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482 results on '"Nattinger, Ann B."'

3. Effects of housing stability and contemporary mortgage lending bias on breast cancer stage at diagnosis among older women in the United States.

Author

Rademacher, Nicole, Zhou, Yuhong, McGinley, Emily L., Laud, Purushottam W., Yen, Tina W. F., Ponce, Sara Beltrán, Nattinger, Ann B., and Beyer, Kirsten M. M.

Subjects
MORTGAGE loans, AMERICAN women, CANCER diagnosis, HOUSING stability, OLDER women
Abstract

Background: Interventions aimed at upstream factors contributing to late‐stage diagnoses could reduce disparities and improve breast cancer outcomes. This study examines the association between measures of housing stability and contemporary mortgage lending bias on breast cancer stage at diagnosis among older women in the United States. Methods: We studied 67,588 women aged 66–90 from the SEER‐Medicare linked database (2010–2015). The primary outcome was breast cancer stage at diagnosis. Multinomial regression models adjusted for individual and neighborhood socio‐economic factors were performed using a three‐category outcome (stage 0, early stage, and late stage). Key census tract‐level independent variables were residence in the same house as the previous year, owner‐occupied homes, and an index of contemporary mortgage lending bias. Results: In models adjusted for individual factors, higher levels of mortgage lending bias were associated with later stage diagnosis (RR = 1.10, 95% CI 1.02–1.20; RR = 1.31, 95% CI 1.16–1.49; RR = 1.41, 95% CI 1.24–1.60 for least to high, respectively). In models adjusted for individual and neighborhood socio‐economic factors, moderate and high levels of mortgage lending bias were associated with later stage diagnosis (RR = 1.16, 95% CI 1.02–1.33 for moderate and RR = 1.18, 95% CI 1.02–1.37 for high). Owner occupancy and tenure were not associated with later stage diagnosis in adjusted models. Conclusions: Contemporary mortgage lending bias demonstrated a significant gradient relationship with later stage at diagnosis of breast cancer. Policy interventions aimed at reducing place‐based mortgage disinvestment and its impacts on local resources and opportunities should be considered as part of an overall strategy to decrease late‐stage breast cancer diagnosis and improve prognosis. [ABSTRACT FROM AUTHOR]

Published
2024
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24. A Proposal by the U.S. Food and Drug Administration for Reliance on Single Institutional Review Boards: Proceed Only With Caution.

Author

Spellecy, Ryan, Thompson, Nathan, and Nattinger, Ann B.

Subjects
INSTITUTIONAL review boards, REVIEW committees, CLINICAL trials
Abstract

The U.S. Food and Drug Administration has proposed a rule change to mandate that most multisite clinical trials adopt a single institutional review board review instead of having separate reviews for each site. The authors of this commentary examine the expected consequences of implementing this change and make 3 recommendations to minimize unwanted outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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41. Enhanced Decision-Making: The Use of a Videotape Decision-Aid for Patients with Prostate Cancer.

Author

Schapira, Marilyn M., Meade, Cathy, and Nattinger, Ann B.

Abstract

The development of a videotape for patients considering treatment options for clinically localized prostate cancer is described. The effectiveness of videotape in improving short-term recall of treatment options and outcomes was assessed quantitatively; qualitative analysis was used to assess the likelihood of patient's active participation in the decision-making process. (Author/EMK)

Published
1997

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