{"title":"Midwinter thaw: Parsnips and people","authors":"Richard V. Lee","doi":"10.1016/0021-9681(87)90070-1","DOIUrl":"https://doi.org/10.1016/0021-9681(87)90070-1","url":null,"abstract":"","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 2","pages":"179-181"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90070-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72220440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"X̃ and iprp: An improved summary for scientific communication","authors":"Alvan R. Feinstein","doi":"10.1016/0021-9681(87)90043-9","DOIUrl":"10.1016/0021-9681(87)90043-9","url":null,"abstract":"","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 4","pages":"Pages 283-288"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90043-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14681573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Simple test of the Multifactorial-Polygenic Model with sex dependent thresholds","authors":"Ruth Ottman","doi":"10.1016/0021-9681(87)90068-3","DOIUrl":"10.1016/0021-9681(87)90068-3","url":null,"abstract":"<div><p>Under the Multifactorial-Polygenic Model, a sex difference in population incidence implies higher risk in relatives of low risk sex probands than in those of high risk sex probands. The relationship between sex ratio in population incidence and expected relative risk (RR) to first-degree relatives of probands of the low risk sex vs the high risk sex under the Multifactorial-Polygenic Model was examined. Five observations were made from this analysis: (1) as the sex ratio increases, the expected RR increases for each combination of incidence and <em>r</em>, the liability correlation between relatives. (2) RRs are higher for low risk sex relatives than for high risk sex relatives at each combination of incidence, <em>r</em>. and sex ratio. (3) the expected RR increases as <em>r</em> increases at each incidence and sex ratio, and (4) variation in population incidence has little effect on RR at a given sex ratio and <em>r</em>, and (5) the expected RRs are small, rarely exceeding two-fold. The quantitative relationship between sex ratio and RR provides the basis for a simple test of the Multifactorial-Polygenic Model when two different sex or severity thresholds can be identified.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 2","pages":"Pages 165-170"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90068-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14934918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Happy anniversary and an impending change of name","authors":"Alvan R. Feinstein , Walter O. Spitzer","doi":"10.1016/0021-9681(87)90090-7","DOIUrl":"https://doi.org/10.1016/0021-9681(87)90090-7","url":null,"abstract":"","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90090-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72236620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael J. Lichtenstein , Cynthia D. Mulrow , Peter C. Elwood
{"title":"Guidelines for reading case-control studies","authors":"Michael J. Lichtenstein , Cynthia D. Mulrow , Peter C. Elwood","doi":"10.1016/0021-9681(87)90190-1","DOIUrl":"10.1016/0021-9681(87)90190-1","url":null,"abstract":"<div><p>To develop guidelines for evaluation of case-control reports a survey of 37 experts in the performance and evaluation of case-control studies was conducted. A majority of the respondents listed 20 items as essential; 80–90% considered identification of case and control sources, exclusion criteria, and response rate as essential; 75–80% considered information on methods of data collection, “blinding” of interviewers, investigation of bias, and methods of dealing with confounding variables essential; 70% considered a description of the analytic methods and 57% the presentation of confidence limits essential.</p><p>Twenty items judged essential by more than half the survey participants were used as guidelines to appraise 48 case-control studies published in 1984. In 88% of these studies information was lacking on at least one of the items. The proposed guidelines serve as a framework for readers to effectively assess the validity of a case-control report.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 9","pages":"Pages 893-903"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90190-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14719362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janet L. Berkeley , Ilana Israel , Joseph Stokes III
{"title":"Health assessment in the Framingham offspring study: A research proposal","authors":"Janet L. Berkeley , Ilana Israel , Joseph Stokes III","doi":"10.1016/S0021-9681(87)80046-2","DOIUrl":"10.1016/S0021-9681(87)80046-2","url":null,"abstract":"<div><p>This paper proposes that a broader health assessment be made in the Framingham Offspring/Spouse Study than is undertaken in the Framingham Study. The Offspring Study is composed of the children (and their spouses) of the members of the original Framingham Study cohort. The Offspring population has a broader age range and an average agc that is approximately 30 years younger than the original parent cohort. Therefore, mortality and morbidity measures, which were used as indices of health status for the parent cohort and which focus on the negative “sickness” component of health, are less appropriate for use in this relatively healthy population. Thus, we propose a broader conceptual framework of health that emphasizes the positive “wellness” side of the health continuum. The essential components of the comprehensive health index we describe include global health perceptions, measures of physical, mental, and social functioning across valued social roles, the ability to withstand stress as mediated by the coping process and social resources, and the assessment of genetic, behavioral, and physiological risk factors. One purpose of the proposal is to stimulate discussion in the hope of achieving general agreement regarding a shared conceptual frame of reference that would guide the development and testing of a reliable and valid health status instrument.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 ","pages":"Pages 169S-176S"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0021-9681(87)80046-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14719367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A comparative cost analysis of terminal cancer care in home hospice patients and controls","authors":"Dennis Gray , Douglas MacAdam , Duncan Boldy","doi":"10.1016/0021-9681(87)90132-9","DOIUrl":"10.1016/0021-9681(87)90132-9","url":null,"abstract":"<div><p>A comparison is made between the expenditure during the last 90 days of life on 98 terminal cancer patients cared for by a home based hospice service and that on matched patients dying without the home hospice service. The control patients were matched for site of primary cancer, age and sex. The individual records of both groups of patients were analyzed and costed. It was found that the costs of providing 24 hour comprehensive medical and nursing care at home to those dying of cancer and support for their families was no more expensive than traditional institutional care.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 8","pages":"Pages 801-810"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90132-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14242549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Gregory Hislop , Nancy E. Waxler , Andrew J. Coldman , J. Mark Elwood , Lisa Kan
{"title":"The prognostic significance of psychosocial factors in women with breast cancer","authors":"T. Gregory Hislop , Nancy E. Waxler , Andrew J. Coldman , J. Mark Elwood , Lisa Kan","doi":"10.1016/0021-9681(87)90110-X","DOIUrl":"10.1016/0021-9681(87)90110-X","url":null,"abstract":"<div><p>One hundred and thirty three recently diagnosed breast cancer patients completed a self-administered questionnaire which measured 16 psychosocial variables. After 4 years, three variables (expressive activities at home, extroversion, low anger) were significant prognostic factors for overall survival independent of clinical and other psychosocial factors; likewise three variables (expressive activities at home, expressive activities away from home, low cognitive disturbance) were significant independent prognostic factors for disease-free survival. These findings support the prognostic importance of the social emotional network.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 7","pages":"Pages 729-735"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90110-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14718839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul E. Leaverton , Paul D. Sorlie , Joel C. Kleinman , Andrew L. Dannenberg , Lillian Ingster-Moore , William B. Kannel , Joan C. Cornoni-Huntley
{"title":"Representativeness of the Framingham risk model for coronary heart disease mortality: A comparison with a national cohort study","authors":"Paul E. Leaverton , Paul D. Sorlie , Joel C. Kleinman , Andrew L. Dannenberg , Lillian Ingster-Moore , William B. Kannel , Joan C. Cornoni-Huntley","doi":"10.1016/0021-9681(87)90129-9","DOIUrl":"10.1016/0021-9681(87)90129-9","url":null,"abstract":"<div><p>The Framingham Heart Study has been the foundation upon which several national policies regarding risk factors for coronary heart disease mortality are based. The NHANES I Epidemiologic Followup Study is the first national cohort study based upon a comprehensive medical examination of a probability sample of United States adults. The average follow-up time was 10 years. This study afforded an opportunity to evaluate the generalizability of the Framingham risk model, using systolic blood pressure, total cholesterol, and cigarette smoking, to the U.S. population with respect to predicting death from coronary heart disease. The Framingham model predicts remarkably well for this national sample. The major risk factors for coronary heart disease mortality described in previous Framingham analyses are applicable to the United States white adult population.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 8","pages":"Pages 775-784"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90129-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14718807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cancer patients' quality of life over the disease course: Lessons from the real world","authors":"Vincent Mor","doi":"10.1016/0021-9681(87)90011-7","DOIUrl":"10.1016/0021-9681(87)90011-7","url":null,"abstract":"<div><p>We examined the correlates of the Quality of Life Index (QLI) in three samples of cancer patients: newly diagnosed (<em>N</em> = 397), recipients of chemotherapy (<em>N</em> = 194), and terminal (<em>N</em> = 2046). The relative importance of physical, emotional, social, and disease symptom characteristics in predicting the QLI was compared across samples. Despite differences in data collection approaches (telephone, personal interview, or paper and pencil) and differences in patient characteristics, the QLI was a robust construct with its central organizing principle being physical functioning. In all samples, functioning, symptoms, depression, and social support were significant predictors of the QLI, while age and cancer type were only minimally related. The QLI significantly differentiated between patients at different disease phases and measured more than physiological functioning. However analyses suggested that the dominant factor constraining the range of human psychosocial functioning was physical condition.</p></div>","PeriodicalId":15427,"journal":{"name":"Journal of chronic diseases","volume":"40 6","pages":"Pages 535-544"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0021-9681(87)90011-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"14718921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}