2017
Early integration of supportive oncology consultation for hospitalized cancer patients.
Woodfield K, Adelson K, Horton J, Smith C. Early integration of supportive oncology consultation for hospitalized cancer patients. Journal Of Clinical Oncology 2017, 35: 136-136. DOI: 10.1200/jco.2017.35.31_suppl.136.Peer-Reviewed Original ResearchPC consultationPalliative careCancer patientsImproved symptom controlHospital day 2Stage IV diseasePlan of careNon-pain symptomsAdvanced practice nursesHealth care resourcesMajority of casesUncontrolled symptomsSymptom controlChart reviewDays hospitalizationMedian timeHospice utilizationOncology consultationOncology servicesPractice nursesHospice usePC needsReferral criteriaPancreatic cancerSolid malignanciesStandardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use
Adelson K, Paris J, Horton JR, Hernandez-Tellez L, Ricks D, Morrison RS, Smith CB. Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use. JCO Oncology Practice 2017, 13: jop.2016.016808. PMID: 28306372, DOI: 10.1200/jop.2016.016808.Peer-Reviewed Original ResearchConceptsHealth care usePC consultationPalliative careHospice referralReadmission ratesAdvanced cancerCancer careOncology servicesCare useStandardized criteriaInpatient oncology serviceReceipt of chemotherapyAdvanced solid tumorsHigh symptom burdenPalliative care consultationProspective cohort studyLength of staySymptom controlCohort studySymptom burdenPrior hospitalizationOncologic careCare consultationsControl subjectsIntervention groupAn EPIC electronic decision support tool to identify percentage of patients with stage IV thoracic or gastrointestinal malignancy who would benefit from concurrent palliative care but do not currently receive it.
Adelson K, Trant A, Framski K, Swidler M, Kashyap N. An EPIC electronic decision support tool to identify percentage of patients with stage IV thoracic or gastrointestinal malignancy who would benefit from concurrent palliative care but do not currently receive it. Journal Of Clinical Oncology 2017, 35: 133-133. DOI: 10.1200/jco.2017.35.8_suppl.133.Peer-Reviewed Original ResearchEpic electronic health recordConcurrent palliative carePalliative careOncologic careElectronic decision support toolPalliative care visitsPC referral rateSmilow Cancer HospitalStandard oncologic careYale-New HavenPalliative care consultStage IV diseasePercentage of patientsPalliative care servicesHealth care utilizationICD-10 diagnosisQuality of lifeVolume of patientsElectronic health recordsAlign careCare consultEligible patientsPC referralEnd of lifeIOM guidelines
2016
Understanding total cost of cancer care to determine strategic interventions to improve value.
Adelson K, Velji S, Patel K, Chaudhry B, Grizzle S, Lyons C, Lilenbaum R. Understanding total cost of cancer care to determine strategic interventions to improve value. Journal Of Clinical Oncology 2016, 34: 4-4. DOI: 10.1200/jco.2016.34.7_suppl.4.Peer-Reviewed Original ResearchSmilow Cancer HospitalAcademic cancer centerCost of careED visitsED utilizationHospital admissionCancer CenterHospital admissions/readmissionsLarge academic cancer centerAdmissions/readmissionsMedicare Limited DatasetAcademic medical centerElements of careSite of serviceValue-based payment modelsEarly referralAggressive treatmentICU useCancer HospitalPalliative careCancer careUrgent careFirst episodeMedicare patientsMedical Center
2013
Standardized criteria for required palliative care consultation on the solid tumor oncology service.
Adelson K, Paris J, Smith C, Horton J, Morrison R. Standardized criteria for required palliative care consultation on the solid tumor oncology service. Journal Of Clinical Oncology 2013, 31: 37-37. DOI: 10.1200/jco.2013.31.31_suppl.37.Peer-Reviewed Original ResearchPalliative care consultationPalliative careReadmission ratesHospice utilizationASCO guidelinesPC consultationCare consultationsMortality indexStandardized criteriaComparing group 1Improved symptom controlPalliative care consultStage IV diseaseHigh symptom burdenHealth care resourcesCare consultUncontrolled symptomsHospital deathST patientsSymptom controlSymptom burdenDays hospitalizationPrimary outcomeAdvanced cancerStay index