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Dr. Megwalu was born in Ottawa, Ontario, Canada, but spent most of his childhood in Nigeria. He received his undergraduate degree from McMaster University in Hamilton, Ontario, Canada. Dr. Megwalu received his medical degree from Washington University School of Medicine, completed his residency at New York Eye and Ear Infirmary, and received his MPH degree from Icahn School of Medicine at Mount Sinai. After residency, Dr. Megwalu joined the faculty at Icahn School of Medicine at Mount Sinai, where he served as Director of Otolaryngology at Queens Hospital Center, and Assistant Regional Director of Otolaryngology for Queens Health Network from 2011 to 2015.Dr. Megwalu Joined the Division of Comprehensive Otolaryngology at Stanford in 2016. His clinical interests include thyroid and parathyroid disorders, head and neck tumors, sinusitis, and chronic ear disorders. Dr. Megwalu conducts outcomes/health services research, with a focus on health literacy, health disparities, and comparative effectiveness research.
I have an interest in Outcomes/Health Services Research. Specific areas of interest include: health literacy, head and neck cancer epidemiology and comparative effectiveness research using large population-based cancer databases.<br/><br/>Health Literacy:<br/>Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic information and services needed to make appropriate decisions regarding their health. Health literacy goes beyond the ability to read and write (fundamental literacy), but also includes other skills such as speaking, listening, adequate background medical knowledge, and the ability for self-advocacy. It is estimated that 90 million adults in the United States have inadequate health literacy. Health literacy has been shown to impact outcomes in a number of medical conditions, including asthma, COPD, diabetes, and hypertension. <br/>Unfortunately, health literacy is grossly studied in the otolaryngology literature. Our research team is examining the impact of health literacy on otolaryngology – head and neck surgery patient outcomes. Ongoing work includes: identifying appropriate and practical measures of health literacy in clinical practice; assessing the determinants of health literacy; and evaluating the impact of health literacy on specific outcomes such as treatment compliance and quality of life.<br/><br/>Head and Neck Cancer Epidemiology and Comparative Effectiveness:<br/>Head and neck cancer is the seventh most common cancer in the world. It accounts for approximately 10% of cancers, with an estimated 130,000 new cases in the United States in 2015. Head and neck cancer is an important cause of cancer mortality, with an average 5-year cumulative survival of 65% in the United States. In addition to tumor-specific factors, non-clinical factors, such as race, gender, and socioeconomic status, are known to significantly impact patient outcomes. <br/>My research interest is in the use of large datasets, such as the SEER database, to evaluate the impact of sociodemographic and clinical factors on treatment choice and survival outcomes. Ongoing work includes evaluating the comparative effectiveness of treatment options in the management of head and neck cancer. Research methods utilized include traditional univariable and multivariable methods, as well as quasi experimental methods, such as propensity score analysis and instrumental variable analysis.