2023
Oncology hospitalist impact on hospice utilization
Prsic E, Morris J, Adelson K, Parker N, Gombos E, Kottarathara M, Novosel M, Castillo L, Rothberg BE. Oncology hospitalist impact on hospice utilization. Cancer 2023, 129: 3797-3804. PMID: 37706601, DOI: 10.1002/cncr.35008.Peer-Reviewed Original ResearchMeSH KeywordsDeathHospicesHospitalistsHumansLength of StayMedical OncologyNeoplasmsQuality of LifeRetrospective StudiesConceptsMedical oncology serviceOncology servicesEnd of lifeAdvanced cancerInpatient hospiceHospice utilizationHigher total health care costsTotal health care costsComfort-focused careInpatient oncology serviceSmilow Cancer HospitalAdjusted odds ratioLength of staySolid tumor malignanciesLong-term survivalMultivariable linear regressionHealth care costsElectronic medical recordsHospice transitionUnplanned hospitalizationDischarge dispositionHospice referralInpatient managementLate referralCancer HospitalOutcomes on an inpatient oncology service after the introduction of hospitalist comanagement
Morris J, Rothberg BE, Prsic E, Parker N, Weber U, Gombos E, Kottarathara M, Billingsley K, Adelson K. Outcomes on an inpatient oncology service after the introduction of hospitalist comanagement. Journal Of Hospital Medicine 2023, 18: 391-397. PMID: 36891947, DOI: 10.1002/jhm.13071.Peer-Reviewed Original ResearchMeSH KeywordsHospitalistsHospitalizationHumansInpatientsLength of StayPatient ReadmissionRetrospective StudiesConceptsLength of stayInpatient oncology serviceSmilow Cancer HospitalSeverity of illnessOncology servicesOncologists' experiencesReadmission ratesEarly dischargeHospitalist comanagementAverage LOSTime of dischargeMean discharge timeEarly discharge ratesImpact of hospitalistsRace/ethnicityDischarge dispositionMultiple admissionsCancer HospitalMAIN OUTCOMEStudy durationPatient volumeCancer typesStudy periodHospitalistsOutcomes
2022
End-of-life care trajectories among older adults with lung cancer
Davidoff AJ, Canavan ME, Prsic E, Saphire M, Wang SY, Presley CJ. End-of-life care trajectories among older adults with lung cancer. Journal Of Geriatric Oncology 2022, 14: 101381. PMID: 36202695, PMCID: PMC9974538, DOI: 10.1016/j.jgo.2022.09.010.Peer-Reviewed Original ResearchMeSH KeywordsAgedDeathHospice CareHumansLung NeoplasmsMedicareRetrospective StudiesTerminal CareUnited StatesConceptsCancer-directed therapyLung cancerCare trajectoriesOlder adultsSupportive care servicesSEER-Medicare dataSkilled nursing facilitiesNon-Hispanic whitesRace/ethnicityCancer decedentsSymptom managementIntensive careOlder decedentsConcurrent careHospice careReferral regionsHigh riskMultinomial logistic regressionNursing facilitiesMedicare decedentsCare servicesLogistic regressionCancerHospiceDecedentsAssociation Between Postdischarge Medical Oncology Follow-Up Appointments and Downstream Health Care Use: A Single-Institution Experience
Xiang J, Chow R, Reynoso A, Carafeno T, Deshpande H, Strait M, Prsic E. Association Between Postdischarge Medical Oncology Follow-Up Appointments and Downstream Health Care Use: A Single-Institution Experience. JCO Oncology Practice 2022, 18: e1466-e1474. PMID: 35696632, DOI: 10.1200/op.21.00868.Peer-Reviewed Original ResearchMeSH KeywordsAftercareDelivery of Health CareFollow-Up StudiesHumansMedical OncologyPatient DischargeRetrospective StudiesConceptsHealth care useED visitsCare useOncology appointmentsAppointment timingPropensity score-matched analysisMultivariable logistic regression modelYale-New Haven HospitalRetrospective cohort studySingle institution experienceEmergency department visitsTertiary academic centerNew Haven HospitalLower ratesLogistic regression modelsOncology admissionsOncology followCause readmissionMost admissionsCohort studyDepartment visitsMedical oncologySubgroup analysisReadmissionAcademic centers
2021
Medical Outcomes of Oncology Inpatients With and Without Chaplain Spiritual Care Visit: The Yale New Haven Hospital Experience
Chow R, Tenenbaum L, Balboni TA, Prsic EH. Medical Outcomes of Oncology Inpatients With and Without Chaplain Spiritual Care Visit: The Yale New Haven Hospital Experience. JCO Oncology Practice 2021, 18: e334-e338. PMID: 34846912, DOI: 10.1200/op.21.00600.Peer-Reviewed Original ResearchMeSH KeywordsClergyHospitalsHumansInpatientsNeoplasmsQuality of LifeRetrospective StudiesSpiritual TherapiesConceptsMedical oncology patientsHealth care utilizationCare utilizationSpiritual careCare visitsOncology patientsIntensive care unit admissionYale-New Haven HospitalHospital health outcomesSpiritual care assessmentCare unit admissionDays of dischargeRetrospective chart reviewEmergency department visitsLength of stayNew Haven HospitalQuality of lifeUnit admissionHospital deathHospital outcomesChart reviewOncology inpatientsReadmission ratesDepartment visitsCare consultationsEnd-of-life patterns of symptom management and cancer-directed care among Medicare beneficiaries with lung cancer: a claims-based analysis
Davidoff AJ, Canavan ME, Prsic E, Saphire M, Wang SY, Presley CJ. End-of-life patterns of symptom management and cancer-directed care among Medicare beneficiaries with lung cancer: a claims-based analysis. Supportive Care In Cancer 2021, 29: 3921-3932. PMID: 33389087, DOI: 10.1007/s00520-020-05964-2.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansLung NeoplasmsMaleMedicareRetrospective StudiesTerminal CareUnited StatesConceptsCancer-directed therapySymptom management servicesLung cancerMedicare beneficiariesCare contentYounger ageEarlier hospice enrollmentLife care patternsLung cancer decedentsPercentage of patientsClaims-based analysisMethodsThis retrospective studyMost Medicare beneficiariesNonhospice settingsCancer decedentsUsual careHospice enrollmentSymptom managementRetrospective studyMedicare databaseSkilled nursingHigh comorbidityCare intensityMedicare claimsMultinomial logistic regression
2019
Patterns of Symptom Management Medication Receipt at End-of-Life Among Medicare Beneficiaries With Lung Cancer
Saphire ML, Prsic E, Canavan ME, Wang SJ, Presley CJ, Davidoff AJ. Patterns of Symptom Management Medication Receipt at End-of-Life Among Medicare Beneficiaries With Lung Cancer. Journal Of Pain And Symptom Management 2019, 59: 767-777.e1. PMID: 31778783, PMCID: PMC7338983, DOI: 10.1016/j.jpainsymman.2019.11.015.Peer-Reviewed Original ResearchMeSH KeywordsAgedChild, PreschoolDeathFemaleHumansLung NeoplasmsMaleMedicarePalliative CareRetrospective StudiesUnited StatesConceptsNausea/vomitingMedication receiptEnd of lifeLung cancerOutpatient settingOlder adultsEnd Results-Medicare databaseEmotional distressPoor patient-provider communicationReceipt of medicationSymptom management medicationsHigh symptom burdenAge 67 yearsPatient demographic characteristicsMultivariable logistic regressionPatient-provider communicationMedicare hospice benefitOutpatient medicationsConcurrent therapyRetrospective cohortSymptom burdenSymptomatic managementHospice enrollmentSymptom managementD claims