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Michael B Rothberg

Michael B Rothberg

· Assistant Professor of Urology

Duke University · Urology

Active 1977–2024

h-index72
Citations21.0k
Papers801335 last 5y
Funding$4.6M
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About

Michael B Rothberg is an Assistant Professor of Urology at Duke University and a member of the Duke Cancer Institute. His role involves contributing to the academic and clinical missions of the department, with a focus on urological health and cancer research. As part of his responsibilities, he is engaged in advancing urological medicine through research, education, and patient care, supporting the department's efforts to improve outcomes for patients with urological conditions.

Research topics

  • Medicine
  • Internal medicine
  • Endocrinology
  • Environmental health
  • Immunology

Selected publications

  • Reinfection Rates Among Patients Who Previously Tested Positive for Coronavirus Disease 2019: A Retrospective Cohort Study

    Clinical Infectious Diseases · 2021 · 142 citations

    Senior authorCorresponding
    • Medicine
    • Internal medicine
    • Immunology

    BACKGROUND: Protection afforded from prior disease among patients with coronavirus disease 2019 (COVID-19) infection is unknown. If infection provides substantial long-lasting immunity, it may be appropriate to reconsider vaccination distribution. METHODS: This retrospective cohort study of 1 health system included 150 325 patients tested for COVID-19 infection via polymerase chain reaction from 12 March 2020 to 30 August 2020. Testing performed up to 24 February 2021 in these patients was included. The main outcome was reinfection, defined as infection ≥90 days after initial testing. Secondary outcomes were symptomatic infection and protection of prior infection against reinfection. RESULTS: Of 150 325 patients, 8845 (5.9%) tested positive and 141 480 (94.1%) tested negative before 30 August. A total of 1278 (14.4%) positive patients were retested after 90 days, and 62 had possible reinfection. Of those, 31 (50%) were symptomatic. Of those with initial negative testing, 5449 (3.9%) were subsequently positive and 3191 of those (58.5%) were symptomatic. Protection offered from prior infection was 81.8% (95% confidence interval [CI], 76.6-85.8) and against symptomatic infection was 84.5% (95% CI, 77.9-89.1). This protection increased over time. CONCLUSIONS: Prior infection in patients with COVID-19 was highly protective against reinfection and symptomatic disease. This protection increased over time, suggesting that viral shedding or ongoing immune response may persist beyond 90 days and may not represent true reinfection. As vaccine supply is limited, patients with known history of COVID-19 could delay early vaccination to allow for the most vulnerable to access the vaccine and slow transmission.

  • Use of Antihyperglycemic Medications in U.S. Adults: An Analysis of the National Health and Nutrition Examination Survey

    Diabetes Care · 2020 · 83 citations

    Senior authorCorresponding
    • Medicine
    • Internal medicine
    • Endocrinology

    OBJECTIVE: ) to determine whether physicians individualize diabetes treatment as recommended by the American Diabetes Association (ADA). RESEARCH DESIGN AND METHODS: >6.4%, or had a fasting plasma glucose >125 mg/dL. Pregnant women and patients aged <20 years receiving only insulin were excluded. We assessed trends in use of ADA's seven preferred classes from 2003-2004 to 2015-2016. We also examined use by hypoglycemia risk (sulfonylureas, insulin, and meglitinides), weight effect (sulfonylureas, thiazolidinediones [TZDs], insulin, and meglitinides), cardiovascular benefit (canagliflozin, empagliflozin, and liraglutide), and cost (brand-name medications and insulin analogs). RESULTS: <6%, and age ≥65 years were less likely to receive hypoglycemia-inducing medications, while older patients with comorbidities were more likely. Insurance, but not income, was associated with the use of higher-cost medications. CONCLUSIONS: Following ADA recommendations, the use of metformin increased, but physicians generally did not individualize treatment according to patients' characteristics. Substantial opportunities exist to improve pharmacologic management of diabetes.

Recent grants

Frequent coauthors

  • Patrizia Violi

    329 shared
  • Marianne Hirsch

    Columbia University

    329 shared
  • Frank van Vree

    University of Amsterdam

    329 shared
  • R. van der Laarse

    University of Illinois System

    329 shared
  • Peter K. Lindenauer

    Baystate Health

    315 shared
  • Ihab Saloul

    304 shared
  • Abhishek Deshpande

    New York Proton Center

    219 shared
  • Penelope S. Pekow

    University of Massachusetts Amherst

    195 shared

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