Dataset Information

A century of sprawl in the United States.

ABSTRACT: The urban street network is one of the most permanent features of cities. Once laid down, the pattern of streets determines urban form and the level of sprawl for decades to come. We present a high-resolution time series of urban sprawl, as measured through street network connectivity, in the United States from 1920 to 2012. Sprawl started well before private car ownership was dominant and grew steadily until the mid-1990s. Over the last two decades, however, new streets have become significantly more connected and grid-like; the peak in street-network sprawl in the United States occurred in ? 1994. By one measure of connectivity, the mean nodal degree of intersections, sprawl fell by ? 9% between 1994 and 2012. We analyze spatial variation in these changes and demonstrate the persistence of sprawl. Places that were built with a low-connectivity street network tend to stay that way, even as the network expands. We also find suggestive evidence that local government policies impact sprawl, as the largest increases in connectivity have occurred in places with policies to promote gridded streets and similar New Urbanist design principles. We provide for public use a county-level version of our street-network sprawl dataset comprising a time series of nearly 100 y.

SUBMITTER: Barrington-Leigh C

PROVIDER: S-EPMC4500277 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature

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A century of sprawl in the United States.

Barrington-Leigh Christopher C Millard-Ball Adam A

Proceedings of the National Academy of Sciences of the United States of America 20150615 27

The urban street network is one of the most permanent features of cities. Once laid down, the pattern of streets determines urban form and the level of sprawl for decades to come. We present a high-resolution time series of urban sprawl, as measured through street network connectivity, in the United States from 1920 to 2012. Sprawl started well before private car ownership was dominant and grew steadily until the mid-1990s. Over the last two decades, however, new streets have become significantl ...[more]

PMID: 26080422

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Project description:BackgroundMale breast cancer (MBC) is a rare disease for which there is limited understanding of treatment patterns and prognostic factors.MethodsMen with TNM stage I to stage III breast cancer diagnosed between 2004 and 2014 in the National Cancer Data Base were included. Trends in treatment modalities were described using the average annual percentage change (AAPC) and estimated using Joinpoint software for the analysis of trends. Kaplan-Meier curves and the multivariate Cox proportional hazards regression model were used to compare survival between subgroups and to identify prognostic factors.ResultsA total of 10,873 MBC cases were included, with a median age at diagnosis of 64 years. Breast-conserving surgery was performed in 24% of patients, and 70% of patients undergoing breast conservation received radiotherapy. Approximately 44% of patients received chemotherapy, and 62% of patients with estrogen receptor-positive disease received endocrine therapy. Oncotype DX was ordered in 35% of patients with lymph node-negative, estrogen receptor-positive/human epidermal growth factor receptor 2 (HER2)-negative tumors. During the study period, there was a significant increase in the rates of total mastectomy, contralateral prophylactic mastectomy, radiotherapy after breast conservation, ordering of Oncotype DX, and the use of endocrine therapy (P < .05). On multivariate analysis, factors found to be associated with worse overall survival were older age, black race, higher Charlson Comorbidity Index, high tumor grade and stage of disease, and undergoing total mastectomy. Residing in a higher income area; having progesterone receptor-positive tumors; and receipt of chemotherapy, radiotherapy, and endocrine therapy were associated with better overall survival.ConclusionsDespite the lack of prospective randomized trials in patients with MBC, the results of the current study demonstrated that the treatment of this disease has evolved over the years. These findings further the understanding of the modern treatment and prognosis of MBC, and identify several areas for further research.

Dataset Information

A century of sprawl in the United States.

Publications

A century of sprawl in the United States.

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