Meghan Lindsay, MPH
BiostatisticianCards
About
Research
Publications
2025
The Pediatric Cancer Care Experience (PACE) Questionnaire: Development and Validation of a Novel Instrument
Kocinsky S, Lindsay M, De Oliveira S, Ananth P. The Pediatric Cancer Care Experience (PACE) Questionnaire: Development and Validation of a Novel Instrument. Journal Of Pain And Symptom Management 2025 PMID: 41232624, PMCID: PMC12743596, DOI: 10.1016/j.jpainsymman.2025.10.034.Peer-Reviewed Original ResearchCancer care experienceCare qualityExploratory factor analysisParents/guardians of childrenCross-sectional studyAdvanced cancerCare experiencesParent-report instrumentsInternal consistencyAdvanced cancer contextCancer care qualityCare Delivery ResearchQuality of carePatient-reported experiencesShared decision-makingNon-Hispanic whitesContent validity testingConstruct validity testingParents of childrenCollaborative carePrognostic communicationFactor analysisHealthcare professionalsCognitive interviewsContent validityTrends in survival after treatment for breast cancer at high-volume centers: An update from the National Cancer Database (2007-2017).
Godfrey E, Lindsay M, Thomas S, Hamid S, Moses J, Proussaloglou E, Berger E, Valero M, Leeds I, Ramirez A, Gross C, Greenup R. Trends in survival after treatment for breast cancer at high-volume centers: An update from the National Cancer Database (2007-2017). JCO Oncology Practice 2025, 21: 274-274. DOI: 10.1200/op.2025.21.10_suppl.274.Peer-Reviewed Original ResearchHigh-volume centersNational Cancer DatabaseBreast cancerHazard ratioOverall survivalPatient-level characteristicsHigh-volume centers of excellenceHigh-volume careSurvival benefitCancer DatabaseVolume-outcome relationshipSurgical volumeCancer careBreast cancer treatmentNon-HispanicEffect modificationHormone receptor statusRegionalized careGreater survival benefitComplex oncological treatmentCenters of excellenceFemale cancersPatient factorsCareSocioecological factorsExploring associations between household material hardship, parent/caregiver health literacy, and family-reported experience of advanced childhood cancer care.
Butler K, Lindsay M, Kocinsky S, Balossi M, Coral D, Garrett-Thomas D, Farner H, Jeyte A, Mali N, Martinez I, Tefera R, Harden A, Sedig L, Taylor M, Kaye E, Snaman J, Brock K, Bogetz J, Johnston E, Ananth P. Exploring associations between household material hardship, parent/caregiver health literacy, and family-reported experience of advanced childhood cancer care. JCO Oncology Practice 2025, 21: 363-363. DOI: 10.1200/op.2025.21.10_suppl.363.Peer-Reviewed Original ResearchHealth literacy challengesCancer care experienceHousehold material hardshipCare experiencesCollaborative carePrognostic communicationLiteracy challengesHealth literacySecondary analysisSubscale scoresChildhood cancer careSecondary analysis of dataShared decision makingTherapeutic allianceShared decision-makingParents/caregivers of childrenNon-Hispanic whitesSelf-reported difficultyFamilies of childrenMaterial hardshipMean response scoresCare satisfactionCancer careScreening questionsLikert responsesDiagnostic yield of surveillance mammography among older women
Richman I, Lindsay M, Long J, Epstein E, Sheffrin M, Berger E. Diagnostic yield of surveillance mammography among older women. Journal Of The National Cancer Institute 2025, djaf270. PMID: 41002168, PMCID: PMC12646037, DOI: 10.1093/jnci/djaf270.Peer-Reviewed Original ResearchSurveillance mammographyOlder womenBreast cancerHistory of breast cancerPositive predictive valueYears post-diagnosisSEER-Medicare dataLongitudinal cohort studySurveillance mammogramsHealth outcomesStratified analysisDiagnostic yieldPredictive valueSEER-MedicareMammographic surveillanceCancer diagnosisCohort studyPrimary breast cancerMammographyMammogramsOlder ageShort-term outcomesWomenOutcomesEven yearsChanges in Use, Cost, and Value of Breast Cancer Screening Among Older Women in the US
Richman I, Long J, Lindsay M, Fendrick A, Kyanko K, Gross C. Changes in Use, Cost, and Value of Breast Cancer Screening Among Older Women in the US. Journal Of General Internal Medicine 2025, 1-10. PMID: 40987968, DOI: 10.1007/s11606-025-09778-y.Peer-Reviewed Original ResearchBreast cancer screeningMedicare fee-for-serviceFee-for-serviceCancer screeningDigital breast tomosynthesisOlder womenCosts of breast cancer screeningCost-effective screeningCross-sectional studyBiennial mammographyAnnual mammographyBiennial screeningFollow-up testingAnnual screeningMedicare beneficiariesResultsOur sampleSEER-MedicareCost-effectiveScreening ultrasoundTotal spendingAnnual spendingMedicareWomenBreast tomosynthesisMammography"A Double-Edged Sword": Influence of the 21st Century Cures Act on the Childhood, Adolescent, and Young Adult Cancer Care Experience.
Lindsay M, Clappier M, de Oliveira S, Gleeson D, Feifer D, O'Bryan S, Kessler A, Mali N, Crabtree V, Dean S, Campbell P, Snaman J, Kaye E, Ananth P. "A Double-Edged Sword": Influence of the 21st Century Cures Act on the Childhood, Adolescent, and Young Adult Cancer Care Experience. Journal Of The National Comprehensive Cancer Network 2025, 23 PMID: 40953607, DOI: 10.6004/jnccn.2025.7053.Peer-Reviewed Original ResearchThis study investigates the impact of the 21st Century Cures Act on young cancer patients' care, showing increased patient agency but heightened anxiety, suggesting policy reforms for improved outcomes.Temporal Trends in Opioid Use and Associated Outcomes for Patients Living with Advanced Cancer
Jairam V, Lindsay M, Soulos P, Gross C, Prsic E, Baum L, Park H. Temporal Trends in Opioid Use and Associated Outcomes for Patients Living with Advanced Cancer. Journal Of Pain And Symptom Management 2025, 70: 230-238.e7. PMID: 40403779, DOI: 10.1016/j.jpainsymman.2025.05.007.Peer-Reviewed Original ResearchPain-related ED visitsOpioid useGabapentinoid useOpioid-related encountersAdvanced cancerOpioid prescribingED visitsAdvanced solid tumor cancersEnd Results (SEER)-Medicare databaseHigh-risk opioid useNonopioid pain medicationsMultivariate logistic regression modelNon-cancer patientsSolid tumor cancersPain controlPain medicationInvestigate time trendsIndex dateLogistic regression modelsCancer cohortOpioidNoncancer patientsOpioid epidemicPatientsNoncancer cohortDeveloping a digital video to support lung cancer screening in diverse populations
Lindsay M, Odole I, Belliveau O, Abujarad F, Gross C, Richman I. Developing a digital video to support lung cancer screening in diverse populations. PEC Innovation 2025, 6: 100388. PMID: 40212805, PMCID: PMC11982046, DOI: 10.1016/j.pecinn.2025.100388.Peer-Reviewed Original ResearchLung cancer screeningKnowledge of lung cancer screeningCancer screeningLevels of educational attainmentEducational attainmentKnowledge scoresDiverse populationsPrimary care clinicsLung cancer mortalityParticipants' knowledge scoresLower educational attainmentOpen-ended feedbackScreening behaviorLow dose computed tomographyPatient engagementCare clinicsCancer mortalityAssess knowledgeParticipant feedbackIncreased knowledgeParticipantsAdultsScreeningAttainmentScores
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 qualityCareA 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 studies