Publications - Cynthia L. Leibson, Ph.D.
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- Wei WQ, Leibson CL, Ransom JE, Kho AN, Chute CG. The absence of longitudinal data limits the accuracy of high-throughput clinical phenotyping for identifying type 2 diabetes mellitus subjects. Int J Med Inform. 2013 Apr; 82(4):239-47. Epub 2012 Jul 02.
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- Brown AW, Leibson CL, Mandrekar J, Ransom JE, Malec JF. Long-Term Survival After Traumatic Brain Injury: A Population-Based Analysis Controlled for Nonhead Trauma. J Head Trauma Rehabil. 2013 Feb 1. [Epub ahead of print]
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- Yun HD, Knoebel E, Fenta Y, Gabriel SE, Leibson CL, Loftus EV Jr, Roger V, Yawn BP, Li B, Juhn YJ. Asthma and proinflammatory conditions: a population-based retrospective matched cohort study. Mayo Clin Proc. 2012 Oct; 87(10):953-60. Epub 2012 Sep 12.
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- Leibson CL, Petterson TM, Smith CY, Bailey KR, Ashrani AA, Heit JA. Venous thromboembolism in nursing home residents: role of selected risk factors. J Am Geriatr Soc. 2012 Sep; 60(9):1718-23. Epub 2012 Aug 06.
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- Leibson CL, Brown AW, Hall Long K, Ransom JE, Mandrekar J, Osler TM, Malec JF. Medical care costs associated with traumatic brain injury over the full spectrum of disease: a controlled population-based study. J Neurotrauma. 2012 Jul 20; 29(11):2038-49. Epub 2012 Apr 26.
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- Wei WQ, Leibson CL, Ransom JE, Kho AN, Caraballo PJ, Chai HS, Yawn BP, Pacheco JA, Chute CG. Impact of data fragmentation across healthcare centers on the accuracy of a high-throughput clinical phenotyping algorithm for specifying subjects with type 2 diabetes mellitus. J Am Med Inform Assoc. 2012 Mar-Apr; 19(2):219-24. Epub 2012 Jan 16.
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- Kho AN, Hayes MG, Rasmussen-Torvik L, Pacheco JA, Thompson WK, Armstrong LL, Denny JC, Peissig PL, Miller AW, Wei WQ, Bielinski SJ, Chute CG, Leibson CL, Jarvik GP, Crosslin DR, Carlson CS, Newton KM, Wolf WA, Chisholm RL, Lowe WL. Use of diverse electronic medical record systems to identify genetic risk for type 2 diabetes within a genome-wide association study. J Am Med Inform Assoc. 2012 Mar-Apr; 19(2):212-8. Epub 2011 Nov 19.
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- St Sauver JL, Grossardt BR, Leibson CL, Yawn BP, Melton LJ 3rd, Rocca WA. Generalizability of epidemiological findings and public health decisions: an illustration from the Rochester Epidemiology Project. Mayo Clin Proc. 2012 Feb; 87(2):151-60.
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- Arain FA, Ye Z, Bailey KR, Chen Q, Liu G, Leibson CL, Kullo IJ. Survival in patients with poorly compressible leg arteries. J Am Coll Cardiol. 2012 Jan 24; 59(4):400-7.
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- Kullo IJ, Leibson CL, Bailey KR. Reply. J Am Coll Cardiol. 2012; 60(7):643-4.
- Leibson CL, Brown AW, Ransom JE, Diehl NN, Perkins PK, Mandrekar J, Malec JF. Incidence of traumatic brain injury across the full disease spectrum: a population-based medical record review study. Epidemiology. 2011 Nov; 22(6):836-44.
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- Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M. Nurse staffing and inpatient hospital mortality. N Engl J Med. 2011 Mar 17; 364(11):1037-45.
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- Brown AW, Moessner AM, Mandrekar J, Diehl NN, Leibson CL, Malec JF. A survey of very-long-term outcomes after traumatic brain injury among members of a population-based incident cohort. J Neurotrauma. 2011 Feb; 28(2):167-76. Epub 2011 Feb 05.
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- Ottman R, Barker-Cummings C, Leibson CL, Vasoli VM, Hauser WA, Buchhalter JR. Accuracy of family history information on epilepsy and other seizure disorders. Neurology. 2011 Jan 25; 76(4):390-6.
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- Barsoum MK, Heit JA, Ashrani AA, Leibson CL, Petterson TM, Bailey KR. Is progestin an independent risk factor for incident venous thromboembolism? A population-based case-control study. Thromb Res. 2010 Nov; 126(5):373-8. Epub 2010 Sep 15.
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- Ottman R, Barker-Cummings C, Leibson CL, Vasoli VM, Hauser WA, Buchhalter JR. Validation of a brief screening instrument for the ascertainment of epilepsy. Epilepsia. 2010 Feb; 51(2):191-7. Epub 2009 Aug 19.
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- Pannala R, Leibson CL, Rabe KG, Timmons LJ, Ransom J, de Andrade M, Petersen GM, Chari ST. Temporal association of changes in fasting blood glucose and body mass index with diagnosis of pancreatic cancer. Am J Gastroenterol. 2009 Sep; 104(9):2318-25. Epub 2009 Jun 09.
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- Heit JA, Leibson CL, Ashrani AA, Petterson TM, Bailey KR, Melton LJ 3rd. Is diabetes mellitus an independent risk factor for venous thromboembolism?: a population-based case-control study. Arterioscler Thromb Vasc Biol. 2009 Sep; 29(9):1399-405. Epub 2009 Jun 18.
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- Laughlin RS, Dyck PJ, Melton LJ 3rd, Leibson C, Ransom J, Dyck PJ. Incidence and prevalence of CIDP and the association of diabetes mellitus. Neurology. 2009 Jul 7; 73(1):39-45.
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- Melton LJ 3rd, Kearns AE, Atkinson EJ, Bolander ME, Achenbach SJ, Huddleston JM, Therneau TM, Leibson CL. Secular trends in hip fracture incidence and recurrence. Osteoporos Int. 2009 May; 20(5):687-94. Epub 2008 Sep 17.
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- Arruda-Olson AM, Patch RK 3rd, Leibson CL, Vella A, Frye RL, Weston SA, Killian JM, Roger VL. Effect of second-generation sulfonylureas on survival in patients with diabetes mellitus after myocardial infarction. Mayo Clin Proc. 2009; 84(1):28-33.
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- Melton LJ 3rd, Riggs BL, Leibson CL, Achenbach SJ, Camp JJ, Bouxsein ML, Atkinson EJ, Robb RA, Khosla S. A bone structural basis for fracture risk in diabetes. J Clin Endocrinol Metab. 2008 Dec; 93(12):4804-9. Epub 2008 Sep 16.
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- Melton LJ 3rd, Leibson CL, Achenbach SJ, Therneau TM, Khosla S. Fracture risk in type 2 diabetes: update of a population-based study. J Bone Miner Res. 2008 Aug; 23(8):1334-42.
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- Nemetz PN, Roger VL, Ransom JE, Bailey KR, Edwards WD, Leibson CL. Recent trends in the prevalence of coronary disease: a population-based autopsy study of nonnatural deaths. Arch Intern Med. 2008 Feb 11; 168(3):264-70.
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- Liebson CL, Petterson TM, Bailey KR, Melton LJ 3rd, Heit JA. Risk factors for venous thromboembolism in nursing home residents. Mayo Clin Proc. 2008 Feb; 83(2):151-7.
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- Leibson CL, Needleman J, Buerhaus P, Heit JA, Melton LJ 3rd, Naessens JM, Bailey KR, Petterson TM, Ransom JE, Harris MR. Identifying in-hospital venous thromboembolism (VTE): a comparison of claims-based approaches with the Rochester Epidemiology Project VTE cohort. Med Care. 2008 Feb; 46(2):127-32.
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- Chari ST, Leibson CL, Rabe KG, Timmons LJ, Ransom J, de Andrade M, Petersen GM. Pancreatic cancer-associated diabetes mellitus: prevalence and temporal association with diagnosis of cancer. Gastroenterology. 2008 Jan; 134(1):95-101. Epub 2007 Oct 26.
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- Arruda-Olson AM, Patch RK, Leibson CL, Vella A, Frye RL, Weston SA, Killian JM, Roger VL. Diabetes mellitus and death after myocardial infarction: A community study. Mayo Clinic Proceedings. 2008.
- Malec JF, Brown AW, Leibson CL, Flaada JT, Mandrekar JN, Diehl NN, Perkins PK. The mayo classification system for traumatic brain injury severity. J Neurotrauma. 2007 Sep; 24(9):1417-24.
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- Flaada JT, Leibson CL, Mandrekar JN, Diehl N, Perkins PK, Brown AW, Malec JF. Relative risk of mortality after traumatic brain injury: a population-based study of the role of age and injury severity. J Neurotrauma. 2007 Mar; 24(3):435-45.
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- Melton LJ 3rd, Leibson CL, Good AE, Achenbach SJ, Oberg AL, Khosla S. Long-term fracture risk among women with proven endometriosis. Fertil Steril. 2006 Dec; 86(6):1576-83. Epub 2006 Oct 24.
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- Lieske JC, de la Vega LS, Gettman MT, Slezak JM, Bergstralh EJ, Melton LJ 3rd, Leibson CL. Diabetes mellitus and the risk of urinary tract stones: a population-based case-control study. Am J Kidney Dis. 2006 Dec; 48(6):897-904.
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- Hunderfund AL, Roberts RO, Slusser TC, Leibson CL, Geda YE, Ivnik RJ, Tangalos EG, Petersen RC. Mortality in amnestic mild cognitive impairment: a prospective community study. Neurology. 2006 Nov 28; 67(10):1764-8.
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- Leibson CL, Long KH, Maraganore DM, Bower JH, Ransom JE, O'Brien PC, Rocca WA. Direct medical costs associated with Parkinson's disease: a population-based study. Mov Disord. 2006 Nov; 21(11):1864-71.
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- Melton LJ 3rd, Leibson CL, Achenbach SJ, Bower JH, Maraganore DM, Oberg AL, Rocca WA. Fracture risk after the diagnosis of Parkinson's disease: Influence of concomitant dementia. Mov Disord. 2006 Sep; 21(9):1361-7.
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- Gandhi GY, Roger VL, Bailey KR, Palumbo PJ, Ransom JE, Leibson CL. Temporal trends in prevalence of diabetes mellitus in a population-based cohort of incident myocardial infarction and impact of diabetes on survival. Mayo Clin Proc. 2006 Aug; 81(8):1034-40.
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- Limburg PJ, Vierkant RA, Fredericksen ZS, Leibson CL, Rizza RA, Gupta AK, Ahlquist DA, Melton LJ 3rd, Sellers TA, Cerhan JR. Clinically confirmed type 2 diabetes mellitus and colorectal cancer risk: a population-based, retrospective cohort study. Am J Gastroenterol. 2006 Aug; 101(8):1872-9. Epub 2006 Jun 22.
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- From AM, Leibson CL, Bursi F, Redfield MM, Weston SA, Jacobsen SJ, Rodeheffer RJ, Roger VL. Diabetes in heart failure: prevalence and impact on outcome in the population. Am J Med. 2006 Jul; 119(7):591-9.
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- Leibson CL, Maraganore DM, Bower JH, Ransom JE, O'brien PC, Rocca WA. Comorbid conditions associated with Parkinson's disease: a population-based study. Mov Disord. 2006 Apr; 21(4):446-55.
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- Barbaresi WJ, Katusic SK, Colligan RC, Weaver AL, Leibson CL, Jacobsen SJ. Long-term stimulant medication treatment of attention-deficit/hyperactivity disorder: results from a population-based study. J Dev Behav Pediatr. 2006 Feb; 27(1):1-10.
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- Lieske JC, Pena de la Vega LS, Slezak JM, Bergstralh EJ, Leibson CL, Ho KL, Gettman MT. Renal stone epidemiology in Rochester, Minnesota: an update. Kidney Int. 2006 Feb; 69(4):760-4.
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- Holland DE, Harris MR, Leibson CL, Pankratz VS, Krichbaum KE. Development and validation of a screen for specialized discharge planning services. Nurs Res. 2006 Jan-Feb; 55(1):62-71.
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- Leibson CL, Barbaresi WJ, Ransom J, Colligan RC, Kemner J, Weaver AL, Katusic SK. Emergency department use and costs for youth with attention-deficit/hyperactivity disorder: associations with stimulant treatment. Ambul Pediatr. 2006 Jan-Feb; 6(1):45-53.
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- Leibson CL, Burke JP, Ransom JE, Forsgren J, Melton J III, Bailey KR, Palumbo PJ. Relative risk of mortality associated with diabetes as a function of birth weight. Diabetes Care. 2005 Dec; 28(12):2839-43.
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- Katusic SK, Barbaresi WJ, Colligan RC, Weaver AL, Leibson CL, Jacobsen SJ. Psychostimulant treatment and risk for substance abuse among young adults with a history of attention-deficit/hyperactivity disorder: A population-based, birth cohort study. J Child Adolesc Psychopharmacol. 2005 Oct; 15(5):764-76.
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- Chari ST, Leibson CL, Rabe KG, Ransom J, De Andrade M, Petersen GM. Probability of pancreatic cancer following diabetes: A population-based study. Gastroenterology. 2005 Aug; 129(2):504-11.
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- Katusic SK, Barbaresi WJ, Colligan RC, Weaver AL, Leibson CL, Jacobsen SJ. Case definition in epidemiologic studies of AD/HD. Ann Epidemiol. 2005 Jul; 15(6):430-7.
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- Duggirala MK, Cuddihy RM, Cuddihy MT, Naessens JM, Cha SS, Mandrekar JN, Leibson CL. Predictors of blood pressure control in patients with diabetes and hypertension seen in primary care clinics. Am J Hypertens. 2005 Jun; 18(6):833-8.
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- Leibson CL, Ransom JE, Olson W, Zimmerman BR, O'Fallon WM, Palumbo PJ. Peripheral arterial disease, and diabetes, and mortality. Diabetes Care. 2004 Dec; 27(12):2843-9.
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- Burke JP, Forsgren J, Palumbo PJ, Bailey KR, Desai J, Devlin H, Leibson CL. Association of birth weight and type 2 diabetes in Rochester, Minnesota. Diabetes Care. 2004 Oct; 27(10):2512-3.
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- Leibson CL, Good AE, Hass SL, Ransom J, Yawn BP, O'Fallon WM, Melton LJ. Incidence and characterization of diagnosed endometriosis in a geographically defined population. Fertility & Sterility. 2004 Aug; 82(2):314-21.
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- Brown AW, Leibson CL, Malec JF, Perkins PK, Diehl NN, Larson DR. Long-term survival after traumatic brain injury: A population-based analysis. NeuroRehabilitation. 2004; 19(1):37-43.
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- Burke JP, Williams K, Narayan KMV, Leibson C, Haffner SM, Stern MP. A population perspective on diabetes prevention - Whom should we target for preventing weight gain? Diabetes Care. 2003 Jul; 26(7):1999-2004.
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- Thomas RJ, Palumbo PJ, Melton LJ, Roger VL, Ransom J, O'Brien PC, Leibson CL. Trends in the mortality burden associated with diabetes mellitus - A population-based study in Rochester, Minn, 1970-1994. Arch Intern Med. 2003 Feb 24; 163(4):445-51.
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- Leibson CL, Long KH. Economic implications of attention-deficit hyperactivity disorder for healthcare systems. Pharmacoeconomics. 2003; 21(17):1239-62.
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- Tsang TSM, Gersh BJ, Appleton CP, Tajik AJ, Barnes ME, Bailey KR, Oh JK, Leibson C, Montgomery SC, Seward JB. Left ventricular diastolic dysfunction as a predictor of the first diagnosed nonvalvular atrial fibrillation in 840 elderly men and women. J Am Coll Cardiol. 2002 Nov 6; 40(9):1636-44.
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- Leibson CL, Tosteson ANA, Gabriel SE, Ransom JE, Melton LJ. Mortality, disability, and nursing home use for persons with and without hip fracture: A population-based study. J Am Geriatr Soc. 2002 Oct; 50(10):1644-50.
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- Goraya TY, Leibson CL, Palumbo PJ, Weston SA, Killian JM, Pfeifer EA, Jacobsen SJ, Frye RL, Roger VL. Coronary atherosclerosis in diabetes mellitus: a population-based autopsy study. J Am Coll Cardiol. 2002 Sep 4; 40(5):946-53.
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- Burke JP, O'Brien P, Ransom J, Palumbo PJ, Lydick E, Yawn BP, Melton LJ, Leibson CL. Impact of case ascertainment on recent trends in diabetes incidence in Rochester, Minnesota. Am J Epidemiol. 2002 May 1; 155(9):859-65.
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- Gabriel SE, Tosteson AN, Leibson CL, Crowson CS, Pond GR, Hammond CS, Melton LJ 3rd. Direct medical costs attributable to osteoporotic fractures. Osteoporos Int. 2002; 13(4):323-30.
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- Leibson CL, Williamson DF, Melton LJ 3rd, Palumbo PJ, Smith SA, Ransom JE, Schilling PL, Narayan KM. Temporal trends in BMI among adults with diabetes. Diabetes Care. 2001 Sep; 24(9):1584-9.
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- Sawka AM, Young WF, Thompson GB, Grant CS, Farley DR, Leibson C, van Heerden JA. Primary aldosteronism: factors associated with normalization of blood pressure after surgery. Ann Intern Med. 2001 Aug 21; 135(4):258-61.
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- Targonski P, Jacobsen SJ, Weston SA, Leibson CL, Pfeifer E, Nemetz P, Roger VL. Referral to autopsy: effect of antemortem cardiovascular disease: a population-based study in Olmsted County, Minnesota. Ann Epidemiol. 2001 May; 11(4):264-70.
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- Hass SL, Ransom JE, Brown RD Jr, O'Fallon WM, Whisnant JP, Leibson CL. The impact of stroke on the cost and level of care in nursing homes: a retrospective population-based study. Mayo Clin Proc. 2001 May; 76(5):493-500.
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- Tsang TS, Barnes ME, Bailey KR, Leibson CL, Montgomery SC, Takemoto Y, Diamond PM, Marra MA, Gersh BJ, Wiebers DO, Petty GW, Seward JB. Left atrial volume: important risk marker of incident atrial fibrillation in 1655 older men and women. Mayo Clin Proc. 2001 May; 76(5):467-75.
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- Leibson CL, Katusic SK, Barbaresi WJ, Ransom J, O'Brien PC. Use and costs of medical care for children and adolescents with and without attention-deficit/hyperactivity disorder. JAMA. 2001 Jan 3; 285(1):60-6.
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- Maleki D, Locke GR 3rd, Camilleri M, Zinsmeister AR, Yawn BP, Leibson C, Melton LJ 3rd. Gastrointestinal tract symptoms among persons with diabetes mellitus in the community. Arch Intern Med. 2000 Oct 9; 160(18):2808-16.
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- Daly SC, Roger VL, Leibson C, Miller TD, Pellikka PA, Bailey K, Jacobsen SJ. Cardiology services after stress testing: are there sex differences? A population-based study. J Clin Epidemiol. 2000 Jul; 53(7):661-8.
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- Begley CE, Famulari M, Annegers JF, Lairson DR, Reynolds TF, Coan S, Dubinsky S, Newmark ME, Leibson C, So EL, Rocca WA. The cost of epilepsy in the United States: an estimate from population-based clinical and survey data. Epilepsia. 2000 Mar; 41(3):342-51.
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- Larson TS, Santanello N, Shahinfar S, O'Brien PC, Palumbo PJ, Melton LJ 3rd, Leibson CL. Trends in persistent proteinuria in adult-onset diabetes: a population-based study. Diabetes Care. 2000 Jan; 23(1):51-6.
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- Leibson C, Owens T, O'Brien P, Waring S, Tangalos E, Hanson V, Plevak M, Kokmen E. Use of physician and acute care services by persons with and without Alzheimer's disease: a population-based comparison. J Am Geriatr Soc. 1999 Jul; 47(7):864-9.
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- Leibson CL, Garrard J, Nitz N, Waller L, Indritz M, Jackson J, Rolnick SJ, Luepke L. The role of depression in the association between self-rated physical health and clinically defined illness. Gerontologist. 1999 Jun; 39(3):291-8.
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- Brown RD Jr, Ransom J, Hass S, Petty GW, O'Fallon WM, Whisnant JP, Leibson CL. Use of nursing home after stroke and dependence on stroke severity: a population-based analysis. Stroke. 1999 May; 30(5):924-9.
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- Nemetz PN, Leibson C, Naessens JM, Beard M, Kokmen E, Annegers JF, Kurland LT. Traumatic brain injury and time to onset of Alzheimer's disease: a population-based study. Am J Epidemiol. 1999 Jan 1; 149(1):32-40.
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- Leibson C. Loss of the female advantage with cardiovascular disease for women with diabetes. Lupus. 1999; 8(5):351-5.
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- Dinneen SF, Maldonado D 3rd, Leibson CL, Klee GG, Li H, Melton LJ 3rd, Rizza RA. Effects of changing diagnostic criteria on the risk of developing diabetes. Diabetes Care. 1998 Sep; 21(9):1408-13.
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- Leibson CL, Ransom JE, Brown RD, O'Fallon WM, Hass SL, Whisnant JP. Stroke-attributable nursing home use: a population-based study. Neurology. 1998 Jul; 51(1):163-8.
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- Garrard J, Rolnick SJ, Nitz NM, Luepke L, Jackson J, Fischer LR, Leibson C, Bland PC, Heinrich R, Waller LA. Clinical detection of depression among community-based elderly people with self-reported symptoms of depression. J Gerontol A Biol Sci Med Sci. 1998 Mar; 53(2):M 92-M 101.
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- Leibson CL, Rocca WA, Hanson VA, Cha R, Kokmen E, O'Brien PC, Palumbo PJ. The risk of dementia among persons with diabetes mellitus: a population-based cohort study. Ann N Y Acad Sci. 1997 Sep 26(826):422-7.
- Nemetz PN, Leibson C, Naessens JM, Beard M, Tangalos E, Kurland LT. Determinants of the autopsy decision: a statistical analysis. Am J Clin Pathol. 1997 Aug; 108(2):175-83.
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- Leibson CL, O'Brien PC, Atkinson E, Palumbo PJ, Melton LJ 3rd. Relative contributions of incidence and survival to increasing prevalence of adult-onset diabetes mellitus: a population-based study. Am J Epidemiol. 1997 Jul 1; 146(1):12-22.
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- Leibson CL, Rocca WA, Hanson VA, Cha R, Kokmen E, O'Brien PC, Palumbo PJ. Risk of dementia among persons with diabetes mellitus: a population-based cohort study. Am J Epidemiol. 1997 Feb 15; 145(4):301-8.
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- Leibson C, Owens T, O'Brien P, Waring S, Tangalos EG, et al. The Use of Acute Care Services by Persons With and Without Alzheimer's Disease: A population-based comparison. J Am Geriatr Soc. 1997.
- Leibson CL, Hu T, Brown RD, Hass SL, O'Fallon WM, Whisnant JP. Utilization of acute care services in the year before and after first stroke: A population-based study. Neurology. 1996 Mar; 46(3):861-9.
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- Butkiewicz EK, Leibson CL, O'Brien PC, Palumbo PJ, Rizza RA. Insulin therapy for diabetic ketoacidosis. Bolus insulin injection versus continuous insulin infusion. Diabetes Care. 1995 Aug; 18(8):1187-90.
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- Leibson CL, Naessens JM, Brown RD, Whisnant JP. Accuracy of hospital discharge abstracts for identifying stroke. Stroke. 1994 Dec; 25(12):2348-55.
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- Naessens JM, Leibson CL, Krishan I, Ballard DJ. Contribution of a measure of disease complexity (COMPLEX) to prediction of outcome and charges among hospitalized patients. Mayo Clin Proc. 1992 Dec; 67(12):1140-9.
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- Campion ME, Naessens JM, Leibson CL, Shaller D, Ballard DJ. The Olmsted County Benchmark Project: primary study findings and potential implications for corporate America. Mayo Clin Proc. 1992 Jan; 67(1):5-14.
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- Leibson CL, Ballard DJ, Whisnant JP, Melton LJ 3rd. The compression of morbidity hypothesis: promise and pitfalls of using record-linked data bases to assess secular trends in morbidity and mortality. Milbank Q. 1992; 70(1):127-54.
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- Leibson CL, Naessens JM, Campion ME, Krishan I, Ballard DJ. Trends in elderly hospitalization and readmission rates for a geographically defined population: pre- and post-prospective payment. J Am Geriatr Soc. 1991 Sep; 39(9):895-904.
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- Leibson C, Naessens JM, Krishan I, Campion ME, Ballard DJ. Disposition at discharge and 60-day mortality among elderly people following shorter hospital stays: a population-based comparison. The Gerontologist. 1990; 30:316-22.
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- Leibson CL, Brown M, Thibodeau S, Stevenson D, Vreman H, Cohen R, Clemons G, Callen W, Moore LG. Neonatal hyperbilirubinemia at high altitude. Amer J Dis Child. 1989; 143:983-7.
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