Moira K Kapral

Moira K Kapral

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Moira K Kapral

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Deriving a Passive Surveillance Stroke Severity Indicator From Routinely Collected Administrative Data: The PaSSV Indicator.

Circ Cardiovasc Qual Outcomes 2020 Feb 14;13(2):e006269. Epub 2020 Feb 14.

ICES, Toronto, ON, Canada (A.Y.X.Y., P.C.A., M.R., J.F., J.P., M.K.K.).

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http://dx.doi.org/10.1161/CIRCOUTCOMES.119.006269DOI Listing
February 2020

Response by Yu and Kapral to Letter Regarding Article, "One-Year Home-Time and Mortality After Thrombolysis Compared With Nontreated Patients in a Propensity-Matched Analysis".

Stroke 2020 Jan 27;51(1):e18. Epub 2019 Nov 27.

Department of Medicine (General Internal Medicine), University of Toronto-University Health Network, Ontario, Canada.

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http://dx.doi.org/10.1161/STROKEAHA.119.028094DOI Listing
January 2020

Sex Differences in Care Need and Survival in Patients Admitted to Nursing Home Poststroke.

Can J Neurol Sci 2020 Jan 28:1-7. Epub 2020 Jan 28.

Sunnybrook Research Institute, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1017/cjn.2019.335DOI Listing
January 2020

Incidence and Current Treatment Gaps in Pediatric Stroke and TIA: An Ontario-Wide Population-Based Study.

Neuroepidemiology 2019 17;52(3-4):119-127. Epub 2019 Jan 17.

Hospital for Sick Children, Toronto, Ontario, Canada,

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https://www.karger.com/Article/FullText/493140
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http://dx.doi.org/10.1159/000493140DOI Listing
December 2019

One-Year Home-Time and Mortality After Thrombolysis Compared With Nontreated Patients in a Propensity-Matched Analysis.

Stroke 2019 Dec 1;50(12):3488-3493. Epub 2019 Oct 1.

ICES, Toronto, ON, Canada (A.Y.X.Y., J.F., M.K.K.).

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http://dx.doi.org/10.1161/STROKEAHA.119.026922DOI Listing
December 2019

Timing of Direct Enteral Tube Placement and Outcomes after Acute Stroke.

J Stroke Cerebrovasc Dis 2019 Dec 28;28(12):104401. Epub 2019 Sep 28.

Institute for Clinical Evaluative Sciences (ICES), Toronto, Canada; Department of Medicine, Division of General Internal Medicine, University of Toronto, Toronto, Canada; Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2019.104401DOI Listing
December 2019

Response by Cheung and Kapral to Letter Regarding Article, "Screening and Treatment for Osteoporosis After Stroke: Results From the Ontario Stroke Registry".

Stroke 2019 Oct 13;50(10):e308. Epub 2019 Sep 13.

Department of Medicine and Institute for Health Policy, Management and Evaluation, University of Toronto, Canada.

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http://dx.doi.org/10.1161/STROKEAHA.119.026949DOI Listing
October 2019

National trends in hospital admission, case fatality, and sex differences in atrial fibrillation-related strokes.

Int J Stroke 2019 Oct 8:1747493019881349. Epub 2019 Oct 8.

Department of Medicine, University of Toronto, Toronto, Canada.

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http://dx.doi.org/10.1177/1747493019881349DOI Listing
October 2019

Temporal Trends in the Unmet Health Care Needs of Canadian Stroke Survivors.

Can J Neurol Sci 2019 Oct 29:1-7. Epub 2019 Oct 29.

Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1017/cjn.2019.319DOI Listing
October 2019

The Association between Stroke, Integrated Stroke Systems, and the Employability and Productivity of Canadian Stroke Survivors.

Neuroepidemiology 2019 17;53(3-4):209-219. Epub 2019 Sep 17.

Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1159/000502010DOI Listing
September 2019

Long-Term Outcomes of Ischemic Stroke of Undetermined Mechanism: A Population-Based Prospective Cohort.

Neuroepidemiology 2017 21;49(3-4):160-164. Epub 2017 Nov 21.

Department of Neurology, Mashhad University of Medical Sciences, Mashhad, Iran.

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http://dx.doi.org/10.1159/000482019DOI Listing
July 2019

Screening and Treatment for Osteoporosis After Stroke.

Stroke 2019 06 25;50(6):1564-1566. Epub 2019 Apr 25.

From the Department of Medicine, University of Toronto, Canada (E.K., S.M.H.A., A.M.C., P.C., L.K.C., M.P., M.K.K.).

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http://dx.doi.org/10.1161/STROKEAHA.118.024685DOI Listing
June 2019

Promising Use of Big Data to Increase the Efficiency and Comprehensiveness of Stroke Outcomes Research.

Stroke 2019 05;50(5):1302-1309

From the Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia (D.U., J.K., A.G.T., D.A.C., N.E.A., M.F.K.).

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http://dx.doi.org/10.1161/STROKEAHA.118.020372DOI Listing
May 2019

Age, sex, and setting in the etiology of stroke study (ASSESS): Study design and protocol.

J Neurol Sci 2019 Apr 14;399:209-213. Epub 2019 Feb 14.

Department of Clinical Neurological Sciences, University Hospital, London Health Sciences Center, Western University, ON, Canada; Department of Epidemiology and Biostatistics, Western University, ON, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jns.2019.02.024DOI Listing
April 2019

Rural-Urban Differences in Stroke Risk Factors, Incidence, and Mortality in People With and Without Prior Stroke.

Circ Cardiovasc Qual Outcomes 2019 02;12(2):e004973

Division of General Internal Medicine, Department of Medicine (M.K.K., J.V.T.), University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1161/CIRCOUTCOMES.118.004973DOI Listing
February 2019

Evidence of Concomitantly Increasing Stroke and Dementia Prevalence among those 80 Years and Older in Ontario, Canada, 2003-04 to 2012-13.

Can J Neurol Sci 2019 01 19;46(1):105-107. Epub 2018 Nov 19.

1Department of Clinical Neurological Sciences,London Health Sciences Centre,Western University,London,Ontario,Canada.

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http://dx.doi.org/10.1017/cjn.2018.347DOI Listing
January 2019

Predictors of Direct Enteral Tube Placement After Acute Stroke.

J Stroke Cerebrovasc Dis 2019 Jan 24;28(1):191-197. Epub 2018 Oct 24.

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario, Canada; Department of Medicine, Division of General Internal Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S10523057183054
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2018.09.032DOI Listing
January 2019

Increased Risk of Traffic Injury After a Cerebrovascular Event.

Stroke 2018 12;49(12):3006-3011

Division of General Internal Medicine (D.A.R.), Department of Medicine, University of Toronto, Sunnybrook Health Sciences Centre, Ontario, Canada.

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http://dx.doi.org/10.1161/STROKEAHA.118.022657DOI Listing
December 2018

Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection.

Dysphagia 2018 10 1;33(5):662-669. Epub 2018 Mar 1.

Rehabilitation Sciences Institute, University of Toronto, 160-500 University Avenue, Rehabilitation Sciences Building, Toronto, ON, M5G 1V7, Canada.

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http://dx.doi.org/10.1007/s00455-018-9885-8DOI Listing
October 2018

Outcomes following telestroke-assisted thrombolysis for stroke in Ontario, Canada.

J Telemed Telecare 2018 Aug 10;24(7):492-499. Epub 2017 Jul 10.

1 Institute for Clinical Evaluative Sciences, Toronto, Canada.

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http://dx.doi.org/10.1177/1357633X17717601DOI Listing
August 2018

Dysphagia screening after intracerebral hemorrhage.

Int J Stroke 2018 07 7;13(5):503-510. Epub 2017 Sep 7.

5 Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

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http://journals.sagepub.com/doi/full/10.1177/174749301772926
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http://dx.doi.org/10.1177/1747493017729265DOI Listing
July 2018

Five-Year Case Fatality Following First-Ever Stroke in the Mashhad Stroke Incidence Study: A Population-Based Study of Stroke in the Middle East.

J Stroke Cerebrovasc Dis 2018 Apr 9;27(4):1085-1089. Epub 2018 Feb 9.

Department of Neurology, Ghaem hospital, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Clinical Neurological Science, University Hospital, Western University, Ontario, Canada; Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Dentistry, Western University, London, Ontario, Canada. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S10523057173063
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.11.018DOI Listing
April 2018

The Incidence and Characteristics of Stroke in Urban-Dwelling Iranian Women.

J Stroke Cerebrovasc Dis 2018 Mar 31;27(3):547-554. Epub 2017 Oct 31.

Department of Neurology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran; Department of Clinical Neurological Science, University Hospital, London Health Science Center, University of Western Ontario, London, Ontario, Canada; Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada. Electronic address:

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https://linkinghub.elsevier.com/retrieve/pii/S10523057173053
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.050DOI Listing
March 2018

Outcomes among patients with direct enteral vs nasogastric tube placement after acute stroke.

Neurology 2018 02 24;90(7):e544-e552. Epub 2018 Jan 24.

From the Division of Neurology (R.A.J.), Department of Medicine, Stroke Outcomes Research Unit, Division of Neurology, Department of Medicine, St. Michael's Hospital (G.S.), Institute of Health Policy, Management and Evaluation (G.S., M.K.K.), Department of Speech-Language Pathology (R.M.), Graduate Department of Rehabilitation Science (R.M.), and Division of General Internal Medicine (M.K.K.), Department of Medicine, University of Toronto; Health Care and Outcomes Research, Krembil Research Institute (R.M.), University Health Network; and Institute for Clinical Evaluative Sciences (ICES) (J.F., J.P., M.K.K., G.S.), Toronto, Canada.

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http://dx.doi.org/10.1212/WNL.0000000000004962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818013PMC
February 2018

The impact of opioid medications on subsequent fractures in discharged emergency department patients with peripheral vertigo.

CJEM 2018 01 20;20(1):28-35. Epub 2017 Jun 20.

*Department of Medicine,Division of Emergency Medicine,University of Toronto,Toronto,ON.

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https://www.cambridge.org/core/product/identifier/S148180351
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http://dx.doi.org/10.1017/cem.2017.37DOI Listing
January 2018

Sex Differences in Outcomes after Stroke in Patients with Diabetes in Ontario, Canada.

J Stroke Cerebrovasc Dis 2018 Jan 13;27(1):210-220. Epub 2017 Sep 13.

Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.08.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725236PMC
January 2018

Lost Productivity in Stroke Survivors: An Econometrics Analysis.

Neuroepidemiology 2016 20;47(3-4):164-170. Epub 2016 Dec 20.

Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.

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https://www.karger.com/Article/FullText/454730
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http://dx.doi.org/10.1159/000454730DOI Listing
December 2017

Incidence, recurrence, and long-term survival of ischemic stroke subtypes: A population-based study in the Middle East.

Int J Stroke 2017 10 3;12(8):835-843. Epub 2017 Jan 3.

5 Department of Neurology, Mashhad University of Medical Sciences, Mashhad, Iran.

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http://dx.doi.org/10.1177/1747493016684843DOI Listing
October 2017

Population-based stroke and dementia incidence trends: Age and sex variations.

Alzheimers Dement 2017 Oct 28;13(10):1081-1088. Epub 2017 Mar 28.

Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, Ontario, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jalz.2017.02.010DOI Listing
October 2017

Secondary prevention treatment after acute stroke in older South Asian, Chinese and other Canadians: a retrospective data analysis.

CMAJ Open 2017 Sep;5(3):E702-E709

Affiliations: Division of General Internal Medicine (Khan, Palepu), University of British Columbia; Centre for Health Evaluation & Outcomes Sciences (Khan, Palepu), Vancouver, BC; Division of General Internal Medicine (McAlister) and Patient Health Outcomes Research and Clinical Effectiveness Unit (McAlister), University of Alberta, Edmonton, Alta; Divisions of Clinical Epidemiology (Pilote) and General Internal Medicine (Pilote), Department of Medicine, McGill University; The Research Institute of the McGill University Health Centre (Pilote), Montréal, Que.; Departments of Community Health Sciences (Quan, Hill) and Clinical Neurosciences (Hill), University of Calgary, Calgary, Alta.; Institute for Clinical Evaluative Sciences (Fang, Kapral); Division of General Internal Medicine (Kapral), Department of Medicine, University of Toronto, Toronto, Ont.

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http://dx.doi.org/10.9778/cmajo.20160147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5621941PMC
September 2017

Trends in Long-Term Mortality and Morbidity in Patients with No Early Complications after Stroke and Transient Ischemic Attack.

J Stroke Cerebrovasc Dis 2017 Jul 11;26(7):1641-1645. Epub 2017 May 11.

Sunnybrook Research Institute, Canada; Department of Medicine (Neurology), University of Toronto, Toronto, Ontario, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.09.038DOI Listing
July 2017

Long-term morbidity and mortality in patients without early complications after stroke or transient ischemic attack.

CMAJ 2017 Jul;189(29):E954-E961

Sunnybrook Research Institute (Edwards, Swartz), Toronto, Ont.; Canadian Partnership for Stroke Recovery (Edwards), Ottawa, Ont.; Department of Medicine, Division of General Internal Medicine (Kapral), Institute of Health Policy, Management and Evaluation (Kapral), and Department of Medicine, Neurology (Swartz), University of Toronto; Institute for Clinical Evaluative Sciences (Kapral, Fang), Toronto, Ont.

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http://www.cmaj.ca/lookup/doi/10.1503/cmaj.161142
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http://dx.doi.org/10.1503/cmaj.161142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524576PMC
July 2017

Predictors and Outcomes of Dysphagia Screening After Acute Ischemic Stroke.

Stroke 2017 04 8;48(4):900-906. Epub 2017 Mar 8.

From the Division of Neurology, Department of Medicine (R.A.J.), Department of Speech-Language Pathology, Graduate Department of Rehabilitation Science (R.M.), Institute of Health Policy, Management and Evaluation (G.S., M.K.K.), and Department of Medicine, Division of General Internal Medicine (M.K.K.), University of Toronto, Ontario, Canada; Stroke Outcomes Research Unit, Division of Neurology, Department of Medicine, St Michael's Hospital (G.S.); Health Care and Outcomes Research, Krembil Research Institute, University Health Network, Toronto, Ontario, Canada (R.M.); Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario, Canada (V.G., J.F., M.K.K.); and Division of General Internal Medicine and Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada (M.K.K.).

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http://stroke.ahajournals.org/content/early/2017/03/08/STROK
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http://dx.doi.org/10.1161/STROKEAHA.116.015332DOI Listing
April 2017

Regional variations in ambulatory care and incidence of cardiovascular events.

CMAJ 2017 Apr;189(13):E494-E501

Institute for Clinical Evaluative Sciences (J. Tu, Chu, Maclagan, Austin, Ko, Atzema, Booth, Bhatia, Lee, Jackevicius, Kapral, K. Tu, Wijeysundera, Alter, Udell, Manuel, Mondal), Toronto, Ont.; Schulich Heart Centre, Sunnybrook Health Sciences Centre (J. Tu, Ko, Wijeysundera), Toronto, Ont.; University of Toronto (J. Tu, Chu, Austin, Ko, Cheung, Atzema, Booth, Bhatia, Lee, Jackevicius, Kapral, K. Tu, Wijeysundera, Alter, Udell, Manuel), Toronto, Ont.; Bruyère Research Institute (Johnston, Hogg), Ottawa, Ont.; University of Ottawa (Johnston, Hogg), Ottawa, Ont.; Sunnybrook Health Sciences Centre (Atzema), Toronto, Ont.; St. Michael's Hospital (Booth), Toronto, Ont.; Women's College Hospital Institute for Health Systems Solutions and Virtual Care (Bhatia), Toronto, Ont.; University Health Network (Bhatia, Lee, Jackevicius, Kapral, K. Tu, Alter, Udell), Toronto, Ont.; Western University of Health Sciences (Jackevicius), Pomona, Calif.; Women's College Hospital (Udell), Toronto, Ont.; Ottawa Hospital Research Institute (Manuel), Ottawa, Ont.

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http://dx.doi.org/10.1503/cmaj.160823DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378509PMC
April 2017

Meta-analysis of timing of endovascular aneurysm treatment in subarachnoid haemorrhage: inconsistent results of early treatment within 1 day.

J Neurol Neurosurg Psychiatry 2017 Mar 18;88(3):241-248. Epub 2017 Jan 18.

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.

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http://jnnp.bmj.com/lookup/doi/10.1136/jnnp-2016-314596
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http://dx.doi.org/10.1136/jnnp-2016-314596DOI Listing
March 2017

The characteristics of stroke units in Ontario: a pan-provincial survey.

BMC Health Serv Res 2017 02 21;17(1):154. Epub 2017 Feb 21.

Toronto Health Economics and Technology Assessment (THETA) Collaborative, Toronto General Research Institute, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1186/s12913-017-2099-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320701PMC
February 2017

Risk of fractures after stroke: Results from the Ontario Stroke Registry.

Neurology 2017 Jan 23;88(1):57-64. Epub 2016 Nov 23.

From the Institute for Clinical Evaluative Sciences (M.K.K., J.F., P.C., M.S., P.C.A.), Toronto; Department of Medicine, Division of General Internal Medicine (M.K.K., S.M.H.A., P.C., A.M.C., M.P.), Institute of Health Policy, Management and Evaluation (M.K.K., S.M.H.A., P.C., A.M.C., P.C.A.), and Department of Medicine, Division of Neurology (L.K.C.), University of Toronto; Division of General Internal Medicine and Geriatrics and Toronto General Research Institute (M.K.K., S.M.H.A., P.C., A.M.C.), Osteoporosis Program and Centre for Excellence in Skeletal Health Assessment (M.K.K., S.M.H.A., A.M.C.), and Department of Medicine, Division of Neurology (L.K.C.), University Health Network, Toronto; and Schulich School of Medicine and Dentistry (B.R.), University of Western Ontario, London, Canada.

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http://dx.doi.org/10.1212/WNL.0000000000003457DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200858PMC
January 2017

Accuracy of Administrative Data for the Coding of Acute Stroke and TIAs.

Can J Neurol Sci 2016 Nov 18;43(6):765-773. Epub 2016 Jul 18.

1Institute for Clinical Evaluative Sciences,Toronto,Ontario,Canada.

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http://dx.doi.org/10.1017/cjn.2016.278DOI Listing
November 2016

Low Use of Oral Anticoagulant Prescribing for Secondary Stroke Prevention: Results From the Ontario Stroke Registry.

Med Care 2016 10;54(10):907-12

*Department of Medicine, McMaster University, Hamilton †Institute for Clinical Evaluative Sciences ‡Institute of Health Policy, Management and Evaluation, University of Toronto §Division of General Internal Medicine, Women's Health Program, and Toronto General Research Institute, University Health Network ∥Department of Medicine, Division of General Internal Medicine, University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1097/MLR.0000000000000589DOI Listing
October 2016

How Reliable Are Administrative Data for Capturing Stroke Patients and Their Care.

Cerebrovasc Dis Extra 2016 18;6(3):96-106. Epub 2016 Oct 18.

Institute for Clinical Evaluative Sciences, Toronto, Ont., Canada.

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https://www.karger.com/Article/FullText/449288
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http://dx.doi.org/10.1159/000449288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122989PMC
October 2016

Underutilization of Ambulatory ECG Monitoring After Stroke and Transient Ischemic Attack: Missed Opportunities for Atrial Fibrillation Detection.

Stroke 2016 08 12;47(8):1982-9. Epub 2016 Jul 12.

From the Sunnybrook Research Institute and Hurvitz Brain Sciences Program (J.D.E., D.J.G.), L.C. Campbell Cognitive Neurology Research Unit and the Heart and Stroke Foundation Canadian Partnership for Stroke Recovery, Sunnybrook Site (J.D.E.) and Division of Neurology, Department of Medicine, Sunnybrook Health Sciences Centre (D.J.G.), Ontario, Canada; Division of Neurology (G.S., D.J.G.) and Division of Internal Medicine (M.K.K.), Department of Medicine, University of Toronto, Ontario, Canada; Division of General Internal Medicine and Toronto General Research Institute, University Health Network, Ontario, Canada (M.K.K.); and Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (M.K.K., J.F., G.S., D.J.G.).

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http://stroke.ahajournals.org/content/early/2016/07/12/STROK
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http://dx.doi.org/10.1161/STROKEAHA.115.012195DOI Listing
August 2016

Predictors of Hospitalization in Patients With Transient Ischemic Attack or Minor Ischemic Stroke.

Can J Neurol Sci 2016 Jul 30;43(4):523-8. Epub 2016 Mar 30.

1Institute for Clinical Evaluative Sciences,Toronto,Canada.

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http://dx.doi.org/10.1017/cjn.2016.12DOI Listing
July 2016

Predictors of diagnostic neuroimaging delays among adults presenting with symptoms suggestive of acute stroke in Ontario: a prospective cohort study.

CMAJ Open 2016 Apr-Jun;4(2):E331-7. Epub 2016 Jun 20.

Institute of Health Policy, Management and Evaluation (Burton, Kapral, Krahn, Laupacis), University of Toronto; Departments of Medical Imaging (Burton, Moody) and Medicine (Kapral, Krahn, Laupacis), University of Toronto; Institute for Clinical Evaluative Sciences (Kapral, Li, Fang); Institute of Medical Sciences (Moody), University of Toronto; Toronto Health Economics and Technology Assessment Collaborative (Krahn), University of Toronto; Li Ka Shing Knowledge Institute (Laupacis), St. Michael's Hospital, Toronto, Ont.

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http://dx.doi.org/10.9778/cmajo.20150110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933639PMC
July 2016

Temporal Trends in the Use of Investigations After Stroke or Transient Ischemic Attack.

Med Care 2016 May;54(5):430-4

*Department of Medicine, University of Toronto †Centre for Research on Inner City Health, Division of General Internal Medicine, Li KaShing Knowledge Institute, St Michael's Hospital ‡Institute of Health Policy, Management and Evaluation, University of Toronto §Institute for Clinical Evaluative Sciences ∥Department of Medical Imaging, University of Toronto ¶Sunnybrook Research Institute, Sunnybrook Health Sciences Centre #Division of General Internal Medicine, Toronto General Research Institute, University Health Network, Toronto, ON, Canada.

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http://dx.doi.org/10.1097/MLR.0000000000000499DOI Listing
May 2016

The association between rural residence and stroke care and outcomes.

J Neurol Sci 2016 Apr 9;363:16-20. Epub 2016 Feb 9.

Department of Medicine, University of Toronto, Toronto, Ontario, Canada; Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Division of General Internal Medicine and Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jns.2016.02.019DOI Listing
April 2016

Association between hospitalization and care after transient ischemic attack or minor stroke.

Neurology 2016 Apr 25;86(17):1582-9. Epub 2016 Mar 25.

From the Institute for Clinical Evaluative Sciences (M.K.K., R.H., J.F., P.C.A., F.L.S., D.J.G., M.S., J.V.T.), Toronto; Department of Medicine (M.K.K., F.L.S., D.J.G., L.K.C., J.V.T.), University of Toronto; Institute of Health Policy, Management and Evaluation (M.K.K., R.H., P.C.A., J.V.T.), Toronto; Division of General Internal Medicine and Toronto General Research Institute (M.K.K.) and Division of Neurology (F.L.S.), University Health Network, Toronto; Sunnybrook Research Institute (M.K.K., D.J.G., J.V.T.), Toronto; and Divisions of Neurology (D.J.G.) and Cardiology (J.V.T.), Sunnybrook Health Sciences Centre, Toronto, Canada.

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http://dx.doi.org/10.1212/WNL.0000000000002614DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4844241PMC
April 2016

Integrated systems of stroke care and reduction in 30-day mortality: A retrospective analysis.

Neurology 2016 Mar 5;86(10):898-904. Epub 2016 Feb 5.

From the Calgary Stroke Program, Department of Clinical Neurosciences (A.G.), and Departments of Clinical Neurosciences, Medicine, Radiology, and Community Health Sciences, Hotchkiss Brain Institute, Faculty of Medicine (M.D.H.), University of Calgary; The Heart & Stroke Foundation of Canada (P.L., I.J.), Ottawa; Institute for Clinical Evaluative Sciences (J.F., M.K.K.), Toronto; Department of Medicine (M.K.K.), University of Toronto; Department of Neurology (R.C.), McGill University, Montréal; and Division of Neurology and Ottawa Hospital Research Institute (A.M.H.), University of Ottawa and The Heart & Stroke Foundation Centre for Stroke Recovery, Ottawa, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4782112PMC
March 2016

Outcomes among patients discharged from the emergency department with a diagnosis of peripheral vertigo.

Ann Neurol 2016 Jan 12;79(1):32-41. Epub 2015 Dec 12.

Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

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January 2016

Sex Differences in the Presentation, Care, and Outcomes of Transient Ischemic Attack: Results From the Ontario Stroke Registry.

Stroke 2016 Jan 10;47(1):255-7. Epub 2015 Nov 10.

From the Department of Medicine, University of Toronto, Ontario, Canada (O.L.L., F.L.S., R.S.W., M.K.K.); Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT (J.L.); and Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (F.L.S., J.F., M.S., M.K.K.).

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January 2016

National stroke registries for monitoring and improving the quality of hospital care: A systematic review.

Int J Stroke 2016 Jan;11(1):28-40

Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Parkville, VIC, Australia Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland.

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January 2016

Declining Incidence of Stroke and Dementia: Coincidence or Prevention Opportunity?

JAMA Neurol 2015 Dec;72(12):1529-31

Department of Clinical Neurological Sciences, London Health Sciences Centre, Western University, London, Ontario, Canada.

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December 2015

Treating In-Hospital Stroke-Reply.

JAMA Neurol 2015 Dec;72(12):1535-6

Department of Medicine, University of Toronto, Mount Sinai Hospital, Toronto, Ontario, Canada.

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December 2015

The Association Between Emergency Department Crowding and the Disposition of Patients With Transient Ischemic Attack or Minor Stroke.

Acad Emerg Med 2015 Oct 23;22(10):1145-54. Epub 2015 Sep 23.

Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

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October 2015

Future of Quality and Outcomes Research in Stroke.

Circ Cardiovasc Qual Outcomes 2015 Oct;8(6 Suppl 3):S66-8

From the Division of Cardiology, Geffen School of Medicine at UCLA, Los Angeles, CA (G.C.F.); Department of Medicine, University of Toronto, Toronto, Ontario, Canada (M.K.K.); and Department of Neurology, MGH Stroke Services, Fireman Vascular Center Massachusetts General Hospital, Harvard Medical School, Boston (L.H.S.).

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October 2015

Factors that contribute to adult children caregivers' well-being: a scoping review.

Health Soc Care Community 2015 Sep 4;23(5):449-66. Epub 2014 Dec 4.

Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada.

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September 2015

Risk of major hemorrhage after kidney transplantation.

Am J Nephrol 2015 10;41(1):73-80. Epub 2015 Feb 10.

Division of Nephrology, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Ont., Canada.

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September 2015

Care and Outcomes of Patients With In-Hospital Stroke.

JAMA Neurol 2015 Jul;72(7):749-55

Department of Medicine, University of Toronto, Toronto, Ontario, Canada2Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada3University Health Network, Toronto, Ontario, Canada.

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July 2015

Socioeconomic status and risk of hemorrhage during warfarin therapy for atrial fibrillation: A population-based study.

Am Heart J 2015 Jul 31;170(1):133-40, 140.e1-3. Epub 2015 Mar 31.

The Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, Toronto, Ontario, Canada; Sunnybrook Research Institute, Toronto, Ontario, Canada. Electronic address:

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July 2015

Adult daughters providing post-stroke care to a parent: a qualitative study of the impact that role overload has on lifestyle, participation and family relationships.

Clin Rehabil 2015 Jun 25;29(6):592-600. Epub 2014 Sep 25.

Graduate Department of Rehabilitation Sciences, University of Toronto, Canada Department of Occupational Science & Occupational Therapy, University of Toronto, Canada

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June 2015

Ten-year trends in stroke admissions and outcomes in Canada.

Can J Neurol Sci 2015 May 10;42(3):168-75. Epub 2015 Apr 10.

1Department of Clinical Neurosciences,University of Calgary,Calgary,Alberta.

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May 2015

Rates of ischemic stroke during warfarin treatment for atrial fibrillation.

Stroke 2015 Apr 19;46(4):1120-2. Epub 2015 Feb 19.

From the Institute for Clinical Evaluative Sciences (M.M.M., D.N.J., J.M.P., M.K.K., T.G.), Sunnybrook Research Institute (D.N.J.), Department of Medicine (M.K.K.), Institute of Health Policy, Management, and Evaluation (M.M.M., D.N.J., J.M.P., M.K.K., T.G.), and Leslie Dan Faculty of Pharmacy (J.M.T., M.M.M., T.G.), University of Toronto, Toronto, Ontario, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada (M.M.M., T.G.); Division of General Internal Medicine and Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada (M.K.K.); and Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada (J.M.P.).

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April 2015

The three-year incidence of major hemorrhage among older adults initiating chronic dialysis.

Can J Kidney Health Dis 2014 2;1:21. Epub 2014 Sep 2.

Institute for Clinical Evaluative Sciences, Toronto, ON Canada ; Department of Epidemiology and Biostatistics, Western University, London, ON Canada ; Kidney Clinical Research Unit, Division of Nephrology, Western University, London, ON Canada ; Division of Nephrology, Department of Medicine, Western University, London, ON Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4349720PMC
March 2015

The Cardiovascular Health in Ambulatory Care Research Team (CANHEART): using big data to measure and improve cardiovascular health and healthcare services.

Circ Cardiovasc Qual Outcomes 2015 Mar 3;8(2):204-12. Epub 2015 Feb 3.

From the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (J.V.T., A.C., L.R.D., D.T.K., G.L.B., K.T., L.C.M., H.G., P.C.A., W.H., M.K.K., H.C.W., C.L.A., A.S.G., D.A.A., D.S.L., C.A.J., R.S.B., J.A.U., M.R.R., T.A.S.); Division of Cardiology, Schulich Heart Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (J.V.T., D.T.K., H.C.W.); University of Toronto, Toronto, Ontario, Canada (J.V.T., A.C., D.T.K., G.L.B., K.T., P.C.A., M.K.K., H.C.W., C.L.A., A.S.G., D.A.A., D.S.L., C.A.J., R.S.B., J.A.U., T.A.S.); Division of Endocrinology, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada (G.L.B.); Toronto Western Hospital Family Health Team, University Health Network, Toronto, Ontario, Canada (K.T.); Ottawa Research Group for Primary Health Care, Ottawa, Ontario, Canada (W.H.); Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada (W.H.); Division of General Internal Medicine and Clinical Epidemiology, University Health Network, Toronto, Ontario, Canada (M.K.K.); Division of Emergency Medicine (C.L.A.) and Division of Respirology (A.S.G.), Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada (D.A.A.); Division of Cardiology, Peter Munk Cardiac Centre and Joint Department of Medical Imaging, University Health Network, Toronto, Ontario, Canada (D.S.L.); College of Pharmacy, Western University of Health Sciences, Pomona, CA (C.A.J.); Women's College Hospital Institute for Health Systems Solutions and Virtual Care, Toronto, Ontario, Canada (R.S.B.); Cardiovascular Division, Women's College Hospital, Toronto, Ontario, Canada (R.S.B., J.A.U.); and Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH (T.A.S.).

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March 2015

Impact of language barriers on stroke care and outcomes.

Stroke 2015 Mar 5;46(3):813-8. Epub 2015 Feb 5.

From the Department of Medicine, University of Toronto, Ontario, Canada (B.R.S., M.K.K.); Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (B.R.S., M.K.K.); Department of Medicine, University of British Columbia, Vancouver, BC, Canada (N.A.K.); and Department of Medicine, National University of Ireland, Galway, Ireland (M.J.O.).

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March 2015

Perfusion CT for selecting patients with acute ischemic stroke for intravenous thrombolytic therapy.

Radiology 2015 Jan 19;274(1):103-14. Epub 2014 Sep 19.

From the Institute for Health Policy, Management and Evaluation (K.R.B., M.K.K., A.L.), Department of Medical Imaging (K.R.B., R.I.A., A.R.M.), Institute of Medical Sciences (R.I.A., A.R.M.), and Department of Medicine (M.K.K., A.L.), University of Toronto, 263 McCaul St, 4th Floor, Toronto, ON, Canada M5T 1W7; Department of Medical Imaging, Fraser Health Authority, Vancouver, British Columbia, Canada (D.D.); Department of Medical Imaging, University of British Columbia, Vancouver, British Columbia, Canada (D.D.); Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (M.K.K.); and Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada (A.L.).

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http://dx.doi.org/10.1148/radiol.14140728DOI Listing
January 2015

Missed strokes using computed tomography imaging in patients with vertigo: population-based cohort study.

Stroke 2015 Jan 4;46(1):108-13. Epub 2014 Dec 4.

From the Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada (K.G., C.L.A.); Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (P.C.A., C.L.A.); University Health Network, Toronto, Ontario, Canada (M.K.K.); and the Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (P.C.A., M.K.K., H.L., C.L.A.).

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January 2015

Antithrombotic therapy after acute ischemic stroke in patients with atrial fibrillation.

Stroke 2014 Dec 6;45(12):3637-42. Epub 2014 Nov 6.

From the Massachusetts General Hospital, Boston (E.R.M.); National University of Ireland, Galway, Ireland (E.R.M.); University of Toronto, Toronto, Ontario, Canada (M.K.K.); Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario, Canada (M.K.K., J.F.); McMaster University, Hamilton, Ontario, Canada (J.W.E.); and National University of Ireland, Galway, Ireland (A.O.C., M.C., M.J.O.).

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December 2014

Daughters providing poststroke care: perspectives on the parent-child relationship and well-being.

Qual Health Res 2014 Nov 22;24(11):1527-39. Epub 2014 Aug 22.

University of Toronto, Toronto, Ontario, Canada

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November 2014

Transesophageal echocardiography in patients with cryptogenic ischemic stroke: a systematic review.

Am Heart J 2014 Nov 30;168(5):706-12. Epub 2014 Jul 30.

HRB Clinical Research Facility, National University of Ireland Galway, Galway, Ireland.

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November 2014

Impact of living alone on the care and outcomes of patients with acute stroke.

Stroke 2014 Oct 19;45(10):3083-5. Epub 2014 Aug 19.

From the Department of Epidemiology and Biostatistics, Michigan State University, East Lansing (M.J.R.); Institute for Clinical Evaluation Sciences (ICES), Toronto, ON, Canada (M.P., J.F., M.S., M.K.K.); and Division of General Internal Medicine and Toronto General Research Institute, University Health Network, Toronto, ON, Canada (M.K.K.).

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October 2014

The quality of treatment of hyperacute ischemic stroke in Canada: a retrospective chart audit.

CMAJ Open 2014 Oct 1;2(4):E233-9. Epub 2014 Oct 1.

The Calgary Stroke Program, Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alta.

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http://dx.doi.org/10.9778/cmajo.20140067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4251514PMC
October 2014

Atrial fibrillation in patients with cryptogenic stroke.

N Engl J Med 2014 Jun;370(26):2467-77

From the Division of Neurology (D.J.G.), Department of Medicine (D.J.G., P.D., A.L., M.S., J.A.B., L.K.C., D.S., M. Mehdiratta, K.B., M.K.K.), and Dalla Lana School of Public Health (K.E.T.), University of Toronto, the University of Toronto Stroke Program (D.J.G.), Division of Neurology, Department of Medicine, and Brain Sciences Program, Sunnybrook Health Sciences Centre and Sunnybrook Research Institute (D.J.G., R.A.), the Heart and Stroke Foundation Canadian Partnership for Stroke Recovery (D.J.G.), and the Applied Health Research Centre, Li Ka Shing Knowledge Institute of St. Michael's Hospital (V.P., K.E.T., J.H., H.V., A.L., M. Mamdani), Toronto, McMaster University, Hamilton, ON (M.S., D.J.S.), McGill University, Montreal (R.C.), University of Alberta, Edmonton (A.S., B.B.), Western University, London, ON (V.H., J.D.S.), Department of Clinical Neurosciences and Radiology, Hotchkiss Brain Institute, University of Calgary, Calgary, AB (S.B.C.), University of British Columbia, Vancouver (P.T., S.Y.), Queen's University, Kingston, ON (A.J.), Thunder Bay Regional Health Sciences Centre, Thunder Bay, ON (D.H.), Université Laval, Quebec City (S.V.), and Vancouver Island Health Research Centre, Victoria, BC (A.P.) - all in Canada; and the National University of Ireland, Galway (M.O.).

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June 2014

Systematic review, critical appraisal, and analysis of the quality of economic evaluations in stroke imaging.

Stroke 2014 Mar 11;45(3):807-14. Epub 2014 Feb 11.

From the Institute of Health Policy, Management and Evaluation (K.R.B., N.P., M.K.K., M.D.K., A.L.), Departments of Medical Imaging (K.R.B., R.I.A., A.R.M.), Surgery, Division of Urology (N.P.), Institute of Medical Science (R.I.A., A.R.M.), Medicine (M.K.K., M.D.K., A.L.), and Toronto Health Economics and Technology Assessment Collaborative (M.D.K.), University of Toronto, Toronto, ON, Canada; Institute for Clinical and Evaluative Sciences, Toronto, ON, Canada (M.K.K.); and Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada (A.L.).

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March 2014

Novel oral anticoagulants: a focused review for stroke physicians.

Int J Stroke 2014 Jan 22;9(1):71-8. Epub 2013 Oct 22.

National University of Ireland, Galway, Ireland.

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http://dx.doi.org/10.1111/ijs.12158DOI Listing
January 2014

Benchmarks for acute stroke care delivery.

Int J Qual Health Care 2013 Dec 17;25(6):710-8. Epub 2013 Oct 17.

Institute for Clinical Evaluative Sciences, 2075 Bayview Ave, G wing, G-106, Toronto, Ontario, M4N 3M5, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3842126PMC
December 2013

Incidence of first ever stroke during Hajj ceremony.

BMC Neurol 2013 Dec 5;13:193. Epub 2013 Dec 5.

Institute of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Ontario, Canada.

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http://dx.doi.org/10.1186/1471-2377-13-193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234064PMC
December 2013

Validity of administrative data for identifying patients who have had a stroke or transient ischemic attack using EMRALD as a reference standard.

Can J Cardiol 2013 Nov 26;29(11):1388-94. Epub 2013 Sep 26.

Institute for Clinical Evaluative Sciences (ICES), Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto Western Hospital Family Health Team, Toronto, Ontario, Canada. Electronic address:

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November 2013

Association of atrial fibrillation with mortality and disability after ischemic stroke.

Neurology 2013 Aug 31;81(9):825-32. Epub 2013 Jul 31.

HRB Clinical Research Facility Galway, National University of Ireland Galway, Galway, Ireland.

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August 2013

Effect of a provincial system of stroke care delivery on stroke care and outcomes.

CMAJ 2013 Jul 27;185(10):E483-91. Epub 2013 May 27.

Department of Medicine, University of Toronto, Toronto, Ontario.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708028PMC
July 2013

Stroke: stroke fatality on weekends--a case for organized stroke care.

Nat Rev Neurol 2013 Jul 11;9(7):367-8. Epub 2013 Jun 11.

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http://www.nature.com/articles/nrneurol.2013.108
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July 2013

Risk factors, quality of care and prognosis in South Asian, East Asian and White patients with stroke.

BMC Neurol 2013 Jul 5;13:74. Epub 2013 Jul 5.

Department of Medicine, University of British Columbia, 620 B, 1081 Burrard Street, St, Paul's Hospita, Vancouver, BC V6Z 1Y6, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3726470PMC
July 2013

Socioeconomic status and care after stroke: results from the Registry of the Canadian Stroke Network.

Stroke 2013 Feb 15;44(2):477-82. Epub 2013 Jan 15.

Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

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February 2013

Is pre-existing dementia an independent predictor of outcome after stroke? A propensity score-matched analysis.

J Neurol 2012 Nov 25;259(11):2366-75. Epub 2012 Apr 25.

Division of Neurology, Departments of Medicine and Health Policy, Management and Evaluation, Institute for Clinical Evaluative Sciences, St. Michael's Hospital, University of Toronto, 55 Queen St East, Suite 931, Toronto, ON, M5C 1R6, Canada.

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November 2012

The PLAN score: a bedside prediction rule for death and severe disability following acute ischemic stroke.

Arch Intern Med 2012 Nov;172(20):1548-56

Health Research Board Clinical Research Facility, Geata an Eolais, National University of Ireland, Galway, Ireland.

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http://dx.doi.org/10.1001/2013.jamainternmed.30DOI Listing
November 2012

Neighborhood income and stroke care and outcomes.

Neurology 2012 Sep 15;79(12):1200-7. Epub 2012 Aug 15.

Department of Medicine, University of Toronto, Toronto, Canada.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3440450PMC
September 2012

Which risk factors are more associated with ischemic stroke than intracerebral hemorrhage in patients with atrial fibrillation?

Stroke 2012 Aug 22;43(8):2048-54. Epub 2012 May 22.

Clinical Research Facility Galway, National University of Ireland, Galway, Galway, Ireland.

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August 2012

Cost avoidance associated with optimal stroke care in Canada.

Stroke 2012 Aug 24;43(8):2198-206. Epub 2012 May 24.

School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

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August 2012