2 results match your criteria: "USA. pcastaldi@tuftsmedicalcenter.org[Affiliation]"

Impact of non-linear smoking effects on the identification of gene-by-smoking interactions in COPD genetics studies.

Thorax

October 2011

Institute for Clinical Researchand Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.

Article Synopsis
  • The study highlights the importance of identifying gene-by-environment interactions in understanding the genetics of chronic obstructive pulmonary disease (COPD), particularly regarding the relationship between smoking exposure and lung function.
  • Non-linear relationships between smoking pack-years and forced expiratory volume (FEV(1)) were found in four large cohorts, suggesting that a piecewise linear model is more effective than the standard total pack-years model for analyzing these interactions.
  • The research concluded that utilizing approaches that account for non-linearity can enhance the accuracy and power of genetic association studies, leading to better insights into COPD susceptibility and variations based on smoking exposure.
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Inhaler costs and medication nonadherence among seniors with chronic pulmonary disease.

Chest

September 2010

Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA.

Background: Chronic pulmonary diseases (CPDs) such as asthma and COPD are associated with particularly high rates of cost-related medication nonadherence (CRN), but the degree to which inhaler costs contribute to this is not known. Here, we examine the relationship between inhaler-specific out-of-pocket costs and CRN in CPD.

Methods: Using data obtained in 2006 in a national stratified random sample (N = 16,072) of community-dwelling Medicare beneficiaries aged >or= 65 years, we used logistic regression to examine the relationship between inhaled medications, various types of out-of-pocket costs, and CRN in persons with CPD.

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