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Zeliadt, Steven B.

Works: 4 works in 4 publications in 1 language and 4 library holdings
Roles: Thesis advisor
Publication Timeline
Publications about Steven B Zeliadt
Publications by Steven B Zeliadt
Most widely held works by Steven B Zeliadt
Has there been an increase in the discussion of advantages and disadvantages for PSA screening of prostate cancer from 2000 to 2010? by Crystal Kimmie( file )
1 edition published in 2012 in English and held by 1 library worldwide
Purpose: Historically, men have received PSA tests in primary care without comprehensive discussions with their providers about the harms and benefits associated with cancer screening. We explore whether primary care providers have altered their discussion with their patients to discuss PSA screening in more detail following availability of evidence from two large screening trials about the potential harms of screening relative to its small absolute benefit. Methods: Data among men over age 40 from the cancer supplement to the nationally representative National Health Interview Survey was analyzed for 3,596 men in 2000, and 4,702 men in 2010, representing 25.5 million and 43.6 million Americans, respectively. Results: The age-standardized proportion of men reporting their provider engaged them in a discussion of PSA testing declined to 31.0% in 2010 from 38.0% in 2000 (p<0.001). More men reported receiving a PSA test in the past five years than reported having a discussion with their provider in both study periods, with the rate of testing declining to 44.4% in 2010 from 57.7% in 2000 (p<0.001). Testing rates and the frequency of discussions were highest among men over age 80, with 70.2% in 2010 reporting being tested in the past 5 years, and 49.5% indicating their doctor had discussed testing. Men in 2010 reported that 39.5% felt their provider recommended testing, 27.5% felt their providers discussed the advantage of PSA testing, while 14.1% indicated their providers discussed the disadvantages of testing. Conclusion: Despite an increased emphasis to more fully inform men about the harms and benefits of PSA testing, the frequency of these discussions in primary care has declined. When discussions do occur, providers are much more likely to highlight the advantages of testing. PSA testing is declining; however, testing remains highest among older men for whom some guidelines recommend against testing
A study of prostate cancer control strategies in the U.S. by Steven B Zeliadt( Book )
1 edition published in 2004 in English and held by 1 library worldwide
Interventions to prevent the acquisition of resistant Gram-negative bacteria in critically ill patients a systematic review and meta-analysis by Ahmed Zaky( file )
1 edition published in 2012 in English and held by 1 library worldwide
Background: The rising incidence of multidrug-resistant Gram negative bacterial infections acquired in intensive care units has prompted a variety of patient-level infection control efforts. However, there is yet no consensus on which measures are effective. Design: Meta-analysis of studies to assess the efficacy of interventions in the prevention of colonization and infection with resistant Gram-negative bacteria in intensive care units. Methods: PubMed, Cochrane, Embase and World of Science databases were searched. Interventional comparative studies were systematically analyzed. Results: Comprehensive review of interventions with measureable outcomes resulted in 6 studies from a total of 631potential studies meeting all inclusion criteria. 5 randomized and 1 observational interventional trial evaluating 6 patient- level interventions were quantitatively analyzed. 2 randomized studies lacked data on infection. Compared to control settings, the use of probiotics and selective digestive decontamination were associated with a significant reduction of colonization with multidrug-resistant Gram negative bacteria (OR 0.39; 95%CI 0.16-0.95 and OR 0.54; 95%CI 0.38-0.77, respectively). No significant reduction in infection was observed by any patient-level intervention (pooled OR 1.24, 95% CI 0.94-1.64). Selective digestive decontamination was significantly associated with a reduction in intensive care unit mortality (OR 0.71; 95%CI 0.53-0.94). Conclusions: Several interventions appear to be promising in reducing colonization but despite lower colonization rates associated with these efforts they did not translate to a reduction in hospital-acquired infections. Colonization may not be the only predecessor of infection in intensive care units. The use of probiotics and selective decontamination of the digestive tract should be studied in large randomized controlled trials
Differences in the rate of advanced stage breast cancer between regular screeners and non-regular screeners over age 50 in the community by Steven B Zeliadt( Book )
1 edition published in 2000 in English and held by 1 library worldwide
English (4)
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