2024
Harnessing Natural Language Processing to Assess Quality of End-of-Life Care for Children With Cancer
Lindsay M, de Oliveira S, Sciacca K, Lindvall C, Ananth P. Harnessing Natural Language Processing to Assess Quality of End-of-Life Care for Children With Cancer. JCO Clinical Cancer Informatics 2024, 8: e2400134. PMID: 39265122, PMCID: PMC11407740, DOI: 10.1200/cci.24.00134.Peer-Reviewed Original ResearchConceptsEnd-of-life carePalliative care consultationGoals of careLocation of deathProportion of decedentsDocumented discussionCare consultationEvidence-based quality measuresMeasure quality of careGold standard manual chart reviewQuality measuresQuality of careEnd of lifeContent of clinical notesLife-sustaining treatmentEnd-of-lifeManual chart reviewCancer decedentsEfficient quality measureCohort of childrenAssess qualityMulti-center researchQuality improvementMeasure qualityCareParent-Clinician Communication and Prolonged Grief in Parents Whose Child Died from Cancer
Ouyang N, Baker J, Ananth P, Knobf M, Snaman J, Feder S. Parent-Clinician Communication and Prolonged Grief in Parents Whose Child Died from Cancer. Journal Of Pain And Symptom Management 2024 PMID: 39142495, DOI: 10.1016/j.jpainsymman.2024.08.003.Peer-Reviewed Original ResearchEnd-of-lifeParent-clinician communicationProlonged grief symptomsGrief symptomsChild's end-of-lifeCross-sectional survey of parents of childrenEnd-of-life careHigh-quality end-of-lifeProlonged griefSum scoreSurvey of parents of childrenCross-sectional surveyParents of childrenAdequate prognostic informationBereaved parentsPrognostic informationChild deathsParents' experiencesMultiple linear regressionPG-13Analyzed dataLinear regressionAssociationGriefChildrenQuality of Care in the Last Two Years of Life for Children with Complex Chronic Conditions
Bogetz J, Strub B, Bradford M, McGalliard J, Shipman K, Jeyte A, Patneaude A, Johnston E, Ananth P, Thienprayoon R, Rosenberg A. Quality of Care in the Last Two Years of Life for Children with Complex Chronic Conditions. Journal Of Pain And Symptom Management 2024 PMID: 39097243, DOI: 10.1016/j.jpainsymman.2024.07.034.Peer-Reviewed Original ResearchComplex chronic conditionsEnd-of-life quality measuresEnd-of-lifeChronic conditionsHealthcare servicesQuality EOL careQuality measuresQuality of careICD-10 diagnosis codesEvaluate demographic differencesU.S. children's hospitalsYears of lifeEOL careDied in-hospitalInterprofessional supportSymptom managementHealthcare utilizationHospital performanceMedication intensityNon-HispanicDiagnosis codesDescriptive statisticsCardiopulmonary resuscitationChildren's hospitalPublic insuranceCaring for Kids, Families, and Ourselves: A Call for Collaboration to Develop the Science of Caregiver Support Across the Lifespan
Porter A, Snaman J, Ananth P, Kaye E, Smith A, Odom J. Caring for Kids, Families, and Ourselves: A Call for Collaboration to Develop the Science of Caregiver Support Across the Lifespan. Journal Of Pain And Symptom Management 2024, 68: e154-e155. PMID: 38762127, DOI: 10.1016/j.jpainsymman.2024.05.003.Peer-Reviewed Original ResearchA 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 studiesTransforming Written and Spoken Words into Quantitative Data for Palliative Care Research Using Natural Language Processing (ME301)
Lindvall C, Walling A, Ananth P. Transforming Written and Spoken Words into Quantitative Data for Palliative Care Research Using Natural Language Processing (ME301). Journal Of Pain And Symptom Management 2024, 67: e847-e848. DOI: 10.1016/j.jpainsymman.2024.02.491.Peer-Reviewed Original ResearchGoals of care conversationsPay-for-performance programsPay-for-performanceChart abstractionCare conversationsElectronic health record dataQuality improvementPalliative care deliveryAssess care qualityCare process measuresAdvanced cancerHealth record dataElectronic health recordsManual chart abstractionEnd-of-lifeManual chart reviewUS healthcare systemIllness careCare qualityNatural language processingCare deliveryAudio-recorded conversationsHealth recordsSocial supportIllness researchDefining the Denominator for Measuring Quality of End-of-Life Care in Children with Cancer: Results of a Nominal Group Technique
Johnston E, Tefera R, Ananth P, Martinez I, Porter A, Snaman J, Thienprayoon R, Asch S, Bhatia S, O'Beirne R. Defining the Denominator for Measuring Quality of End-of-Life Care in Children with Cancer: Results of a Nominal Group Technique. The Journal Of Pediatrics 2024, 271: 114038. PMID: 38554745, DOI: 10.1016/j.jpeds.2024.114038.Peer-Reviewed Original ResearchEnd-of-lifePoor-prognosis cancerEnd-of-life quality measuresQuality of EOL careQuality measuresPediatric oncologyPediatric palliative carePediatric quality measuresPrognosis cancersNon-Hispanic whitesNominal groupsSpecific treatment scenarioNominal group techniqueEOL carePalliative careSeventy-nine percentBereaved parentsMeasure qualityClinical programsEnhance qualityGroup techniqueGroup of childrenCareParticipantsClinician-scientists
2023
Defining the denominator for measuring quality of end-of-life care in children with cancer: Results of a nominal group technique.
Johnston E, Tefera R, Ananth P, Martinez I, Porter A, Snaman J, Thienprayoon R, Asch S, Bhatia S, O'Beirne R. Defining the denominator for measuring quality of end-of-life care in children with cancer: Results of a nominal group technique. JCO Oncology Practice 2023, 19: 227-227. DOI: 10.1200/op.2023.19.11_suppl.227.Peer-Reviewed Original ResearchEOL quality measuresPoor-prognosis cancerQuality of EOLSpecific treatment scenarioNominal group techniqueHigh-quality EOL carePediatric palliative carePediatric critical careQuality of endNon-Hispanic whitesNational Quality ForumClinical program developmentAdvanced diseasePalliative carePediatric oncologyEOL careCritical careLife careStage IIIHospice cliniciansCertain symptomsCancerQuality ForumLife quality measuresTreatment scenariosParent Priorities in End-of-Life Care for Children With Cancer
Ananth P, Lindsay M, Mun S, McCollum S, Shabanova V, de Oliveira S, Pitafi S, Kirch R, Ma X, Gross C, Boyden J, Feudtner C, Wolfe J. Parent Priorities in End-of-Life Care for Children With Cancer. JAMA Network Open 2023, 6: e2313503. PMID: 37184834, PMCID: PMC10878399, DOI: 10.1001/jamanetworkopen.2023.13503.Peer-Reviewed Original ResearchMeasuring Pediatric Palliative Care Quality: Challenges and Opportunities
Boyden J, Bogetz J, Johnston E, Thienprayoon R, Williams C, McNeil M, Patneaude A, Widger K, Rosenberg A, Ananth P. Measuring Pediatric Palliative Care Quality: Challenges and Opportunities. Journal Of Pain And Symptom Management 2023, 65: e483-e495. PMID: 36736860, PMCID: PMC10106436, DOI: 10.1016/j.jpainsymman.2023.01.021.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2022
Development of Primary Palliative Care End-of-Life Quality Measures: A Modified Delphi Process.
Bogetz J, Johnston E, Thienprayoon R, Patneaude A, Ananth P, Rosenberg A. Development of Primary Palliative Care End-of-Life Quality Measures: A Modified Delphi Process. Pediatrics 2022, 150 PMID: 36437228, DOI: 10.1542/peds.2022-058241.Peer-Reviewed Original ResearchConceptsComplex chronic conditionsEOL quality measuresPediatric palliative careEnd of lifeElectronic health recordsHealth care utilizationMultidisciplinary expert panelHigh-quality pediatric palliative careManual chart reviewQuality improvement initiativesModified Delphi processChart reviewCare utilizationSymptom managementPalliative careChronic conditionsIllness trajectoryPediatric measuresLife quality measuresDelphi processHealth recordsExpert panelImprovement initiativesQuality measuresInterprofessional servicesCharting a path to high‐quality end‐of‐life care for children with cancer
Ananth P, Wolfe J, Johnston EE. Charting a path to high‐quality end‐of‐life care for children with cancer. Cancer 2022, 128: 3586-3592. PMID: 36006762, PMCID: PMC9530011, DOI: 10.1002/cncr.34419.Commentaries, Editorials and LettersEnd‐of‐life care quality for children with cancer who receive palliative care
Ananth P, Lindsay M, Nye R, Mun S, Feudtner C, Wolfe J. End‐of‐life care quality for children with cancer who receive palliative care. Pediatric Blood & Cancer 2022, 69: e29841. PMID: 35686746, PMCID: PMC10498672, DOI: 10.1002/pbc.29841.Peer-Reviewed Original ResearchConceptsIntensive care unit admissionCare unit admissionLife care qualityDistressing symptomsCancer decedentsEnd of lifeUnit admissionMechanical ventilationCare qualityPalliative Care DatabaseDays of lifeLower household incomeAnnual household incomeHospice enrollmentHospital admissionMultivariable analysisPatient factorsUnivariable analysisPalliative careCare databaseHospice servicesLower oddsResearch DatabaseCancer typesHospital servicesSurvey of Pediatric Palliative Care Quality Improvement Training, Activities, and Barriers
Bogetz JF, Johnston E, Ananth P, Patneaude A, Workgroup T, Thienprayoon R, Rosenberg A. Survey of Pediatric Palliative Care Quality Improvement Training, Activities, and Barriers. Journal Of Pain And Symptom Management 2022, 64: e123-e131. PMID: 35577143, DOI: 10.1016/j.jpainsymman.2022.04.182.Peer-Reviewed Original ResearchConceptsPediatric palliative careQI activitiesHigh-quality pediatric palliative careQI effortsQI workPediatrics Task ForceHalf of participantsQuality improvement activitiesPalliative careQuality improvement trainingEducation/trainingSerious illnessImprovement NetworkElectronic surveyQI trainingOne-thirdHours totalTwo-thirdsCliniciansClinical disciplinesOne-quarterResearch NetworkTask ForceDedicated staffStandardized measuresParent Priorities in End-of-Life Care for Children with Cancer
Ananth P, Mun S, Lindsay M, De Oliveira S, Pitafi S, Ma X, Gross C, Boyden J, Feudtner C, Wolfe J. Parent Priorities in End-of-Life Care for Children with Cancer. Journal Of Pain And Symptom Management 2022, 63: 885. DOI: 10.1016/j.jpainsymman.2022.02.087.Peer-Reviewed Original Research
2021
Perspectives of pediatric oncologists and palliative care physicians on the therapeutic use of cannabis in children with cancer
Oberoi S, Protudjer JLP, Rapoport A, Rassekh SR, Crooks B, Siden H, Decker K, Ananth P, Chapman S, Balneaves LG, Vanan MI, Kelly LE. Perspectives of pediatric oncologists and palliative care physicians on the therapeutic use of cannabis in children with cancer. Cancer Reports 2021, 5: e1551. PMID: 34672127, PMCID: PMC9458513, DOI: 10.1002/cnr2.1551.Peer-Reviewed Original ResearchConceptsPalliative care physiciansCare physiciansPediatric oncologistsCannabis-related researchPediatric oncology patientsManagement of nauseaMost pediatric oncologistsSafety of cannabisPotential roleUse of cannabisSymptom controlPoor appetiteSymptom reliefChronic painOncology patientsPediatric oncologySide effectsMedical cannabisOncologistsTherapeutic useAnticancer effectsPhysiciansCancerSurvey domainsCannabisRefining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer
Ananth P, Mun S, Reffat N, Kang SJ, Pitafi S, Ma X, Gross CP, Wolfe J. Refining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer. JCO Oncology Practice 2021, 18: e372-e382. PMID: 34613797, PMCID: PMC8932486, DOI: 10.1200/op.21.00447.Peer-Reviewed Original ResearchConceptsMedian importance scoresPalliative care consultationHealth care usePatient-reported outcomesCross-sectional electronic surveyLife care qualityPatient-centered measuresHealth care teamHealth care professionalsHealth care resourcesCandidate quality measuresCancer stakeholdersSymptom screeningCare consultationsCare useCare teamLife careCare professionalsPatient needsCare resourcesFamily stakeholdersCare qualityMedian scoreQuality measuresElectronic surveyReenvisioning End-of-Life Care Quality Measurement for Adolescents and Young Adults With Cancer—Novel Patient-Centered Indicators and Approaches
Ananth P. Reenvisioning End-of-Life Care Quality Measurement for Adolescents and Young Adults With Cancer—Novel Patient-Centered Indicators and Approaches. JAMA Network Open 2021, 4: e2122323. PMID: 34424309, DOI: 10.1001/jamanetworkopen.2021.22323.Commentaries, Editorials and LettersSociodemographic and hospital‐based predictors of intense end‐of‐life care among children, adolescents, and young adults with hematologic malignancies
Mun S, Wang R, Ma X, Ananth P. Sociodemographic and hospital‐based predictors of intense end‐of‐life care among children, adolescents, and young adults with hematologic malignancies. Cancer 2021, 127: 3817-3824. PMID: 34185881, PMCID: PMC8478813, DOI: 10.1002/cncr.33764.Peer-Reviewed Original ResearchConceptsHematologic malignanciesYoung adultsLife careMultivariable logistic regression modelCancer-directed treatmentPremier Healthcare DatabaseRetrospective cohort studyEmergency department visitsIntensive care unitHigh-intensity endDays of lifeMajority of childrenLogistic regression modelsIntravenous chemotherapyTracheostomy placementCohort studyDepartment visitsCare unitMechanical ventilationHospital characteristicsMultivariable modelCardiopulmonary resuscitationType of insuranceHealthcare databasesMalignancyA Stakeholder-Driven Qualitative Study to Define High Quality End-of-Life Care for Children With Cancer
Ananth P, Mun S, Reffat N, Li R, Sedghi T, Avery M, Snaman J, Gross CP, Ma X, Wolfe J. A Stakeholder-Driven Qualitative Study to Define High Quality End-of-Life Care for Children With Cancer. Journal Of Pain And Symptom Management 2021, 62: 492-502. PMID: 33556497, PMCID: PMC8339188, DOI: 10.1016/j.jpainsymman.2021.01.134.Peer-Reviewed Original ResearchConceptsHigh-quality endQuality EOLCAdvanced cancerSymptom managementLife careQuality endLocation of deathMulticenter qualitative studyAvoidance of hospitalizationPerson-centered measuresCancer stakeholdersEnd of lifeSupportive careMechanical ventilationParents of childrenEmergency departmentInterdisciplinary careInterdisciplinary healthcare professionalsCardiopulmonary resuscitationHospice careQualitative studyCancerHealthcare professionalsFamily preferencesYoung adults