2018
Ethical, Palliative, and Policy Considerations in Disorders of Consciousness
Fins J, Bernat J. Ethical, Palliative, and Policy Considerations in Disorders of Consciousness. Archives Of Physical Medicine And Rehabilitation 2018, 99: 1927-1931. PMID: 30098790, DOI: 10.1016/j.apmr.2018.07.003.Peer-Reviewed Original ResearchConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinementEthical, palliative, and policy considerations in disorders of consciousness
Fins J, Bernat J. Ethical, palliative, and policy considerations in disorders of consciousness. Neurology 2018, 91: 471-475. PMID: 30089621, DOI: 10.1212/wnl.0000000000005927.Peer-Reviewed Original ResearchConceptsLearning health care systemSystems of careHealth care systemAmerican Academy of Neurology guidelinesGroups of brain-injured patientsMedical decision-makingCognitive-motor dissociationNeuropalliative careAdvance directivesCare systemPractice scopeIncreasing frequency of reportsVegetative stateFrequency of reportingGuideline authorsNeurology guidelinesAmerican AcademyDisorders of consciousnessBrain-injured patientsCareCovert consciousnessGroup of patientsGuidelinesWakefulness syndromePrognostic refinement
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
Clinical 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
Clinical ethics consultation in oncology.
Shuman A, Montas S, Barnosky A, Smith L, Kissane D, Fins J, McCabe M. Clinical ethics consultation in oncology. Journal Of Clinical Oncology 2012, 30: 9121-9121. DOI: 10.1200/jco.2012.30.15_suppl.9121.Peer-Reviewed Original ResearchClinical ethics consultationEthics consultationGoals of careCode statusEnd-of-life careOverall goals of careInvolvement of palliative careNCI-designated comprehensive cancer centerPalliative care consultationPalliative care involvementPatient's code statusSurrogate decision-makersEnd of lifeEnd-of-lifeComprehensive cancer centerSystem improvementSources of interpersonal conflictAdult oncology patientsMedical futilityCare consultationPalliative careAdvance directivesCare involvementEthicsChart abstraction
2009
Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey
Kelley A, Reid M, Miller D, Fins J, Lachs M. Implantable cardioverter-defibrillator deactivation at the end of life: A physician survey. American Heart Journal 2009, 157: 702-708.e1. PMID: 19332199, DOI: 10.1016/j.ahj.2008.12.011.Peer-Reviewed Original ResearchConceptsEnd of lifeDeactivation discussionsICD deactivationImplantable cardioverter-defibrillator deactivationLikert-scaled itemsAdvance directivesLogistic regression analysisGeneral internistsPhysician surveyExpert guidancePredictors of willingnessOlder adultsSubstantial distressICD managementMail surveyPhysiciansICD shocksSurvey's backgroundRegression analysisSpecialtyICD useImplantable cardioverter-defibrillator (ICDVignettesICDCardioverter-defibrillator (ICD