with: Professor Sir Mark Caulfield Professor of Clinical Pharmacology William Harvey Research Institute Queen Mary University of London  MedicalResearch.com: What is the background for this study? Response: Rare diseases affect 6% of the population in western nations and there are approximately 10,000 different disorders and many remain without a genomic diagnosis after usual testing during their life time. In 2013 the UK Government launched the 100,000 Genomes Project and created Genomics England to investigate the role of whole genome sequencing in rare disease, cancer and infection. Whole genome sequencing gives the most comprehensive read out of the entire genome. To do this we partnered with the National Institute for Health Research (NIHR) BioResource and 9 hospitals across England1. Our New England Journal of Medicine paper published on the 11th November 2021 reports findings on the early rare disease participants who helped us pilot procedures and processes that would be used to enrol at scale across the NHS and revealed the potential benefits for rare disease1. (more…)
Anesthesiology, Author Interviews, COVID -19 Coronavirus, Science, UCSF / 10.11.2021

MedicalResearch.com Interview with: Art Wallace, M.D., Ph.D. Professor Emeritus, Anesthesia School of Medicine, UCSF Chief of the Anesthesia Service Veterans Affairs Medical Center in San Francisco MedicalResearch.com: What is the background for this study? Response: I have spent the last 30 years working on perioperative risk reduction, developing medications and approaches to risk reduction. Part of this work utilized epidemiologic analysis of medication patterns of use to test if they are associated with reductions in morbidity and mortality. This work analyzed data in the VA Corporate Data Warehouse (CDW) which provides access to the VA, best in the world electronic health care record system, VISTA.  With the COVID-19 pandemic I realized that the analytic techniques we had utilized for perioperative cardiac risk reduction could be used to search for medications to reduce the risks for acute COVID-19 infection. We identified four classes of medications that reduced the risk of death in acute COVID-19 infection. We then turned our attention to medications to reduce the incidence, severity, and duration of long-term sequelae of COVID-19 infection also known as Long COVID or COVID Long Hauler Syndrome. One of the questions that people were asking was what was the effect of vaccination on Long COVID? We began that work by looking at the effect of vaccination on COVID infections and found the dramatic decrease in efficacy of vaccines with the spread of the Delta Variant. We published this work to notify the public and public health community of the decreased efficacy of the vaccines in the face of the Delta variant and reiterate the need for secondary public health prevention measures such as masks, social distancing, vaccination, and boosters. (more…)
Author Interviews, Coffee, Heart Disease, JAMA, OBGYNE / 09.11.2021

MedicalResearch.com Interview with: Stefanie N. Hinkle, PhD Assistant Professor Department of Biostatistics Epidemiology and Informatics Perelman School of Medicine University of Pennsylvania MedicalResearch.com: What is the background for this study? Response: Over 80% of U.S. women of reproductive age consume caffeine daily.While most women decrease consumption after becoming pregnant, many continue to consume caffeine throughout pregnancy. The American College of Obstetricians and Gynecologists (ACOG) recommends that pregnant women limit their caffeine consumption to <200 mg/d out of an abundance of caution due to potential associations with pregnancy loss and fetal growth restriction at higher intakes. There remains limited data on associations with maternal cardiometabolic outcomes in pregnancy.   (more…)
Author Interviews, COVID -19 Coronavirus, JAMA, Vaccine Studies / 04.11.2021

MedicalResearch.com Interview with: Rani Elwy, PhD Bridge Quality Enhancement Research Initiative Program, Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System Bedford, Massachusetts Department of Psychiatry and Human Behavior, Alpert Medical School Brown University, Providence, Rhode Island  MedicalResearch.com: What is the background for this study? Response: The VA operates a very robust, embedded quality improvement and implementation science program, of which our team is involved. As the VA was one of the first US healthcare systems to rollout COVID-19 vaccination programs, we were asked to evaluate these efforts in real-time, to provide input to VA healthcare leaders on what was going well and what could be improved. This survey reported in JAMA Network Open is one of the quality improvement efforts we engaged in. (more…)
Author Interviews, BMJ, Respiratory / 02.11.2021

MedicalResearch.com Interview with: Jennifer Hunter, B.Med., M.Sc.P.H., Ph.D. Adjunct Associate Professor NICM Health Research Institute Western Sydney University Associate Professor Jennifer Hunter is an academic general practitioner with a clinical interest in integrative medicine, has received payment for providing expert advice about traditional, complementary and integrative medicine, including nutraceuticals, to industry, government bodies and non-government organisations, and spoken at workshops, seminars and conferences for which registration, travel and/or accommodation has been paid for by the organisers.  MedicalResearch.com: What is the background for this study? Response: We decided to review the evidence for zinc in response to calls for rapid evidence reviews to inform self-care and clinical practice during the COVID-19 pandemic. Laboratory studies have found that zinc can inhibit the replication of many respiratory viruses, including SARS-CoV-2 and other coronaviruses. Zinc plays a key role in immunity, inflammation, tissue injury, ACE-2 receptor activity, and also in tissue responses to a lack of oxygen. Low zinc status may be a risk factor for severe SARS-CoV-2 illness. Additionally, there was some indirect evidence suggesting zinc might be effective for other respiratory tract infections such as the common cold and we wanted to verify this. (more…)
Asthma, Author Interviews, NEJM / 27.10.2021

MedicalResearch.com Interview with: Professor Chris Brightling, NIHR Senior Investigator Department of Respiratory Sciences University of Leicester Leicester, UK MedicalResearch.com: What is the background for this study? What are the main findings?  Response: Risankizumab is an anti-IL23 monoclonal antibody. It is a very effective licensed therapy for plaque psoriasis. IL23 has been implicated in asthma and therefore we chose to study the effect of risankizumab in people with severe asthma. The time to first asthma worsening was earlier and the frequency of asthma worsenings was higher in those treated with risankizumab versus placebo. We found that the gene expression of key molecules involved in the response to infection were decreased in airway samples in those treated with risankizumab. It is possible that the increased asthma worsening following risankizumab was related to this suppression of anti-microbial immunity.  (more…)
Author Interviews, Infections, JAMA, Multiple Sclerosis, Neurological Disorders / 27.10.2021

MedicalResearch.com Interview with: Prof. Scott Montgomery Professor of medical science (clinical epidemiology) Örebro University, Sweden Director of Clinical Epidemiology and Biostatistics Örebro University Hospital, Sweden MedicalResearch.com: What is the background for this study? Response: Infections have been linked with increased risk of subsequent multiple sclerosis (MS), but it has been suggested this may be because the genetic or other family characteristics of people who go on to develop MS have a more severe response to infections: the infections would be more likely to be recorded in those who would subsequently develop MS, rather than being risk factors for the disease. To address this issue, we performed a large study of 2,492,980 people living in Sweden, and 5,867 of them had a diagnosis of MS after age 20 years. We identified who had a hospital diagnosis of infectious mononucleosis (caused by Epstein-Barr virus, EBV infection, and also known as glandular fever or the kissing disease). The new study was different from other studies of infection and MS risk, as it compared siblings in the same families. Siblings share much of their genetic make-up and have similar family lives. If glandular fever is associated with later MS when siblings are compared, then it is unlikely that the association is caused by genetics or other family characteristics that make infections worse in people more likely to develop future MS. (more…)
Author Interviews, Macular Degeneration, Ophthalmology, PNAS / 27.10.2021

MedicalResearch.com Interview with: Bradley D. Gelfand PhD Center for Advanced Vision Science Department of Ophthalmology Department of Biomedical Engineering University of Virginia School of Medicine Charlottesville, VA 22908  MedicalResearch.com: What is the background for this study? Would you briefly describe dry AMD? Response: Dry age-related macular degeneration (AMD) is a form of AMD that affects about 11 million people in the United States, and many millions more worldwide. Dry AMD is a disease affecting the macula, the central part of our retina that is responsible for fine visual acuity tasks - things like reading, driving, and recognizing faces. Dry AMD typically develops in people in their 6th, 7th, and 8th decades of life and begins with small changes to the retina that are unlikely to affect vision at first. As the disease progresses, it can develop into more advanced stages ("wet" AMD and geographic atrophy), which can cause blindness. Unfortunately, there is no approved treatment that can prevent dry AMD or its progression to advanced blinding stages. (more…)
Author Interviews, Brigham & Women's - Harvard, JAMA, Surgical Research / 27.10.2021

MedicalResearch.com Interview with: Joel S. Weissman, PhD Deputy Director/Chief Scientific Officer Center for Surgery and Public Health Brigham and Women's Hospital/Harvard Medical School Professor of Surgery (Health Policy) Harvard Medical School MedicalResearch.com: What is the background for this study? Response: Over time, the military health system has been shifting care for its soldiers and their families away from big military treatment facilities (MTFs), allowing soldiers and their families to get care from civilian hospitals.  But this has had an unintended consequence.  Unfortunately, it means that military surgeons are getting fewer cases, and they are worried about maintaining their skills as surgeons.  But some surgeries count more than others to help prepare the surgeon for battlefield casualties.  (more…)
Author Interviews, Cannabis, JAMA, Pediatrics / 25.10.2021

MedicalResearch.com Interview with: Carmen Lim BSc(Hons), MSc, CStat PhD Candidate National Centre for Youth Substance Use Research Faculty of Health and Behavioural Sciences The University of Queensland Brisbane Australia MedicalResearch.com: What is the background for this study? What are the main findings? Response: This review has systematically summarized the trends and products used for cannabis vaping using 17 studies published globally between Jan 1, 2003 and August 19, 2020. The pooled prevalence has increased for lifetime use (6.1% in 2013 to 13.6% in 2020), past-year use (7.2% in 2017 to 13.2% in 2020) and past-month use (1.6% in 2013 to 8.4% in 2020). Adolescents' preference for cannabis products may be shifting from less potent products (e.g., herbal cannabis) to highly potent vape oil and concentrates. (more…)
Author Interviews, Cost of Health Care, JAMA, Lung Cancer, Stanford, USPSTF / 24.10.2021

MedicalResearch.com Interview with: Summer S Han, PhD Assistant Professor Quantitative Sciences Unit Stanford Center for Biomedical Informatics Research (BMIR) Neurosurgery and Medicine Stanford University School of Medicine Stanford, CA 94304  MedicalResearch.com: What is the background for this study? Response: The US Preventive Services Task Force (USPSTF) issued their 2021 recommendation on lung cancer screening lowering the start age from 55 to 50 years and the minimum pack-year criterion from 30 to 20, relative to the 2013 recommendations. Although costs are expected to increase with the expanded screening eligibility, it is unknown if the new guidelines for lung cancer screening are cost-effective. (more…)
Author Interviews, Cognitive Issues, COVID -19 Coronavirus, JAMA, Occupational Health / 24.10.2021

MedicalResearch.com Interview with: Jacqueline H. Becker, Ph.D. Clinical Neuropsychologist Associate Scientist Division of General Internal Medicine Icahn School of Medicine at Mount Sinai  MedicalResearch.com: What is the background for this study? What are the main findings? Response: This study leverages data being collected through the ongoing Mount Sinai Health System Post-COVID-19 Registry, which is led by Dr. Juan Wisnivesky, Professor of Medicine and Chief of the Division of General Internal Medicine at the Icahn School of Medicine at Mount Sinai and senior author of the study. Our study concluded that there may be long-term cognitive repercussions from COVID-19 that impact individuals in various age groups and across the spectrum of disease severity, although the frequency of cognitive impairment was highest among patients who were previously hospitalized for COVID-19.  (more…)
Author Interviews, COVID -19 Coronavirus, JAMA / 22.10.2021

MedicalResearch.com Interview with: Destin Groff, BA Ashley Sun BA Department of Surgery and Paddy Ssentongo MD PhD Department of Public Health Sciences Center for Neural Engineering Department of Engineering, Science and Mechanics The Pennsylvania State University, State College Penn State College of Medicine and Milton S. Hershey Medical Center Hershey, Pennsylvania  MedicalResearch.com: What is the background for this study? Response: Most people who get sick from COVID-19 will survive. However, the burden of long-term consequences among the survivors is not well-characterized. That is what inspired this study.  MedicalResearch.com: What are the main findings? Response: After compiling data from 57 studies involving 250,351 unvaccinated individuals, our study shows that more than half of those worldwide who have been diagnosed with COVID-19 experience six months after recovering. The most common sequelae involve functional mobility impairments, pulmonary abnormalities, and mental health disorders, including memory deficits, concentration difficulty, post-traumatic stress disorders, depression, and anxiety. (more…)
Author Interviews, Brigham & Women's - Harvard, Cancer Research, Cost of Health Care, JAMA / 20.10.2021

MedicalResearch.com Interview with: Anita Katharina Wagner, PharmD, MPH, DrPH Associate Professor of Population Medicine Director, Ethics Program, Point32Health (parent company of Harvard Pilgrim Health Care and Tufts Health Plan) Co-Director, HMS Fellowship in Health Policy and Insurance Research Co-Director, Center for Cancer Policy and Program Evaluation (CarPE) Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute MedicalResearch.com: What is the background for this study? What are the main findings? Response: The expectation for new cancer drugs is that they help patients live better longer. Increasingly more cancer drugs are approved without documented quality of life or overall survival benefits.   At the same time, cancer drug prices are rising.  We studied use of and spending on selected new cancer drugs among patients with employer-sponsored health insurance. We found that among 37348 patients who received one or more of 44 oral targeted cancer drugs, the proportion of patients who received a drug without documented overall survival benefit increased from 13% in 2011 to 59% in 2018.  By 2018, spending on drugs without documented overall survival benefit accounted for 52% of the $3.5 million spend on the 44 drugs since 2011. (more…)
Author Interviews, JAMA, Race/Ethnic Diversity, Surgical Research, Weight Research / 18.10.2021

MedicalResearch.com Interview with: Amresh D. Hanchate, PhD Professor, Department of Social Sciences and Health Policy Director, Program in Health Services Research Division of Public Health Sciences Wake Forest School of Medicine Medical Center Boulevard Winston-Salem, NC  27157-1063 MedicalResearch.com: What is the background for this study? Response: There is strong evidence of increase in access to outpatient physicians among low income individuals who gained Medicaid following changes initiated with the Affordable Care Act. But there is little evidence of whether Medicaid expansion has similarly resulted in increased use of elective inpatient procedures. Bariatric surgery is a particularly important service to study, as the number of adults with severe obesity continues to grow in the United States, and this is the most effective available treatment. Additionally, bariatric procedures are primarily performed among the age group targeted by Affordable Care Act expansions (18-64), and there is a lot of evidence that only a small fraction of eligible uninsured patients are having surgery.  (more…)
Author Interviews, JAMA, OBGYNE, USPSTF / 06.10.2021

MedicalResearch.com Interview with: Aaron B. Caughey, M.D., M.P.P., M.P.H., Ph.D. Professor and ChairDepartment of Obstetrics and Gynecology Associate dean for Women’s Health Research and Policy Oregon Health & Science University in Portland, OR. Founder and Chair, Centers for Disease Control and Prevention–funded Oregon Perinatal Collaborative MedicalResearch.com: What is the background for this study? What are the main findings? Response: Preeclampsia is one of the most serious health problems that can occur during pregnancy. It can lead to preterm birth, and in some cases even death of the pregnant person and their baby. The Task Force looked at the latest available evidence and found that low-dose aspirin can help prevent preeclampsia in pregnant people who are at highest risk, and it can also protect their babies. This new final recommendation is consistent with the Task Force’s 2014 recommendation statement and has the potential to save many lives.  (more…)
Author Interviews, CDC, Emergency Care, JAMA / 06.10.2021

MedicalResearch.com Interview with: Dr. Daniel S.  Budnitz MD MPH CAPT, USPHS Division of Healthcare Quality Promotion Director, Centers for Disease Control and Prevention’s Medication Safety Program Atlanta, Georgia  MedicalResearch.com: What is the background for this study?  Response: Medications are generally safe when used as prescribed or as directed on the label, but there can be risks in taking any medication. Adverse drug events are harms resulting from the use of medication. The risk of adverse drug events is highest among older adults and very young children. Older adults have higher risks because they typically take more medications and are more likely to have underlying medical conditions. Very young children have higher risks because they often find and ingest medications meant for others. Previous studies of medication safety have focused on harm from medications when taken for therapeutic reasons. Separate studies have focused on harm from specific types of non-therapeutic use (taking medications for recreational use or self-harm). This study examined the number of emergency department (ED) visits that resulted when people who took medications for any reason – as directed by a clinician or for other reasons, including recreational use or intentional self-harm.  (more…)
Author Interviews, Biomarkers, Heart Disease, JAMA, Technology / 05.10.2021

MedicalResearch.com Interview with: Pinar Zorlutuna, PhD Sheehan Family Collegiate Professor of Engineering Aerospace and Mechanical Engineering Chemical and Biomolecular Engineering (Concurrent) Bioengineering Graduate Program University of Notre Dame  MedicalResearch.com: What is the background for this study? Response: Acute myocardial infarction (AMI) is the primary cause of death among cardiovascular diseases. The current clinical standard of diagnosis combines echocardiogram (ECG) and several circulating protein biomarkers from plasma. In their current state, both are incapable of distinguishing between patients with and without complete coronary occlusion, unless additional invasive testing is implemented, and both have significant false positive rates. MicroRNAs (miRNAs) have shown great potential as rapid and discriminating biomarkers for acute myocardial infarction (AMI) diagnosis. (more…)
Author Interviews, Brigham & Women's - Harvard, Heart Disease, JAMA, Stroke / 30.09.2021

MedicalResearch.com Interview with: Daniel E. Singer, MD Professor of Medicine, Harvard Medical School Professor in the Department of Epidemiology Harvard T.H. Chan School of Public Health Division of General Internal Medicine Massachusetts General Hospital Boston, MA, 02114 MedicalResearch.com: What is the background for this study? Response: Atrial fibrillation (AF) raises the risk of ischemic stroke 4-5-fold and this risk is largely reversible by oral anticoagulants (OAC). These facts are part of the core knowledge of internal medicine and the basis of multiple guidelines. They are based on studies of patients with persistent or predominantly “heavy burden” paroxysmal AF completed in the 1990s. More recent studies using cardiac implantable devices (CIEDs: implantable defibrillators, pacemakers, etc) which have the capacity to monitor heart rhythm continuously have found that many older patients have brief, often undiagnosed, episodes of AF. Several of these studies have found that strokes occur during periods of sinus rhythm temporally distant from a preceding episode of AF. This has led to a widespread suspicion that AF is not a direct causal risk factor but a risk “marker” indicating the presence of other truly causal features like a diseased left atrium (atrial myopathy). If the risk marker hypothesis is correct, then long-term anticoagulation is needed even for brief and rare episodes of AF (assuming the patient’ s CHA2DS2-VASc score is high enough). The key problem with prior prospective studies using CIEDs was that only a small number of strokes were observed leading to inadequate statistical power. Our study addressed this power problem by linking the very large Optum electronic health record database which could identify ischemic strokes with the Medtronic CareLink database of long-term, continuous heart rhythm records of patients with CIEDs. We ended up studying 891 individuals who had an ischemic stroke and had 120 days of continuous heart monitoring prior to the stroke. (more…)
Author Interviews, Brigham & Women's - Harvard, JAMA, Kidney Disease, Transplantation / 27.09.2021

MedicalResearch.com Interview with: Joel T. Adler, MD, MPH Department of Surgery, Brigham and Women’s Hospital Center for Surgery and Public Health Brigham and Women’s Hospital Boston, Massachusetts  MedicalResearch.com: What is the background for this study? Response: For patients who require renal replacement therapy for failed kidneys, kidney transplantation increased length of life and improves quality of life.  For many of these patients, their dialysis centers are the source of referral for evaluation for transplantation.  These dialysis centers have a number of publicly-reported quality measures, but they largely focus on the provision of dialysis care and not how often the centers’ patients undergo a kidney transplant.  Because these higher-rated facilities provide better dialysis care, we wanted to know if that benefit also spilled over into higher transplant listing rates. (more…)
Author Interviews, CMAJ, COVID -19 Coronavirus, Pediatrics / 27.09.2021

MedicalResearch.com Interview with: Shaun K. Morris MD, MPH, FRCPC, FAAP, DTM&H Divisions of General Pediatrics Clinician-Scientist, Division of Infectious Diseases Division of Infectious Diseases at the Hospital for Sick Children (SickKids) for the Canadian Paediatric Surveillance Program COVID-19 Study Team MedicalResearch.com: What is the background for this study? Response: The SARS-CoV-2 virus can cause the disease we now call COVID-19. In early 2020, when the SARS-CoV-2 virus first spread outside of China, it quickly became apparent that cases may be seen in Canada. It was not known at the time how infection with the virus would affect children and youth. Because more severe disease from other respiratory viruses often disproportionally affect the very young, we expected that a similar pattern may be seen with SARS-CoV-2. We also did not know if children and youth with certain underlying medical conditions may be at higher risk for more severe disease. Ultimately, this study was designed to get a better understanding of how often children and youth in Canada are hospitalized with SARS-CoV-2 infection, how often severe disease happens, and which children or youth may be at higher risk for severe disease.      (more…)
Author Interviews, JAMA, Methamphetamine, NIH, Race/Ethnic Diversity / 24.09.2021

MedicalResearch.com Interview with: Beth Han, M.D., Ph.D., M.P.H. Epidemiologist, Science Policy Branch of the National Institute on Drug Abuse (NIDA), National Institutes of Health MedicalResearch.com: What is the background for this study? Response: In the U.S., overdose deaths involving psychostimulants with abuse potential other than cocaine (i.e. largely methamphetamine), increased dramatically during the past decade. Psychostimulant-involved overdose deaths also often involved opioids (50% in 2017). However, it was still undetermined how trends in methamphetamine use among vulnerable populations and specific patterns of use [e.g. methamphetamine use with or without other substances, frequent methamphetamine use, methamphetamine use disorder (MUD), and injection] may contribute to greater risk for overdose mortality. Moreover, understanding characteristics that are associated with methamphetamine use, frequent use, MUD, and injection is of value in guiding strategies to address the root causes for the recent surge in methamphetamine overdose deaths. (more…)
Author Interviews, CDC, JAMA, Sexual Health, STD, USPSTF / 21.09.2021

MedicalResearch.com Interview with: Martha Kubik, Ph.D., R.N. Professor, School of Nursing College of Health and Human Services George Mason University Member, U.S. Preventive Services Task Force MedicalResearch.com: What is the background for this study? Are these infections increasing in incidence in the US? Response: Chlamydia and gonorrhea are two of the most common sexually transmitted infections in the U.S. More people are being diagnosed with both of these STIs than ever, with nearly 2 million cases of chlamydia and more than 600,000 cases of gonorrhea reported in 2019, according to the CDC. Because most do not have symptoms, screening is vitally important to help ensure that these infections are discovered and treated, and serious health complications prevented. (more…)
Author Interviews, Columbia, Emergency Care, JAMA, Pediatrics, Race/Ethnic Diversity, Yale / 17.09.2021

MedicalResearch.com Interview with: Destiny Tolliver, MD National Clinician Scholars Program Yale University School of Medicine New Haven, CT 06510-8088 Katherine Nash MD, MHS Assistant Professor of Pediatrics Columbia University Irving Medical Center MedicalResearch.com: What is the background for this study? Response: This study was motivated by work from our colleagues in the adult Emergency Medicine world. Earlier this year Dr. Ambrose Wong and colleagues published work describing racial disparities in the physical restraint of adults in the ED. This prompted our group to consider whether these disparities were also present for children. (more…)
Author Interviews, CDC, HPV, JAMA, Vaccine Studies / 17.09.2021

MedicalResearch.com Interview with: Kalyani Sonawane, PhD Assistant Professor of Management, Policy and Community Health UTHealth School of Public Health in Houston MedicalResearch.com: What is the background for this study? Response: Safety concern regarding the HPV vaccine is one of the most significant barriers to vaccination. Our objective was to determine how many US adolescents did not initiate the HPV vaccine during 2015-2018 because their parents had concerns regarding the vaccine’s safety. We also analyzed vaccine adverse event reporting data, in parallel, to understand if the public sentiment of HPV vaccine safety is in alignment with evidence from the vaccine safety surveillance system.  (more…)
Author Interviews, Critical Care - Intensive Care - ICUs, JAMA / 17.09.2021

MedicalResearch.com Interview with: Hirotaka Kato, PhD Graduate School of Health Management Keio University  MedicalResearch.com: What is the background for this study? What are the main findings? Response:  Physicians are increasingly engaging in clinical practice on a part-time basis, but little is known about the quality of care provided by these physicians. In this analysis of nationally representative data of the elderly patients admitted to hospitals, we found that patients treated by hospitalists who worked more clinical days per year had significantly lower 30-day mortality compared with patients treated by hospitalists working fewer clinical days, even after accounting for the differences in severity of illness.  (more…)