2024
Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis
Feder S, Iannone L, Lendvai D, Zhan Y, Akgün K, Ersek M, Luhrs C, Allen L, Bekelman D, Goldstein N, Kavalieratos D. Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis. Journal Of Cardiac Failure 2024 PMID: 39098653, DOI: 10.1016/j.cardfail.2024.07.009.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterCardiology cliniciansPalliative careImplementation strategiesDelivery characteristicsDiscussion of goals of careSpecialist palliative care cliniciansAmbulatory palliative careGoals of careGuideline-directed careQualitative descriptive studyAffairs Medical CenterSemi-structured interviewsCare deliveryAdvanced practiceLeadership supportVA systemReferral proceduresDescriptive studyAmbulatory settingClinicians insightCareHeart failureMedical CenterPalliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association
Di Palo K, Feder S, Baggenstos Y, Cornelio C, Forman D, Goyal P, Kwak M, McIlvennan C, Nursing O. Palliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation Cardiovascular Quality And Outcomes 2024, 17: e000131. PMID: 38946532, DOI: 10.1161/hcq.0000000000000131.Peer-Reviewed Original ResearchQuality of lifeCardiovascular diseaseExcess health care useGoal-oriented careHealth care useShared decision-makingEnhance quality of lifePalliative pharmacotherapyMedical managementScientific statementEvidence-based medical therapyPulmonary arterial hypertensionSpectrum of cardiovascular diseasesAmerican Heart AssociationCoronary heart diseaseEnd-stage heart failurePalliative medicineCare usePalliative approachArterial hypertensionGuideline-directedMedical therapyDevice therapyHeart failureWorsening symptomsVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findings
2023
USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE
Han L, Abel E, Zhan Y, Akgün K, Feder S. USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE. Innovation In Aging 2023, 7: 1149-1150. PMCID: PMC10736640, DOI: 10.1093/geroni/igad104.3689.Peer-Reviewed Original ResearchAdvanced heart failureVeterans Affairs Medical CenterSpecialist palliative careHeart failureOlder adultsWhite raceGuideline-concordant careICD-9/10 codesService delivery characteristicsAHF cohortSPC servicesPalliative careBlack raceMedical CenterLogistic regressionSocioeconomic disparitiesFacility characteristicsRacial disparitiesPersistent disparitiesAdultsRandom interceptDelivery characteristicsConventional logistic regressionCareEquitable accessFocus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia
O’Connell M, Feder S, Nwanaji-Enwerem U, Redeker N. Focus Group Study of Heart Failure Nurses’ Perceptions of the Feasibility of Cognitive Behavioral Therapy for Insomnia. Nursing Research 2023, 73: 109-117. PMID: 37967228, PMCID: PMC10922255, DOI: 10.1097/nnr.0000000000000706.Peer-Reviewed Original ResearchCognitive behavioral therapyHeart failureMode of deliveryBehavioral therapyClinical settingEfficacious treatmentOutpatient HF clinicOutpatient clinical settingAdvanced practice nursesDescriptive qualitative study designPerceptions of nursesImportance of insomniaHF clinicQualitative study designPractice nursesNurse membersDaytime consequencesSleep specialistsFocus groupsNurses' perceptionsSleep healthInsomniaTherapyFocus group participantsFocus group studyValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultationAdvance directive screening among veterans with incident heart failure: Comparisons among people aging with and without HIV
Walenczyk K, Cavanagh C, Skanderson M, Feder S, Soliman A, Justice A, Burg M, Akgün K. Advance directive screening among veterans with incident heart failure: Comparisons among people aging with and without HIV. Heart & Lung 2023, 61: 1-7. PMID: 37023581, PMCID: PMC10524135, DOI: 10.1016/j.hrtlng.2023.03.018.Peer-Reviewed Original ResearchConceptsIncident heart failureVeterans Aging Cohort StudyHeart failureAD screeningDisease severityCox proportional hazards regressionIncident HF diagnosisAging Cohort StudyProportional hazards regressionGreater disease severityAdvance directive completionAssociation of ADFuture quality improvementCare contactsCohort studyHF diagnosisHIV statusScreening ratesHazards regressionPoor prognosisDiagnosis codesCardiology subspecialtiesHaenszel testHealthcare encountersPWH
2020
National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503)
Feder S, Ersek M, Kutney-Lee A, Redeker N, Bastian L, Akgun K. National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503). Journal Of Pain And Symptom Management 2020, 60: 230. DOI: 10.1016/j.jpainsymman.2020.04.095.Peer-Reviewed Original ResearchEnd-of-Life Care Quality Varies Among Facilities in the Department of Veterans Affairs for Patients with Heart Failure (S732)
Feder S, Ersek M, Kutney-Lee A, Luhrs C, Bastian L, Akgun K. End-of-Life Care Quality Varies Among Facilities in the Department of Veterans Affairs for Patients with Heart Failure (S732). Journal Of Pain And Symptom Management 2020, 59: 546-547. DOI: 10.1016/j.jpainsymman.2019.12.294.Peer-Reviewed Original Research
2018
The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure
Feder SL, Tate JP, Akgün KM, Womack JA, Jeon S, Funk M, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Redeker NS. The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure. American Journal Of Hospice And Palliative Medicine® 2018, 36: 228-234. PMID: 30304939, PMCID: PMC7457998, DOI: 10.1177/1049909118804465.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCase-Control StudiesCD4 Lymphocyte CountComorbidityFemaleHeart FailureHIV InfectionsHospitalizationHumansLength of StayLogistic ModelsMaleMiddle AgedPalliative CarePatient DischargeRespiration, ArtificialRisk FactorsSex FactorsUnited StatesUnited States Department of Veterans AffairsConceptsHeart failureHIV infectionHIV-1 RNAPalliative careVeterans Health AdministrationHospitalized patientsHIV characteristicsPrimary diagnosisVeterans Aging Cohort StudyPalliative care useVentricular ejection fractionAging Cohort StudyCells/Case-control studyConditional logistic regressionDiseases NinthCohort studyEjection fractionPrimary outcomeVHA patientsDischarge dateMean ageCare useSevere diseaseAdjusted model
2017
Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration
Feder SL, Redeker NS, Jeon S, Schulman-Green D, Womack JA, Tate JP, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Akgün KM. Validation of the ICD-9 Diagnostic Code for Palliative Care in Patients Hospitalized With Heart Failure Within the Veterans Health Administration. American Journal Of Hospice And Palliative Medicine® 2017, 35: 959-965. PMID: 29254358, PMCID: PMC7491538, DOI: 10.1177/1049909117747519.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationSpecialist palliative carePalliative care consultationHeart failurePalliative careCare consultationsHealth AdministrationElectronic health record reviewICD-9 diagnostic codesIntensive care unit admissionSpecialist palliative care consultationUnmet palliative care needsVeterans Aging Cohort StudyCare unit admissionHealth record reviewPalliative care needsPalliative care servicesAging Cohort StudyGoals of careNinth Revision codesICD-9 codesYear of hospitalizationSite of careNegative predictive valueUnit admission