Nrupen Bhavsar
Assistant Professor in Medicine
I am a quantitative epidemiologist with methodological expertise in the design and analysis of observational studies that leverage data from cohort studies, registries, and the electronic health record (EHR). My background, training, and research is in the measurement and characterization of biomarkers, risk factors and treatment outcomes for chronic disease using real-world datasets. My primary research interests are in the use of novel sources of data, including the EHR, to conduct chronic disease research at the intersection of informatics, biostatistics, and epidemiology. My ongoing work aims to integrate informatics, epidemiology, and biostatistics to reduce the burden of chronic disease. I have topical expertise in multiple chronic diseases, including oncology, cardiovascular disease, and chronic kidney disease. In parallel, I have a portfolio of research that aims to understand the impact of social determinants of health, including dynamic neighborhood changes, such as gentrification, on the health of adults and children.
Current Appointments & Affiliations
- Assistant Professor in Medicine, Medicine, General Internal Medicine, Medicine 2021
- Assistant Professor in Biostatistics and Bioinformatics, Biostatistics & Bioinformatics, Basic Science Departments 2021
- Associate of the Duke Initiative for Science & Society, Duke Science & Society, Initiatives 2017
Contact Information
- Ste 500 NC Mutual Mldg, Box 104427, Durham, NC 27710
- Ste 500 NC Mutual Mldg, Box 104427, Durham, NC 27710
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nrupen.bhavsar@duke.edu
(919) 668-7211
- Background
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Education, Training, & Certifications
- Fellowship, Johns Hopkins University School of Medicine 2011 - 2013
- Fellowship, New York University School of Medicine 2010 - 2011
- Ph.D., Johns Hopkins University 2010
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Duke Appointment History
- Assistant Professor in Medicine, Medicine, General Internal Medicine, Medicine 2015 - 2020
- Recognition
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In the News
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DEC 23, 2015 Health Affairs Blog
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- Expertise
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Subject Headings
- Research
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Selected Grants
- Addressing Bias from Missing Data in EHR Based Studies of CVD awarded by National Institutes of Health 2018 - 2023
- Geneva's CORR: Development of Persistent Musculoskeletal Pain in the Military: the Prediction of Outcomes, Utilization, and Readiness after Surgery (POUR) Cohort awarded by The Geneva Foundation 2020 - 2022
- Increasing Patient and System Value with Community Based Palliative Care awarded by Four Seasons 2014 - 2017
- Increasing Patient and System Value with Community Based Palliative Care awarded by Four Seasons 2014 - 2015
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Harrison, M. R., Costello, B. A., Bhavsar, N. A., Vaishampayan, U., Pal, S. K., Zakharia, Y., … George, D. J. (2021). Active surveillance of metastatic renal cell carcinoma: Results from a prospective observational study (MaRCC). Cancer. https://doi.org/10.1002/cncr.33494Full Text Link to Item
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Bhavsar, N. A., Doerfler, S. M., Giczewska, A., Alhanti, B., Lutz, A., Thigpen, C. A., & George, S. Z. (2021). Prevalence and predictors of no-shows to physical therapy for musculoskeletal conditions. Plos One, 16(5), e0251336. https://doi.org/10.1371/journal.pone.0251336Full Text Open Access Copy Link to Item
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Mitchell, N. S., Seyoum, E. A., Bhavsar, N. A., & Webb, F. J. (2020). Continuous Engagement in a Weight-Loss Program Promotes Sustained Significant Weight Loss. Wmj, 119(4), 253–257.Link to Item
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Boulware, L. E., Harris, G. B., Harewood, P., Johnson, F. F., Maxson, P., Bhavsar, N., … Lyn, M. (2020). Democratizing health system data to impact social and environmental health contexts: a novel collaborative community data-sharing model. J Public Health (Oxf), 42(4), 784–792. https://doi.org/10.1093/pubmed/fdz171Full Text Link to Item
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Bedoya, A. D., Bhavsar, N. A., Adagarla, B., Page, C. B., Goldstein, B. A., & MacIntyre, N. R. (2020). Unanticipated Respiratory Compromise and Unplanned Intubations on General Medical and Surgical Floors. Respir Care, 65(9), 1233–1240. https://doi.org/10.4187/respcare.07438Full Text Link to Item
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Lunyera, J., Stanifer, J. W., Davenport, C. A., Mohottige, D., Bhavsar, N. A., Scialla, J. J., … Diamantidis, C. J. (2020). Life Course Socioeconomic Status, Allostatic Load, and Kidney Health in Black Americans. Clin J Am Soc Nephrol, 15(3), 341–348. https://doi.org/10.2215/CJN.08430719Full Text Link to Item
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George, S. Z., Lentz, T. A., Beneciuk, J. M., Bhavsar, N. A., Mundt, J. M., & Boissoneault, J. (2020). Framework for improving outcome prediction for acute to chronic low back pain transitions. Pain Rep, 5(2), e809. https://doi.org/10.1097/PR9.0000000000000809Full Text Open Access Copy Link to Item
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Bhavsar, N. A., Kumar, M., & Richman, L. (2020). Defining gentrification for epidemiologic research: A systematic review. Plos One, 15(5), e0233361. https://doi.org/10.1371/journal.pone.0233361Full Text Link to Item
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Kaufman, B. G., Klemish, D., Olson, A., Kassner, C. T., Reiter, J. P., Harker, M., … Bhavsar, N. A. (2020). Use of Hospital Referral Regions in Evaluating End-of-Life Care. J Palliat Med, 23(1), 90–96. https://doi.org/10.1089/jpm.2019.0056Full Text Link to Item
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Tyson, C. C., Davenport, C. A., Lin, P.-H., Scialla, J. J., Hall, R., Diamantidis, C. J., … Svetkey, L. P. (2019). DASH Diet and Blood Pressure Among Black Americans With and Without CKD: The Jackson Heart Study. Am J Hypertens, 32(10), 975–982. https://doi.org/10.1093/ajh/hpz090Full Text Link to Item
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Hall, R. K., Davenport, C. A., Sims, M., Colón-Emeric, C., Washington, T., St Clair Russell, J., … Diamantidis, C. J. (2019). Association of functional and structural social support with chronic kidney disease among African Americans: the Jackson Heart Study. Bmc Nephrol, 20(1), 262. https://doi.org/10.1186/s12882-019-1432-9Full Text Link to Item
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Singh, K., Diamantidis, C. J., Ramani, S., Bhavsar, N. A., Mara, P., Warner, J., … Wright-Nunes, J. (2019). Patients' and Nephrologists' Evaluation of Patient-Facing Smartphone Apps for CKD. Clin J Am Soc Nephrol, 14(4), 523–529. https://doi.org/10.2215/CJN.10370818Full Text Link to Item
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Bhavsar, N. A., Constand, S., Harker, M., & Taylor, D. H. (2019). Death of outrage over talking about dying. Bmj Support Palliat Care, 9(1), 37–39. https://doi.org/10.1136/bmjspcare-2016-001182Full Text Link to Item
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Lunyera, J., Davenport, C. A., Jackson, C. L., Johnson, D. A., Bhavsar, N. A., Sims, M., … Diamantidis, C. J. (2019). Evaluation of Allostatic Load as a Mediator of Sleep and Kidney Outcomes in Black Americans. Kidney Int Rep, 4(3), 425–433. https://doi.org/10.1016/j.ekir.2018.12.005Full Text Open Access Copy Link to Item
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Diamantidis, C. J., Davenport, C. A., Lunyera, J., Bhavsar, N., Scialla, J., Hall, R., … Boulware, L. E. (2019). Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study. Bmc Nephrol, 20(1), 11. https://doi.org/10.1186/s12882-018-1190-0Full Text Open Access Copy Link to Item
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Olivo, R. E., Hale, S. L., Diamantidis, C. J., Bhavsar, N. A., Tyson, C. C., Tucker, K. L., … Scialla, J. J. (2019). Dietary Phosphorus and Ambulatory Blood Pressure in African Americans: The Jackson Heart Study. Am J Hypertens, 32(1), 94–103. https://doi.org/10.1093/ajh/hpy126Full Text Link to Item
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Mondul, A. M., Joshu, C. E., Barber, J. R., Prizment, A. E., Bhavsar, N. A., Selvin, E., … Platz, E. A. (2018). Longer-term Lipid-lowering Drug Use and Risk of Incident and Fatal Prostate Cancer in Black and White Men in the ARIC Study. Cancer Prev Res (Phila), 11(12), 779–788. https://doi.org/10.1158/1940-6207.CAPR-17-0396Full Text Link to Item
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Green, J. A., Ephraim, P. L., Hill-Briggs, F. F., Browne, T., Strigo, T. S., Hauer, C. L., … Boulware, L. E. (2018). Putting patients at the center of kidney care transitions: PREPARE NOW, a cluster randomized controlled trial. Contemp Clin Trials, 73, 98–110. https://doi.org/10.1016/j.cct.2018.09.004Full Text Link to Item
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Bhavsar, N. A., Gao, A., Phelan, M., Pagidipati, N. J., & Goldstein, B. A. (2018). Value of Neighborhood Socioeconomic Status in Predicting Risk of Outcomes in Studies That Use Electronic Health Record Data. Jama Netw Open, 1(5), e182716. https://doi.org/10.1001/jamanetworkopen.2018.2716Full Text Link to Item
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Goldstein, B. A., Carlson, D., & Bhavsar, N. A. (2018). Subject Matter Knowledge in the Age of Big Data and Machine Learning. Jama Netw Open, 1(4), e181568. https://doi.org/10.1001/jamanetworkopen.2018.1568Full Text Link to Item
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Kaufman, B. G., Klemish, D., Kassner, C. T., Reiter, J. P., Li, F., Harker, M., … Bhavsar, N. A. (2018). Predicting Length of Hospice Stay: An Application of Quantile Regression. J Palliat Med, 21(8), 1131–1136. https://doi.org/10.1089/jpm.2018.0039Full Text Link to Item
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Schoen, M. W., Basch, E., Hudson, L. L., Chung, A. E., Mendoza, T. R., Mitchell, S. A., … Abernethy, A. P. (2018). Software for Administering the National Cancer Institute's Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events: Usability Study. Jmir Hum Factors, 5(3), e10070. https://doi.org/10.2196/10070Full Text Link to Item
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Olivo, R. E., Davenport, C. A., Diamantidis, C. J., Bhavsar, N. A., Tyson, C. C., Hall, R., … Scialla, J. J. (2018). Obesity and synergistic risk factors for chronic kidney disease in African American adults: the Jackson Heart Study. Nephrol Dial Transplant, 33(6), 992–1001. https://doi.org/10.1093/ndt/gfx230Full Text Link to Item
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Rao, K., Liang, S., Cardamone, M., Joshu, C. E., Marmen, K., Bhavsar, N., … Pollack, C. E. (2018). Cost implications of PSA screening differ by age. Bmc Urol, 18(1), 38. https://doi.org/10.1186/s12894-018-0344-5Full Text Link to Item
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Taylor, D. H., Bhavsar, N. A., Bull, J. H., Kassner, C. T., Olson, A., & Boucher, N. A. (2018). Will Changes to Medicare Payment Rates Alter Hospice's Cost-Saving Ability? J Palliat Med, 21(5), 645–651. https://doi.org/10.1089/jpm.2017.0485Full Text Link to Item
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Lunyera, J., Davenport, C. A., Bhavsar, N. A., Sims, M., Scialla, J., Pendergast, J., … Diamantidis, C. J. (2018). Nondepressive Psychosocial Factors and CKD Outcomes in Black Americans. Clin J Am Soc Nephrol, 13(2), 213–222. https://doi.org/10.2215/CJN.06430617Full Text Link to Item
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Kassner, C. T., Bhavsar, N. A., Harker, M., Bull, J., & Taylor, D. H. (2018). Hospital-Based Palliative Care with Medicare Claims: Evidence From Colorado. Am J Hosp Palliat Care, 35(1), 66–68. https://doi.org/10.1177/1049909117691020Full Text Link to Item
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Phelan, M., Bhavsar, N. A., & Goldstein, B. A. (2017). Illustrating Informed Presence Bias in Electronic Health Records Data: How Patient Interactions with a Health System Can Impact Inference. Egems (Wash Dc), 5(1), 22. https://doi.org/10.5334/egems.243Full Text Link to Item
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Bhavsar, N. A., Bloom, K., Nicolla, J., Gable, C., Goodman, A., Olson, A., … Taylor, D. H. (2017). Delivery of Community-Based Palliative Care: Findings from a Time and Motion Study. J Palliat Med, 20(10), 1120–1126. https://doi.org/10.1089/jpm.2016.0433Full Text Link to Item
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Locklear, T., DeBar, L. L., Willig, J., Rundell, S., Blackhall, L., Zatzick, D., … Abernethy, A. P. (2017). Case Studies from the Clinic: Initiating and Implementing Patient-Reported Outcome Measures. Egems (Wash Dc), 5(1), 7. https://doi.org/10.5334/egems.224Full Text Link to Item
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Bhavsar, N. A., Harrison, M. R., Hirsch, B. R., Creel, P., Wolf, S. P., Samsa, G. P., … George, D. J. (2017). Design and Rationale of the Metastatic Renal Cell Carcinoma (MaRCC) Registry: A Prospective Academic and Community-Based Study of Patients With Metastatic Renal Cell Cancer. Cancer Invest, 35(5), 333–344. https://doi.org/10.1080/07357907.2017.1289215Full Text Link to Item
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Goldstein, B. A., Bhavsar, N. A., Phelan, M., & Pencina, M. J. (2016). Controlling for Informed Presence Bias Due to the Number of Health Encounters in an Electronic Health Record. Am J Epidemiol, 184(11), 847–855. https://doi.org/10.1093/aje/kww112Full Text Link to Item
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Qin, R., Olson, A., Singh, B., Thomas, S., Wolf, S., Bhavsar, N. A., … Salama, A. K. S. (2016). Safety and Efficacy of Radiation Therapy in Advanced Melanoma Patients Treated With Ipilimumab. Int J Radiat Oncol Biol Phys, 96(1), 72–77. https://doi.org/10.1016/j.ijrobp.2016.04.017Full Text Link to Item
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Bhavsar, N. A., Bream, J. H., Meeker, A. K., Drake, C. G., Peskoe, S. B., Dabitao, D., … Platz, E. A. (2014). A peripheral circulating TH1 cytokine profile is inversely associated with prostate cancer risk in CLUE II. Cancer Epidemiol Biomarkers Prev, 23(11), 2561–2567. https://doi.org/10.1158/1055-9965.EPI-14-0010Full Text Link to Item
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Kamal, A., Bhavsar, N. A., Power, S., & Mosca, P. J. (2014). Surgical interventions in cancer patients at the end of life: Experiences at an academic medical center. J Clin Oncol, 32(30_suppl), 281. https://doi.org/10.1200/jco.2014.32.30_suppl.281Full Text Link to Item
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Umbehr, M. H., Platz, E. A., Peskoe, S. B., Bhavsar, N. A., Epstein, J. I., Landis, P., … Carter, H. B. (2014). Serum prostate-specific antigen (PSA) concentration is positively associated with rate of disease reclassification on subsequent active surveillance prostate biopsy in men with low PSA density. Bju Int, 113(4), 561–567. https://doi.org/10.1111/bju.12131Full Text Link to Item
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Bhavsar, N. A., Coresh, J., & Astor, B. C. (2013). In Reply to 'Neutrophil Gelatinase-Associated Lipocalin (NGAL), Neutrophils, and CKD: Which Comes First?'. Am J Kidney Dis, 61(1), 184. https://doi.org/10.1053/j.ajkd.2012.10.008Full Text Link to Item
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Pollack, C. E., Platz, E. A., Bhavsar, N. A., Noronha, G., Green, G. E., Chen, S., & Carter, H. B. (2012). Primary care providers' perspectives on discontinuing prostate cancer screening. Cancer, 118(22), 5518–5524. https://doi.org/10.1002/cncr.27577Full Text Link to Item
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Bhavsar, N. A., Köttgen, A., Coresh, J., & Astor, B. C. (2012). Neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule 1 (KIM-1) as predictors of incident CKD stage 3: the Atherosclerosis Risk in Communities (ARIC) Study. Am J Kidney Dis, 60(2), 233–240. https://doi.org/10.1053/j.ajkd.2012.02.336Full Text Link to Item
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Pollack, C. E., Noronha, G., Green, G. E., Bhavsar, N. A., & Carter, H. B. (2012). Primary care providers' response to the US Preventive Services Task Force draft recommendations on screening for prostate cancer. Arch Intern Med, 172(8), 668–670. https://doi.org/10.1001/archinternmed.2012.135Full Text Link to Item
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Bhavsar, N. A., Appel, L. J., Kusek, J. W., Contreras, G., Bakris, G., Coresh, J., … AASK Study Group, . (2011). Comparison of measured GFR, serum creatinine, cystatin C, and beta-trace protein to predict ESRD in African Americans with hypertensive CKD. Am J Kidney Dis, 58(6), 886–893. https://doi.org/10.1053/j.ajkd.2011.07.018Full Text Link to Item
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Astor, B. C., & Bhavsar, N. A. (2011). Is there something better than the best marker of kidney function? J Am Soc Nephrol, 22(10), 1779–1781. https://doi.org/10.1681/ASN.2011080844Full Text Link to Item
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O’Seaghdha, C. M., Hwang, S.-J., Bhavsar, N. A., Köttgen, A., Coresh, J., Astor, B. C., & Fox, C. S. (2011). Lower urinary connective tissue growth factor levels and incident CKD stage 3 in the general population. Am J Kidney Dis, 57(6), 841–849. https://doi.org/10.1053/j.ajkd.2010.11.022Full Text Link to Item
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Astor, B. C., Köttgen, A., Hwang, S.-J., Bhavsar, N., Fox, C. S., & Coresh, J. (2011). Trefoil factor 3 predicts incident chronic kidney disease: a case-control study nested within the Atherosclerosis Risk in Communities (ARIC) study. Am J Nephrol, 34(4), 291–297. https://doi.org/10.1159/000330699Full Text Link to Item
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Song, D. Y., Thompson, T. L., Ramakrishnan, V., Harrison, R., Bhavsar, N., Onaodowan, O., & DeWeese, T. L. (2002). Salvage radiotherapy for rising or persistent PSA after radical prostatectomy. Urology, 60(2), 281–287. https://doi.org/10.1016/s0090-4295(02)01709-0Full Text Link to Item
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Digital Publications
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Lunyera, J., Davenport, C. A., Pendergast, J., Musani, S. K., Bhavsar, N. A., Sims, M., … Scialla, J. J. (2019). Modifiers of Plasma 25-Hydroxyvitamin D and Chronic Kidney Disease Outcomes in Black Americans: The Jackson Heart Study. https://doi.org/10.1210/jc.2018-01747Full Text Open Access Copy Link to Item
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Conference Papers
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Bhavsar, N. A., Goldstein, B. A., Phelan, M., & Boulware, L. E. (2017). E-Epidemiology to study the Associations of Socioeconomic Status with Risk of Cardiovascular Disease Hospitalization Among Patients with Chronic Kidney Disease. In Circulation (Vol. 135). Portland, OR: LIPPINCOTT WILLIAMS & WILKINS.Link to Item
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Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Costello, B. A., Vaishampayan, U. N., Kyriakopoulos, C., … George, D. J. (2016). Prospective front-line management patterns in the Real World Metastatic Renal Cell Cancer (MaRCC) Registry. In Journal of Clinical Oncology (Vol. 34, pp. e16097–e16097). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2016.34.15_suppl.e16097Full Text
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Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Costello, B. A., Vaishampayan, U. N., Kyriakopoulos, C., … George, D. J. (2016). Deferred systemic therapy (DST) in the prospective metastatic renal cell cancer (MaRCC) registry. In Journal of Clinical Oncology (Vol. 34, pp. e16084–e16084). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2016.34.15_suppl.e16084Full Text
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Howie, L. J., Marcom, P. K., Topping, D. L., Force, J., Emerson, R., Bhavsar, N. A., … Blackwell, K. L. (2016). Abstract P4-14-16: T-cell clonality increases after neoadjuvant treatment with trastuzumab and pertuzumab. In Poster Session Abstracts. American Association for Cancer Research. https://doi.org/10.1158/1538-7445.sabcs15-p4-14-16Full Text
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Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Costello, B. A., Stadler, W. M., Hammers, H. J., … George, D. J. (2016). Front-line management patterns in the prospective metastatic renal cell cancer (MaRCC) registry. In Journal of Clinical Oncology (Vol. 34, pp. 617–617). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2016.34.2_suppl.617Full Text
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Kyriakopoulos, C., Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Costello, B. A., Stadler, W. M., … George, D. J. (2016). Physician treatment selection in the prospective Metastatic Renal Cell Cancer (MaRCC) Registry. In Journal of Clinical Oncology (Vol. 34, pp. 563–563). American Society of Clinical Oncology (ASCO). https://doi.org/10.1200/jco.2016.34.2_suppl.563Full Text
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Bhavsar, N. A., Harrison, M. R., Hirsch, B. R., Creel, P., Wolf, S. P., Samsa, G. P., … George, D. J. (2015). The metastatic renal cell carcinoma (MaRCC) Registry: a prospective academic and community-based study of metastatic renal cell cancer patients. In Bju International (Vol. 116, pp. 3–4). Miami, FL: WILEY-BLACKWELL.Link to Item
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Costello, B. A., Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Kyriakopoulos, C. E., Stadler, W. M., … George, D. J. (2015). Physician treatment selection in the prospective metastatic renal cell cancer (MaRCC) registry. In Bju International (Vol. 116, pp. 7–7). Miami, FL: WILEY-BLACKWELL.Link to Item
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Harrison, M. R., Bhavsar, N. A., Wolf, S. P., Costello, B. A., Stadler, W. M., Hammers, H. J., … George, D. J. (2015). Front-line management patterns in the prospective metastatic renal cell cancer (MaRCC) registry. In Bju International (Vol. 116, pp. 12–12). Miami, FL: WILEY-BLACKWELL.Link to Item
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Olson, A. C., Qin, R., Singh, B., Bhavsar, N., Wolf, S., Salama, J. K., … Salama, A. K. (2015). Radiosurgery for Brain Metastases in Melanoma Patients Receiving Ipilimumab. In International Journal of Radiation Oncology*Biology*Physics (Vol. 93, pp. E88–E88). Elsevier BV. https://doi.org/10.1016/j.ijrobp.2015.07.771Full Text
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Palta, M., Palta, P., Bhavsar, N. A., Horton, J. K., & Blitzblau, R. C. (2015). The use of adjuvant radiotherapy in elderly patients with early-stage breast cancer: changes in practice patterns after publication of Cancer and Leukemia Group B 9343. In Cancer (Vol. 121, pp. 188–193). United States. https://doi.org/10.1002/cncr.28937Full Text Link to Item
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Bhavsar, N. A., Harrison, M. R., Howie, L. J., Armstrong, A. J., Davis, K., Chen, Q., … Hirsch, B. R. (2014). 1072PEXPERIENCE OF PATIENTS TREATED WITH SIPULEUCEL-T IN AN ACADEMIC SETTING. In Ann Oncol (Vol. 25, pp. iv369–iv370). England. https://doi.org/10.1093/annonc/mdu342.25Full Text Link to Item
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