2021
Oncology 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 deliveryEnduring 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
Conducting 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 misperceptionsPrognosisEffects 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
2018
Does 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
Does coaching goals of care discussion skills make a difference?
Bickell N, Adelson K, Gonsky J, Pintova S, Levy B, Lin J, Franco R, Egorova N, Smith C. Does coaching goals of care discussion skills make a difference? Journal Of Clinical Oncology 2017, 35: 6586-6586. DOI: 10.1200/jco.2017.35.15_suppl.6586.Peer-Reviewed Original ResearchAdvanced cancer patientsGOC discussionsCancer patientsCancer prognosisClarity of valuesPoor health literacyQuality of lifeElicit patient valuesEligible patientsIntervention patientsYear prognosisMean ageCare discussionsIntervention groupPatient reportsPatient understandingTreatment goalsHealth literacyDisease processPatientsSide effectsPatient valuesOncologists' communication skillsCommunication skills trainingPrognosisDoes oncologist productivity impact goals of care discussions?
Pintova S, Smith C, Adelson K, Gonsky J, Egorova N, Franco R, Bickell N. Does oncologist productivity impact goals of care discussions? Journal Of Clinical Oncology 2017, 35: e21675-e21675. DOI: 10.1200/jco.2017.35.15_suppl.e21675.Peer-Reviewed Original ResearchAdvanced cancer patientsGOC discussionsCancer patientsCare discussionsYear prognosisStudy patientsPatient reportsMunicipal HospitalPatientsRural hospitalsOncologistsCommunication skills trainingHospitalCancer treatmentMultivariate modelImpact goalsVisitsValue unitsSkills trainingSignificant relationshipPrognosisRCTsIllnessPrevalenceSpeaking Up: How Patient and Physician Voices Shaped a Trial to Improve Goals-of-Care Discussions
Solomon R, Smith C, Kallio J, Fenollosa A, Benerofe B, Jones L, Adelson K, Gonsky JP, Messner C, Bickell NA. Speaking Up: How Patient and Physician Voices Shaped a Trial to Improve Goals-of-Care Discussions. The Patient - Patient-Centered Outcomes Research 2017, 10: 489-501. PMID: 28364384, DOI: 10.1007/s40271-017-0226-z.Peer-Reviewed Original ResearchConceptsPalliative care physiciansAdvanced cancerCare physiciansGOC discussionsOutcome measuresPhysician voicesOutcomes Research InstituteCancer benefitIntervention visitsCare discussionsCare conversationsOutcome measurementsPatient inputPatientsNovel interventionsPatient stakeholdersPhysician inputStudy designOncologistsEarly goalDisease managementPhysiciansPhysician stakeholdersIntervention designIntervention