2020
Conducting Goals-of-Care Discussions Takes Less Time Than Imagined.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky J, Egorova N, Franco R, Bickell NA. Conducting Goals-of-Care Discussions Takes Less Time Than Imagined. JCO Oncology Practice 2020, 16: e1499-e1506. PMID: 32749930, DOI: 10.1200/jop.19.00743.Peer-Reviewed Original ResearchConceptsGOC discussionsCare discussionsAdvanced solid tumor cancersDifferent hospital typesLength of encounterSolid tumor cancersTotal encounter timePatient ageAdvanced cancerHospital typeRural hospitalsMedicare coveragePatientsCancer progressionOncologistsMultivariate modelEncounter timeVisitsSignificant differencesCancerProgressionMinutesLess timeCommon misperceptionsPrognosisEffects of a Communication Intervention Randomized Controlled Trial to Enable Goals-of-Care Discussions.
Bickell NA, Back AL, Adelson K, Gonsky JP, Egorova N, Pintova S, Lin JJ, Kozuch P, Bagiella E, Smith CB. Effects of a Communication Intervention Randomized Controlled Trial to Enable Goals-of-Care Discussions. JCO Oncology Practice 2020, 16: e1015-e1028. PMID: 32374710, DOI: 10.1200/op.20.00040.Peer-Reviewed Original ResearchConceptsElicit patient valuesEnd of lifeAdvanced cancerPatient valuesAggressive careGOC discussionsCare discussionsIntensive care unit admissionHigh care utilizationCare unit admissionMean hospitalizationTraining oncologistsUnit admissionUC patientsAggressive treatmentCare utilizationBlock randomizationCommunication skills trainingOncologistsPatientsCancerCommunication interventionsPrevalenceLife expectancyLast monthImpact of High-Quality Goals-of-Care Discussions on Oncologist Productivity.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky JP, Egorova N, Franco R, Bickell NA. Impact of High-Quality Goals-of-Care Discussions on Oncologist Productivity. JCO Oncology Practice 2020, 16: e290-e297. PMID: 32048945, DOI: 10.1200/jop.19.00381.Peer-Reviewed Original ResearchConceptsGOC discussionsAdvanced cancerPatient populationCare discussionsPractice settingsDifferent practice settingsOncologist characteristicsStudy patientsCommunity hospitalRural hospitalsPatientsOncologistsHigh-quality goalsRural settingsSignificant differencesHospitalCancerValue unitsHoursSettingPrognosisPopulationCommunication skillsVisits
2018
Disparities in length of goals of care conversations between oncologists and patients with advanced cancer.
Smith C, Pintova S, Adelson K, Gonsky J, Egorova N, Bickell N. Disparities in length of goals of care conversations between oncologists and patients with advanced cancer. Journal Of Clinical Oncology 2018, 36: 19-19. DOI: 10.1200/jco.2018.36.34_suppl.19.Peer-Reviewed Original ResearchNon-minority patientsProgression of diseaseMinority patientsAdvanced cancerCancer patientsHigh-quality cancer careAdvanced cancer patientsGoals of careMinority cancer patientsNon-Hispanic blacksNon-Hispanic whitesPaucity of dataGOC conversationsGOC discussionsCancer carePoor survivalCare conversationsPatientsRural hospitalsSubstandard treatmentCommunication skills trainingOncologistsCancer treatmentRisk adjustmentMixed-effects modelsSimple interventions to decrease use of chemotherapy in patients at the end of life.
Chiang A, Adelson K, Kapo J, Severino K, Lilenbaum R. Simple interventions to decrease use of chemotherapy in patients at the end of life. Journal Of Clinical Oncology 2018, 36: 181-181. DOI: 10.1200/jco.2018.36.30_suppl.181.Peer-Reviewed Original ResearchDays of lifeCourse of illnessEnd of lifeDay of deathGOC conversationsPrimary oncologistCare centerEarly palliative care referralPalliative care referralUse of chemotherapyPalliative care trainingChemotherapy utilizationCare referralPoor prognosisGOC discussionsCancer patientsUnnecessary treatmentGeneral oncologistsCare conversationsPost interventionPatientsChemotherapyMultidisciplinary teamPatient carePhysicians' skillsDoes training oncologists to have goals of care discussions increase and improve the quality of GoC discussions with advanced cancer patients?
Bickell N, Adelson K, Gonsky J, Lin J, Pintova S, Franco R, Egorova N, Smith C. Does training oncologists to have goals of care discussions increase and improve the quality of GoC discussions with advanced cancer patients? Journal Of Clinical Oncology 2018, 36: 6597-6597. DOI: 10.1200/jco.2018.36.15_suppl.6597.Peer-Reviewed Original Research
2017
Does coaching goals of care discussion skills make a difference?
Bickell N, Adelson K, Gonsky J, Pintova S, Levy B, Lin J, Franco R, Egorova N, Smith C. Does coaching goals of care discussion skills make a difference? Journal Of Clinical Oncology 2017, 35: 6586-6586. DOI: 10.1200/jco.2017.35.15_suppl.6586.Peer-Reviewed Original ResearchAdvanced cancer patientsGOC discussionsCancer patientsCancer prognosisClarity of valuesPoor health literacyQuality of lifeElicit patient valuesEligible patientsIntervention patientsYear prognosisMean ageCare discussionsIntervention groupPatient reportsPatient understandingTreatment goalsHealth literacyDisease processPatientsSide effectsPatient valuesOncologists' communication skillsCommunication skills trainingPrognosisDoes oncologist productivity impact goals of care discussions?
Pintova S, Smith C, Adelson K, Gonsky J, Egorova N, Franco R, Bickell N. Does oncologist productivity impact goals of care discussions? Journal Of Clinical Oncology 2017, 35: e21675-e21675. DOI: 10.1200/jco.2017.35.15_suppl.e21675.Peer-Reviewed Original ResearchAdvanced cancer patientsGOC discussionsCancer patientsCare discussionsYear prognosisStudy patientsPatient reportsMunicipal HospitalPatientsRural hospitalsOncologistsCommunication skills trainingHospitalCancer treatmentMultivariate modelImpact goalsVisitsValue unitsSkills trainingSignificant relationshipPrognosisRCTsIllnessPrevalenceSpeaking Up: How Patient and Physician Voices Shaped a Trial to Improve Goals-of-Care Discussions
Solomon R, Smith C, Kallio J, Fenollosa A, Benerofe B, Jones L, Adelson K, Gonsky JP, Messner C, Bickell NA. Speaking Up: How Patient and Physician Voices Shaped a Trial to Improve Goals-of-Care Discussions. The Patient - Patient-Centered Outcomes Research 2017, 10: 489-501. PMID: 28364384, DOI: 10.1007/s40271-017-0226-z.Peer-Reviewed Original ResearchConceptsPalliative care physiciansAdvanced cancerCare physiciansGOC discussionsOutcome measuresPhysician voicesOutcomes Research InstituteCancer benefitIntervention visitsCare discussionsCare conversationsOutcome measurementsPatient inputPatientsNovel interventionsPatient stakeholdersPhysician inputStudy designOncologistsEarly goalDisease managementPhysiciansPhysician stakeholdersIntervention designIntervention