DR. THOMAS WILBUR MADDOX, MD

RALEIGH, NC

Research Active
Surgery NPI registered 21+ years 50 publications 2013 – 2025 NPI: 1144225087
Case-Control StudiesCatsUltrasonographySurveys and QuestionnairesDog DiseasesDogsRenal Insufficiency, ChronicPain MeasurementLow Back PainLearningChronic PainVirtual RealityCat DiseasesAnesthesia, GeneralPain Management

Practice Location

2800 BLUE RIDGE RD
RALEIGH, NC 27607-6477

Phone: (919) 782-8210

What does THOMAS MADDOX research?

Dr. Maddox studies the use of virtual reality (VR) and augmented reality (AR) to help patients manage chronic pain, particularly in older adults and those with high-impact chronic pain conditions. His research shows that these technologies can lead to significant reductions in pain levels and improve daily functioning. He also investigates how AR can enhance training for patients undergoing home dialysis, making the process easier and increasing retention rates. Furthermore, he explores methods in veterinary medicine to ensure better pain assessment and recovery for animals, demonstrating a broad commitment to improving both human and animal health.

Key findings

  • In a study of older adults, nearly all participants using VR therapy reported a shift to lower pain levels that continued for over a year.
  • 70% of patients with high-impact chronic pain experienced significant pain improvements after an 8-week VR program, with benefits lasting for a year.
  • Participants in a VR program for chronic low back pain reported a 2-point average decrease in pain intensity after using the program for 8 weeks.
  • In an evaluation of a new questionnaire for Achilles tendinopathy, improvements were accurately tracked, making it suitable for sedentary patients.
  • Out of 247 dogs studied, 29% had poor recovery from anesthesia, particularly those using multiple inhalational anesthetics.

Frequently asked questions

Does Dr. Maddox study chronic pain treatments?
Yes, Dr. Maddox focuses on innovative treatments for chronic pain, including virtual reality therapies.
What conditions does Dr. Maddox's research help?
His research primarily helps patients with chronic lower back pain, high-impact chronic pain, and those undergoing home dialysis.
Is Dr. Maddox's work relevant to patients with sickle cell disease?
Yes, he has explored the use of virtual reality for managing chronic pain in adults with sickle cell disease.
What are the benefits of Dr. Maddox's research for older adults?
His studies show that older adults using virtual reality for pain management experience significant and lasting reductions in pain.
How does Dr. Maddox's work impact veterinary medicine?
Dr. Maddox's research improves pain assessment and recovery practices in animals, particularly dogs, ensuring better care.

Publications in plain English

Ultrasonographic features of gastrointestinal ulcerations in cats.

2025

The Veterinary record

Bach A, Serra Gomez de la Serna B, Maddox T, Weston P

Plain English
This study looked at how ultrasound can help identify gastrointestinal ulcers in cats, which can be dangerous and even life-threatening. Researchers reviewed medical records of 24 cats diagnosed with ulcers through surgery or other methods. They found that ultrasound detected ulcers in 75% of the cases, with about 62.5% showing thickened walls and 16.7% having perforations. Who this helps: This information is valuable for veterinarians diagnosing and treating gastrointestinal ulcers in cats.

PubMed

Breaking Barriers in Home Dialysis: Augmented Reality, Real-Time Training, and Remote Support.

2025

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Fitzpatrick T, Maddox T

Plain English
This research studied how using augmented reality technology and live support can make it easier for patients to learn and succeed with home dialysis. The findings highlight that using these tools can potentially reduce the number of patients who drop out of home dialysis programs and improve their overall experience. This matters because home dialysis has been shown to enhance patients' quality of life and is cost-effective, but many patients still struggle with it due to a lack of education and support. Who this helps: This benefits patients who need dialysis and want to manage their treatment at home.

PubMed

Differential treatment response to virtual reality in high-impact chronic pain: secondary analysis of a randomized trial.

2025

Scientific reports

Maddox T, Oldstone L, Linde-Zwirble W, Bonakdar R, Maddox R +5 more

Plain English
This study looked at how patients with high-impact chronic pain (HICP) respond to an 8-week virtual reality therapy program compared to those with lower-impact chronic pain (LICP). Researchers found that 70% of HICP patients reported significant improvements in their pain and daily activities after treatment, and this positive change lasted for a year. These findings are important because they show that virtual reality therapy can effectively help people with severe chronic pain, potentially reducing their need for other medical support. Who this helps: Patients suffering from high-impact chronic pain.

PubMed

From randomized controlled trial to real world clinical evidence: effectiveness and engagement of in-home virtual reality pain treatment for chronic pain in older adults.

2025

Frontiers in pain research (Lausanne, Switzerland)

Maddox T, Sackman J, Judge E, Maddox R, Bonakdar R +1 more

Plain English
This study looked at using virtual reality (VR) therapy to treat chronic lower back pain in older adults (65+) and younger adults (18-64). It found both age groups experienced meaningful reductions in pain, with those in high-impact pain categories showing significant improvements; almost all patients had a shift to lower pain levels that continued a year later. Older adults engaged more with the VR therapy than younger adults, demonstrating that this treatment is effective and well-received, making it a promising option for managing chronic pain. Who this helps: This helps older adults suffering from chronic lower back pain.

PubMed

In-home virtual reality program for chronic low back pain: durability of a randomized, placebo-controlled clinical trial to 18 months post-treatment.

2024

Regional anesthesia and pain medicine

Maddox T, Garcia H, Ffrench K, Maddox R, Garcia L +11 more

PubMed

Incidence of and risk factors for poor recovery quality in dogs recovering from general anaesthesia-a prospective case control study.

2024

Veterinary anaesthesia and analgesia

Jones H, Robson K, Maddox T, Alderson B

Plain English
The study looked at how many dogs had a tough time recovering from general anesthesia and what factors influenced their recovery. Out of 247 dogs, 72 (about 29%) recovered poorly, with more than half of those needing extra sedation to help them. The findings showed that healthier dogs (classified as ASA I or II) were more likely to struggle, and using multiple types of inhalational anesthetics during surgery significantly increased the chances of a poor recovery. Who this helps: This helps veterinarians and dog owners understand how to improve recovery after anesthesia.

PubMed

Feasibility of In-Home Virtual Reality for Chronic Pain in Sickle Cell Disease.

2024

Pain management nursing : official journal of the American Society of Pain Management Nurses

Matthie N, Higgins M, Doorenbos A, Maddox T, Jenerette C

Plain English
This study looked at using virtual reality at home to help adults with sickle cell disease manage their chronic pain. Out of the people approached, 67.8% participated, and those using virtual reality spent an average of over 13 hours over the 8 weeks, compared to just 3.5 hours for those in the audio group. The study found that this approach was generally well-accepted and can lead to future research on using virtual reality for pain relief in this group. Who this helps: This benefits patients with sickle cell disease by exploring new pain management options.

PubMed

Correction: A multi-proxy assessment of the impact of environmental instability on Late Holocene (4500-3800 BP) Native American villages of the Georgia coast.

2024

PloS one

Garland CJ, Thompson VD, Sanger MC, Smith KY, Andrus CFT +11 more

Plain English
This study looked at how environmental changes affected Native American villages along the Georgia coast around 4,500 to 3,800 years ago. The researchers found that instability in the environment led to challenges for these communities, affecting their food sources and living conditions. Understanding this helps us learn about how climate changes can impact human societies over time. Who this helps: This helps researchers and historians studying the impacts of climate on human populations.

PubMed

Agreement of Pain Assessment Using the Short Form of the Canine Glasgow Composite Measure Pain Scale between Veterinary Students, Veterinary Nurses, Veterinary Surgeons, and ECVAA-Diplomates.

2024

Animals : an open access journal from MDPI

Marco-Martorell M, Duffy N, Martinez M, Maddox T, Robson K

Plain English
This study looked at how well different groups of veterinary professionals—students, nurses, surgeons, and specialists—agreed on measuring pain in dogs using a specific pain scale. They found that overall agreement was poor (with a score of 0.494), but veterinary nurses showed the best agreement with a score of 0.656. This research highlights the need for better training in pain assessment for all veterinary professionals to ensure dogs receive the care they need. Who this helps: This benefits dogs by improving their pain management through better assessments by veterinary staff.

PubMed

Twelve-month results for a randomized sham-controlled effectiveness trial of an in-home skills-based virtual reality program for chronic low back pain.

2024

Pain reports

Maddox T, Oldstone L, Sackman J, Maddox R, Adair T +3 more

Plain English
Researchers studied a virtual reality program called RelieVRx, designed to help people with chronic low back pain manage their symptoms at home. After a year, participants using this program reported an average decrease in pain intensity of 1.7 points and a reduction in pain interference of 1.9 points, which were significantly better than those who used a sham treatment. This is important because over half of the people using the virtual reality program experienced at least a 2-point decrease in their pain or how much their pain interfered with daily life, showing that this method is an effective long-term option for managing chronic pain. Who this helps: This helps patients suffering from chronic low back pain.

PubMed

Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period.

2023

Veterinary surgery : VS

Allaith S, Tucker LJ, Innes JF, Arthurs G, Vezzoni A +9 more

Plain English
This study looked at the results and issues related to total hip replacements in dogs over a decade, using data from a registry and owner feedback. Out of 2,375 hip replacements, about 85% were done due to hip dysplasia or osteoarthritis, and after surgery, dog mobility significantly improved, with scores rising from an average of 11 to 21. There were complications in about 8.5% of cases reported by vets and 23% by dog owners, highlighting that owners often see more problems than vets do. Who this helps: This research benefits dog owners and veterinarians involved in canine hip surgeries.

PubMed

Effect of anaesthetic maintenance with isoflurane or propofol on ease of endoscopic duodenal intubation in dogs.

2023

Veterinary anaesthesia and analgesia

Tonge ME, Diaz-Delgado OB, Hughes J, Maddox T, Alderson B

Plain English
This study looked at how two different anaesthesia methods—isoflurane and propofol—affect the ease of a specific procedure in dogs called endoscopic duodenal intubation (EDI). Researchers found that both methods worked similarly in terms of how quickly the procedure could be done and how well it was achieved, with an average time of about 52.5 seconds for isoflurane and 70 seconds for propofol. However, more dogs in the propofol group reacted to the endoscope entering their oesophagus, suggesting they were more aware during the procedure. Who this helps: This research benefits veterinarians performing endoscopies on dogs by providing insights into the effectiveness of these anaesthetic options.

PubMed

Ultrasonographic monitoring of feline epaxial muscle height as part of an annual wellness examination to assess for the development of sarcopenia.

2023

Journal of feline medicine and surgery

Lutchman A, Shanker N, Comerford E, German AJ, Leung YB +2 more

Plain English
This study looked at using an ultrasound to measure the height of muscle in the back of cats as part of their regular health check-ups to check for muscle loss, called sarcopenia. Researchers monitored 92 cats, checking factors like their weight and age, and found that the muscle height measurements were reliable and related to body weight, but not age. This finding is important because it suggests that this measurement can help vets assess muscle health non-invasively, particularly in older cats. Who this helps: This benefits cat owners and veterinarians in monitoring the health of aging cats.

PubMed

Durable chronic low back pain reductions up to 24 months after treatment for an accessible, 8-week, in-home behavioral skills-based virtual reality program: a randomized controlled trial.

2023

Pain medicine (Malden, Mass.)

Maddox T, Sparks C, Oldstone L, Maddox R, Ffrench K +11 more

PubMed

In-Home Virtual Reality Program for Chronic Lower Back Pain: A Randomized Sham-Controlled Effectiveness Trial in a Clinically Severe and Diverse Sample.

2023

Mayo Clinic proceedings. Digital health

Maddox T, Oldstone L, Sparks CY, Sackman J, Oyao A +10 more

Plain English
Researchers tested an 8-week virtual reality program called RelieVRx to help people with chronic lower back pain. They found that this program significantly reduced pain intensity by about 2 points out of 10 and pain interference by about 2.3 points, compared to a control group using a fake version of the program. This is important because it shows that virtual reality can offer real relief for those suffering from back pain. Who this helps: This helps patients with chronic lower back pain.

PubMed

Enhancing Home Dialysis Training and Retention through Interactive Virtual Reality.

2023

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Fitzpatrick T, Butt Q, Maddox T

Plain English
This study looked at how using interactive virtual reality (IVR) can improve training for patients with end-stage kidney disease who need to learn home dialysis. The researchers found that this method helps patients understand and remember important skills better because it engages different parts of the brain and makes learning easier. By improving training methods, this approach can help more patients successfully manage their home dialysis treatment. Who this helps: Patients with end-stage kidney disease who are learning to do home dialysis.

PubMed

The VISA-A (sedentary) should be used for sedentary patients with Achilles tendinopathy: a modified version of the VISA-A developed and evaluated in accordance with the COSMIN checklist.

2023

British journal of sports medicine

Norris R, Cook JL, Gaida JE, Maddox T, Raju J +1 more

Plain English
This study created a new version of the VISA-A questionnaire specifically for sedentary patients with Achilles tendinopathy, which is a common foot condition. Researchers gathered feedback from 22 patients to improve the questionnaire and tested it with 51 additional patients, finding it very reliable—showing scores that were consistent over time (with a near-perfect reliability score of 0.991 for symptoms). The new questionnaire was better at capturing changes in patients before and after treatment compared to the original version, making it more suitable for this group. Who this helps: This helps sedentary patients with Achilles tendinopathy by providing a more relevant tool for assessing their condition.

PubMed

Comparison between computed tomographic and ultrasonographic findings of the liver and spleen in dogs with confirmed hepatic or splenic lymphoma involvement.

2022

The Veterinary record

Mesquita L, Finotello R, Ferreira A, Maddox T

Plain English
This study looked at how two imaging methods, CT scans and ultrasounds, compare when finding cancer in the liver and spleen of dogs with lymphoma. Researchers examined 18 dogs and found that ultrasounds detected problems in the spleen more often, while CT scans were better at spotting issues in the liver. The findings were often different between the two methods, suggesting that checking the liver and spleen through cell samples is important, regardless of what the scans show. Who this helps: This information is useful for veterinarians treating dogs diagnosed with lymphoma.

PubMed

Three-Month Follow-Up Results of a Double-Blind, Randomized Placebo-Controlled Trial of 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality (VR) for Chronic Low Back Pain.

2022

The journal of pain

Garcia LM, Birckhead BJ, Krishnamurthy P, Mackey I, Sackman J +4 more

Plain English
This study looked at how effective an 8-week virtual reality program is for people with chronic low back pain. After using the program, participants reported significantly less pain and improved physical function that lasted for three months, with benefits ranging between 56% to 88% depending on the measure used. This matters because it shows that a simple, at-home VR program can provide lasting pain relief and improve daily living. Who this helps: Patients suffering from chronic low back pain.

PubMed

Using Learning Science to Optimize Chronic Kidney Disease Education for Patients and Providers.

2022

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Maddox T, Fitzpatrick T, Chmielewski C

Plain English
This study looked at how to improve education for patients with chronic kidney disease (CKD) and their healthcare providers. Researchers found that using a method called microlearning—breaking information into small, manageable pieces and spacing out delivery—significantly helps both learning and retention of important information. For example, when this method was used, people retained more information over time, which could lower stress and healthcare costs. Who this helps: This benefits both patients with CKD and their healthcare providers.

PubMed

A multi-proxy assessment of the impact of environmental instability on Late Holocene (4500-3800 BP) Native American villages of the Georgia coast.

2022

PloS one

Garland CJ, Thompson VD, Sanger MC, Smith KY, Andrus FT +11 more

Plain English
This study looked at how environmental changes affected Native American villages along the Georgia coast between 4,500 and 3,800 years ago. Researchers found that as the environment became unstable around 4,300 years ago, people gathered in villages to better manage their oyster fisheries, which were sensitive to these changes. However, when oyster populations collapsed and the environment improved around 3,800 years ago, people left the villages and shifted to other ways of living. Who this helps: This helps historians and archaeologists understand how ancient communities adapted to environmental changes.

PubMed

Nutrition Assessment and Dietary Interventions in Heart Failure: JACC Review Topic of the Week.

2022

Journal of the American College of Cardiology

Driggin E, Cohen LP, Gallagher D, Karmally W, Maddox T +3 more

Plain English
This study looked at how important nutrition is for patients with heart failure and evaluated various ways to assess their nutritional needs. It found that many heart failure guidelines do not include specific nutrition tips, which makes it hard to identify and address nutrition-related issues in these patients. The study highlighted that while some diets and nutritional interventions have been researched, the results are mixed, making it difficult to find the best approach. Who this helps: This helps patients with heart failure and their healthcare providers.

PubMed

Durability of the Treatment Effects of an 8-Week Self-administered Home-Based Virtual Reality Program for Chronic Low Back Pain: 6-Month Follow-up Study of a Randomized Clinical Trial.

2022

Journal of medical Internet research

Garcia L, Birckhead B, Krishnamurthy P, Mackey I, Sackman J +6 more

Plain English
This study looked at the long-lasting effects of an 8-week home-based virtual reality program called EaseVRx for people with chronic low back pain. Researchers found that, six months after the treatment, participants who used the VR program reported significantly lower pain levels and less interference with their daily activities, mood, stress, and sleep compared to those who didn't use the active treatment. For example, the results showed improvements in pain intensity and activity interference with about a 44-54% difference favoring the VR treatment. Who this helps: This benefits patients suffering from chronic low back pain by providing them with an effective home-based treatment option.

PubMed

Correction: Durability of the Treatment Effects of an 8-Week Self-administered Home-Based Virtual Reality Program for Chronic Low Back Pain: 6-Month Follow-up Study of a Randomized Clinical Trial.

2022

Journal of medical Internet research

Garcia L, Birckhead B, Krishnamurthy P, Mackey I, Sackman J +6 more

PubMed

The Novel Data Collection and Analytics Tools for Remote Patient Monitoring in Heart Failure (Nov-RPM-HF) Trial: Protocol for a Single-Center Prospective Trial.

2022

JMIR research protocols

Bhatia A, Ewald G, Maddox T

Plain English
The Nov-RPM-HF Trial studied a new way to monitor heart failure patients remotely using advanced tools, including a device that tracks heart health while patients sleep. Over 100 patients were monitored for six months to see how well they follow the data collection process, how useful the system is for patients and doctors, and whether it leads to fewer hospital visits due to heart failure issues. The findings from this trial are important because they could improve the way heart failure is managed at home and help prevent serious complications. Who this helps: This helps patients with heart failure and their healthcare providers.

PubMed

Virtual Reality in Chronic Kidney Disease Education and Training.

2022

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Maddox T, Chmielewski C, Fitzpatrick T

Plain English
This study looked at how virtual reality (VR) can help patients with chronic kidney disease (CKD) understand their condition and treatment better. The research found that VR engages different parts of the brain, making learning easier and more effective. This is important because it can help patients better grasp their disease and treatment options, ultimately leading to improved care and satisfaction with their healthcare experience. Who this helps: This benefits patients with chronic kidney disease and their healthcare providers.

PubMed

A Neuroscientific Framework for Determining the Optimal Kidney Care Education and Training Solution.

2022

Nephrology nursing journal : journal of the American Nephrology Nurses' Association

Maddox T, Fitzpatrick T

Plain English
This study focuses on improving education and training for patients with chronic kidney disease, their caregivers, and healthcare providers to enhance kidney care quality. Researchers developed a three-step framework to identify the best learning approach for specific tasks, which helps close knowledge gaps and reduces healthcare costs. By applying this framework, they aim to make kidney care more effective and patient-friendly. Who this helps: This benefits patients, caregivers, and healthcare providers in the field of nephrology.

PubMed

Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial.

2021

JMIR research protocols

Garcia LM, Darnall BD, Krishnamurthy P, Mackey IG, Sackman J +3 more

Plain English
This study explored the use of virtual reality (VR) therapy to help manage chronic low back pain at home. Researchers tested two VR programs on 180 participants: one that taught pain management skills over eight weeks and a control program that didn't provide those skills. They aimed to see if the skills-based VR program led to less pain and interference in daily activities compared to the control program. Who this helps: This research helps patients suffering from chronic low back pain.

PubMed

An 8-Week Self-Administered At-Home Behavioral Skills-Based Virtual Reality Program for Chronic Low Back Pain: Double-Blind, Randomized, Placebo-Controlled Trial Conducted During COVID-19.

2021

Journal of medical Internet research

Garcia LM, Birckhead BJ, Krishnamurthy P, Sackman J, Mackey IG +4 more

Plain English
This study tested a virtual reality program called EaseVRx to help people with chronic low back pain manage their symptoms at home. Researchers found that participants using EaseVRx reported significant reductions in pain intensity and improvements in their mood, stress levels, and daily activities compared to those using a simple nature VR program. Specifically, the EaseVRx users had a 1.17 to 1.3 reduction in pain intensity, indicating meaningful relief. Who this helps: This research benefits patients with chronic low back pain seeking non-drug treatment options.

PubMed

Peri-ictal magnetic resonance imaging characteristics in dogs with suspected idiopathic epilepsy.

2021

Journal of veterinary internal medicine

Nagendran A, McConnell JF, De Risio L, José-López R, Quintana RG +5 more

Plain English
This study looked at MRI scans of 81 dogs with suspected idiopathic epilepsy to understand how their brains change during and after seizures. The researchers found that most changes were seen in areas of the brain like the hippocampus and cingulate gyrus, with 71 out of 81 dogs showing symmetrical changes. These findings are important because they not only reveal more brain areas affected by seizures than previously thought, but they also suggest that similar brain changes occur in both dogs and humans, which could guide better treatments. Who this helps: This benefits veterinarians and pet owners dealing with epilepsy in dogs.

PubMed

Correction: Self-Administered Behavioral Skills-Based At-Home Virtual Reality Therapy for Chronic Low Back Pain: Protocol for a Randomized Controlled Trial.

2021

JMIR research protocols

Garcia LM, Darnall BD, Krishnamurthy P, Mackey IG, Sackman J +3 more

PubMed

Post-covid syndrome in individuals admitted to hospital with covid-19: retrospective cohort study.

2021

BMJ (Clinical research ed.)

Ayoubkhani D, Khunti K, Nafilyan V, Maddox T, Humberstone B +2 more

Plain English
This study looked at what happens to people who were hospitalized with COVID-19 after they leave the hospital. Researchers found that nearly one-third of these patients went back to the hospital within about four months, and over 10% died, which are rates four and eight times higher than people without a history of COVID-19. Additionally, they observed significantly increased rates of respiratory issues, diabetes, and heart disease among these patients. Who this helps: This research benefits patients recovering from COVID-19 and their doctors, as it highlights the need for comprehensive follow-up care.

PubMed

Pre-anaesthetic clinical examination influences anaesthetic protocol in dogs undergoing general anaesthesia and sedation.

2021

The Journal of small animal practice

Louro LF, Maddox T, Robson K, Alderson B

Plain English
This study looked at how pre-surgery check-ups affect the choice of anesthesia and pain relief used for dogs undergoing operations or medical procedures. Researchers examined 554 dogs and found that in 23.3% of cases, the anesthetic plan was changed after the vet examined the dog, especially if the exam was done by a certified specialist, or if the dog had a heart murmur. This is important because it shows that thorough pre-operative examinations can help tailor anesthesia to a dog's specific needs, potentially improving safety and outcomes. Who this helps: This helps veterinarians and their canine patients.

PubMed

Anti-spike antibody response to natural SARS-CoV-2 infection in the general population.

2021

Nature communications

Wei J, Matthews PC, Stoesser N, Maddox T, Lorenzi L +17 more

Plain English
This study looked at how people's immune systems respond to COVID-19 after they get infected, focusing on antibodies in over 7,000 participants from the UK who tested positive for the virus. It found that about 24% of people did not develop antibodies, especially those who were older or had fewer symptoms during their illness, while those who did have antibodies had levels 7.3 times higher than what is needed for good protection against reinfection. On average, these protective antibody levels might last 1.5 to 2 years, which is important for planning future vaccine booster shots. Who this helps: This benefits patients recovering from COVID-19 and helps doctors and public health officials understand immunity.

PubMed

Incremental Cost of Acute Kidney Injury after Percutaneous Coronary Intervention in the United States.

2020

The American journal of cardiology

Amin AP, McNeely C, Spertus JA, Bach RG, Frogge N +9 more

Plain English
This study looked at the costs associated with acute kidney injury (AKI) in patients who underwent a procedure called percutaneous coronary intervention (PCI) in the U.S. It found that 5.73% of patients developed AKI, which led to hospital bills averaging $38,869 compared to $17,167 for those without AKI. The additional costs linked to AKI were about $9,448 per patient, translating to an estimated total burden of $411.3 million in the U.S. every year. Who this helps: This research benefits hospitals and healthcare systems by highlighting the financial impact of AKI on patient care.

PubMed

Prevalence and clinical significance of the medullary rim sign identified on ultrasound of feline kidneys.

2020

The Veterinary record

Ferreira A, Marwood R, Batchelor D, Maddox T, Mortier JR

Plain English
The study looked at a specific ultrasound feature called the medullary rim sign (MRS) in the kidneys of 661 cats to see how common it is and what it means for their health. The researchers found that 36.8% of the cats had some form of the MRS; a thick version of this sign was linked to serious kidney disease in 110 cats, while a thin version was not associated with kidney problems. This matters because spotting a thick MRS can help veterinarians diagnose kidney disease and could indicate the presence of feline infectious peritonitis (FIP) in some cases. Who this helps: This helps veterinarians and cat owners by improving disease diagnosis in cats.

PubMed

CT-guided drainage of a brainstem abscess in a cat as an emergency treatment procedure.

2020

JFMS open reports

Bersan E, Maddox T, Walmsley G, Piviani M, Burrow R

Plain English
In this study, researchers treated a 3-year-old cat with a serious brain infection known as a brainstem abscess, which caused severe neurological problems. They used a specialized imaging technique to drain the abscess and started the cat on antibiotics, leading to a quick recovery; follow-up imaging showed the abscess was completely gone after 8 months. This approach is important because it offers a less invasive treatment option than surgery, which could help pets with similar urgent conditions. Who this helps: This helps pet owners and veterinarians dealing with brain infections in cats.

PubMed

COVID-19 and mental health: A review and the role of telehealth and virtual reality.

2020

Digital medicine

Sainz-Fuertes R, Gelabert Mir JM, Valderas JM, Bullock K, Giersch A +11 more

Plain English
This paper looks at how the COVID-19 pandemic and lockdowns affected mental health, especially for vulnerable groups like the elderly, people with mental illnesses, children, and healthcare workers. It found that the isolation caused by quarantine can lead to long-lasting psychological problems for many people. The authors also explored how telehealth and virtual reality can help in diagnosing and treating these mental health issues during such tough times. Who this helps: This benefits patients struggling with mental health challenges during and after the pandemic.

PubMed

A dead giveaway: Foraging vultures and other avian scavengers respond to auditory cues.

2020

Ecology and evolution

Jackson CR, Maddox T, Mbise FP, Stokke BG, Belant JL +7 more

Plain English
This study looked at whether vultures and other birds that scavenge for food can find carcasses by hearing sounds made by predators, rather than just relying on what they see. In their research in Tanzania's Serengeti, the scientists played sounds of predators feeding. They found that vultures arrived first in 22% of the cases without seeing any mammals, showing that they can use sound to locate food, which goes against what was previously thought. This is important because it changes our understanding of how these birds find food and could influence conservation strategies. Who this helps: This helps conservationists and wildlife managers working to protect scavenging bird species.

PubMed

Spot the difference: comparing results of analyses from real patient data and synthetic derivatives.

2020

JAMIA open

Foraker RE, Yu SC, Gupta A, Michelson AP, Pineda Soto JA +9 more

Plain English
This study looked at whether synthetic data, which is fake data created to mimic real patient information, can be used effectively for medical research. Researchers tested this by comparing results from analyses of real patient data to results from analyses of synthetic data across three different scenarios. They found that the results were very similar, meaning the synthetic data can be trusted for research purposes (with a significance level greater than 0.05). This is important because it allows researchers to share data without risking patient privacy while still gaining valuable insights. Who this helps: This helps researchers and healthcare providers who need access to patient data for studies without compromising confidentiality.

PubMed

Comparative isotopic evidence from East Turkana supports a dietary shift within the genus Homo.

2019

Nature ecology & evolution

Patterson DB, Braun DR, Allen K, Barr WA, Behrensmeyer AK +10 more

Plain English
This research looked at the diet of early humans in East Turkana, Kenya, and found that about 1.65 million years ago, there was a significant change in what they ate. The study analyzed isotopic data from fossils and soil, showing that this dietary shift happened independently of changes in local vegetation and was different from the eating patterns of other ancient animals in the area. This finding is important because it highlights a distinct evolution in the diet of early Homo species, which may have played a role in their development. Who this helps: This benefits researchers studying human evolution and how dietary changes influenced our ancestors' development.

PubMed

Haematologic toxicity in dogs with mast cell tumours treated with vinblastine/prednisolone chemotherapy with/without radiotherapy.

2019

The Journal of small animal practice

Stiborova K, Treggiari E, Amores-Fuster I, Del Busto I, Killick D +4 more

Plain English
This study looked at whether adding radiation therapy to a chemotherapy treatment for dogs with mast cell tumors increases the risk of blood-related issues, specifically myelosuppression. The researchers found that the rates of neutropenia (a decrease in white blood cells) were similar in both treatment groups: 18.6% in the dogs receiving both radiation and chemotherapy, and 23.2% in those receiving only chemotherapy. This is important because it shows that combining these treatments does not lead to more severe side effects, providing reassurance for veterinary treatment options. Who this helps: This helps dogs with mast cell tumors and their veterinarians.

PubMed

MRI findings of neuronal ceroid lipofuscinosis in a cat.

2018

JFMS open reports

White C, Mortier J, Verin R, Maddox T, Goncalves R +1 more

Plain English
This study looked at a 2-year-old cat that had symptoms like changes in behavior, blindness, and seizures. An MRI showed brain shrinkage and other changes, and after the cat passed away, a post-mortem confirmed a condition called neuronal ceroid lipofuscinosis, which had never been documented using MRI in cats before. Understanding these MRI findings is important for diagnosing this rare condition in cats, which can help improve care and treatment options. Who this helps: Pet owners and veterinarians dealing with similar neurological conditions in cats.

PubMed

The Association of Statin Therapy with Incident Diabetes: Evidence, Mechanisms, and Recommendations.

2018

Current cardiology reports

Agarwala A, Kulkarni S, Maddox T

Plain English
This study looked at the link between using statin medications and the chance of developing diabetes. Researchers found that the annual risk of getting diabetes while on statins is about 0.1%, while statins significantly reduce the risk of major heart problems by about 0.42% each year. This is important because, even though statins can slightly increase diabetes risk, their heart-protecting benefits outweigh this risk, especially for those at higher risk of heart disease. Who this helps: This information benefits patients who are considering statin therapy, as well as their doctors.

PubMed

T Cells and Hypertension: Solved and Unsolved Mysteries Regarding the Female Rat.

2018

Physiology (Bethesda, Md.)

Pai AV, Maddox T, Sandberg K

Plain English
This research looked at how T-cells, a type of immune cell, behave in female rats with high blood pressure (hypertension), since most studies focus on males. The researchers found that T-cells play different roles in men and women when it comes to hypertension. Understanding these differences is important for better treatment options for high blood pressure and related health issues in both men and women. Who this helps: This helps patients, especially women with high blood pressure.

PubMed

Sex and rigor: the TGF-β blood pressure affair.

2017

American journal of physiology. Renal physiology

Sandberg K, Pai AV, Maddox T

PubMed

Client-assessed long-term outcome in dogs with surgical site infection following tibial plateau levelling osteotomy.

2016

The Veterinary record

Brown G, Maddox T, Baglietto Siles MM

Plain English
This study looked at the long-term outcomes for dogs that developed infections after undergoing a specific knee surgery called tibial plateau levelling osteotomy (TPLO). Out of 683 surgeries reviewed, 4.7% had surgical site infections, and 37.5% of those needed further surgery to remove the implants. However, the research found that these infections did not significantly affect the dogs’ long-term recovery or function, as measured by a specific questionnaire. Who this helps: This information benefits dog owners and veterinarians by providing insight into the risks and management of infections after surgery.

PubMed

Tonsillectomy for asymmetrical tonsils, are we over-diagnosing and managing: a review of 157 cases: Our Experience.

2015

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

Addison AB, Whittaker M, Maddox T, Pelser A, Watts S

PubMed

ANATOMICAL STUDY OF CRANIAL NERVE EMERGENCE AND SKULL FORAMINA IN THE HORSE USING MAGNETIC RESONANCE IMAGING AND COMPUTED TOMOGRAPHY.

2015

Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association

Gonçalves R, Malalana F, McConnell JF, Maddox T

Plain English
This study examined how cranial nerves emerge from the skull of horses by using MRI and CT scans on five horse cadavers. Researchers found that MRI was effective in showing most cranial nerves, with specific nerves consistently visible in all horses, like nerves II, V, VII, VIII, and XII. This information is important because it helps improve the accuracy of diagnosing brain and nerve conditions in horses, which can lead to better treatment. Who this helps: This benefits veterinarians and horse owners looking to better understand and treat neurological issues in horses.

PubMed

Professional women's well-being: the role of discrimination and occupational characteristics.

2013

Women & health

Maddox T

Plain English
This study looked at how discrimination at work affects the mental health and job satisfaction of Black and White professional women. It found that White women experienced higher psychological distress due to perceived discrimination compared to Black women, with women of color reporting a stronger connection between race and job dissatisfaction. These findings highlight the need for efforts to reduce workplace discrimination to improve well-being, especially among successful Black women. Who this helps: This helps professional women, particularly those in higher socioeconomic groups, as well as employers and policymakers focused on workplace equality.

PubMed

Frequent Co-Authors

Josh Sackman Beth D Darnall Parthasarathy Krishnamurthy Roselani Maddox Tim Fitzpatrick Vafi Salmasi Liesl Oldstone Kelsey Ffrench Ian Mackey Robert Louis

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.