2024
A Natural Language Processing Study to Assess Quality of End-of-Life Care for Children with Cancer (RP215)
Lindsay M, De Oliveira S, Ward D, Sciacca K, Lindvall C, Ananth P. A Natural Language Processing Study to Assess Quality of End-of-Life Care for Children with Cancer (RP215). Journal Of Pain And Symptom Management 2024, 67: e763. DOI: 10.1016/j.jpainsymman.2024.02.425.Peer-Reviewed Original ResearchEnd-of-life careGoals of care discussionsEnd-of-lifePalliative care consultationLocation of deathProportion of decedentsNatural language processingCode status limitationsCancer decedentsHospice discussionCare discussionsCare consultationDocumented goals of care discussionsEnd-of-life care qualityEvidence-based process measuresKeyword libraryLanguage processingElectronic health recordsManual chart abstractionMonths of lifeQuality measuresRule-based natural language processingCare qualityNatural language processing technologyNatural language processing studies
2023
Goals of Care for the Critically Injured Trauma Patient
Kodadek L. Goals of Care for the Critically Injured Trauma Patient. Current Trauma Reports 2023, 10: 1-8. DOI: 10.1007/s40719-023-00265-5.Peer-Reviewed Original ResearchGoals of carePrimary palliative carePurpose of ReviewToHigh-quality careOperative interventionTrauma patientsPalliative careCare discussionsCare conversationsPatientsQuality careOptimal timingNonbeneficial careCareImproved qualityRecent studiesSpecial considerationAppropriate goalsAdmissionReviewToPhysiciansQuantifying EHR and Policy Factors Associated with the Gender Productivity Gap in Ambulatory, General Internal Medicine
Li H, Rotenstein L, Jeffery M, Paek H, Nath B, Williams B, McLean R, Goldstein R, Nuckols T, Hoq L, Melnick E. Quantifying EHR and Policy Factors Associated with the Gender Productivity Gap in Ambulatory, General Internal Medicine. Journal Of General Internal Medicine 2023, 39: 557-565. PMID: 37843702, PMCID: PMC10973284, DOI: 10.1007/s11606-023-08428-5.Peer-Reviewed Original ResearchElectronic health recordsWork relative value unitsPhysician genderPractice characteristicsWomen physiciansMen physiciansGeneral internal medicine physiciansEHR useInternal medicine physiciansPhysician productivityGeneral internal medicineMultivariable adjustmentPatient counselingCare discussionsPhysician ageClinical activityMedicine physiciansThe impact of oncology hospitalist utilization on resident education.
Bhatt S, Yao J, Gould Rothberg BE, Morris J, Parker N, Adelson K, Prsic E. The impact of oncology hospitalist utilization on resident education. Journal Of Clinical Oncology 2023, 41: 11034-11034. DOI: 10.1200/jco.2023.41.16_suppl.11034.Peer-Reviewed Original ResearchHospitalist serviceMedical oncologistsCancer CenterPercent of residentsU.S. cancer centersMann-Whitney U testGOC discussionsMedical oncologyCare discussionsInpatient teaching servicesOutpatient careInpatient careEligible residentsPatient careUniversity IRBFamily meetingsHospitalistsU testOncologistsStatistical significanceStudy intervalTwo-week periodCareP-valueFive-point Likert scale
2021
Resident Perspectives on Palliative Care at an Urban Teaching Hospital
Raman U, Ebby CG, Ahmad S, Mukherjee T, Yang E, Fofah O, Scolpino AJ, Oleske JM. Resident Perspectives on Palliative Care at an Urban Teaching Hospital. Journal Of Palliative Care 2021, 37: 443-446. PMID: 34841970, DOI: 10.1177/08258597211059759.Peer-Reviewed Original ResearchConceptsUrban teaching hospitalPalliative careTeaching hospitalTerminal illnessInterdisciplinary palliative care teamPalliative care teamEffective palliative carePalliative care providersPalliative care discussionsPalliative care conversationsInternal medicine residentsIll patientsCare discussionsEOL discussionsEOL careCare teamPatient's wishesCare conversationsLife careCare providersGeneral surgeryPhysician perspectivesPhysician educationEOL conversationsImportant adjunctEnd-of-Life Care Decision-Making in Stroke
Gao L, Zhao C, Hwang D. End-of-Life Care Decision-Making in Stroke. Frontiers In Neurology 2021, 12: 702833. PMID: 34650502, PMCID: PMC8505717, DOI: 10.3389/fneur.2021.702833.Peer-Reviewed Original ResearchStroke patientsImmediate post-stroke periodIntensive care unit careLong-term functional outcomeCare decisionsCode status changePost-stroke periodIntensive care unitIntracerebral hemorrhage patientsLong-term disabilityLife care discussionsLife-sustaining therapyCause of deathLife care decisionsClinician's subjectivityIschemic strokeUnit careCare unitHemorrhage patientsPatient survivalFunctional outcomeProvider recommendationPatient preferencesCare discussionsTreatment goalsOncology Medical Home: ASCO and COA Standards
Woofter K, Kennedy EB, Adelson K, Bowman R, Brodie R, Dickson N, Gerber R, Fields KK, Murtaugh C, Polite B, Paschall M, Skelton M, Zoet D, Cox JV. Oncology Medical Home: ASCO and COA Standards. JCO Oncology Practice 2021, 17: 475-492. PMID: 34255551, DOI: 10.1200/op.21.00167.Peer-Reviewed Original ResearchConceptsSurvivorship care plansEvidence baseClinical pathwayCare plansExpert panelSystematic reviewLong-term outcome dataGoals of careEvidence-based careLife care discussionsTeam-based careInformal consensus processEvidence-based medicineMeasurement of outcomesPeer-reviewed journalsSurvivorship careChemotherapy safetyCare discussionsInclusion criteriaOutcome dataPatient engagementEvidence reviewExpert consensusPeer-reviewed studiesCare deliveryThe Role of Anesthesiologists in Perioperative Limitation of Potentially Life-Sustaining Medical Treatments: A Narrative Review and Perspective
Cushman T, Waisel DB, Treggiari MM. The Role of Anesthesiologists in Perioperative Limitation of Potentially Life-Sustaining Medical Treatments: A Narrative Review and Perspective. Anesthesia & Analgesia 2021, 133: 663-675. PMID: 34014183, DOI: 10.1213/ane.0000000000005559.Peer-Reviewed Original ResearchConceptsLife-sustaining medical treatmentPerioperative careMedical treatmentPerioperative Registered NursesImmediate perioperative periodGoals of careGoal-concordant careDaily clinical practiceRole of anesthesiologistsPrimary care colleaguesPerioperative periodElective surgeryGeneral anesthesiaCare discussionsResuscitate ordersPatient's wishesAmerican CollegeClinical practiceRegistered NursesNarrative reviewPhysiologic homeostasisAnesthesiologistsCareAmerican SocietyPatient autonomyEnduring Barriers to Goals-of-Care Discussions Following Oncologist Communication Skills Training (SCI934)
Silva E, Coffee J, Bickell N, Adelson K, Schulman-Green D. Enduring Barriers to Goals-of-Care Discussions Following Oncologist Communication Skills Training (SCI934). Journal Of Pain And Symptom Management 2021, 61: 687-688. DOI: 10.1016/j.jpainsymman.2021.01.095.Peer-Reviewed Original Research
2020
AGA Clinical Practice Update on Palliative Care Management in Cirrhosis: Expert Review
Tandon P, Walling A, Patton H, Taddei T. AGA Clinical Practice Update on Palliative Care Management in Cirrhosis: Expert Review. Clinical Gastroenterology And Hepatology 2020, 19: 646-656.e3. PMID: 33221550, DOI: 10.1016/j.cgh.2020.11.027.Peer-Reviewed Original ResearchConceptsBenefits of PCPalliative care managementHigh symptom burdenPalliative care principlesManagement of symptomsCourse of diseaseStandard of careEvidence-based reviewLife-limiting illnessAdvance care planningQuality of lifeCirrhosis populationSymptom burdenDisease courseTransplant eligibilityFunctional statusCare discussionsCare planningHospice careCirrhosisCare managementClinical practiceCare principlesCaregiver supportGuidance statementsImpact of a Novel Goals-of-Care Communication Skills Coaching Intervention for Practicing Oncologists
Annadurai V, Smith CB, Bickell N, Berns SH, Kelley AS, Lindenberger E, Morrison LJ, Yuen JK, Egorova N, Franco R, Back AL, Gelfman LP. Impact of a Novel Goals-of-Care Communication Skills Coaching Intervention for Practicing Oncologists. Journal Of Palliative Medicine 2020, 24: 838-845. PMID: 33155862, PMCID: PMC8147509, DOI: 10.1089/jpm.2020.0207.Peer-Reviewed Original ResearchConceptsGOC discussionsElicit patient valuesUsual carePatient valuesAdvanced cancer patientsYears of ageBaseline visitCancer patientsCare discussionsLife careBlinded codersOncologist's abilityOncologistsCare communicationPatientsInteractive training sessionsLack of differenceInterventionCareSignificant differencesSignificant increaseJoint visitsIntensive trainingCommunication skillsTraining sessionsConducting Goals-of-Care Discussions Takes Less Time Than Imagined.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky J, Egorova N, Franco R, Bickell NA. Conducting Goals-of-Care Discussions Takes Less Time Than Imagined. JCO Oncology Practice 2020, 16: e1499-e1506. PMID: 32749930, DOI: 10.1200/jop.19.00743.Peer-Reviewed Original ResearchConceptsGOC discussionsCare discussionsAdvanced solid tumor cancersDifferent hospital typesLength of encounterSolid tumor cancersTotal encounter timePatient ageAdvanced cancerHospital typeRural hospitalsMedicare coveragePatientsCancer progressionOncologistsMultivariate modelEncounter timeVisitsSignificant differencesCancerProgressionMinutesLess timeCommon misperceptionsPrognosisHousestaff perceptions on training and discussing the Maryland Orders for Life Sustaining Treatment Form (MOLST)
Zaeh S, Hayes M, Eakin M, Rand C, Turnbull A. Housestaff perceptions on training and discussing the Maryland Orders for Life Sustaining Treatment Form (MOLST). PLOS ONE 2020, 15: e0234973. PMID: 32559244, PMCID: PMC7304571, DOI: 10.1371/journal.pone.0234973.Peer-Reviewed Original ResearchEffects of a Communication Intervention Randomized Controlled Trial to Enable Goals-of-Care Discussions.
Bickell NA, Back AL, Adelson K, Gonsky JP, Egorova N, Pintova S, Lin JJ, Kozuch P, Bagiella E, Smith CB. Effects of a Communication Intervention Randomized Controlled Trial to Enable Goals-of-Care Discussions. JCO Oncology Practice 2020, 16: e1015-e1028. PMID: 32374710, DOI: 10.1200/op.20.00040.Peer-Reviewed Original ResearchConceptsElicit patient valuesEnd of lifeAdvanced cancerPatient valuesAggressive careGOC discussionsCare discussionsIntensive care unit admissionHigh care utilizationCare unit admissionMean hospitalizationTraining oncologistsUnit admissionUC patientsAggressive treatmentCare utilizationBlock randomizationCommunication skills trainingOncologistsPatientsCancerCommunication interventionsPrevalenceLife expectancyLast monthImpact of High-Quality Goals-of-Care Discussions on Oncologist Productivity.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky JP, Egorova N, Franco R, Bickell NA. Impact of High-Quality Goals-of-Care Discussions on Oncologist Productivity. JCO Oncology Practice 2020, 16: e290-e297. PMID: 32048945, DOI: 10.1200/jop.19.00381.Peer-Reviewed Original ResearchConceptsGOC discussionsAdvanced cancerPatient populationCare discussionsPractice settingsDifferent practice settingsOncologist characteristicsStudy patientsCommunity hospitalRural hospitalsPatientsOncologistsHigh-quality goalsRural settingsSignificant differencesHospitalCancerValue unitsHoursSettingPrognosisPopulationCommunication skillsVisits
2019
Operative Mortality Prediction for Primary Rectal Cancer: Age Matters
Li Z, Coleman J, D'Adamo CR, Wolf J, Katlic M, Ahuja N, Blumberg D, Ahuja V. Operative Mortality Prediction for Primary Rectal Cancer: Age Matters. Journal Of The American College Of Surgeons 2019, 228: 627-633. PMID: 30630082, DOI: 10.1016/j.jamcollsurg.2018.12.014.Peer-Reviewed Original ResearchConceptsPrimary rectal cancerRectal cancerLogistic regression modelsActual mortalityOlder patientsRisk calculatorAmerican CollegeCovariate-adjusted logistic regression modelsCurrent risk calculatorsICD-9/10 codesColorectal cancer increasesSurgeons NSQIP databaseYears age groupAge categoriesMortality risk estimatesOperative mortalityNSQIP databaseRegression modelsPrognostic valueFunctional statusCancer increasesCare discussionsMortality predictionCPT codesAge groups
2018
Should Physicians New to a Case Counsel Patients and Their Families to Change Course at the End of Life?
Honiden S, Possick J. Should Physicians New to a Case Counsel Patients and Their Families to Change Course at the End of Life? The AMA Journal Of Ethic 2018, 20: e699-707. PMID: 30118419, DOI: 10.1001/amajethics.2018.699.Commentaries, Editorials and LettersConceptsGoals of careLife care optionsPhysician practice variationEnd of lifeAdvanced malignanciesCounsel patientsCritical illnessOncology patientsNew cancer therapiesCare discussionsIndividual patientsPractice variationCare plansComfort measuresPhysician objectionPatientsCare optionsPhysiciansCancer therapyClinical momentumPotential benefitsPrognosisMalignancyTherapyIllnessDoes training oncologists to have goals of care discussions affect healthcare utilization among patients with advanced cancer?
Bickell N, Adelson K, Gonsky J, Lin J, Franco R, Egorova N, Smith C. Does training oncologists to have goals of care discussions affect healthcare utilization among patients with advanced cancer? Journal Of Clinical Oncology 2018, 36: 6595-6595. DOI: 10.1200/jco.2018.36.15_suppl.6595.Peer-Reviewed Original ResearchDoes training oncologists to have goals of care discussions increase and improve the quality of GoC discussions with advanced cancer patients?
Bickell N, Adelson K, Gonsky J, Lin J, Pintova S, Franco R, Egorova N, Smith C. Does training oncologists to have goals of care discussions increase and improve the quality of GoC discussions with advanced cancer patients? Journal Of Clinical Oncology 2018, 36: 6597-6597. DOI: 10.1200/jco.2018.36.15_suppl.6597.Peer-Reviewed Original Research
2017
Oncologists’ experiences with goals of care conversations.
Smith C, Solomon R, Lin J, Feder S, Bickell N, Schulman-Green D. Oncologists’ experiences with goals of care conversations. Journal Of Clinical Oncology 2017, 35: 50-50. DOI: 10.1200/jco.2017.35.31_suppl.50.Peer-Reviewed Original ResearchGOC conversationsGOC discussionsCare conversationsYounger patient ageGoals of careActive patient participationCommunication training interventionsASCO guidelinesEnd of lifePatient ageAdvanced cancerCare discussionsPatient's failurePatients' beliefsOncologists' experiencesTreatment goalsPatient participationCancer severityCare plansRural hospitalsOncologistsPatientsCommunication interventionsInterpretive descriptionTraining intervention
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