DOCSLIB.ORG

The Epidemiology of Heart Failure: the Framingham Study

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Epidemiology of Heart Failure: the Framingham Study JACC Vol. 22. No. 4 (SupplementA) 6A October 1!893:6A43A PART II: NEW INSIGHTS INTO THE EPIDEMIOLOGY AND PATHOPHYSIOLOGY OF HEART FAILURE BertramPitt, MD, FACC, Chairrnaro EPIDEMIOLOGY The Epidemiology of Heart Failure: The Framingham Study KALON K. L. HO, MD,*? JOAN L. PINSKY, MA,* WILLIAM B. KANNEL, MD, FACC,g DANIEL LEVY, MD, FACC*tt Boston and Framingham, Massachusettsand Bethesda, Maryland - Congestive heart failure has become an incre&@ frequent women, whereas the age-adjustedprevoience of overt heart hilure reasonforhospiQla~durin~thc~2decpdosandderrly was 24/1,000in men and 25/1,000in women. Ikpite improved npresentsa~rlM!IdthplWblem.Dat?lfWltlWFkalUi@am tr&Wnts ror ischemil! heart d&ease and hypertension,the HeartStudy~tbattbeinddenceofamgestiveheartfailure age-adjustedincidence of heart failure has declined by only increaseswithageandisbigherinmenthaninwomen.Hyper- ll%/calendar decade in men and by 17Walendar decade in temionandcoromuyhemtdkasearethetwomostcommon women during a 40-year period of observation. In addition, conditionspndrrt& its onset. Diabetesmellitus and eleckowr- eve heart failure rem&s highly lethal, with a median diograpldcleftventrkukhypcWophyarealsnassociatedwitb s~~~eaf1.7yeus~menend3.2y~inwomenanda anhnzea&riskofkartfailm~.Duringthe1!J8Os,theanmud 5-yearsurvival rate of 25% in men and 38% in women. ~ustedincidenceofcongestiveheartfailureamongpersons (J Am CoUCar&l 1993$2~trpplemeatA].&&13A) aged 245 years was 7.2 cases/l,000in men and 4.7 cases/l,000in Although there is no consensus on the criteria required to (4-8) showed a steady increase in the number of hospital establish a diagnosis of congestive heart failure, it is clear admissions for congestive heart faihue during the last 2 that congestive heart failure represents a major health prob- decades. For example, the rate of hospital discharges with a lem. It has been estimated that congestive heart failure principal diagnosis of congestive heart faihue among Amer- afilicts nearly 4 million Americans, with soO,ooOnew cases icans 265 years increased from 7.5/1,0 in I%8 to l&3/ each year (I). Congestive heart failure was listed as the 1,Oo in 1989(4,7). principal cause for 37,400 deaths in 1988and is thought to In 1989,643,OOtlhospital discharges (2% of all discharges) have been a contributing cause of another 200,OtMdeaths carried a principal diagnosis of congestive heart failure (7. (2,3). Data from the National Hospital Discharge Survey An additional 4% (1.2 million) of all discharges carried a secondary diinosis of congestive heart failure. Amon; patients 265 years, congestive heart faihue was the principal From the *CharlesA. Dana Research Institute and the Harvard- diagnosis in 5% of those discharged and a secondary diag- ThomdiheLaboratory of the Departmentof Medicine,Cardiovascular Divi- nosis in another 10%. The rate of hospital stays with any sion, Beth IsraelHospital and HarvardMedical School, Boston,Massachu- discharge diagnosis of congestive heart faihue increases setts:t’fhe Ftamh&amHeart Study of the NationalHeart, Lung, and Blood Institute,Framingham, Massachusetts; #Division of Epidemiologyand Clin- dramatically with age, rising from 6.2/l ,008 in persons aged ical Applications,National Heart, Lung, and Blood Institnte, National 45 to 64 years to 47.411,OOtlin persons 265 years of age in Institutesof Health,Bethesda, Maryland and !lDepwtmentof Epidemiology 1989.Women were mnre frequently admitted to the hospital and Reventlve Medicine,University Hospital and Boston University School for congestive heart fake than were men. In 1989,the rate of Medicine,Boston. Massachusetts. This study was suppotted by Contract NOI-HC-38038and Grant ST32 HL 0737413from the NatlonalInstitutes of of hospital admissions with any discharge diagnosis of COD Health,Bethesda, Maryland. gestive heart failure was 6.811,Oogin men and 8/l,ooO in Manuscriptreceived September 13, 1992;revised manuscriptreceived February10.1993, accepted March 22,1993. women; the rate of hospital admission with a principal for W Daniel Levy, MD, FraminghamHeart diagnosis of congestive heart faihue was 2.5/1,00 in men Study, 5 ThurberStreet, Framin8ham. Massachusetts 01701. and 2.7/1,000in women (7). 81993 by the American College of Cardiology JACC Vol. 22, No. 4 (Supplement A) HO ET AL. 7A October 1993:6A-13A EPIDEMIOLOGY OF CONGESTIVE HEAAT FAILURE Methods Table1. Ckeriafor Congestive Heart Failure* In the Framingham Heart Study, we have had the oppor- Majorcriteria tunity to examine the incidence, prevalenceand prognosisof Paroxysmalnoctutnal dyspnea congestive heart failure during four decades of observation. Neck vein distension Our study group was composed of participants in the Rales Framingham Study and the Framingham Offspring Study. In Radiographic cardiomegaly @reasing heart size on chest X-ray film) 1948,5,209residents of Framingham, Massachusetts aged 28 Acute palmorary edema Third sound gallop to 62 years were enrolled in a prospective epidemiologic Increased central wxous pressure (>I6 cm water at the right atrium) study. The selection criteria and study design have been Ciitdation time 225 L reported elsewhere (9,lO). Members of this “original co- Hepatojugular retlax hort” have subsquently been evaluated at 2-year intervals Pulmonary edema, Gsceral congestion or cardiomegaly at autopsy with medical history, physical examination and laborator= Weighloss 24.5 kg in 5 days in respottse to treat- of CfiF tests. XII19?!, children of the original study participants and Minor Criteria spouses of these children, aged 6 to 70 years, were entered in Bilateral ankle edema the Framingham Offspring Study (11). Serial evaluations Nocturnal coug!~ were performed on members of the Framingham Offspring Dyspnea on ordinary exertion Study 8 and 12years after enrollment. The 5,209 members of Hepatomegaly the original cohort and the 5,135 members of the offspring Plearal elf&n cohort were eligible for inclusion in these analyszs. To avoid Decrease in vita) capacity by 33% from maximal value recorded Tachycardia (rate ~I20 beat&in) inclusion of overly high risk subjects in the offspring study, 881 members of the offspring cohort with only one natural The diagnosis of congestive heart failure (CKF) required that two major or one major and two mittor criteria be present concarrently. Minor aiterkt parent in the original cohort were excluded; such subjects were acceptable only if they could not be attriited to aaother medical were preferentially enrolled if that parent had a high risk condition. lipid profile or premarure cardiovascular disease. Cases of congestive heart failure diagnosed at the tirst Framingham Heart Study examination were included in estimates of heart nosed if voltage criteria for left ventricularhypertrophy were failure prevalence but excluded from estimates of heart fulfilled in an ECG exhibiting lateral ST segment depression failure incidence. or T wave flattening or inversion (13). At each examination, interim cardiovascular disease Using information obtained at Fram&ham Heart Study events were identified by medical history, physical exami- examinations and from hospital and physician record:;. a nation, 12-lead electrocardiogram (ECG) and review of diagnosis of congestive heart faihm: was established by the medical records. Hospital and physician records were ob- simultaneous presence of at least tro major or one major tained for participants who did not appear for an examina- and two minor criteria for congestive heart failure (Table 1). tion. All possible cardiovascuhu events were reviewed by a Minor criteria were acceptable only if they couid not be committee of three physicians, using established Framing- attributed to another medical condition (12-14). The same ham Heart Study protocols and definitions (12,13).Coronary criteria for congestive heart failure were used throughout the heart disease events included angina pectoris, coronary N-year follow-up period for these analyses. insufficiency (unstable angina) and myocardial infarction The incidence of congestive heart faihtre was estimated (12). A patient was considered to have preexisting valvular using the cross-sectional pooling method, with each 2-year heart disease if the examining physician noted a systolic interval between successive examinations treated as an murmur grade III/VI or louder, a diastolic murmur or a independent observation. Only individuals free of heart palpable thrill at any examination before the onset of heart failure were included in a Zyear observation pool. Subjects failure. Radiographic and echocardiographic data were not who failed to appear for an examination were assigned used in the diagnosis of coronary or valvular heart disease. “hypothetical” examination dates corresponding to their Elevated blood pressure was defined as a systolic blood biennial anniversary dates; only information concerning pressure 2160 mm Hg or a diastolic blood pressure interval cardiovascular disease events was attributed to 195 mm Hg on each of two successive determinations by a these hypothetical examinations. Ail of the observations physician during a clinic examination. Hypertension was were further classified by the calendar year of the examina- defined as the presence of either elevated blood pressure or tion and the age of the subject at the time of the visit. The ongoing pharmacologic treatment of a previously elevated relations between disease incidence and calendar yew, as blood pressure. Subjects with a fasting blood glucose level well as between dichotomous risk factor measures
Load more

Recommended publications
  • Chapter 18: Heart Disease and Diabetes
    CHAPTER 18 HEART DISEASE AND DIABETES Elizabeth Barrett-Connor, MD, Deborah Wingard, PhD, Nathan Wong, PhD, and Ron Goldberg, MD Dr. Elizabeth Barrett-Connor is Distinguished Professor, Division of Epidemiology, Department of Family Medicine and Public Health at the University of California, San Diego, La Jolla, CA. Dr. Deborah Wingard is Professor, Division of Epidemiology, Department of Family Medicine and Public Health at the University of California, San Diego, La Jolla, CA. Dr. Nathan Wong is Professor and Director of the Heart Disease Prevention Program, Division of Cardiology, University of California, Irvine, Irvine, CA. Dr. Ron Goldberg is Professor of Medicine and Biochemistry and Molecular Biology, Division of Endocrinology, Diabetes and Metabolism, Diabetes Research Institute, University of Miami Miller School of Medicine, Miami, FL. SUMMARY Heart disease remains a major cause of morbidity and mortality in type 2 diabetes and is estimated to account for 10%–11% of all vascular deaths. Surveys of the U.S. population have demonstrated an age-standardized differential for heart disease in adults with mostly type 2 diabetes that varies from 1.9 to 2.5. The age-standardized prevalence is about 50% higher in men than women overall and for most categories of heart disease, except congestive heart failure. Although rates of diabetes are higher in nonwhites than in non-Hispanic whites, it should be noted that non-Hispanic whites with diabetes generally report heart disease rates about 50% higher than Hispanic subjects with diabetes, with an intermediate prevalence in non-Hispanic blacks. Despite an approximate doubling in type 2 diabetes prevalence from the 1980s to the 2010s, the prevalence of heart disease in diabetes has remained stable.
    [Show full text]
  • Langley 1 William H. Knight a Village That Is Noted for Its Woolen Twist and Twill, `Tis the Pride of Massachusetts
    Langley 1 William H. Knight A village that is noted For its woolen twist and twill, `Tis the pride of Massachusetts And they call it Saxonville. Excerpt from “Saxonville” by J.P., Date Unknown As a lifelong resident of Massachusetts, regions whose affiliations are not readily apparent always intrigue me. I had heard of Saxonville over the years and wondered about it. Was it a town unto itself or part of another community? Where did the name come from? Why was it significant enough to warrant its own historical preservation commission? Saxonville is, in fact, the oldest section of the town of Framingham. Its establishment as a village with its own name was the result of the talent, vision, and perseverance of immigrant William H. Knight whose work turned what was originally known as Stone’s End into Saxonville. Industry along the Sudbury River followed the needs of this region just 20 miles outside of Boston. Settler John Stone was the first to harness the power of the river by erecting a gristmill at the Great Falls of the Sudbury River in 1650, which endured until 1795 when it was converted into a sawmill. In 1811, it was converted into a cotton mill under the auspices of the Framingham Manufacturing Company on the heels of nearby Westborough native Eli Whitney’s invention of the cotton gin. However, “The New England textile industry soon realized that cotton was not king.” (Herring, 2000, p. X) The chilly climate of the region required a warmer material for clothing and bedding in the form of wool.
    [Show full text]
  • Framingham Contribution to Cardiovascular Disease
    [Downloaded free from http://www.heartviews.org on Wednesday, October 12, 2016, IP: 62.193.78.199] History of Medicine Framingham Contribution to Cardiovascular Disease Rachel Hajar, M.D. Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar round 17.5 million people die each year from and is now on its third generation of participants. Much cardiovascular diseases (CVDs), an estimated of our appreciation of the pathophysiology of heart 31% of all deaths worldwide. This statistic is disease came from the results of studies from the FHS. A [1] expected to grow to more than 23.6 million by 2030. It established the traditional risk factors, such as high Of these deaths (17.5 million), estimated 7.4 million blood pressure, diabetes, and cigarette smoking for are due to coronary heart disease and 6.7 million are coronary heart disease. Framingham also spearheaded due to stroke.[1] Epidemiologic studies have played an the study of chronic noninfectious diseases in the USA important role in elucidating the factors that predispose and introduced preventive medicine. to CVD and highlighting opportunities for prevention. Most CVDs can be prevented by addressing behavioral ORIGINS OF THE FRAMINGHAM HEART risk factors such as tobacco use, unhealthy diet and STUDY obesity, physical inactivity, and harmful use of alcohol. CVDs are a group of disorders of the heart and In 2013, the FHS celebrated 65 years since its creation. blood vessels, and they include coronary heart disease, The investigation has provided substantial insight cerebrovascular disease, peripheral arterial disease; and into the epidemiology of CVD and its risk factors.
    [Show full text]
  • Prevalence of Coronary Heart Disease by Age and Sex
    Prevalence of coronary heart disease by age and sex National Health and Nutrition Examination Survey: 2009–2012. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Prevalence of myocardial infarction by age and sex National Health and Nutrition Examination Survey: 2009–2012. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Annual number of adults per 1000 having diagnosed heart attack or fatal coronary heart disease (CHD) by age and sex Atherosclerosis Risk in Communities Surveillance: 2005–2011 and Cardiovascular Health Study. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Incidence of heart attack or fatal coronary heart disease by age, sex, and race Atherosclerosis Risk in Communities Surveillance: 2005–2011. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Incidence of myocardial infarction by age, sex, and race Atherosclerosis Risk in Communities Surveillance: 2005-2011. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Estimated 10-year coronary heart disease risk in adults 55 years of age according to levels of various risk factors (Framingham Heart Study). Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved. Prevalence of low coronary heart disease risk, overall and by sex National Health and Nutrition Examination Survey: 1971–2006. Mozaffarian D et al. Circulation. 2015;131:e29-e322 Copyright © American Heart Association, Inc. All rights reserved.
    [Show full text]
  • Dynamic Spread of Happiness in a Large Social Network: Longitudinal Analysis Over 20 Years in the Framingham Heart Study
    Dynamic Spread of Happiness in a Large Social Network: Longitudinal Analysis Over 20 Years in the Framingham Heart Study The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Fowler, James H. and Nicholas A. Christakis. 2008. Dynamic spread of happiness in a large social network: longitudinal analysis over 20 years in the Framingham Heart Study. British Medical Journal 337, no. a2338: 1-9 Published Version http://dx.doi.org/10.1136/bmj.a2338 Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:3685822 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA [Posted as supplied by author] SUPPLEMENTARY ONLINE MATERIAL FOR: Dynamic Spread of Happiness in a Large Social Network: Longitudinal Analysis Over 20 Years in the Framingham Heart Study James H. Fowler1, Nicholas A. Christakis2 1Department of Political Science, University of California, San Diego, CA 92093, USA 2Department of Health Care Policy, Harvard Medical School, and Department of Sociology, Harvard University, Cambridge, MA 02138, USA “Dynamic Spread of Happiness” 2 Assembling the FHS Social Network Dataset Here, we describe the source data we work with and the new network linkage data we have appended to it. The Framingham Heart Study is a population-based, longitudinal, observational cohort study that was initiated in 1948 to prospectively investigate risk factors for cardiovascular disease.
    [Show full text]
  • Project Retrosight: Understanding the Returns from Cardiovascular And
    WORKING P A P E R Project Retrosight Understanding the returns from cardiovascular and stroke research Case Studies ALEXANDRA POLLITT, STEVEN WOODING, STEPHEN HANNEY, MARTIN BUXTON AND JONATHAN GRANT WR-836-RS March 2011 Prepared on behalf of the Project Retrosight Team Approved for public release, distribution unlimited This product is part of the RAND Europe working paper series. RAND working papers are intended to share researchers’ latest findings and to solicit informal peer review. They have been approved for circulation by RAND Europe but have not been formally edited or peer reviewed. Unless otherwise indicated, working papers can be quoted and cited without permission of the author, provided the source is clearly referred to as a working paper. RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors. is a registered trademark. Preface This report presents a set of 29 case studies of cardiovascular and stroke research grants funded in three countries between 1989 and 1993. The case studies focused on the individual grants but considered the development of the investigators and ideas involved in the research projects from initiation to the present day. Basic biomedical and clinical cardiovascular and stroke research grants awarded in Australia, Canada and the UK were selected through a stratified random selection approach that aimed to include both high- and low-impact grants. Case studies were constructed around the Payback Framework1, a research evaluation framework that is both a tool for evaluating a range of potential outputs from research and a logic model that provides a mechanism for conceptualising the process through which outputs are created.
    [Show full text]
  • JNC 7 Express the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
    National High Blood Pressure Education Program JNC 7 Express The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute JNC 7 Express The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure This work was supported entirely by the National Heart, Lung, and Blood Institute. The Executive Committee, writing teams, and reviewers served as volunteers without remuneration. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute National High Blood Pressure Education Program NIH Publication No. 03-5233 December 2003 Chair Aram V. Chobanian, M.D. (Boston University Medical Center, Boston, MA) Executive Committee George L. Bakris, M.D. (Rush Presbyterian-St. Luke’s Medical Center, Chicago, IL); Henry R. Black, M.D. (Rush Presbyterian-St. Luke’s Medical Center, Chicago, IL); William C. Cushman, M.D. (Veterans Affairs Medical Center, Memphis, TN); Lee A. Green, M.D., M.P.H. (University of Michigan, Ann Arbor, MI); Joseph L. Izzo, Jr., M.D. (State University of New York at Buffalo School of Medicine, Buffalo, NY); Daniel W. Jones, M.D. (University of Mississippi Medical Center, Jackson, MS); Barry J. Materson, M.D., M.B.A. (University of Miami, Miami, FL); Suzanne Oparil, M.D. (University of Alabama at Birmingham, Birmingham, AL); Jackson T. Wright, Jr., M.D., Ph.D. (Case Western Reserve University, Cleveland, OH) Executive Secretary Edward J.
    [Show full text]
  • March 1985 No. 85: BUSM News and Notes
    Boston University OpenBU http://open.bu.edu BU Publications BUSM News and Notes 1985-03 BUSM News & Notes: March 1985 no. 85 https://hdl.handle.net/2144/22078 Boston University News & Notes Boston University School of Medicine March 1985 Issue #85 BUSM FORMS NEW AFFILIATIONS Joseph J. Vitale, Sc.D., M.D., associate dean WITH CHINA AND ISRAEL for international health and director of the BUSM Nutrition Education Program, recently spent several weeks in northern China to finalize an affiliation between the School of Medicine and several medical centers there. Vitale visited the medical schools and hospitals of participating medical centers in the provinces of Liaoning, Heilongjiang and Jilin. In addition, an affiliation has been developed between the School of Medicine and the Hebrew University-Hadassah Medical School in Jerusalem, Israel. Vitale, Dean Sandson, Ernest H. Blaustein, Ph.D., associate dean of the College of Liberal Arts, and Leonard S. Gottlieb, M.D., a professor and chairman of the Department of Pathology, participated in the ceremony establishing the affiliation held at the Hebrew University in Jerusalem. Both affiliations will allow an exchange of students and faculty, and will promote the joint sponsorship of continuing medical education conferences and research activities. The exchange programs are similar to ones already in place between BUSM and medical schools in Egypt, Columbia (South America), Ireland, and Mexico. LOWN TO SPEAK ON NUCLEAR Bernard Lown, M.D., president of MENACE AT ALUMNI MEETING International Physicians for the Prevention of Nuclear War and founder and first president of Physicians for Social Responsibility, will be the keynote speaker at the BUSM Alumni Association's annual meeting and banquet to be held May 11 at the 57 Park Plaza Hotel.
    [Show full text]
  • Framingham Heart Study Longitudinal Data Documentation for Teaching Dataset
    Framingham Heart Study Longitudinal Data Documentation The Framingham Heart Study is a long term prospective study of the etiology of cardiovascular disease among a population of free living subjects in the community of Framingham, Massachusetts. The Framingham Heart Study was a landmark study in epidemiology in that it was the first prospective study of cardiovascular disease and identified the concept of risk factors and their joint effects. The study began in 1948 and 5,209 subjects were initially enrolled in the study. Participants have been examined biennially since the inception of the study and all subjects are continuously followed through regular surveillance for cardiovascular outcomes. Clinic examination data has included cardiovascular disease risk factors and markers of disease such as blood pressure, blood chemistry, lung function, smoking history, health behaviors, ECG tracings, Echocardiography, and medication use. Through regular surveillance of area hospitals, participant contact, and death certificates, the Framingham Heart Study reviews and adjudicates events for the occurrence of Angina Pectoris, Myocardial Infarction, Heart Failure, and Cerebrovascular disease. The enclosed dataset is a subset of the data collected as part of the Framingham study and includes laboratory, clinic, questionnaire, and adjudicated event data on 4,434 participants. Participant clinic data was collected during three examination periods, approximately 6 years apart, from roughly 1956 to 1968. Each participant was followed for a total of 24 years for the outcome of the following events: Angina Pectoris, Myocardial Infarction, Atherothrombotic Infarction or Cerebral Hemorrhage (Stroke) or death. (NOTE: Although the enclosed dataset contains Framingham data ‘as collected’ by Framingham investigators, specific methods were employed to ensure an anonymous dataset that protects patient confidentiality; therefore, this dataset is inappropriate for publication purposes.
    [Show full text]
  • Department of Medicine NEWSLETTER
    Department of Medicine NEWSLETTER Spring 2019 Message from the Chairman Colleagues, As the colors of spring explode in Boston, I hope you will enjoy this latest edition of the Department of Medicine’s electronic newsletter! We celebrate a number of extraordinary accomplishments in this edition! The renewal of the Framingham Heart Study contract by the National Heart Lung and Blood Institute is a remarkable testament to the impact of this iconic study over the past 70 years and the creative and thoughtful leadership of the study’s leader- Vasan Ramachandran, M.D. In addition, the Mass HEAL award from the National Institute on Drug Abuse to Boston Medical Center under the leadership of Jeffrey Samet, M.D., is a tribute to the long-standing leadership of the faculty and staff in General Internal Medicine in devising new approaches to the prevention and treatment of opiate use disorder. Importantly, the research funded by these two awards will have a critically important and enduring impact on the health of our patients. The recent resident match was also quite successful! We matched a large number of applicants from the top of our rank list and had a more selective result than in any of the previous 12 years! Although the intern class has diverse geographic representation, we continue to be challenged in recruiting interns from backgrounds under-represented in medicine. The successful match is a tribute to the leadership of Drs. Rachel Simmons and Gopal Yadavalli, and the tireless commitment of the faculty, administrative staff in the program office, and, importantly, the many residents who participate in the intern recruitment process! The establishment of EPIC Leads in the department is described in this edition of the newsletter.
    [Show full text]
  • Institutional Master Plan Renewal Boston University
    INSTITUTIONAL MASTER PLAN RENEWAL BOSTON UNIVERSITY MEDICAL CENTER MARC H 22, 2010 SUBMITTED TO: BOSTON REDEVELOPMENT AUTHORITY ONE CITY HALL SQUARE BOSTON, MA 02201 SUBMITTED PURSUANT TO ARTICLE 80D OF THE BOSTON ZONING CODE SUBMITTED BY: BOSTON MEDICAL CENTER CORPORATION ONE BOSTON MEDICAL CENTER PLACE BOSTON, MA 02118 TRUSTEES OF BOSTON UNIVERSITY ONE SILBER WAY, SUITE 904 BOSTON, MA 02115 PREPARED BY: IN ASSOCIATION WITH: RFWalsh collaborative partners TSOI/KOBUS & ASSOCIATES 51 SLEEPER STREET HOWARD/STEIN-HUDSON BOSTON, MA 02210 RUBIN AND RUDMAN LLP EPSILON ASSOCIATES TABLE OF CONTENTS 1.0 Overview 1-1 1.1 Introduction 1-1 1.2 Project Identification 1-3 1.3 Boston University Medical Center Mission and Objectives 1-4 1.3.1 Boston Medical Center 1-4 1.3.2 Boston University Medical Campus 1-6 1.3.2.1 Boston University School of Medicine 1-6 1.3.2.2 Goldman School of Dental Medicine 1-7 1.3.2.3 School of Public Health 1-8 1.4 Existing Campus and Facilities 1-8 1.5 Guiding Principles and Planning Assumptions 1-12 1.5.1 Shared Planning Assumptions and Objectives 1-12 1.5.2 BMC Planning Assumptions and Objectives 1-13 1.5.3 BU Medical Campus Planning Assumptions and Objectives 1-14 1.5.4 Campus Adjacencies 1-15 1.5.5 Addressing Aging Buildings 1-17 1.6 Summary of Program Needs 1-17 1.6.1 Clinical Services 1-18 1.6.2 Administrative 1-18 1.6.3 Support Operations and Infrastructure 1-18 1.6.4 Energy Service 1-18 1.6.5 Student Housing 1-19 1.6.6 Academic and Student Services 1-20 1.7 Summary of Institutional Master Plan Projects 1-20 1.8 Public
    [Show full text]
  • BUSM News & Notes
    Boston University OpenBU http://open.bu.edu BU Publications BUSM News and Notes 1984-06 BUSM News & Notes: June 1984 no. 77 https://hdl.handle.net/2144/21830 Boston University News Notes Boston University School of Medicine June 1984 Issue #77 BUSM STUDY REPORTS FUNCTIONAL Patients interviewed before and after BENEFITS OF CABG SURGERY coronary artery bypass graft surgery demonstrated improvement in physical, sexual and social functioning after the surgery, according to a BUSM report in the April issue of The Annals of Thoracic Surgery. The report is based on an ongoing BUSM longitudinal study of recovery and rehabilitation after major cardiac surgery. The researchers analyzed data from standardized questionnaires and inter• views administered to 340 patients before and after their operations. After surgery, CABG patients had fewer total activity restrictions or incapacitated days per month; experienced improvement in the quality of their sexual lives through increased energy and desire, and decreased pain and worry; and were more readily able to return to work and to participate in social functions, according to the report. The study was conducted at four hospitals, including University Hospital. Researchers were Babette-Ann Stanton, Ph.D., an assistant research professor of medicine and psychiatry and acting chairman of the Department of Behavioral j^idemiology; C. David Jenkins, Ph.D., former chairman of the Department and now at the University of Texas Medical Branch; Judith A. Savageau, M.P.H., a biostatistician; and Robert L. Thurer, M.D., of the Department of Cardiothoracic Surgery at Beth Israel Hospital. SEYMajR KAUFMAN, RADIOLOGIST Seymour A. Kaufman, M.D., a BUSM clinical AT BUSM, UH, DIES AT AGE 58 professor of radiology for 14 years and an alumnus of the School, died unexpectedly May 28 at Beth Israel Hospital.
    [Show full text]