2023
Racial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Racial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries. Journal Of The National Cancer Institute 2023, 115: 636-643. PMID: 36788453, PMCID: PMC10248843, DOI: 10.1093/jnci/djad027.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanFemaleHealthcare DisparitiesHumansMedicaidUnited StatesUterine NeoplasmsWhiteConceptsAbnormal uterine bleedingWhite patientsUterine cancerFirst diagnostic procedureDiagnostic evaluationBlack patientsDiagnostic proceduresBlack-White disparitiesManagement visitsMarketScan Multi-State Medicaid DatabaseMulti-State Medicaid DatabaseUterine bleedingPatient characteristicsMedicaid databaseEarly diagnosisMedicaid beneficiariesMultivariable regressionPatientsCancerRacial disparitiesDiagnosisVisitsMore evaluationDisparitiesBleeding
2022
Evaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery
Bakkila BF, Kerekes D, Nunez-Smith M, Billingsley KG, Ahuja N, Wang K, Oladele C, Johnson CH, Khan SA. Evaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery. JAMA Network Open 2022, 5: e225664. PMID: 35377425, PMCID: PMC8980937, DOI: 10.1001/jamanetworkopen.2022.5664.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedGastrointestinal NeoplasmsHealthcare DisparitiesHumansMaleMedicareMiddle AgedRetrospective StudiesUnited StatesWhite PeopleConceptsGastrointestinal tract cancerNegative resection marginsTract cancerNegative surgical marginsBlack patientsAdequate lymphadenectomyWhite patientsQuality of careRacial disparitiesSurgical resectionResection marginsSurgical marginsSurgical careNational Cancer DatabaseRetrospective cohort studySite of cancerLonger median survivalHealth careStandard of careCommon age rangeSignificant racial disparitiesAdjuvant chemotherapyBiliary resectionAdjuvant therapyAdult patients
2021
Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018
Mahajan S, Caraballo C, Lu Y, Valero-Elizondo J, Massey D, Annapureddy AR, Roy B, Riley C, Murugiah K, Onuma O, Nunez-Smith M, Forman HP, Nasir K, Herrin J, Krumholz HM. Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018. JAMA 2021, 326: 637-648. PMID: 34402830, PMCID: PMC8371573, DOI: 10.1001/jama.2021.9907.Peer-Reviewed Original ResearchConceptsHealth care accessFair health statusSelf-reported health statusCare accessHealth statusWhite individualsEthnic differencesLatino/HispanicNational Health Interview Survey dataSerial cross-sectional studySelf-reported functional limitationsBlack individualsHealth Interview Survey dataLow incomeCross-sectional studyCross-sectional survey studyInterview Survey dataSelf-reported raceSelf-report measuresMAIN OUTCOMEUS adultsFunctional limitationsPercentage of peopleSignificant decreaseAdults
2020
Racial Health Disparities, COVID‐19, and a Way Forward for US Health Systems
Tiako MJN, Forman HP, Nuñez‐Smith M. Racial Health Disparities, COVID‐19, and a Way Forward for US Health Systems. Journal Of Hospital Medicine 2020, 16: 50-52. PMID: 33357329, DOI: 10.12788/jhm.3545.Peer-Reviewed Original ResearchToward Reducing Health Information Inequities in the Caribbean: Our Experience Building a Participatory Health Informatics Project.
Wang K, Hambleton I, Linnander E, Marenco L, Hassan S, Kumara M, Fredericks LE, Harrigan S, Hasse TA, Brandt C, Nunez-Smith M. Toward Reducing Health Information Inequities in the Caribbean: Our Experience Building a Participatory Health Informatics Project. Ethnicity & Disease 2020, 30: 193-202. PMID: 32269461, PMCID: PMC7138447, DOI: 10.18865/ed.30.s1.193.Peer-Reviewed Original ResearchConceptsHealth information systemsInformation systemsSharing of dataData infrastructureHealth informatics projectsDisparate sourcesExperience buildingInformatics projectsInformatics approachInformation inequitiesTransdisciplinary Collaborative CenterPrecision medicinePrecision medicine approachSharingInfrastructureHealth disparitiesMedicine approachSystemHealth of peoplePotential mechanismsTechnologyCollaborative CenterIntegrationData
2019
Health Equity and Implementation Science in Heart, Lung, Blood, and Sleep-Related Research
Sterling MR, Echeverría SE, Commodore-Mensah Y, Breland JY, Nunez-Smith M. Health Equity and Implementation Science in Heart, Lung, Blood, and Sleep-Related Research. Circulation Cardiovascular Quality And Outcomes 2019, 12: e005586. PMID: 31610713, PMCID: PMC6812546, DOI: 10.1161/circoutcomes.119.005586.Peer-Reviewed Original ResearchMeSH KeywordsCardiovascular DiseasesHealth EquityHealth Services Needs and DemandHealth Status DisparitiesHealthcare DisparitiesHematologic DiseasesHumansLeadershipLung DiseasesMentorsNeeds AssessmentOutcome Assessment, Health CareRisk AssessmentRisk FactorsSleep Wake DisordersSocial Determinants of HealthTranslational Research, BiomedicalConceptsHealth equityImplementation scienceHealth conditionsEffective evidence-based interventionsEvidence-based interventionsImplementation science researchNational HeartHealth equity researchEarly-stage investigatorsContext of heartHealth outcomesLungSocial determinantsSleep-related researchHealthcare settingsEffective interventionsBloodDisadvantaged populationsHealthcare systemNational InstituteHeartUnequal burdenInterventionHealthOngoing investigation
2018
Quality Of Breast Cancer Care In The US Territories: Insights From Medicare
Layne TM, Aminawung JA, Soulos PR, Nunez-Smith M, Nunez MA, Jones BA, Wang KH, Gross CP. Quality Of Breast Cancer Care In The US Territories: Insights From Medicare. Health Affairs 2018, 37: 421-428. PMID: 29505365, PMCID: PMC7081152, DOI: 10.1377/hlthaff.2017.1045.Peer-Reviewed Original ResearchDisparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment
Armstrong-Hough M, Kishore SP, Byakika S, Mutungi G, Nunez-Smith M, Schwartz JI. Disparities in availability of essential medicines to treat non-communicable diseases in Uganda: A Poisson analysis using the Service Availability and Readiness Assessment. PLOS ONE 2018, 13: e0192332. PMID: 29420640, PMCID: PMC5805288, DOI: 10.1371/journal.pone.0192332.Peer-Reviewed Original ResearchMeSH KeywordsDrugs, EssentialHealthcare DisparitiesHumansNoncommunicable DiseasesPoisson DistributionUgandaConceptsNon-communicable diseasesHIV servicesHealth centersHealth facility preparednessHealth service readinessEssential medicinesPrimary health centersReferral health centersHealth facility typeUgandan health facilitiesFacility typePoisson regression modelsHIV careHIV counselingFacility preparednessReadiness assessment toolGeneral HospitalPredictors of readinessHealth facilitiesService readinessMultivariate analysisSignificant associationDiagnostic capacityHigher countsMultivariate model
2011
Adapting the everyday discrimination scale to medical settings: reliability and validity testing in a sample of African American patients.
Peek ME, Nunez-Smith M, Drum M, Lewis TT. Adapting the everyday discrimination scale to medical settings: reliability and validity testing in a sample of African American patients. Ethnicity & Disease 2011, 21: 502-9. PMID: 22428358, PMCID: PMC3350778.Peer-Reviewed Original ResearchConceptsAfrican American patientsTest-retest reliabilityAmerican patientsMedical settingsEpidemiologic Studies Depression ScaleCross-sectional studyHealth Care ScaleAcademic medical centerHealth care settingsConvergent validityInternal consistencyHealth care systemExcellent internal consistencyCare ScaleBaseline interviewCare settingsDepression ScaleMedical CenterDiscriminant validityHealth disparitiesPatientsKey subscalesCare systemDiscrimination ScaleEveryday Discrimination Scale