Guangyu Tong, PhD
Assistant Professor of Cardiovascular Medicine and Assistant Professor of BiostatisticsCards
Appointments
Additional Titles
Director, Cardiovascular Medicine Analytics Center (CMAC)
Contact Info
Yale University
135 College St, Room 234
New Haven, CT 06510
United States
Appointments
Additional Titles
Director, Cardiovascular Medicine Analytics Center (CMAC)
Contact Info
Yale University
135 College St, Room 234
New Haven, CT 06510
United States
Appointments
Additional Titles
Director, Cardiovascular Medicine Analytics Center (CMAC)
Contact Info
Yale University
135 College St, Room 234
New Haven, CT 06510
United States
About
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Titles
Assistant Professor of Cardiovascular Medicine and Assistant Professor of Biostatistics
Director, Cardiovascular Medicine Analytics Center (CMAC)
Biography
Dr. Guangyu Tong is an Assistant Professor of Cardiovascular Medicine at the Yale School of Medicine and holds a secondary appointment as Assistant Professor of Biostatistics at the Yale School of Public Health. He currently directs the Cardiovascular Medicine Analytics Center (CMAC), which serves as a vital hub for study design and analytic support across Yale’s cardiovascular research community. Dr. Tong also holds research roles across several interdisciplinary initiatives, including faculty affiliations with the Center for Methods of Implementation and Prevention Science (CMIPS), the Data Management and Statistics Core of the Alzheimer’s Disease Research Center (ADRC-DMSC), the Center for Interdisciplinary Research on AIDS (CIRA), and the Interdepartmental Foci of Firearm Injury Prevention (FIP)—a university-wide initiative aimed at cross-sector collaboration to reduce firearm-related harm. On the national stage, he contributes to editorial leadership as Statistical Editor of the Journal of the American College of Cardiology (JACC) and Associate Editor for BMC Medicine. He is frequently invited to present his work at scientific conferences and institutions across North America, Europe, and Asia. He is a recognized contributor to numerous NIH-funded trials and global health studies in cardiovascular medicine and implementation science. His work bridges the development of innovative statistical methods with real-world implementation in medicine and public health.
At the core of Dr. Tong’s methodological expertise is the design and analysis of pragmatic trials, especially cluster randomized trials (CRTs), individually randomized group treatment trials (IRGTs), and stepped wedge cluster randomized trials (SW-CRTs). His research has led to major advances in sample size estimation, treatment effect heterogeneity, and complex trial designs with unequal cluster sizes or truncated outcomes. His methodological research has advanced how such trials are powered, especially under real-world constraints like unequal cluster sizes, outcome truncation, or heterogeneous intraclass correlations. He has contributed to methods for modified Poisson models in binary outcomes, generalized estimating equations, and the planning of trials with complex multilevel structures. His methodological work has routinely appeared in journals such as Annals of Applied Statistics, Statistics in Medicine, Statistical Methods in Medical Research, Biometrical Journal, American Journal of Epidemiology, Clinical Trials, and Contemporary Clinical Trials, where he has helped shape best practices for evaluating treatment heterogeneity, sample size calculation under complex clustering, and design in real-world interventions. He is an experienced biostatistician in the design and analysis of multiple NIH-funded pragmatic trials, including PULESA-UGANDA (UG3-HL154501), TRANSFORM-HF (U01-HL125511), TRUE HAVEN (R01MD017526), G4H (R01CE003267), iDOVE2 (R01HD093655), WISHES (R18HS029812), C4+3MV (R01MH138225), and HPTN096 (UM1AI068619).
In parallel, Dr. Tong is an expert in Bayesian statistics and causal inference, developing advanced techniques to handle post-randomization complications such as death censoring and outcome heterogeneity. Supported by the Patient-Centered Outcomes Research Institute (PCORI ME-2020C1-19220), he developed hierarchical Bayesian models for cluster trials with varying outcome variance and led the creation of frameworks to estimate survivor average causal effects (SACE), particularly in trials where mortality precludes full data collection. This series of work had earned his recognition as a 2023 Faculty Scholar with the National Institute on Aging's IMPACT Collaboratory. Additionally, he co-developed PSweight, a widely used R package for flexible propensity score weighting analysis that supports multiple arm comparison, survey weights, and machine learning methods, reinforcing his commitment to transparent, reproducible causal inference methods in observational research.
Another major pillar of Dr. Tong’s work focuses on cardiovascular medicine, where he serves as biostatistician and co-investigator on several high-impact studies. He led several statistical analyses of pooled data from the REVIVED-BCIS2 and STICH trials, providing comparative effectiveness insights on PCI vs. CABG for ischemic heart failure. Under the global health setting, he has also contributed to understanding education-based disparities in cardiovascular health across 36 low- and middle-income countries. His collaborations span randomized clinical trials and meta-analyses—such as identifying optimal pharmacologic strategies to prevent postoperative delirium through Bayesian network modeling—highlighting both his clinical relevance and statistical innovation.
Beyond his work in cardiovascular medicine and trial methodology, Dr. Tong has developed a line of research focused on mental health and firearm injury prevention, areas that lie at the intersection of public safety, trauma, and health equity. He serves as a biostatistician on federally funded intervention studies, including G4H (R01CE003267) and iDOVE2 (R01HD093655), which aim to prevent youth firearm injury, peer violence, and depressive symptoms through school- and community-based interventions. These projects integrate both epidemiologic modeling and implementation science, and Dr. Tong’s contributions ensure rigorous analytic frameworks are applied to measure intervention effectiveness and longitudinal outcomes.
In addition, Dr. Tong serves as a senior statistician for the Great Smoky Mountain Study (GSMS; R01MH117559)—a landmark, multi-decade longitudinal cohort that tracks children from adolescence into adulthood. Through this role, he has co-authored over ten publications examining how early exposures—such as cardiometabolic health, access to firearms, experiences of violent victimization, or involvement with psychiatric and juvenile justice systems—shape long-term mental health, criminal, functional, cardiometabl outcomes, and firearm-related behaviors. His work has directly informed policy debates around “red flag” laws, age-based firearm restrictions, and trauma-informed interventions. These studies not only bring together multiple NIH priority areas—child mental health, firearm injury prevention, and health disparities—but also showcase Dr. Tong’s capacity to lead methodologically sophisticated, socially impactful research. His analytical approaches combine causal inference, longitudinal modeling, missing data, and time-to-event modeling to support evidence-based, ethically sound public health strategies.
Appointments
Cardiovascular Medicine
Assistant ProfessorPrimaryBiostatistics
Assistant ProfessorSecondary
Other Departments & Organizations
Education & Training
- PhD
- Duke University
- MA
- Columbia University
- AB
- Peking University
Research
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Overview
Medical Research Interests
Public Health Interests
ORCID
0000-0002-7697-5029
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Fan Li, PhD
James Dziura, MPH, PhD
Jiaqi Tong
Kendra Plourde, PhD
LaRon Nelson, PhD, RN, FAAN
Alexandra Lansky, MD, MSCAI, FACC, FAHA, FESC
Research Design
Longitudinal Studies
Gun Violence
Causality
Propensity Score
Publications
2025
Protocol for a hybrid type 1 effectiveness-implementation study of mindfulness-based therapy for insomnia in Black women.
Nam S, Tong G, Iennaco J, Humphries D, Ordway M, Lee M, Thompson S, Seguinot M, Morales F, Harriot K, Paris N, Bryant KA, Weidner K, Edwards T, Whittemore R. Protocol for a hybrid type 1 effectiveness-implementation study of mindfulness-based therapy for insomnia in Black women. Contemp Clin Trials 2025, 160: 108166. PMID: 41308952, DOI: 10.1016/j.cct.2025.108166.Peer-Reviewed Original ResearchChildhood allostatic load predicts cardiometabolic health in adulthood.
Hinz E, Vitali A, Tong G, Pontzer H, Copeland W. Childhood allostatic load predicts cardiometabolic health in adulthood. Proceedings Of The National Academy Of Sciences Of The United States Of America 2025, 122: e2508549122. PMID: 40982685, DOI: 10.1073/pnas.2508549122.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAdult cardiometabolic healthCardiometabolic healthAllostatic loadAL scoreCardiometabolic outcomesChildhood ALCumulative burdenAdult cardiometabolic outcomesWaist-to-hip ratioBurden of chronic stressWaist-to-hipAssociated with C-reactive proteinHealth in adulthoodLong-term health trajectoriesLife course effectsCumulative stress exposureChildhood BMIAge-standardized valuesCardiometabolic indicatorsHealth outcomesHealth trajectoriesPhysiological dysregulationDiastolic blood pressureImputed datasetsCohort studyDreams Interrupted: A Secondary Data Analysis Unraveling Predictors and Correlates of Insomnia Symptoms and Sleep Distress Among Ghanian Men Who Have Sex With Men Living With HIV.
Nwanaji-Enwerem U, Tong G, Cadri A, Akyirem S, Aidoo-Frimpong G, Thomas P, Aryee E, Clack K, Jacobson-Lopez D, Wilton L, Nelson L. Dreams Interrupted: A Secondary Data Analysis Unraveling Predictors and Correlates of Insomnia Symptoms and Sleep Distress Among Ghanian Men Who Have Sex With Men Living With HIV. Journal Of The Association Of Nurses In AIDS Care 2025 PMID: 40932147, DOI: 10.1097/jnc.0000000000000581.Peer-Reviewed Original ResearchConceptsHIV careInsomnia symptomsStigma reduction interventionsTailored psychosocial interventionsCommunity-based support programsSecondary data analysisInternalized stigmaEnacted stigmaHealth disparitiesPsychosocial interventionsPerceived stressOverall healthSupport programsStigmaLogistic regressionSleep distressSleep disturbanceRisk factorsHIVSleep assessmentCareSense of communityInterventionDaytime fatigueMenSurgical Risk and Long-Term Mortality With PCI and CABG in Ischemic Left Ventricular Systolic Dysfunction
Marquis-Gravel G, Tong G, Dodd M, Clayton T, Ryan M, Docherty K, Williams A, Sun J, Fremes S, Lansky A, Velazquez E, Perera D, Petrie M, Rouleau J. Surgical Risk and Long-Term Mortality With PCI and CABG in Ischemic Left Ventricular Systolic Dysfunction. Journal Of The Society For Cardiovascular Angiography & Interventions 2025, 4: 103820. DOI: 10.1016/j.jscai.2025.103820.Peer-Reviewed Original ResearchCitationsConceptsCoronary Artery Bypass GraftingOptimal medical therapyPercutaneous coronary interventionBaseline surgical riskVentricular systolic dysfunctionRandomized Controlled TrialsSurgical riskEffect of percutaneous coronary interventionSystolic dysfunctionSTICH trialIschemic left ventricular systolic dysfunctionLeft ventricular systolic dysfunctionIschemic heart failureImpact of revascularizationArtery Bypass GraftingMultivessel coronary diseaseTreatment effectsPost Hoc AnalysisEuroSCORE-IISurgical treatmentClinical benefitMedical therapyHeart failureBypass GraftingRevascularization modalityEffect of peri‐operative pharmacological interventions on postoperative delirium in patients having cardiac surgery: a systematic review and Bayesian network meta‐analysis
Queiroz I, Barbosa L, Ruelas M, Araújo B, Defante M, Tavares A, de Mesquita C, Pimentel T, Mendes B, Felix I, Rivera A, Ferreira R, de Oliveira H, Righetto B, Smischney N, Tong G, Ma D. Effect of peri‐operative pharmacological interventions on postoperative delirium in patients having cardiac surgery: a systematic review and Bayesian network meta‐analysis. Anaesthesia 2025 PMID: 40888048, DOI: 10.1111/anae.16757.Peer-Reviewed Original ResearchCitationsAltmetricConceptsIncidence of postoperative deliriumRandomised controlled trialsCardiac surgeryPostoperative deliriumPharmacological interventionsControlled TrialsRisk ratioMeta-analysis of randomised controlled trialsNetwork meta-analysis of randomised controlled trialsBayesian Network Meta-AnalysisEffective pharmacological strategiesGrading of RecommendationsIntensive care unitEffects of pharmacological interventionsCertainty of evidenceCumulative ranking curveEffective prevention strategiesNetwork Meta-AnalysisEffective interventionsPharmacological strategiesCare unitPrevention strategiesSystematic reviewLow certaintyPatientsSurgical Risk and Long-Term Mortality With PCI and CABG in Ischemic Left Ventricular Systolic Dysfunction
Guillaume Marquis-Gravel, Guangyu Tong, Matthew Dodd, Tim Clayton, Matthew Ryan, Kieran F. Docherty, Alicia Williams, Jiaxuan Sun, Stephen E. Fremes, Alexandra Lansky, Eric J. Velazquez, Divaka Perera, Mark C. Petrie, Jean-Lucien Rouleau, Surgical Risk and Long-Term Mortality With PCI and CABG in Ischemic Left Ventricular Systolic Dysfunction, Journal of the Society for Cardiovascular Angiography & Interventions, 2025, 103820Peer-Reviewed Original Research In PressImplementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda)
Longenecker C, Kiggundu J, Ayebare F, Muddu M, Kayima J, Mutungi G, Ssinabulya I, Schwartz J, Spiegelman D, Tong G, Nugent R, Aifah A, Kagoya F, Cameron D, Hutchinson B, Kamya M, Katahoire A, Semitala F. Implementation strategies to integrate HIV and hypertension care in Kampala and Wakiso districts, Uganda: study protocol for a stepped wedge cluster randomized trial (PULESA-Uganda). BMC Health Services Research 2025, 25: 1060. PMID: 40790739, PMCID: PMC12341278, DOI: 10.1186/s12913-025-13281-9.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsCluster randomized trialHypertension careHIV clinicHealth workersWakiso districtStepped-wedge cluster randomized trialRates of HIV viral suppressionImplementation strategiesQuality HIV careClinical health workersBaseline hypertension prevalenceResource intensive strategyFacility-based costsLife expectancy gainsHIV viral suppressionBP controlPatient BP controlHTN careHuman-centered design approachRandomized trialsHIV careImplementation outcomesHypertension prevalencePre-implementationNon-AIDS comorbiditiesAssociation of COVID-19 outcomes with measures of institutional and interpersonal trust: an ecological analysis using national data from 61 countries
Rountree L, Tong G, Bu F, Ranney M, Mukherjee B. Association of COVID-19 outcomes with measures of institutional and interpersonal trust: an ecological analysis using national data from 61 countries. Scientific Reports 2025, 15: 26393. PMID: 40691221, PMCID: PMC12280113, DOI: 10.1038/s41598-025-09758-6.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsFactors Associated With Timely Receipt of Colposcopy After Abnormal Cervical Cancer Screening
Patel A, Qiu W, Sartor R, Wilcox M, Jones B, Hernandez-Ramirez R, Tang W, Megiel S, Girgis A, Foster J, Tong G, Spiegelman D, Sheth S. Factors Associated With Timely Receipt of Colposcopy After Abnormal Cervical Cancer Screening. Journal Of Lower Genital Tract Disease 2025, 29: 320-328. PMID: 40631578, DOI: 10.1097/lgt.0000000000000905.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsAbnormal Cervical Cancer ScreeningCervical cancer screeningColposcopy attendanceCancer screeningCare cycleLog-binomial regression modelsMultivariable log-binomial regression modelsCervical cancer screening resultsAbnormal cervical cancer screening resultsNon-Hispanic blacksCancer screening resultsFollow-up careColposcopy follow-upBinomial regression modelsCurrent smokersTargeted interventionsPap testCohort studyNever-smokersColposcopy evaluationPrimary outcomeCareColposcopyGynecology clinicYounger patientsEffectiveness of pay it forward intervention compared to free and user-paid vaccinations on seasonal influenza vaccination among older adults across seven cities in China: study protocol of a three-arm cluster randomized controlled trial.
Li QQ, Huang Z, Chen J, Wang J, Li D, Chen X, Zhao Q, Liu S, He W, Luo H, Wan Y, Tong G, Zhang D, Cai Y, Liang H, Wu D, Bishai D, Xu DR. Effectiveness of pay it forward intervention compared to free and user-paid vaccinations on seasonal influenza vaccination among older adults across seven cities in China: study protocol of a three-arm cluster randomized controlled trial. BMC Public Health 2025, 25: 2372. PMID: 40610910, DOI: 10.1186/s12889-025-23301-2.Peer-Reviewed Original Research
Academic Achievements & Community Involvement
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Activities
activity Journal of the American College of Cardiology
04/01/2024 - PresentJournal ServiceStatistical Editoractivity BMC Medicine
07/01/2023 - PresentJournal ServiceEditorial Board Memberactivity American Statistical Association Connecticut Chapter
07/01/2022 - PresentProfessional OrganizationsTreasureractivity JAMA Cardiology
2021 - PresentJournal ServiceRevieweractivity Global Cardiovascular Research Funders Forum
2025 - 2025Peer Review Groups and Grant Study SectionsReview Panel MemberDetailsReviewer for International Research Challenge on Women’s Cardiovascular Health.
Honors
honor Faculty Scholar
07/01/2023National AwardNational Institute of Aging IMPACT CollaboratoryDetailsUnited States
News
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News
- December 02, 2025
YSPH biostatistician developing advanced statistical methods for complex clinical trials
- June 05, 2025Source: Yale News
Can AI Make the Emergency Department Safer for Patients and Providers?
- December 11, 2024
Paradigm-shifting work brought biostatistics student to YSPH
- November 04, 2024Source: Yale Daily News
Yale experts weigh in on gun violence prevention research possibly under threat
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Yale University
135 College St, Room 234
New Haven, CT 06510
United States