Publications by authors named "T J Ahern"

Cancer cachexia (CC), a syndrome of skeletal muscle and adipose tissue wasting, reduces responsiveness to therapies and increases mortality. There are no approved treatments for CC, which may relate to discordance between pre-clinical models and human CC. To address the need for clinically relevant models, we generated tamoxifen-inducible, epithelial cell specific ( ) mice.

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To account for misclassification of dichotomous variables using probabilistic bias analysis, beta distributions are often assigned to bias parameters (e.g., PPV and NPV) based on data from an internal validation substudy.

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Background: A 2013 meta-analysis observed a protective association between overweight BMI (versus normal BMI) and all-cause mortality that was particularly strong in people aged ≥65. Estimates informing this meta-analysis were highly heterogeneous, and critics raised insufficient or inappropriate confounder adjustment in many studies as an explanation for the protective summary association. Using this topic as an example, we demonstrate a novel approach for external adjustment of individual studies for a uniform and sufficient confounder set before meta-analysis.

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Article Synopsis
  • The study assesses how systematic biases from loss of heterozygosity (LOH) and incomplete phenotyping affect the links between CYP2D6 genetic variants and breast cancer recurrence in women treated with tamoxifen.
  • A systematic literature review and a quantitative bias analysis were conducted, leading to a meta-analysis which adjusted for these biases and found that individuals with poor CYP2D6 metabolism had a higher risk of breast cancer recurrence or mortality.
  • The findings indicate that lower CYP2D6 activity correlates with increased breast cancer risks, highlighting the importance of addressing biases in research to better understand genetic impacts on health outcomes.
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Breast lymphedema is a common sequela of breast conservation that delays healing and reduces quality of life. No rigorous classification system exists for this condition. We explored approaches for classifying breast lymph-edema based on breast ultrasound, physical exam, and patient-reported outcomes.

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