2023
Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons
Gill T, Han L, Feder S, Gahbauer E, Leo-Summers L, Becher R. Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons. Annals Of Surgery 2023, 279: 65-70. PMID: 37389893, PMCID: PMC10761592, DOI: 10.1097/sla.0000000000005984.Peer-Reviewed Original ResearchConceptsMajor surgeryDistressing symptomsElective surgeryFunctional outcomeOlder personsCommunity-living older personsMultiple distressing symptomsSocioeconomic disadvantageCommunity-living personsTiming of surgerySerious health eventsNumber of disabilitiesSurgerySignificant associationSymptomsHealth eventsRate ratioPotential targetDisabilityUnit increaseDeleterious effectsOutcomesPersonsMultimorbidityAdmissionDistressing symptoms after major surgery among community‐living older persons
Gill T, Han L, Murphy T, Feder S, Gahbauer E, Leo‐Summers L, Becher R. Distressing symptoms after major surgery among community‐living older persons. Journal Of The American Geriatrics Society 2023, 71: 2430-2440. PMID: 37010784, PMCID: PMC10524276, DOI: 10.1111/jgs.18357.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overFemaleHospitalizationHumansLongitudinal StudiesMalePatient DischargeProspective StudiesQuality of LifeConceptsCommunity-living older personsMajor surgeryDistressing symptomsArea Deprivation IndexOlder personsSocioeconomic disadvantageCommunity-living personsTiming of surgeryProspective longitudinal studyYears of ageQuality of lifeSymptom burdenNonelective surgeryPresurgery valuesElective surgeryMultivariable analysisFunctional outcomeNonelective proceduresChronic conditionsSurgerySymptomsProportional increaseMedicaid eligibilityDeprivation indexMonths
2020
National trends in palliative care use among older adults with cardiopulmonary and malignant conditions
Feder SL, Jean RA, Bastian L, Akgün KM. National trends in palliative care use among older adults with cardiopulmonary and malignant conditions. Heart & Lung 2020, 49: 370-376. PMID: 32115242, PMCID: PMC7305962, DOI: 10.1016/j.hrtlng.2020.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansNeoplasmsPalliative CarePatient DischargePulmonary Disease, Chronic ObstructiveReferral and Consultation
2018
The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure
Feder SL, Tate JP, Akgün KM, Womack JA, Jeon S, Funk M, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Redeker NS. The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure. American Journal Of Hospice And Palliative Medicine® 2018, 36: 228-234. PMID: 30304939, PMCID: PMC7457998, DOI: 10.1177/1049909118804465.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCase-Control StudiesCD4 Lymphocyte CountComorbidityFemaleHeart FailureHIV InfectionsHospitalizationHumansLength of StayLogistic ModelsMaleMiddle AgedPalliative CarePatient DischargeRespiration, ArtificialRisk FactorsSex FactorsUnited StatesUnited States Department of Veterans AffairsConceptsHeart failureHIV infectionHIV-1 RNAPalliative careVeterans Health AdministrationHospitalized patientsHIV characteristicsPrimary diagnosisVeterans Aging Cohort StudyPalliative care useVentricular ejection fractionAging Cohort StudyCells/Case-control studyConditional logistic regressionDiseases NinthCohort studyEjection fractionPrimary outcomeVHA patientsDischarge dateMean ageCare useSevere diseaseAdjusted model
2017
“They Need to Have an Understanding of Why They're Coming Here and What the Outcomes Might Be.” Clinician Perspectives on Goals of Care for Patients Discharged From Hospitals to Skilled Nursing Facilities
Feder SL, Britton M, Chaudhry SI. “They Need to Have an Understanding of Why They're Coming Here and What the Outcomes Might Be.” Clinician Perspectives on Goals of Care for Patients Discharged From Hospitals to Skilled Nursing Facilities. Journal Of Pain And Symptom Management 2017, 55: 930-937. PMID: 29097273, DOI: 10.1016/j.jpainsymman.2017.10.013.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelContinuity of Patient CareFamilyHealth CommunicationHealth Knowledge, Attitudes, PracticeHospital AdministratorsHumansInterviews as TopicNursesPatient Care PlanningPatient DischargePhysiciansProfessional-Patient RelationsQualitative ResearchSkilled Nursing FacilitiesSocial WorkersConceptsSkilled nursing facilitiesAcute care hospitalsSNF careHospital readmissionCare hospitalHospitalized patientsClinician's perspectiveNursing facilitiesUnplanned hospital readmissionGoals of careNumber of patientsExperience poor outcomesPoor patient outcomesGOC conversationsSNF cliniciansUnrealistic patientPoor outcomeGOC discussionsTreatment optionsPatient goalsPatient outcomesCare continuumPatient dissatisfactionDisease processPatients