Physical Sciences and Mathematics Commons^™

Factors Impacting Transgender Patients’ Discomfort With Their Family Physicians: A Respondent-Driven Sampling Survey, Greta R. Bauer, Xuchen Zong, Ayden I. Scheim, Rebecca Hammond, Amardeep Thind

Epidemiology and Biostatistics Publications

BACKGROUND: Representing approximately 0.5% of the population, transgender (trans) persons in Canada depend on family physicians for both general and transition-related care. However, physicians receive little to no training on this patient population, and trans patients are often profoundly uncomfortable and may avoid health care. This study examined factors associated with patient discomfort discussing trans health issues with a family physician in Ontario, Canada.

METHODS: 433 trans people age 16 and over were surveyed using respondent-driven sampling for the Trans PULSE Project; 356 had a family physician. Weighted logistic regression models were fit to produce prevalence risk ratios (PRRs) via …

Identification And Survival Outcomes Of A Cohort Of Patients With Cancer Of Unknown Primary In Ontario, Canada., Chong S Kim, Malek B Hannouf, Sisira Sarma, George B Rodrigues, Peter K Rogan, Salaheddin M Mahmud, Eric Winquist, Muriel Brackstone, Gregory S Zaric

Epidemiology and Biostatistics Publications

BACKGROUND: Cancer of unknown primary origin (CUP) is defined by the presence of pathologically identified metastatic disease without clinical or radiological evidence of a primary tumour. Our objective was to identify incident cases of CUP in Ontario, Canada, and determine the influence of histology and sites of metastases on overall survival (OS).

MATERIAL AND METHODS: We used the Ontario Cancer Registry (OCR) and the Same-Day Surgery and Discharge Abstract Database (SDS/DAD) to identify patients diagnosed with CUP in Ontario between 1 January 2000, and 31 December 2005. Patient diagnostic information, including histology and survival data, was obtained from the OCR. …

On The Estimation Of Intracluster Correlation For Time-To-Event Outcomes In Cluster Randomized Trials, Sumeet Kalia

Electronic Thesis and Dissertation Repository

Cluster randomized trials (CRTs) involve the random assignment of intact social units rather than independent subjects to intervention groups. Time-to-event outcomes often are endpoints in CRTs where the intracluster correlation coefficient (ICC) serves as a descriptive parameter to assess the similarity among outcomes in a cluster. However, estimating the ICC in CRTs with time-to-event outcomes is a challenge due to the presence of censored observations. The ICC is estimated for two CRTs using the censoring indicators and observed outcomes.

A simulation study explores the effect of administrative censoring on estimating the ICC. Results show that the ICC estimators derived from …

Healthy And Unhealthy Statistics: Examining The Impact Of Erroneous Statistical Analyses In Health-Related Research, Britney Allen

Electronic Thesis and Dissertation Repository

Sound statistical analyses are essential to the advancement of medicine. Although certainly not always the case, far too many publications are based on weak or inappropriate statistical methodology, leading to questionable results. Statistical reporting guidelines and standards for research are being introduced which should help curb this problem. Wide recognition of the need for statistical methodologies aligned with research questions and study designs, and the impact when this is not the case, would help prevent this problem. In this thesis, I illustrate the consequences of erroneous statistical analyses on data from an observational study on Multiple Sclerosis and I investigate …