Nathanael R. Fillmore
Topics / Cox Proportional Hazards Model
Topic

Cox Proportional Hazards Model

Fillmore has extensively employed Cox proportional hazards modeling to identify independent predictors of mortality and disease progression across diverse patient cohorts. His research utilizes this framework to quantify the impact of biomarkers, such as neutrophil-to-lymphocyte ratios and platelet reactivity, on the risk of dementia, as well as the influence of frailty and multimorbidity on survival in patients with advanced malignancies. Through these analyses, he has established critical hazard ratios that inform risk stratification for cardiovascular events and cancer-specific mortality in veterans and other high-risk populations.

U.S. Veterans and VA Data 22 Retrospective Cohort Study 21 Overall Survival 13 Patient Outcomes 11 Survival Analysis 10 Real World Evidence 8 Cancer Patients 7 Risk Factors 7 Electronic Health Records 7 Frailty 6 Electronic Frailty Index 6 VA Cancer Registry 6

Publications (24)

2026

Association of Frailty With Transfusions, Hospitalizations, and Survival in Patients With Myelodysplastic Syndrome Initiating Hypomethylating Agents.

Anahid Hamparsumian†, Jennifer La†, Mayuri Dharne, Gary Gilbert, Mary T. Brophy, Nhan V. Do, Dae Hyun Kim, Jane A. Driver, Nathanael R. Fillmore‡, Clark DuMontier‡† Equal first authorship · ‡ Equal senior authorship

EJHaem7(4), e70352
U.S. Veterans and VA Data Retrospective Cohort Study Frailty Overall Survival Hospitalization Metrics
2026

Frailty and survival outcomes in veterans with invasive cutaneous melanoma: A Veterans Affairs Cancer Registry retrospective cohort study.

Linden B. Huhmann†, Jonathan C. Hwang†, Daniel Y. Kim, Kaelyn Nannini, Nhan V. Do, John M. Gaziano, Lee E. Wheless, Nathanael R. Fillmore‡, Rebecca I. Hartman‡† Equal first authorship · ‡ Equal senior authorship

Journal of the American Academy of Dermatology95(1), 240-243
U.S. Veterans and VA Data Retrospective Cohort Study Cancer-Associated Thrombosis Cutaneous Melanoma Overall Survival
2026

Parkinson's disease and risk of melanoma in United States veterans: A Veterans Affairs Cancer Registry retrospective cohort study.

Jonathan C. Hwang†, Linden B. Huhmann†, David Perez, Daniel Y. Kim, Kaelyn Nannini, Nhan V. Do, John M. Gaziano, Mary T. Brophy, Lee E. Wheless, Nathanael R. Fillmore‡, Rebecca I. Hartman‡† Equal first authorship · ‡ Equal senior authorship

Journal of the American Academy of Dermatology94(6), 1811-1814
U.S. Veterans and VA Data Retrospective Cohort Study VA Cancer Registry Parkinson's Disease Cutaneous Melanoma
2026

Development and External Validation of a Machine Learning-Based Risk Classification Score for Prostate Cancer-Specific Cardiovascular Risk.

Nickolas Stabellini, Tarek Nahle, Viraj Shah, Sai S. Kollapaneni, Omar M. Makram, Jennifer Cullen, Neal L. Weintraub, Harikrishnan H. Kunhiraman, Umang Swami, Morteza Mahmoudi, Nathanael Fillmore, Isla P. Garraway, Darryl Leong, Jehonathan Pinthus, John Shanahan, Alberto J. Montero, Neeraj Agarwal, Avirup Guha

JCO Oncology PracticeOP2600131
Prostate Cancer Cardiovascular Disease Cardio-Oncology Machine Learning Predictive Modeling
2026

Neutrophil inflammation metrics are associated with the risk of future dementia in large data from NYU Langone Hospitals and the Veterans Health Administration.

Tianshe He, Rebecca A. Betensky, Ricardo S. Osorio, Kaitlin Swinnerton, Chunlei Zheng, Tovia Jacobs, Alok Vedvyas, Karyn Marsh, Joshua Chodosh, Ula Y. Hwang, Natalia Sifnugel, Omonigho M. Bubu, Thomas Wisniewski, Mary Brophy, Nhan V. Do, Nathanael R. Fillmore‡, Jaime Ramos-Cejudo‡‡ Equal senior authorship

Alzheimer's & Dementia22(4), e71335
U.S. Veterans and VA Data Retrospective Cohort Study Electronic Health Records Alzheimer Disease and Dementia Risk Factors
2026

Docetaxel Rechallenge vs Cabazitaxel in Patients With Metastatic Castration-Resistant Prostate Cancer.

Pedro C. Barata†, June K. Corrigan†, Jennifer La, John M. Culnan, Elliot Akama-Garren, Karlynn N. Dulberger, Clark Dumontier, Jason Hansen, John R. Bihn, Rhonda L. Bitting, Mary T. Brophy, Heather H. Cheng, Matthew R. Cooperberg, Nhan V. Do, Tanya Dorff, Antonio Tito Fojo, J. Michael Gaziano, Sergey D. Goryachev, Susan Halabi, Richard L. Hauger, David M. Nanus, Timothy R. Rebbeck, Chong-Xian Pan, Martin W. Schoen, Kaitlin N. Swinnerton, Kenute Myrie, Rachel B. Ramoni, Nathanael R. Fillmore, Channing J. Paller‡, Matthew B. Rettig‡† Equal first authorship · ‡ Equal senior authorship

JAMA Network Open9(1), e2551231
U.S. Veterans and VA Data Retrospective Cohort Study Metastatic Castration-Resistant Prostate Cancer Prostate Cancer Comparative Effectiveness
2025

Potentially Inappropriate Medications, Frailty, and Outcomes in Patients With Cancer Managed in a National Health Care System.

Jennifer La, Tammy Hshieh, Anahid Hamparsumian, Robert Zwolinski, Jameson Wood, Mayuri Dharne, J. Michael Gaziano, Mary T. Brophy, Nhan V. Do, Nikhil C. Munshi, Jane A. Driver, Gregory A. Abel, Nathanael R. Fillmore‡, Clark DuMontier‡‡ Equal senior authorship

Journal of the National Comprehensive Cancer Network23(9), 363-370
U.S. Veterans and VA Data Retrospective Cohort Study Electronic Health Records Frailty Overall Survival
2025

Multimorbidity and Its Impact in Older U.S. Veterans Newly Treated for Advanced Non-Small Cell Lung Cancer.

Joseph R. Larsen†, Chunlei Zheng†, Jennifer La, Julie Tsu-Yu Wu, Michael Kelley, J. Michael Gaziano, Mary Brophy, Nhan V. Do, Dae H. Kim, Jane A. Driver, Clark DuMontier‡, Nathanael R. Fillmore‡† Equal first authorship · ‡ Equal senior authorship

Annals of the American Thoracic Society22(4), 598-608
U.S. Veterans and VA Data Retrospective Cohort Study Lung Cancer Overall Survival Geriatric Oncology
2024

Antidepressant exposure and long-term dementia risk in a nationwide retrospective study on US veterans with midlife major depressive disorder.

Jaime Ramos-Cejudo†, June K. Corrigan†, Chunlei Zheng, Kaitlin N. Swinnerton, Sean R. Jacobson, Jennifer La, Rebecca A. Betensky, Ricardo S. Osorio, Sharon Madanes, Nunzio Pomara, Dan Iosifescu, Mary Brophy, Nhan V. Do‡, Nathanael R. Fillmore‡† Equal first authorship · ‡ Equal senior authorship

Alzheimer's & Dementia20(6), 4106-4114
U.S. Veterans and VA Data Retrospective Cohort Study Alzheimer Disease and Dementia Major Depressive Disorder Antidepressant Therapy
2024

Real-world effectiveness of immune checkpoint inhibitors and BRAF/MEK inhibitors among veteran patients with cutaneous melanoma.

Daniel Y. Kim, Susan M. Swetter, Linden Huhmann, Matthew P. Dizon, Jacqueline M. Ferguson, Thomas F. Osborne, Allyson C. Spence, Amina Ziad, Nathanael Fillmore‡, Rebecca I. Hartman‡‡ Equal senior authorship

Journal of the American Academy of Dermatology90(3), 620-623
U.S. Veterans and VA Data Retrospective Cohort Study Cutaneous Melanoma Immune Checkpoint Inhibitors BRAF/MEK Inhibitors
2023

More intensive therapy as more effective treatment for frail patients with multiple myeloma [corrected].

Clark DuMontier†, Jennifer La†, John Bihn, June Corrigan, Cenk Yildirim, Mayuri Dharne, Hamza Hassan, Sarvari Yellapragada, Gregory A. Abel, J. Michael Gaziano, Nhan V. Do, Mary Brophy, Dae H. Kim, Nikhil C. Munshi, Nathanael R. Fillmore‡, Jane A. Driver‡† Equal first authorship · ‡ Equal senior authorship

Blood Advances7(20), 6275-6284
U.S. Veterans and VA Data Retrospective Cohort Study Multiple Myeloma Frailty Overall Survival
2023

Epidemiology of Cancer-Associated Venous Thromboembolism in Patients With Solid and Hematologic Neoplasms in the Veterans Affairs Health Care System.

Kylee L. Martens†, Ang Li†, Jennifer La, Sarah B. May, Kaitlin N. Swinnerton, Hannah Tosi, Danne C. Elbers, Nhan V. Do, Mary T. Brophy, J. Michael Gaziano, Saran Lotfollahzadeh, Vipul Chitalia, Katya Ravid, Nathanael R. Fillmore† Equal first authorship

JAMA Network Open6(6), e2317945
U.S. Veterans and VA Data Retrospective Cohort Study Electronic Health Records Cancer-Associated Thrombosis Health Disparities
2023

Allostatic load and cardiovascular outcomes in males with prostate cancer.

Nickolas Stabellini, Jennifer Cullen, Marcio S. Bittencourt, Justin X. Moore, Lifen Cao, Neal L. Weintraub, Ryan A. Harris, Xiaoling Wang, Biplab Datta, Steven S. Coughlin, Jorge Garcia, John Shanahan, Nelson Hamerschlak, Kristin Waite, Nathanael R. Fillmore, Martha Terris, Alberto J. Montero, Jill S. Barnholtz-Sloan‡, Avirup Guha‡‡ Equal senior authorship

JNCI Cancer Spectrum7(2)
Allostatic Load Cardiovascular Disease Major Adverse Cardiovascular Events Prostate Cancer Fine-Gray Models
2022

Platelet Function Is Associated With Dementia Risk in the Framingham Heart Study.

Jaime Ramos-Cejudo, Andrew D. Johnson, Alexa Beiser, Sudha Seshadri, Joel Salinas, Jeffrey S. Berger, Nathanael R. Fillmore, Nhan Do, Chunlei Zheng, Zanetta Kovbasyuk, Babak A. Ardekani, Nunzio Pomara, Omonigho M. Bubu, Ankit Parekh, Antonio Convit, Rebecca A. Betensky, Thomas M. Wisniewski, Ricardo S. Osorio

Journal of the American Heart Association11(9), e023918
Alzheimer Disease and Dementia Framingham Heart Study Light Transmission Aggregometry Platelet Function Inverse Probability Weighting
2021

The Neutrophil to Lymphocyte Ratio Is Associated With the Risk of Subsequent Dementia in the Framingham Heart Study.

Jaime Ramos-Cejudo, Andrew D. Johnson, Alexa Beiser, Sudha Seshadri, Joel Salinas, Jeffrey S. Berger, Nathanael R. Fillmore, Nhan Do, Chunlei Zheng, Zanetta Kovbasyuk, Babak A. Ardekani, Omonigho M. Bubu, Ankit Parekh, Antonio Convit, Rebecca A. Betensky, Thomas M. Wisniewski, Ricardo S. Osorio

Frontiers in Aging Neuroscience13, 773984
Alzheimer Disease and Dementia Framingham Heart Study Neutrophil-to-Lymphocyte Ratio Cox Proportional Hazards Model Inverse Probability Weighting