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Sarah Royce, MD, MPH

TitleAssistant Clinical Professor
SchoolUCSF School of Medicine
DepartmentEpidemiology & Biostatistics
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    Collapse Biography 
    Collapse Education and Training
    University of California, San Francisco Occupational Medicine Residency and Fellowship1990School of Medicine
    University of California, BerkeleyMasters in Public Health1988School of Public Health
    Kaiser PermanenteInternal Medicine Residency1987
    University of California, San FranciscoM.D.1984 School of Medicine
    Collapse Awards and Honors
    UCSF-Clinical and Translational Science Institute2012  - 2013Pilot T2 (Bedside to Community) Translational Science grant (Co-investigator)

    Collapse Overview 
    Collapse Overview
    Dr. Royce is Assistant Clinical Professor, Department of Epidemiology and Biostatistics, University of California, San Francisco (without salary). She currently works for the California Department of Health Care Services where she is Chief, Medical Quality Oversight Section of the Managed Care Quality and Monitoring Division. Before this position in Medi-Cal managed care, her career focused on tuberculosis (TB) control, from 1992-2008 as chief of the TB control branch, California Department of Public Health and then as an global TB consultant in 19 countries in Asia, Africa and Europe.

    With the Cochrane HIV/AIDS Group, she led a systematic review on integration of tuberculosis and HIV services to inform the 2013 World Health Organization (WHO) consolidated guidelines on antiretroviral therapy. Dr. Royce was the lead consultant for the development of the WHO Treatment of TB guidelines. In her WHO guidelines work, she used the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach to rate the quality of evidence and strength of recommendations.

    Dr. Royce also conducted a mixed methods study of barriers and facilitators of multidrug resistant TB case finding in Cambodia supported by a UCSF Pilot T2 (Bedside to Community) Translational Science grant. Guidelines for National Programmes.


    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
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    1. Royce S, Khann S, Yadav RP, Mao ET, Cattamanchi A, Sam S, Handley MA. Identifying multidrug resistance in previously treated tuberculosis patients: a mixed-methods study in Cambodia. Int J Tuberc Lung Dis. 2014 Nov; 18(11):1299-306. PMID: 25299861; PMCID: PMC4214146.
      View in: PubMed, PubMed Central
    2. Ehman M, Shaw T, Cass A, Lawton E, Westenhouse J, Young J, Royce S, Barry P. Developing and using performance measures based on surveillance data for program improvement in tuberculosis control. J Public Health Manag Pract. 2013 Sep-Oct; 19(5):E29-37. PMID: 23263627.
      View in: PubMed
    3. Cass A, Shaw T, Ehman M, Young J, Flood J, Royce S. Improved outcomes found after implementing a systematic evaluation and program improvement process for tuberculosis. Public Health Rep. 2013 Sep-Oct; 128(5):367-76. PMID: 23997283; PMCID: PMC3743285.
      View in: PubMed, PubMed Central
    4. Royce S, Falzon D, van Weezenbeek C, Dara M, Hyder K, Hopewell P, Richardson MD, Zignol M. Multidrug resistance in new tuberculosis patients: burden and implications. Int J Tuberc Lung Dis. 2013 Apr; 17(4):511-3. PMID: 23485384.
      View in: PubMed
    5. Arentz M, Pavlinac P, Kimerling ME, Horne DJ, Falzon D, Schünemann HJ, Royce S, Dheda K, Walson JL. Use of anti-retroviral therapy in tuberculosis patients on second-line anti-TB regimens: a systematic review. PLoS One. 2012; 7(11):e47370. PMID: 23144818; PMCID: PMC3489892.
      View in: PubMed, PubMed Central
    6. Ahuja SD, Ashkin D, Avendano M, Banerjee R, Bauer M, Bayona JN, Becerra MC, Benedetti A, Burgos M, Centis R, Chan ED, Chiang CY, Cox H, D'Ambrosio L, DeRiemer K, Dung NH, Enarson D, Falzon D, Flanagan K, Flood J, Garcia-Garcia ML, Gandhi N, Granich RM, Hollm-Delgado MG, Holtz TH, Iseman MD, Jarlsberg LG, Keshavjee S, Kim HR, Koh WJ, Lancaster J, Lange C, de Lange WC, Leimane V, Leung CC, Li J, Menzies D, Migliori GB, Mishustin SP, Mitnick CD, Narita M, O'Riordan P, Pai M, Palmero D, Park SK, Pasvol G, Peña J, Pérez-Guzmán C, Quelapio MI, Ponce-de-Leon A, Riekstina V, Robert J, Royce S, Schaaf HS, Seung KJ, Shah L, Shim TS, Shin SS, Shiraishi Y, Sifuentes-Osornio J, Sotgiu G, Strand MJ, Tabarsi P, Tupasi TE, van Altena R, Van der Walt M, Van der Werf TS, Vargas MH, Viiklepp P, Westenhouse J, Yew WW, Yim JJ. Multidrug resistant pulmonary tuberculosis treatment regimens and patient outcomes: an individual patient data meta-analysis of 9,153 patients. PLoS Med. 2012; 9(8):e1001300. PMID: 22952439; PMCID: PMC3429397.
      View in: PubMed, PubMed Central
    7. Falzon D, Jaramillo E, Schünemann HJ, Arentz M, Bauer M, Bayona J, Blanc L, Caminero JA, Daley CL, Duncombe C, Fitzpatrick C, Gebhard A, Getahun H, Henkens M, Holtz TH, Keravec J, Keshavjee S, Khan AJ, Kulier R, Leimane V, Lienhardt C, Lu C, Mariandyshev A, Migliori GB, Mirzayev F, Mitnick CD, Nunn P, Nwagboniwe G, Oxlade O, Palmero D, Pavlinac P, Quelapio MI, Raviglione MC, Rich ML, Royce S, Rüsch-Gerdes S, Salakaia A, Sarin R, Sculier D, Varaine F, Vitoria M, Walson JL, Wares F, Weyer K, White RA, Zignol M. WHO guidelines for the programmatic management of drug-resistant tuberculosis: 2011 update. Eur Respir J. 2011 Sep; 38(3):516-28. PMID: 21828024.
      View in: PubMed
    8. Horne DJ, Royce S, Gooze L, Narita M, Hopewell PC, Nahid P, Steingart KR. Sputum monitoring during tuberculosis treatment for predicting outcome: systematic review and meta-analysis. Lancet Infect Dis. 2010 Jun; 10(6):387-94. PMID: 20510279; PMCID: PMC3046810.
      View in: PubMed, PubMed Central
    9. Khan FA, Minion J, Pai M, Royce S, Burman W, Harries AD, Menzies D. Treatment of active tuberculosis in HIV-coinfected patients: a systematic review and meta-analysis. Clin Infect Dis. 2010 May 1; 50(9):1288-99. PMID: 20353364.
      View in: PubMed
    10. Oxlade O, Schwartzman K, Pai M, Heymann J, Benedetti A, Royce S, Menzies D. Predicting outcomes and drug resistance with standardised treatment of active tuberculosis. Eur Respir J. 2010 Oct; 36(4):870-7. PMID: 20351030.
      View in: PubMed
    11. Menzies D, Benedetti A, Paydar A, Martin I, Royce S, Pai M, Vernon A, Lienhardt C, Burman W. Effect of duration and intermittency of rifampin on tuberculosis treatment outcomes: a systematic review and meta-analysis. PLoS Med. 2009 Sep; 6(9):e1000146. PMID: 19753109; PMCID: PMC2736385.
      View in: PubMed, PubMed Central
    12. Menzies D, Benedetti A, Paydar A, Royce S, Madhukar P, Burman W, Vernon A, Lienhardt C. Standardized treatment of active tuberculosis in patients with previous treatment and/or with mono-resistance to isoniazid: a systematic review and meta-analysis. PLoS Med. 2009 Sep; 6(9):e1000150. PMID: 20101802; PMCID: PMC2736403.
      View in: PubMed, PubMed Central
    13. Banerjee R, Allen J, Westenhouse J, Oh P, Elms W, Desmond E, Nitta A, Royce S, Flood J. Extensively drug-resistant tuberculosis in california, 1993-2006. Clin Infect Dis. 2008 Aug 15; 47(4):450-7. PMID: 18616396.
      View in: PubMed
    14. Flaherman VJ, Porco TC, Marseille E, Royce S. Cost-effectiveness of alternative strategies for tuberculosis screening before kindergarten entry. Pediatrics. 2007 Jul; 120(1):90-9. PMID: 17606566.
      View in: PubMed
    15. Porco TC, Lewis B, Marseille E, Grinsdale J, Flood JM, Royce S. Cost-effectiveness of tuberculosis evaluation and treatment of newly-arrived immigrants. BMC Public Health. 2006; 6:157. PMID: 16784541; PMCID: PMC1559699.
      View in: PubMed, PubMed Central
    16. Pascopella L, Kellam S, Ridderhof J, Chin DP, Reingold A, Desmond E, Flood J, Royce S. Laboratory reporting of tuberculosis test results and patient treatment initiation in California. J Clin Microbiol. 2004 Sep; 42(9):4209-13. PMID: 15365013; PMCID: PMC516353.
      View in: PubMed, PubMed Central
    17. Sprinson JE, Flood J, Fan CS, Shaw TA, Pascopella L, Young JA, Royce S. Evaluation of tuberculosis contact investigations in California. Int J Tuberc Lung Dis. 2003 Dec; 7(12 Suppl 3):S363-8. PMID: 14677824.
      View in: PubMed
    18. Lobato MN, Royce S, Mohle-Boetani JC. Yield of source-case and contact investigations in identifying previously undiagnosed childhood tuberculosis. Int J Tuberc Lung Dis. 2003 Dec; 7(12 Suppl 3):S391-6. PMID: 14677828.
      View in: PubMed
    19. Lobato MN, Mohle-Boetani JC, Royce S. Missed opportunities for preventing tuberculosis among children younger than five years of age. Pediatrics. 2000 Dec; 106(6):E75. PMID: 11099618.
      View in: PubMed
    20. Chin DP, Cummings KC, Sciortino S, Snyder DC, Johnson LF, Westenhouse JL, Royce S. Progress and problems in achieving the United States national target for completion of antituberculosis treatment. Int J Tuberc Lung Dis. 2000 Aug; 4(8):744-51. PMID: 10949326.
      View in: PubMed
    21. Sciortino S, Mohle-Boetani J, Royce S, Will D, Chin DP. B notifications and the detection of tuberculosis among foreign-born recent arrivals in California. Int J Tuberc Lung Dis. 1999 Sep; 3(9):778-85. PMID: 10488885.
      View in: PubMed
    22. Lobato MN, Cummings K, Will D, Royce S. Tuberculosis in children and adolescents: California, 1985 to 1995. Pediatr Infect Dis J. 1998 May; 17(5):407-11. PMID: 9613655.
      View in: PubMed
    23. Cummings KC, Mohle-Boetani J, Royce S, Chin DP. Movement of tuberculosis patients and the failure to complete antituberculosis treatment. Am J Respir Crit Care Med. 1998 Apr; 157(4 Pt 1):1249-52. PMID: 9563747.
      View in: PubMed
    24. Ridzon R, Kent JH, Valway S, Weismuller P, Maxwell R, Elcock M, Meador J, Royce S, Shefer A, Smith P, Woodley C, Onorato I. Outbreak of drug-resistant tuberculosis with second-generation transmission in a high school in California. J Pediatr. 1997 Dec; 131(6):863-8. PMID: 9427891.
      View in: PubMed
    25. Cummings K, Mohle-Boetani J, Catlos E, Fenstersheib M, Royce S. An investigation of increased tuberculosis case reports in Santa Clara County, California, 1993-1994. Am J Public Health. 1997 Oct; 87(10):1721. PMID: 9357365; PMCID: PMC1381146.
      View in: PubMed, PubMed Central
    26. Oscherwitz T, Tulsky JP, Roger S, Sciortino S, Alpers A, Royce S, Lo B. Detention of persistently nonadherent patients with tuberculosis. JAMA. 1997 Sep 10; 278(10):843-6. PMID: 9293993.
      View in: PubMed
    27. Koo D, Royce S, Rutherford GW. Drug-resistant Mycobacterium tuberculosis in California, 1991 to 1992. West J Med. 1995 Nov; 163(5):441-5. PMID: 8533406; PMCID: PMC1303167.
      View in: PubMed, PubMed Central
    28. Royce S, Wald P, Sheppard D, Balmes J. Occupational asthma in a pesticides manufacturing worker. Chest. 1993 Jan; 103(1):295-6. PMID: 8417906.
      View in: PubMed
    29. Das R, Tager IB, Gamsky T, Schenker MB, Royce S, Balmes JR. Atopy and airways reactivity in animal health technicians. A pilot study. J Occup Med. 1992 Jan; 34(1):53-60. PMID: 1552384.
      View in: PubMed
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