Caryn Oshiro
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View article: Glucose-Lowering Medication Classes and Cardiovascular Outcomes in Patients With Type 2 Diabetes
Glucose-Lowering Medication Classes and Cardiovascular Outcomes in Patients With Type 2 Diabetes Open
Importance Major adverse cardiovascular events (MACEs) are primary causes of morbidity and mortality in adults with type 2 diabetes (T2D), yet few head-to-head randomized trials have compared the effects of glucose-lowering medications on …
View article: GLP‐1RA comparative effectiveness against dementia onset relative to other antidiabetic medications in a large, multi‐site cohort of patients with type 2 diabetes
GLP‐1RA comparative effectiveness against dementia onset relative to other antidiabetic medications in a large, multi‐site cohort of patients with type 2 diabetes Open
INTRODUCTION To address gaps in current research, this study aims to compare the impact of exposure to glucagon‐like peptide‐1 receptor agonists (GLP‐1RA) versus sodium‐glucose cotransporter 2 inhibitors (SGLT2i), dipeptidyl peptidase 4 in…
View article: Clinical and Demographic Characteristics Associated With Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study
Clinical and Demographic Characteristics Associated With Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study Open
OBJECTIVE To assess the real-world frequency and characteristics associated with type 2 diabetes remission in a large and diverse cohort of U.S. adults. RESEARCH DESIGN AND METHODS This retrospective cohort study used 2014–2023 electronic …
View article: Clinical and Demographic Characteristics Associated with Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study
Clinical and Demographic Characteristics Associated with Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study Open
Objective: To assess the real-world frequency and characteristics associated with type 2 diabetes remission in a large and diverse cohort of U.S. adults. Research Design and Methods: Retrospective cohort using 2014–2023 electronic health r…
View article: Clinical and Demographic Characteristics Associated with Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study
Clinical and Demographic Characteristics Associated with Diabetes Remission in Six Integrated Health Care Systems: A Retrospective Cohort Study Open
Objective: To assess the real-world frequency and characteristics associated with type 2 diabetes remission in a large and diverse cohort of U.S. adults. Research Design and Methods: Retrospective cohort using 2014–2023 electronic health r…
View article: Impact of COVID-19 on Timeliness of Receiving Systemic Therapy for Patients Diagnosed with Lung Cancer
Impact of COVID-19 on Timeliness of Receiving Systemic Therapy for Patients Diagnosed with Lung Cancer Open
Background: During the COVID-19 pandemic, patients newly diagnosed with lung cancer faced potential delays in accessing timely cancer treatment. Little information exists on how COVID-19 impacted the timeliness of receiving a first course …
View article: Patterns of Medical Care Cost by Service Type Associated with Lung Cancer Screening
Patterns of Medical Care Cost by Service Type Associated with Lung Cancer Screening Open
Introduction: Lung cancer screening (LCS) increases early-stage cancer detection which may reduce cancer treatment costs. Little is known about how receipt of LCS affects healthcare costs in real-world clinical settings. Methods: This retr…
View article: Rates of Downstream Procedures and Complications Associated With Lung Cancer Screening in Routine Clinical Practice
Rates of Downstream Procedures and Complications Associated With Lung Cancer Screening in Routine Clinical Practice Open
National Cancer Institute and Gordon and Betty Moore Foundation.
View article: Incidence and Survival for Patients Diagnosed With Breast, Colorectal, and Lung Cancer in an Integrated System
Incidence and Survival for Patients Diagnosed With Breast, Colorectal, and Lung Cancer in an Integrated System Open
Incidence rates for all-stage and localized-stage BC were consistently higher for Kaiser Permanente than for SEER. CRC and LC rates were lower. Kaiser Permanente survival rates were consistently higher than for SEER. The strengths of these…
View article: Sense of purpose and food insecurity during the COVID‐19 pandemic
Sense of purpose and food insecurity during the COVID‐19 pandemic Open
The COVID‐19 pandemic brought new attention to the issues of food insecurity faced by individuals throughout the United States, a stressor exacerbated by disruptions to work status and supply chains. The burden of food insecurity likely ca…
View article: Individuals Eligible for Lung Cancer Screening Less Likely to Receive Screening When Enrolled in Health Plans With Deductibles
Individuals Eligible for Lung Cancer Screening Less Likely to Receive Screening When Enrolled in Health Plans With Deductibles Open
Background: In 2015, the Centers for Medicare & Medicaid Services and commercial insurance plans began covering lung cancer screening (LCS) without patient cost-sharing for all plans. We explore the impact of enrolling into a deductible pl…
View article: Lung Cancer Yield Among Those Undergoing Lung Cancer Screening in Community-based Healthcare Systems
Lung Cancer Yield Among Those Undergoing Lung Cancer Screening in Community-based Healthcare Systems Open
Purpose: Lung cancer screening (LCS) via low-dose computed tomography (LDCT) for those with a high risk of lung cancer based on age and smoking history has been recommended in the United States for almost a decade, but performance of LCS i…
View article: Impact of earlier gestational diabetes screening for pregnant people with obesity on maternal and perinatal outcomes
Impact of earlier gestational diabetes screening for pregnant people with obesity on maternal and perinatal outcomes Open
Objectives Gestational diabetes (GDM) screening at 24–28 weeks’ gestation reduces risk of adverse maternal and perinatal outcomes. While experts recommend first-trimester screening for high-risk patients, including those with obesity, data…
View article: Lung Cancer Screening by Race and Ethnicity in an Integrated Health System in Hawaii
Lung Cancer Screening by Race and Ethnicity in an Integrated Health System in Hawaii Open
Importance Racial and ethnic differences in lung cancer screening (LCS) completion and follow-up may be associated with lung cancer incidence and mortality rates among high-risk populations. Aggregation of Asian American, Native Hawaiian, …
View article: Weight Changes According to Treatment in a Diverse Cohort of Breast Cancer Patients
Weight Changes According to Treatment in a Diverse Cohort of Breast Cancer Patients Open
Background Weight changes are common among breast cancer patients. The majority of studies to date have focused on weight gain after a breast cancer diagnosis and its implications on health in survivors. Fewer studies have examined weight …
View article: Vitamin D deficiency and insufficiency in Hawaii: Levels and sources of serum vitamin D in older adults
Vitamin D deficiency and insufficiency in Hawaii: Levels and sources of serum vitamin D in older adults Open
Objective To examine the major sources of vitamin D [25‐hydroxyvitamin D (25(OH)D)] and evaluate their collective role on rates of vitamin D deficiency/insufficiency among older adults. Methods Cross‐sectional analysis of the relationship …
View article: A Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening
A Pragmatic, Randomized Clinical Trial of Gestational Diabetes Screening Open
Despite more diagnoses of gestational diabetes with the one-step approach than with the two-step approach, there were no significant between-group differences in the risks of the primary outcomes relating to perinatal and maternal complica…
View article: Weight Changes According to Treatment in a Diverse Cohort of Breast Cancer Patients
Weight Changes According to Treatment in a Diverse Cohort of Breast Cancer Patients Open
Background Weight changes are common among breast cancer patients. The majority of studies to date have focused on weight gain after a breast cancer diagnosis and its implications on health in survivors. Fewer studies have examined weight …
View article: Timing of Gestational Diabetes Diagnosis by Maternal Obesity Status: Impact on Gestational Weight Gain in a Diverse Population
Timing of Gestational Diabetes Diagnosis by Maternal Obesity Status: Impact on Gestational Weight Gain in a Diverse Population Open
Background: We hypothesized that earlier gestational diabetes mellitus (GDM) diagnosis and treatment of high-risk women would reduce gestational weight gain (GWG) in the first trimester and overall. Materials and Methods: We evaluated timi…
View article: Behavioural and psychosocial factors associated with 5‐year weight trajectories within the PORTAL Overweight/Obesity Cohort
Behavioural and psychosocial factors associated with 5‐year weight trajectories within the PORTAL Overweight/Obesity Cohort Open
Summary Objective The purpose of this study was to model weight trajectories over a 5‐year time period (2012–2016) and their association with behavioural and psychosocial characteristics and health care–related experiences using data from …
View article: Evaluating Lung Cancer Screening Across Diverse Healthcare Systems: A Process Model from the Lung PROSPR Consortium
Evaluating Lung Cancer Screening Across Diverse Healthcare Systems: A Process Model from the Lung PROSPR Consortium Open
Numerous organizations, including the United States Preventive Services Task Force, recommend annual lung cancer screening (LCS) with low-dose CT for high risk adults who meet specific criteria. Despite recommendations and national coverag…
View article: Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009‐2015
Antiobesity Medication Use in 2.2 Million Adults Across Eight Large Health Care Organizations: 2009‐2015 Open
Objective The aim of this study was to examine the prescribing patterns and use of antiobesity medications in a large cohort of patients using data from electronic health records. Methods Pharmacy‐ and patient‐level electronic health recor…
View article: Racial/Ethnic Disparities in the Prevalence of Diabetes and Prediabetes by BMI: Patient Outcomes Research To Advance Learning (PORTAL) Multisite Cohort of Adults in the U.S.
Racial/Ethnic Disparities in the Prevalence of Diabetes and Prediabetes by BMI: Patient Outcomes Research To Advance Learning (PORTAL) Multisite Cohort of Adults in the U.S. Open
OBJECTIVE To examine racial/ethnic disparities in the prevalence of diabetes and prediabetes by BMI category. RESEARCH DESIGN AND METHODS In a consortium of three U.S. integrated health care systems, 4,906,238 individuals aged ≥20 years du…
View article: Associations of overweight/obesity and socioeconomic status with hypertension prevalence across racial and ethnic groups
Associations of overweight/obesity and socioeconomic status with hypertension prevalence across racial and ethnic groups Open
Racial/ethnic disparities in the prevalence of diagnosed hypertension are persistent but may be partially explained by racial/ethnic differences in weight category and neighborhood socioeconomic status. The authors compared hypertension pr…