“CORE conducts innovative research focused on health services, quality and safety, and patient-centered outcomes. Our investigator-initiated research is complemented by our service and educational missions, which extend to Maine Medical Center, MaineHealth, and Tufts University School of Medicine.”

~ Paul K. J. Han, MD, MA, MPH, Director
Center for Outcomes Research & Evaluation (CORE)

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Submissions from 2022

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Epistemic Beliefs: Relationship to Future Expectancies and Quality of Life in Cancer Patients., Paul K J Han, Elizabeth Scharnetzki, Eric Anderson, John DiPalazzo, Tania D Strout, Caitlin Gutheil, F Lee Lucas, Emily Edelman, and Jens Rueter

Submissions from 2021

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The influence of uncertainty and uncertainty tolerance on attitudes and self-efficacy about genomic tumor testing, Eric C. Anderson, Alexandra Hinton, Christine W. Lary, Tania Strout, Andrey Antov, Emily Edelman, Petra Helbig, Kate Reed, Jens Rueter, and Paul K. Han

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Prescription opioid policies and associations with opioid overdose and related adverse effects, Valerie S. Harder, Susan E. Varni, Kimberly A. Murray, Timothy B. Plante, Andrea C. Villanti, Daniel L. Wolfson, and Sanchit Maruti

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Per- and polyfluoroalkyl substance plasma concentrations and metabolomic markers of type 2 diabetes in the Diabetes Prevention Program trial, Susanna D. Mitro, Jinxi Liu, Lindsay M. Jaacks, Abby F. Fleisch, Paige L. Williams, William C. Knowler, Blandine Laferrère, Wei Perng, George A. Bray, Amisha Wallia, Marie-France Hivert, Emily Oken, Tamarra M. James-Todd, and Marinella Temprosa

Submissions from 2020

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A cascade of Hepatitis C screening and Care at Maine Medical Center Internal Medicine Clinics, Wollelaw Agmas, Brian King, Wendy Craig, and Kinna Thakarar

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Do Naturopathic Doctors Play a Role in Cancer Screening in Maine, Evan Barnathan, Mike Kohut, Devra Krassner, and Craig Schneider MD

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Observational Health Data Sciences and Informatics (OHDSI) Infrastructure at MMC, Adam Black, Dave Denton, John DiPalazzo, and Susan Santangelo

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Osteopathic Manipulative Medicine may help hospitalized patients with substance use disorder., Alisa Cleary, E. Katherine Nenninger, David Keller, and Kinna Thakarar

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Optimizing Resident Wellness by Enhancing Peer Relationships: a Pilot Study, Wendy Craig, Jordan Faloon, Jason Lachance, and Deb Sepulveda

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Evaluating the Impacts of Geographic Cohorting and Patient Rooming on Hospital Efficiency, Theresa Fuller, Mohit Shukla, Yaren Bilge Kaya, Joe East, Daniel Meyer, Samir Haydar, Jordan Peck, Nicole Nehls, and James C. Benneyan

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Evidence-Based Education for Perianesthesia RNs to Increase Knowledge and Change Attitudes of Electroconvulsive Therapy., Lois M Hayworth and Kristiina E Hyrkas

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PCP's Lung Cancer Screening Attitudes and Practices: Results of a Statewide Survey, Neil Korsen, Alexandra Hinton, Susan Leeds, Jaclyn Janis, and Paul Han

Clinical and immunological features of post-resuscitation care, Teresa May, Sergey Ryzhov, Lee Lucas, Clara Ahlberg, Danijela Rados, John Dziodzio, Deanna Williams, Alexandra Hinton, and David Seder

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Addressing the Opioid Epidemic in Maine: Liposomal Bupivicaine Reduces Postoperative Opioid Consumption Following Shoulder Surgery, Ryan Mountjoy, Michael B. Henry, Wendy Craig, and Janelle M. Richard

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“I Only Want To See the Doctor” Comparison of Patient Satisfaction between Urology Physicians and Advanced Practice Providers, Erin Santos, Kelly Ernst, Lisa Beaule, Moritz Hansen, Matthew Hayn, and Jesse D. Sammon

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Variation in additional testing and patient outcomes after stress echocardiography or myocardial perfusion imaging, according to accreditation status of testing site., Jay N Shah, Kimberly M Murray, F L Lucas, Kathleen M Fairfield, and Mylan C Cohen

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Delayed nephrectomy has comparable long-term overall survival to immediate nephrectomy for cT1a renal cell carcinoma: A population-based analysis., Wei Shen Tan, Quoc-Dien Trinh, Matthew H Hayn, Maya Marchese, Stuart R Lipsitz, Junaid Nabi, Kerry L Kilbridge, Justin A Vale, Bijan Khoubehi, Adam S Kibel, Maxine Sun, Steven L Chang, and Jesse D Sammon

Outcomes of Infective Endocarditis Cases Among People Who Inject Drugs: Assessing the effects of an inpatient addiction medicine consult service, Kinna Thakarar, Brett Armstrong, Jessica Schaumburg, Jaclyn Janis, and Amy McAuliffe

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How well does the Surprise Question Predict 1-year Mortality for Patients Admitted with COPD, Dana Tripp, Jaclyn Janis, and Rebecca Hutchinson

Submissions from 2019

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The Relationship Between Uncertainty and Affect., Eric C Anderson, R Nicholas Carleton, Michael Diefenbach, and Paul K J Han

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The relationship between uncertainty tolerance and oncologists’ perceptions of large-panel genomic tumor testing, Eric Anderson, Alexandra Hinton, Christine Lary, Kimberly Murray, Leo Waterson, Paul Han, and Maine Cancer Genomics Initiative

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Standardized Observational Cancer Research Using the OMOP CDM Oncology Module., Rimma Belenkaya, Michael Gurley, Dmitry Dymshyts, Sonia Araujo, Andrew Williams, RuiJun Chen, and Christian Reich

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Emerging Aspects of the Body Composition, Bone Marrow Adipose Tissue and Skeletal Phenotypes in Type 1 Diabetes Mellitus., Adriana L Carvalho, Bianca Massaro, Luciana T P E Silva, Carlos E G Salmon, Sandra Y Fukada, Marcello H Nogueira-Barbosa, Jorge Elias, Maria C F Freitas, Carlos E B Couri, Maria C Oliveira, Belinda P Simões, Clifford J Rosen, and Francisco J A de Paula

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Per- and Polyfluoroalkyl Substance Plasma Concentrations and Bone Mineral Density in Midchildhood: A Cross-Sectional Study (Project Viva, United States)., Rachel Cluett, Shravanthi M Seshasayee, Lisa B Rokoff, Sheryl L Rifas-Shiman, Xiaoyun Ye, Antonia M Calafat, Diane R Gold, Brent Coull, Catherine M Gordon, Clifford J Rosen, Emily Oken, Sharon K Sagiv, and Abby F Fleisch

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Increasing Doses of Intraoperative Hydromorphone Do Not Reduce Postoperative Pain, Craig S. Curry, Michael B. Henry, Wendy Craig, Janelle M. Richard, and Denham S. Ward

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Association Between Rurality and Lung Cancer Treatment Characteristics and Timeliness., Kathleen M Fairfield, Adam W Black, F Lee Lucas, Kimberly Murray, Erika Ziller, Neil Korsen, Leo B Waterston, and Paul K J Han

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Tolerating uncertainty about conceptual models of uncertainty in health care., Paul K.J. Han and Benjamin Djulbegovic

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Prognostic value of a modified surprise question designed for use in the emergency department setting., Samir A Haydar, Tania D Strout, Alicia G Bond, and Paul Kj Han

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The effect of beta blocker use on bone outcomes using the Framingham Osteoporosis Study, Christine Lary

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Where we were, where we are, and where are we going? The state of research at MaineHealth, Clifford J. Rosen

Submissions from 2018

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Procedure-based postoperative risk prediction using NSQIP data., David E Clark, Timothy L Fitzgerald, and Albert W Dibbins

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Predictors of viewing progress notes among users of VA's electronic health portal who receive mental health care., Steven K Dobscha, Lauren M Denneson, Maura K Pisciotta, Donald S Bourne, Jason I Chen, David Philipps-Moses, and Susan S Woods

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Clinicians' perspectives on incidentally discovered silent brain infarcts - A qualitative study., Lester Y Leung, Paul K J Han, Christine Lundquist, Gene Weinstein, David E Thaler, and David M Kent

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Editorial Comment., Adam Ludvigson and Jesse Sammon

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Association of patient navigation with care coordination in an Lynch syndrome screening program., Susan Miesfeldt, W Gregory Feero, Frances L Lucas, and Karen Rasmussen

Submissions from 2017

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Intensity in End-of-Life Care for Medicare Patients Dying with Melanoma (S741)., Rebecca Hutchinson, Lee Lucas, and Kathleen Fairfield

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Pregnancy outcomes for women without a male partner undergoing donor insemination., C S. Ladanyi, Wendy Craig, K A. Maas, A Penzias, and B Lennon

Factors Associated With Deciding Between Risk-Reducing Salpingo-oophorectomy and Ovarian Cancer Screening Among High-Risk Women Enrolled in GOG-0199: An NRG Oncology/Gynecologic Oncology Group Study., Phuong L. Mai, Marion Piedmonte, Paul K. Han, Richard P. Moser, Joan L. Walker, Gustavo Rodriguez, John Boggess, Thomas J. Rutherford, Oliver Zivanovic, David E. Cohn, J Tate Thigpen, Robert M. Wenham, Michael L. Friedlander, Chad A. Hamilton, Jamie Bakkum-Gamez, Alexander B. Olawaiye, Martee L. Hensley, Mark H. Greene, Helen Q. Huang, and Lari Wenzel

Submissions from 2016

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The effect of a 4-hour moderate and 1-hour intense exercise session versus resting condition on luteinizing hormone (LH) level, variation, and pulsatility in six healthy male subjects., J L. Chiang, M P. Leondires, Wendy Craig, F L. Lucas, and D I. Spratt

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Improving Adherence to Cardiovascular Therapies: An Economic Evaluation of a Randomized Pragmatic Trial., David H Smith, Maureen O'Keeffe-Rosetti, Ashli A Owen-Smith, Cynthia Rand, Jeffrey Tom, Suma Vupputuri, Reesa Laws, Amy Waterbury, Dana D Hankerson-Dyson, Cyndee Yonehara, Andrew Williams, Jennifer Schneider, John F Dickerson, and William M Vollmer

Submissions from 2015

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Physicians' perceptions of the value of prognostic models: the benefits and risks of prognostic confidence., Sarah A M Hallen, Norbert A M Hootsmans, Laura Blaisdell, Caitlin M Gutheil, and Paul K J Han

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Physicians' perceptions of the value of prognostic models: the benefits and risks of prognostic confidence., Sarah A.M. Hallen, Norbert A.M. Hootsmans, Laura Blaisdell, Caitlin M. Gutheil, and Paul K.J. Han

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Genetic information-seeking behaviors and knowledge among family members and patients with inherited bone marrow failure syndromes., Jada G Hamilton, Sadie P Hutson, Amy E Frohnmayer, Paul K J Han, June A Peters, Ann G Carr, and Blanche P Alter

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"Clinical and functional outcomes after 2 years in the early detection and intervention for the prevention of psychosis multisite effectiveness trial": Erratum., William R. McFarlane, Bruce Levin, Lori Travis, F Lee Lucas, Sarah Lynch, Mary Verdi, Deanna Williams, Steven Adelsheim, Roderick Calkins, Cameron S. Carter, Barbara Cornblatt, Stephan F. Taylor, Andrea M. Auther, Bentson McFarland, Ryan Melton, Margaret Migliorati, Tara Niendam, J Daniel Ragland, Tamar Sale, Melina Salvador, and Elizabeth Spring

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Effects of False-Positive Cancer Screenings and Cancer Worry on Risk-Reducing Surgery Among BRCA1/2 Carriers., David B. Portnoy, Jennifer T. Loud, Paul K.J. Han, L. Mai Phoung, and Mark H. Green

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Noninvasive prenatal testing: the importance of pretest trisomy risk and posttest predictive values., Joseph R Wax, Renee Chard, Angelina Cartin, Christian Litton, Michael G Pinette, and F Lee Lucas

Submissions from 2014

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The results of a 2-year randomized trial of a worksite weight management intervention., Andrew E Williams, Victor J Stevens, Cheryl L Albright, Claudio R Nigg, Richard T Meenan, and Thomas M Vogt

Submissions from 2013

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Physicians' beliefs about breast cancer surveillance testing are consistent with test overuse., Paul K J Han, Carrie N Klabunde, Anne-Michelle Noone, Craig C Earle, John Z Ayanian, Patricia A Ganz, Katherine S Virgo, and Arnold L Potosky

Submissions from 2012

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Representing randomness in the communication of individualized cancer risk estimates: effects on cancer risk perceptions, worry, and subjective uncertainty about risk., Paul K J Han, William M P Klein, Bill Killam, Tom Lehman, Holly Massett, and Andrew N Freedman

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Association of age, gender, and race with intensity of end-of-life care for Medicare beneficiaries with cancer., Susan Miesfeldt, Kimberly Murray, Lee Lucas, Chiang-Hua Chang, David Goodman, and Nancy E Morden

Submissions from 2011

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Multiple clinical practice guidelines for breast and cervical cancer screening: perceptions of US primary care physicians., Paul K J Han, Carrie N Klabunde, Nancy Breen, Gigi Yuan, Alyssa Grauman, William W Davis, and Stephen H Taplin

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Varieties of uncertainty in health care: a conceptual taxonomy., Paul K J Han, William M P Klein, and Neeraj K Arora

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Communication of uncertainty regarding individualized cancer risk estimates: effects and influential factors., Paul K J Han, William M P Klein, Tom Lehman, Bill Killam, Holly Massett, and Andrew N Freedman

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A systematic review of the use and effectiveness of the Objective Structured Teaching Encounter., Robert L Trowbridge, Laura K Snydman, Jenny Skolfield, Janet Hafler, and Robert G Bing-You