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Article ; Online: Responding to Reviewers and Editors About Statistical Significance Testing.

Savitz, David A / Wise, Lauren A / Bond, Julia C / Hatch, Elizabeth E / Ncube, Collette N / Wesselink, Amelia K / Willis, Mary D / Yland, Jennifer J / Rothman, Kenneth J

Annals of internal medicine

2024 Volume 177, Issue 3, Page(s) 385–386

MeSH term(s)	Humans ; Peer Review, Research ; Editorial Policies
Language	English
Publishing date	2024-02-20
Publishing country	United States
Document type	Editorial
ZDB-ID	336-0
ISSN	1539-3704 ; 0003-4819
ISSN (online)	1539-3704
ISSN	0003-4819
DOI	10.7326/M23-2430
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Article ; Online: An Update on Prenatal Diethylstilbestrol Exposure and High-Grade Squamous Intraepithelial Lesions of the Lower Genital Tract.

Troisi, Rebecca / Bertrand, Kimberly / Hatch, Elizabeth E / Strohsnitter, William C / Aagaard, Kjersti / Robboy, Stanley J / Gierach, Gretchen / Titus, Linda

Obstetrics and gynecology

2024 Volume 143, Issue 4, Page(s) 603–606

Abstract: ... intraepithelial lesions (HSIL). The age-adjusted risk of HSIL among diethylstilbestrol-exposed women (n=4,062) was ... higher than among the diethylstilbestrol unexposed (n=1,837) through age 44 years (hazard ratio 2.03, 95 ...

Abstract	Women with prenatal diethylstilbestrol exposure are excluded from less frequent cervical cancer screening because of their increased neoplasia risk. We report the results of a prospective follow-up study of prenatal diethylstilbestrol exposure and lower genital tract high-grade (grade 2 or higher) squamous intraepithelial lesions (HSIL). The age-adjusted risk of HSIL among diethylstilbestrol-exposed women (n=4,062) was higher than among the diethylstilbestrol unexposed (n=1,837) through age 44 years (hazard ratio 2.03, 95% CI, 1.31-3.14) but not age 45 years or older. Elevated HSIL risk remained higher in diethylstilbestrol-exposed women, after accounting for frequency of cervical cancer screening. Compared with unexposed women, HSIL risk was higher among women with earlier gestational and high-dose diethylstilbestrol exposure. These data confirm the appropriateness of more frequent screening among diethylstilbestrol-exposed women through age 44 years. Whether those aged 45 years or older should continue to have increased screening will require careful weighing of possible risks and benefits.
MeSH term(s)	Pregnancy ; Female ; Humans ; Diethylstilbestrol/adverse effects ; Uterine Cervical Neoplasms/chemically induced ; Uterine Cervical Neoplasms/epidemiology ; Uterine Cervical Neoplasms/diagnosis ; Follow-Up Studies ; Prospective Studies ; Early Detection of Cancer ; Squamous Intraepithelial Lesions ; Genitalia/pathology
Chemical Substances	Diethylstilbestrol (731DCA35BT)
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	207330-4
ISSN	1873-233X ; 0029-7844
ISSN (online)	1873-233X
ISSN	0029-7844
DOI	10.1097/AOG.0000000000005547
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Article ; Online: Migraine and risk of hypertensive disorders of pregnancy: A population-based cohort study.

Crowe, Holly M / Wesselink, Amelia K / Hatch, Elizabeth E / Wise, Lauren A / Jick, Susan S

Cephalalgia : an international journal of headache

2023 Volume 43, Issue 4, Page(s) 3331024231161746

Abstract: ... history and no history of cardiovascular disease (n = 1,049,839). We ascertained migraine ...

Abstract	Background: Migraine is associated with hypertensive disorders of pregnancy through common pathophysiological features. This study evaluates the association between migraine diagnosis and treatment, and risk of hypertensive disorders of pregnancy. Methods: We conducted a prospective cohort study in the Clinical Practice Research Datalink GOLD, a large longitudinal database of patient records in the UK. We analyzed data from liveborn or stillborn singleton deliveries from 1993-2020 with at least 24 months of medical history and no history of cardiovascular disease (n = 1,049,839). We ascertained migraine through diagnosis or prescription codes before 20 weeks of gestation and hypertensive disorders of pregnancy through diagnosis codes between 20 weeks of pregnancy and delivery. We used log-binomial regression models to estimate the risk ratio and 95% confidence intervals, comparing risk of hypertensive disorders of pregnancy among individuals with migraine to those without migraine, adjusting for confounders. Conclusions: A history of migraine prior to pregnancy was associated with an increased risk of hypertensive disorders of pregnancy (RR = 1.17, 95% CI: 1.09-1.26). The greatest risk was among those with pre-pregnancy migraine that persisted into the first trimester (RR = 1.84, 95% CI: 1.35-2.50). Use of migraine medication was associated with a higher risk of hypertensive disorders of pregnancy compared to non-migraineurs (RR = 1.50, 95% CI: 1.15-1.97). Results from this study indicate that migraine is a potential risk factor for hypertensive disorders of pregnancy.
MeSH term(s)	Pregnancy ; Female ; Humans ; Hypertension, Pregnancy-Induced/epidemiology ; Hypertension, Pregnancy-Induced/diagnosis ; Hypertension, Pregnancy-Induced/etiology ; Cohort Studies ; Prospective Studies ; Risk Factors ; Cardiovascular Diseases ; Pre-Eclampsia
Language	English
Publishing date	2023-03-20
Publishing country	England
Document type	Journal Article
ZDB-ID	604567-4
ISSN	1468-2982 ; 0333-1024
ISSN (online)	1468-2982
ISSN	0333-1024
DOI	10.1177/03331024231161746
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Article ; Online: Impact of the COVID-19 vaccination mandate on the primary care workforce and differences between rural and urban settings to inform future policy decision-making.

Hatch, Brigit A / Kenzie, Erin / Ramalingam, NithyaPriya / Sullivan, Eliana / Barnes, Chrystal / Elder, Nancy / Davis, Melinda M

PloS one

2023 Volume 18, Issue 6, Page(s) e0287553

Abstract: Introduction: Little is known about the impact of mandated vaccination policies on the primary care clinic workforce in the United States or differences between rural and urban settings, especially for COVID-19. With the continued pandemic and an ... ...

Abstract	Introduction: Little is known about the impact of mandated vaccination policies on the primary care clinic workforce in the United States or differences between rural and urban settings, especially for COVID-19. With the continued pandemic and an anticipated increase in novel disease outbreaks and emerging vaccines, healthcare systems need additional information on how vaccine mandates impact the healthcare workforce to aid in future decision-making. Methods: We conducted a cross-sectional survey of Oregon primary care clinic staff between October 28, 2021- November 18, 2021, following implementation of a COVID-19 vaccination mandate for healthcare personnel. The survey consisted of 19 questions that assessed the clinic-level impacts of the vaccination mandate. Outcomes included job loss among staff, receipt of an approved vaccination waiver, new vaccination among staff, and the perceived significance of the policy on clinic staffing. We used univariable descriptive statistics to compare outcomes between rural and urban clinics. The survey also included three open-ended questions that were analyzed using a template analysis approach. Results: Staff from 80 clinics across 28 counties completed surveys, representing 38 rural and 42 urban clinics. Clinics reported job loss (46%), use of vaccination waivers (51%), and newly vaccinated staff (60%). Significantly more rural clinics (compared to urban) utilized medical and/or religious vaccination waivers (71% vs 33%, p = 0.04) and reported significant impact on clinic staffing (45% vs 21%, p = 0.048). There was also a non-significant trend toward more job loss for rural compared to urban clinics (53% vs. 41%, p = 0.547). Qualitative analysis highlighted a decline in clinic morale, small but meaningful detriments to patient care, and mixed opinions of the vaccination mandate. Conclusions: Oregon's COVID-19 vaccination mandate increased healthcare personnel vaccination rates, yet amplified staffing challenges with disproportionate impacts in rural areas. Staffing impacts in primary care clinics were greater than reported previously in hospital settings and with other vaccination mandates. Mitigating primary care staffing impacts, particularly in rural areas, will be critical in response to the continued pandemic and novel viruses in the future.
MeSH term(s)	Humans ; United States/epidemiology ; COVID-19 Vaccines/therapeutic use ; Cross-Sectional Studies ; COVID-19/epidemiology ; COVID-19/prevention & control ; Vaccination ; Workforce ; Vaccines ; Primary Health Care
Chemical Substances	COVID-19 Vaccines ; Vaccines
Language	English
Publishing date	2023-06-27
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0287553
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Article ; Online: A randomized controlled trial comparing femtosecond-enabled deep anterior lamellar keratoplasty and standard deep anterior lamellar keratoplasty (FEDS Study).

Sorkin, Nir / Hatch, Wendy / Mimouni, Michael / Chew, Hall F / Rootman, David S / Slomovic, Allan R / Bujak, Matthew C / Chan, Clara C / Thorpe, Kevin E / Perez, Mauricio / Stiuso, Vera / Singal, Neera

Eye (London, England)

2023 Volume 37, Issue 13, Page(s) 2693–2699

Abstract: ... with either keratoconus or corneal scarring, randomized to either FE-DALK (n = 48) or S-DALK (n = 49).: Primary outcomes ... Results: In intention-to-treat analysis, mean postoperative astigmatism in the FE-DALK (n = 30) and S ... DALK (n = 30) groups at 15 months was 7.8 ± 4.4 D and 6.3 ± 5.0 D, respectively (p = 0.282 ...

Abstract	Objectives: To compare outcomes of femtosecond-enabled deep anterior lamellar keratoplasty (FE-DALK) and standard deep anterior lamellar keratoplasty (S-DALK). Methods: An open label, randomized controlled trial (Kensington Eye Institute, Toronto, ON, Canada) including 100 eyes of 97 participants with either keratoconus or corneal scarring, randomized to either FE-DALK (n = 48) or S-DALK (n = 49). Primary outcomes: postoperative astigmatism and surgically induced corneal astigmatism (SIA) - both at 15 months. Secondary outcomes: 6-, 12- and 15-month postoperative uncorrected- and best spectacle-corrected visual acuity, steep and flat keratometry, manifest sphere and astigmatism, rate of conversion to penetrating keratoplasty (PK), big-bubble success, central corneal thickness, endothelial cell count and complications. Results: In intention-to-treat analysis, mean postoperative astigmatism in the FE-DALK (n = 30) and S-DALK (n = 30) groups at 15 months was 7.8 ± 4.4 D and 6.3 ± 5.0 D, respectively (p = 0.282) with an adjusted mean difference of 1.3 D (95% CI -1.08, +3.65). Mean SIA (arithmetic) was 9.2 ± 7.8 and 8.8 ± 5.4 D, respectively (p = 0.838) with a mean difference of 0.4 D (95% CI -3.13, +3.85). In an analysis of successful DALK cases only, mean postoperative astigmatism in the FE-DALK (n = 24) and S-DALK (n = 20) groups at 15 months (after excluding 4 eyes with AEs) was 7.3 ± 4.4 and 6.2 ± 4.9 D, respectively (p = 0.531) with an adjusted mean difference of 0.9 D (95% CI -1.94, +3.71). Mean SIA (arithmetic) was 9.1 ± 7.8 and 7.9 ± 4.6 D, respectively (p = 0.547) with a mean difference of 1.2 D (95% CI -2.70,+5.02). Comparison of secondary outcomes showed only weak statistical evidence. Conclusions: In this randomized controlled trial, FE-DALK and S-DALK showed comparable functional and anatomical outcomes.
MeSH term(s)	Humans ; Corneal Transplantation ; Visual Acuity ; Astigmatism/surgery ; Treatment Outcome ; Keratoplasty, Penetrating ; Keratoconus/surgery ; Retrospective Studies ; Follow-Up Studies
Language	English
Publishing date	2023-01-24
Publishing country	England
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	91001-6
ISSN	1476-5454 ; 0950-222X
ISSN (online)	1476-5454
ISSN	0950-222X
DOI	10.1038/s41433-023-02387-1
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Article ; Online: Commensal Microbiota Effects on Craniofacial Skeletal Growth and Morphology.

Gerasco, Joy E / Hathaway-Schrader, Jessica D / Poulides, Nicole A / Carson, Matthew D / Okhura, Naoto / Westwater, Caroline / Hatch, Nan E / Novince, Chad M

JBMR plus

2023 Volume 7, Issue 8, Page(s) e10775

Abstract: Microbes colonize anatomical sites in health to form commensal microbial communities (e.g ...

Abstract	Microbes colonize anatomical sites in health to form commensal microbial communities (e.g., commensal gut microbiota, commensal skin microbiota, commensal oral microbiota). Commensal microbiota has indirect effects on host growth and maturation through interactions with the host immune system. The commensal microbiota was recently introduced as a novel regulator of skeletal growth and morphology at noncraniofacial sites. Further, we and others have shown that commensal gut microbes, such as segmented filamentous bacteria (SFB), contribute to noncraniofacial skeletal growth and maturation. However, commensal microbiota effects on craniofacial skeletal growth and morphology are unclear. To determine the commensal microbiota's role in craniofacial skeletal growth and morphology, we performed craniometric and bone mineral density analyses on skulls from 9-week-old female C57BL/6T germ-free (GF) mice (no microbes), excluded-flora (EF) specific-pathogen-free mice (commensal microbiota), and murine-pathogen-free (MPF) specific-pathogen-free mice (commensal microbiota with SFB). Investigations comparing EF and GF mice revealed that commensal microbiota impacted the size and shape of the craniofacial skeleton. EF versus GF mice exhibited an elongated gross skull length. Cranial bone length analyses normalized to skull length showed that EF versus GF mice had enhanced frontal bone length and reduced cranial base length. The shortened cranial base in EF mice was attributed to decreased presphenoid, basisphenoid, and basioccipital bone lengths. Investigations comparing MPF mice and EF mice demonstrated that commensal gut microbes played a role in craniofacial skeletal morphology. Cranial bone length analyses normalized to skull length showed that MPF versus EF mice had reduced frontal bone length and increased cranial base length. The elongated cranial base in MPF mice was due to enhanced presphenoid bone length. This work, which introduces the commensal microbiota as a contributor to craniofacial skeletal growth, underscores that noninvasive interventions in the gut microbiome could potentially be employed to modify craniofacial skeletal morphology. © 2023 The Authors.
Language	English
Publishing date	2023-05-31
Publishing country	England
Document type	Journal Article
ISSN	2473-4039
ISSN (online)	2473-4039
DOI	10.1002/jbm4.10775
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Article ; Online: Reply.

Troisi, Rebecca / Hoover, Robert N / Hatch, Elizabeth E

American journal of obstetrics and gynecology

2017 Volume 216, Issue 2, Page(s) 198–199

Language	English
Publishing date	2017-02
Publishing country	United States
Document type	Letter
ZDB-ID	80016-8
ISSN	1097-6868 ; 0002-9378
ISSN (online)	1097-6868
ISSN	0002-9378
DOI	10.1016/j.ajog.2016.09.098
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Article ; Online: Anabolic actions of parathyroid hormone in a hypophosphatasia mouse model.

Koh, Amy J / Nam, Hwa Kyung / Michalski, Megan N / Do, Justin / McCauley, Laurie K / Hatch, Nan E

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

2022 Volume 33, Issue 11, Page(s) 2423–2433

Abstract: Hypophosphatasia, the rare heritable disorder caused by TNAP enzyme mutations, presents wide-ranging severity of bone hypomineralization and skeletal abnormalities. Intermittent PTH (1-34) increased long bone volume in Alpl: Introduction: ... ...

Abstract	Hypophosphatasia, the rare heritable disorder caused by TNAP enzyme mutations, presents wide-ranging severity of bone hypomineralization and skeletal abnormalities. Intermittent PTH (1-34) increased long bone volume in Alpl Introduction: Hypophosphatasia is the rare heritable disorder caused by mutations in the tissue non-specific alkaline phosphatase (TNAP) enzyme leading to TNAP deficiency. Individuals with hypophosphatasia commonly present with bone hypomineralization and skeletal abnormalities. The purpose of this study was to determine the impact of intermittent PTH on the skeletal phenotype of TNAP-deficient Alpl Methods: Alpl-/- and Alpl+/+ (wild-type; WT) littermate mice were administered PTH (1-34) (50 µg/kg) or vehicle control from days 4 to 12 and skeletal analyses were performed including gross measurements, micro-CT, histomorphometry, and serum biochemistry. Results: Alpl Conclusion: PTH increased long bone volume in the Alpl
MeSH term(s)	Alkaline Phosphatase/genetics ; Animals ; Disease Models, Animal ; Hypophosphatasia/complications ; Hypophosphatasia/drug therapy ; Hypophosphatasia/genetics ; Mice ; Osteoporosis ; Parathyroid Hormone/pharmacology
Chemical Substances	Parathyroid Hormone ; Alkaline Phosphatase (EC 3.1.3.1)
Language	English
Publishing date	2022-07-23
Publishing country	England
Document type	Journal Article
ZDB-ID	1064892-6
ISSN	1433-2965 ; 0937-941X
ISSN (online)	1433-2965
ISSN	0937-941X
DOI	10.1007/s00198-022-06496-7
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Article: All-Inside PCL Reconstruction, Double Bundle, With Internal Brace Augmentation.

Nestorovoski, Douglas L / Haratian, Ryan / Guzman, Alvarho / Bolia, Ioanna K / Chen, James L / Liu, Joseph N / Petrigliano, Frank A / Weber, Alexander E / Rick Hatch, George F

Arthroscopy techniques

2023 Volume 12, Issue 7, Page(s) e1211–e1218

Abstract: PCL reconstructive techniques are constantly evolving, and further clinical studies are needed to definitively understand the potential benefits of internal brace augmentation and anatomic double-bundle PCL reconstruction. This Technical Note reports an ... ...

Abstract	PCL reconstructive techniques are constantly evolving, and further clinical studies are needed to definitively understand the potential benefits of internal brace augmentation and anatomic double-bundle PCL reconstruction. This Technical Note reports an arthroscopic all-inside anatomic double-bundle PCL reconstruction with internal brace augmentation that is effective and reproducible.
Language	English
Publishing date	2023-06-26
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2653101-X
ISSN	2212-6287
ISSN	2212-6287
DOI	10.1016/j.eats.2023.03.013
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Article ; Online: In utero exposure to diethylstilbestrol and blood DNA methylation in adult women: Results from a meta-analysis of two cohort studies.

Bodelon, Clara / Gierach, Gretchen L / Hatch, Elizabeth E / Riseberg, Emily / Hutchinson, Amy / Yeager, Meredith / Sandler, Dale P / Taylor, Jack A / Hoover, Robert N / Xu, Zongli / Titus, Linda / Palmer, Julie R / Troisi, Rebecca

Environmental research

2023 Volume 231, Issue Pt 1, Page(s) 115990

Abstract: Background: Prenatal exposure to diethylstilbestrol (DES) is associated with several adverse health outcomes. Animal studies have shown associations between prenatal DES exposure and DNA methylation.: Objective: The aim of this study was to explore ... ...

Abstract	Background: Prenatal exposure to diethylstilbestrol (DES) is associated with several adverse health outcomes. Animal studies have shown associations between prenatal DES exposure and DNA methylation. Objective: The aim of this study was to explore blood DNA methylation in women exposed and unexposed to DES in utero. Methods: Sixty women (40 exposed and 20 unexposed) in the National Cancer Institute's Combined DES Cohort Study and 199 women (99 exposed and 100 unexposed women) in the Sister Study Cohort were included in this analysis. Within each study, robust linear regression models were used to assess associations between DES exposure and blood DNA methylation. Study-specific associations were combined using fixed-effect meta-analysis with inverse variance weights. Our analysis focused on CpG sites located within nine candidate genes identified in animal models. We further explored whether in utero DES exposure was associated with age acceleration. Results: Blood DNA methylation levels at 10 CpG sites in six of the nine candidate genes were statistically significantly associated with prenatal DES exposure (P < 0.05) in this meta-analysis. Genes included EGF, EMB, EGFR, WNT11, FOS, and TGFB1, which are related to cell proliferation and differentiation. The most statistically significant CpG site was cg19830739 in gene EGF, and it was associated with lower methylation levels in women prenatally exposed to DES compared with those not exposed (P < 0.0001; false discovery rate<0.05). The association between prenatal DES exposure in utero and age acceleration was not statistically significant (P = 0.07 for meta-analyzed results). Conclusions: There are few opportunities to investigate the effects of prenatal DES exposure. These findings suggest that in utero DES exposure may be associated with differential blood DNA methylation levels, which could mediate the increased risk of several adverse health outcomes observed in exposed women. Our findings need further evaluation using larger data sets.
MeSH term(s)	Pregnancy ; Humans ; Female ; Diethylstilbestrol/toxicity ; Cohort Studies ; DNA Methylation ; Prenatal Exposure Delayed Effects/chemically induced ; Epidermal Growth Factor
Chemical Substances	Diethylstilbestrol (731DCA35BT) ; Epidermal Growth Factor (62229-50-9)
Language	English
Publishing date	2023-05-04
Publishing country	Netherlands
Document type	Meta-Analysis ; Journal Article
ZDB-ID	205699-9
ISSN	1096-0953 ; 0013-9351
ISSN (online)	1096-0953
ISSN	0013-9351
DOI	10.1016/j.envres.2023.115990
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