2024
Cognitive Motor Dissociation in Disorders of Consciousness
Bodien Y, Allanson J, Cardone P, Bonhomme A, Carmona J, Chatelle C, Chennu S, Conte M, Dehaene S, Finoia P, Heinonen G, Hersh J, Kamau E, Lawrence P, Lupson V, Meydan A, Rohaut B, Sanders W, Sitt J, Soddu A, Valente M, Velazquez A, Voss H, Vrosgou A, Claassen J, Edlow B, Fins J, Gosseries O, Laureys S, Menon D, Naccache L, Owen A, Pickard J, Stamatakis E, Thibaut A, Victor J, Giacino J, Bagiella E, Schiff N. Cognitive Motor Dissociation in Disorders of Consciousness. New England Journal Of Medicine 2024, 391: 598-608. PMID: 39141852, DOI: 10.1056/nejmoa2400645.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTask-based fMRICognitive motor dissociationDisorders of consciousnessComa Recovery Scale-RevisedCognitive tasksMotor dissociationObserved responseBrain injuryVerbal commandsBrain traumaScale-RevisedMagnetic resonance imagingDisordersBrainParticipantsEtiological factorsAssociated with younger ageElectroencephalographyCohort of personsResonance imagingProspective cohort studyTaskElectroencephalography dataMedian age
2019
Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center
McCarthy M, de Asua D, Gabbay E, Christos P, Fins J. Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center. Journal Of Hospital Medicine 2019, 14: 290-293. PMID: 30897052, PMCID: PMC7343177, DOI: 10.12788/jhm.3179.Peer-Reviewed Original ResearchConceptsHospitalist teaching serviceFrequency of ethical issuesEthical issuesClinical ethics consultationHospital ethics committeeDecision-making capacityEthics consultationEthics curriculumEthical conflictsCardiopulmonary resuscitation statusAttending hospitalistsResuscitation statusGoals of careEthics CommitteeTeaching serviceDischarge planningDaily roundsHospitalistsPain managementIssuesTertiary care centerTeaching hospitalCare centerTertiary-careServices
2018
Assessment of Covert Consciousness in the Intensive Care Unit
Edlow B, Fins J. Assessment of Covert Consciousness in the Intensive Care Unit. Journal Of Head Trauma Rehabilitation 2018, 33: 424-434. PMID: 30395042, PMCID: PMC6317885, DOI: 10.1097/htr.0000000000000448.Peer-Reviewed Original ResearchConceptsFunctional magnetic resonance imagingTraumatic brain injuryAcute severe traumatic brain injurySevere traumatic brain injuryIntensive care unitCovert consciousnessEthical challengesIntensive care unit patientsTask-based functional magnetic resonance imagingTask-based fMRILife-sustaining therapyWithdrawal of life-sustaining therapyCare unitEthical frameworkBehavioral assessmentCritically ill patientsEvaluation normsMagnetic resonance imagingConsciousnessBrain injuryGoals of careClinical scenariosIll patientsRecovered consciousnessTreatment decisions
2017
Patient Reflections on Decision Making for Laryngeal Cancer Treatment
Shuman A, Larkin K, Thomas D, Palmer F, Fins J, Baxi S, Lee N, Shah J, Fagerlin A, Patel S. Patient Reflections on Decision Making for Laryngeal Cancer Treatment. Otolaryngology 2017, 156: 299-304. PMID: 28116989, PMCID: PMC5528848, DOI: 10.1177/0194599816683377.Peer-Reviewed Original ResearchConceptsPatients' reflectionsDecisional conflictVoice-related qualityReferral patternsReflections of patientsPatient-reported functional outcomesLaryngeal cancerFunctional outcomesTreatment decisionsTertiary care cancer centerInvolvement of surgeonsPatient prioritiesSingle-institution tertiary care cancer centerProvider inputDecisional regretPatient voiceManagement of laryngeal cancerOverall scoreGlobal scoreMedical oncologistsCancer CenterCancer treatment planningLaryngeal cancer treatmentRadiation oncologistsLaryngeal carcinoma
2015
Withdrawal of Life-Sustaining Treatment
Hinderer K, Friedmann E, Fins J. Withdrawal of Life-Sustaining Treatment. Dimensions Of Critical Care Nursing 2015, 34: 91-99. PMID: 25650494, DOI: 10.1097/dcc.0000000000000097.Peer-Reviewed Original ResearchConceptsEOL decisionsEnd-of-lifeCritical care nursesMechanical ventilation withdrawalCare nursesFamilies of critically ill patientsVentilator withdrawalImproving EOL careAdvance care planningPatient-proxy pairsWithdrawal of life-sustaining therapySecondary analysis of dataWithdrawal of mechanical ventilationLife-sustaining therapyEOL careCare planningPatient-directedResponses to questionsDisease trajectoryProxies' decisionsModification of directionSecondary analysisImprove patientAnalysis of dataNurses
2014
Anesthesiologists’ familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting
Nurok M, Green D, Chisholm M, Fins J, Liguori G. Anesthesiologists’ familiarity with the ASA and ACS guidelines on Advance Directives in the perioperative setting. Journal Of Clinical Anesthesia 2014, 26: 174-176. PMID: 24793713, DOI: 10.1016/j.jclinane.2013.11.011.Peer-Reviewed Original ResearchConceptsAmerican College of Surgeons guidelinesAmerican College of SurgeonsAdvance directivesPerioperative settingConsequences of poor adherenceGuideline implementationCollege of SurgeonsPatient careNational guidelinesPoor adherenceAmerican CollegeInvestigate best practicesSociety guidelinesStudy objectiveAmerican Society of Anesthesiologists (ASANational society guidelinesBest practicesGuidelinesAmericanFamiliarityAnesthesiologistsAmerican SocietyCareSetsAdherence
2013
Surrogate expectations in severe brain injury
Suppes A, Fins J. Surrogate expectations in severe brain injury. Brain Injury 2013, 27: 1141-1147. PMID: 23895513, PMCID: PMC5454804, DOI: 10.3109/02699052.2013.804201.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAdvance Care PlanningAdvance DirectivesBrain InjuriesCaregiversChildComaDecision MakingFamilyFemaleGriefHumansIntensive Care UnitsMaleMiddle AgedNew YorkPersistent Vegetative StatePhysician's RoleProfessional-Family RelationsPrognosisProxySeverity of Illness IndexStress, PsychologicalConceptsSource of injuryExpectations of recoveryPsychosocial featuresDecision-making expectationsQuantitative questionnaireImprove treatment of patientsFamily membersPatient recoveryTreatment of patientsPatient diagnosisRelated factorsDOC patientsBrain injuryPatientsImproved treatmentInjuryCurrent diagnosisExpectationsQuestionnaireDiagnosisCliniciansBrainSurveyFactorsClinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical care
2012
When negative rights become positive entitlements: complicity, conscience, and caregiving.
Shuman A, Khan A, Moyer J, Prince M, Fins J. When negative rights become positive entitlements: complicity, conscience, and caregiving. The Journal Of Clinical Ethics 2012, 23: 308-15. PMID: 23469691, DOI: 10.1086/jce201223403.Peer-Reviewed Original ResearchClinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHead
2011
Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury
Bardin J, Fins J, Katz D, Hersh J, Heier L, Tabelow K, Dyke J, Ballon D, Schiff N, Voss H. Dissociations between behavioural and functional magnetic resonance imaging-based evaluations of cognitive function after brain injury. Brain 2011, 134: 769-782. PMID: 21354974, PMCID: PMC3044833, DOI: 10.1093/brain/awr005.Peer-Reviewed Original ResearchConceptsBrain-injured subjectsBlood oxygen level-dependent responsesBrain-injured patientsCognitive functionFunctional magnetic resonance imaging assessmentsEvaluation of cognitive functionFunctional neuroimaging methodsOvert behavioral responsesSeverely brain-injured patientsNeuroimaging methodsBrain functionBehavioral responsesBrain injuryMagnetic resonance imaging-based methodMotor functionControl groupBrainMagnetic resonance imaging assessmentSubjectsClinical useImaging assessmentResponse
2008
Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation
Nilson E, Acres C, Tamerin N, Fins J. Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation. American Journal Of Medical Quality 2008, 23: 356-364. PMID: 18820140, DOI: 10.1177/1062860608316729.Peer-Reviewed Original ResearchConceptsEthics consultationEnd-of-life decision makingNew York-Presbyterian Healthcare SystemDo-not-resuscitate ordersQuality of careEthics case consultationClinical ethics consultationEthics consultation processSurrogate decision makingEnd-of-lifeDecision-making capacityEquitable carePatient-centeredNonmedical servicesClinical ethicsEthical dilemmasPsychosocial outcomesClinical careHealthcare systemCase consultationIntensive care unit patientsEthicsCareQuality imperativesQuality Initiative
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officers
2005
Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy
Fins J, Maltby B, Friedmann E, Greene M, Norris K, Adelman R, Byock I. Contracts, covenants and advance care planning: an empirical study of the moral obligations of patient and proxy. Journal Of Pain And Symptom Management 2005, 29: 55-68. PMID: 15652439, DOI: 10.1016/j.jpainsymman.2004.07.004.Peer-Reviewed Original ResearchMeSH KeywordsAdvance Care PlanningAgedContractsFemaleHumansMaleMiddle AgedMoralsPatient ParticipationProxyConceptsPatient self-determinationMoral obligationSelf-determinationAdvance care planningExercise of autonomyPatient-proxy relationshipLife-sustaining therapyObligations of patientsMoral judgmentCare planningNarrow notionsDisease trajectoryPatient instructionsLegal normsPatient-proxy pairsJudgmentPrincipal autonomyAggressive careAutonomyModified Likert scaleQuality of informationPatient educationCovenantersNegative instructionsCovenants
2004
Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women
Raik B, Miller F, Fins J. Screening and Cognitive Impairment: Ethics of Forgoing Mammography in Older Women. Journal Of The American Geriatrics Society 2004, 52: 440-444. PMID: 14962162, DOI: 10.1111/j.1532-5415.2004.52119.x.Peer-Reviewed Original ResearchConceptsCognitively impaired womenCognitive impairmentQuality of lifeDecision-making capacityScreening interventionsMammographic screeningEarly cognitive impairmentLonger life expectancyPatient's capacityVulnerable populationsImpaired womenLife expectancyRisk of undertreatmentMammographyBreast cancerWomenEthical questionsDecision-making processPotential benefitsRiskScreeningRisk/benefit analysisImpairmentOlderDementia
2002
When the Prognosis Leads to Indifference
Fins J, von Gunten C. When the Prognosis Leads to Indifference. Journal Of Palliative Medicine 2002, 5: 571-573. PMID: 12243684, DOI: 10.1089/109662102760269850.Peer-Reviewed Original ResearchResidual cerebral activity and behavioural fragments can remain in the persistently vegetative brain
Schiff N, Ribary U, Moreno D, Beattie B, Kronberg E, Blasberg R, Giacino J, McCagg C, Fins J, Llinás R, Plum F. Residual cerebral activity and behavioural fragments can remain in the persistently vegetative brain. Brain 2002, 125: 1210-1234. PMID: 12023311, DOI: 10.1093/brain/awf131.Peer-Reviewed Original ResearchConceptsPersistent vegetative stateCortical metabolismCerebral metabolismUnique metabolic patternsPersistent vegetative state patientsCerebral regionsResponse to sensory stimulationConscious brain functionGamma-band activityParamedian thalamusPathology reportsFDG-PETAnoxic injuryGlobal metabolic rateCorticothalamic networksMultifocal brain injuriesMetabolic activityMetabolic ratePartial functional integrityPatientsNeuronal islandsEmission tomographyBrain metabolismIsolated brain regionsMetabolic patterns
1999
End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects
Fins J, Miller F, Acres C, Bacchetta M, Huzzard L, Rapkin B. End-of-Life Decision-Making in the Hospital Current Practice and Future Prospects. Journal Of Pain And Symptom Management 1999, 17: 6-15. PMID: 9919861, DOI: 10.1016/s0885-3924(98)00109-2.Peer-Reviewed Original ResearchConceptsComfort care plansEnd-of-life decision-makingHospitalized dying patientsCare planningDNR ordersDo-not-resuscitate (DNRAssociated with DNR ordersCare Assessment ToolUrban academic medical centerHealth care proxyImprove practice patternsLife-sustaining treatmentEnd-of-lifeAcademic medical centerPalliative servicesPalliative careComfort careAdult deathsArtificial nutritionOutcome measuresPractice patternsAssessment toolChart review of patientsCareMedical Center
1992
Palliation in the Age of Chronic Disease
Fins J, Callahan D. Palliation in the Age of Chronic Disease. The Hastings Center Report 1992, 22: 41-42. PMID: 1371986, DOI: 10.2307/3562723.Peer-Reviewed Original Research