672 results match your criteria American Journal Of Hospice & Palliative Medicine[Journal]


Timing of Palliative Consultation for Children During a Fatal Illness.

Hosp Pediatr 2019 Apr 17. Epub 2019 Apr 17.

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio;

Background: The American Academy of Pediatrics recommends palliative care for children at the diagnosis of serious illness. Yet few children who die receive specialty palliative care consultation, and when it is provided, palliative care consultation tends to occur after >75% of the time from diagnosis until death. Focusing on the timing of palliative consultation in relation to the date of diagnosis, we evaluated factors predicting earlier receipt of pediatric palliative care in a cohort of decedents. Read More

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http://dx.doi.org/10.1542/hpeds.2018-0169DOI Listing

Interprofessional spiritual care in oncology: a literature review.

ESMO Open 2019 16;4(1):e000465. Epub 2019 Feb 16.

Oncology-Supportive Care Unit, Department of Oncology-Haematology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.

Spiritual care is recognised as an essential element of the care of patients with serious illness such as cancer. Spiritual distress can result in poorer health outcomes including quality of life. The American Society of Clinical Oncology and other organisations recommend addressing spiritual needs in the clinical setting. Read More

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http://dx.doi.org/10.1136/esmoopen-2018-000465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435249PMC
February 2019

Update in Hospice and Palliative Care.

J Palliat Med 2019 Apr;22(4):357-363

1 Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

Objective: The objective of this update, presented at the 2018 Annual Assembly of the American Association of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Nurses Association (HPNA), is to identify, summarize, and critique a sampling of recent research that has the potential for marked impact on hospice and palliative clinical practice.

Methods: In a departure from previous years, we surveyed AAHPM and HPNA members to determine focused topic areas, from which we selected candidate articles. The two topic areas selected by the membership were "Moving into the great beyond: bringing palliative care into the subspecialties" and "Improving the conversation for patients with serious illness. Read More

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http://dx.doi.org/10.1089/jpm.2018.0653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459275PMC
April 2019
1 Read

Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

J Am Geriatr Soc 2019 Mar 29. Epub 2019 Mar 29.

Department of Medicine, Duke University School of Medicine, Durham, North Carolina.

Objectives: To examine the association between self-reported vision impairment (VI), hearing impairment (HI), and dual-sensory impairment (DSI), stratified by dementia status, on hospital admissions, hospice use, and healthcare costs.

Design: Retrospective analysis.

Setting: Medicare Current Beneficiary Survey from 1999 to 2006. Read More

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http://dx.doi.org/10.1111/jgs.15891DOI Listing

Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study.

Support Care Cancer 2019 Mar 20. Epub 2019 Mar 20.

Middle East Cancer Consortium and Technion-Israel Institute of Technology, Haifa, Israel.

Background: Although staff spiritual care provision plays a key role in patient-centered care, there is insufficient information on international variance in attitudes toward spiritual care and its actual provision.

Methods: A cross-sectional survey of the attitudes of Middle Eastern oncology physicians and nurses toward eight examples of staff provision of spiritual care: two questionnaire items concerned prayer, while six items related to applied information gathering, such as spiritual history taking, referrals, and encouraging patients in their spirituality. In addition, respondents reported on spiritual care provision for their last three advanced cancer patients. Read More

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http://dx.doi.org/10.1007/s00520-019-04733-0DOI Listing
March 2019
2 Reads

Communication of emotion in home hospice cancer care: Implications for spouse caregiver depression into bereavement.

Psychooncology 2019 Mar 18. Epub 2019 Mar 18.

College of Nursing, University of Utah, Salt Lake City, Utah.

Objective: Family caregivers of cancer hospice patients likely benefit from clinician provision of verbal support and from expression of positive emotions. Our aim was to identify the effects of hospice nurse supportive communication as well as caregiver-nurse exchange of positive emotions on family caregiver depression during bereavement.

Methods: This prospective, observational longitudinal study included hospice nurses (N = 58) and family caregivers of cancer patients (N = 101) recruited from 10 hospice agencies in the United States. Read More

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http://dx.doi.org/10.1002/pon.5064DOI Listing

Racial/ethnic disparities in hospital utilization in intracerebral hemorrhage.

Int J Stroke 2019 Mar 14:1747493019835335. Epub 2019 Mar 14.

Department of Neurology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.

Background And Purpose: There is evidence that racial and ethnic differences among intracerebral hemorrhage (ICH) patients exist. We sought to establish the occurrence of disparities in hospital utilization in the United States.

Methods: We identified ICH patients from United States Nationwide Inpatient Sample database for years 2006-2014 using codes (DX1 = 431, 432. Read More

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http://dx.doi.org/10.1177/1747493019835335DOI Listing
March 2019
3 Reads

Prognostication in advanced cancer: update and directions for future research.

Support Care Cancer 2019 Mar 13. Epub 2019 Mar 13.

Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara General Hospital, Shizuoka, Japan.

The objective of this review is to provide an update on prognostication in patients with advanced cancer and to discuss future directions for research in this field. Accurate prognostication of survival for patients with advanced cancer is vital, as patient life expectancy informs many important personal and clinical decisions. The most common prognostic approach is clinician prediction of survival (CPS) using temporal, surprise, or probabilistic questions. Read More

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http://link.springer.com/10.1007/s00520-019-04727-y
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http://dx.doi.org/10.1007/s00520-019-04727-yDOI Listing
March 2019
5 Reads

Relapsing encephalopathy with cerebellar ataxia are caused by variants involving p.Arg756 in ATP1A3.

Eur J Paediatr Neurol 2019 Feb 22. Epub 2019 Feb 22.

Department of Pediatrics, Hôpitaux Universitaires de Strasbourg, Strasbourg, France. Electronic address:

Mutations in ATP1A3 lead to different phenotypes having in common acute neurological decompensation episodes triggered by a specific circumstance and followed by sequelae. Alongside Alternating Hemiplegia of Childhood (AHC), Rapid-onset Dystonia Parkinsonism (RDP) and Cerebellar ataxia, Areflexia, Pes cavus, Optic atrophy, Sensorineural hearing loss syndrome (CAPOS), a new Relapsing Encephalopathy with Cerebellar Ataxia (RECA) phenotype was published in 2015. We describe herein eight new pediatric cases. Read More

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http://dx.doi.org/10.1016/j.ejpn.2019.02.004DOI Listing
February 2019
4 Reads

Web Exclusive. Watching Time, Body, and Soul: View of a Family Member on Hospice.

Authors:
Nancy M Oconnor

Ann Intern Med 2019 03 12. Epub 2019 Mar 12.

American College of Physicians, Philadelphia, Pennsylvania (N.M.O.).

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http://dx.doi.org/10.7326/G18-0024DOI Listing

Not a Disease of the Past: A Case Series of Progressive Multifocal Leukoencephalopathy in the Established Antiretroviral Era.

AIDS Res Hum Retroviruses 2019 Apr 3. Epub 2019 Apr 3.

1 Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia.

Progressive multifocal leukoencephalopathy (PML) and PML immune reconstitution inflammatory syndrome (PML-IRIS) can be devastating neurological processes associated with HIV, but limited knowledge of their characteristics in the established antiretroviral therapy (ART) era is available. We conducted a case series to evaluate the clinical course of PML and PML-IRIS at our urban safety-net hospital in Atlanta, GA. All HIV-positive individuals with a positive John Cunningham virus DNA polymerase chain reaction in the spinal fluid between May 1, 2013 to June 1, 2017 were identified from the electronic health records (EHRs) using the HIV Disease Registry. Read More

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http://dx.doi.org/10.1089/AID.2018.0232DOI Listing
April 2019
7 Reads

The Infusion Nurse's Role in Antibiotic Stewardship.

Authors:
Sharon A Morgan

J Infus Nurs 2019 Mar/Apr;42(2):75-80

Defense Health Agency, Silver Spring, Maryland. Sharon A. Morgan, MSN, RN, NP-C, is a nurse consultant at the Defense Health Agency in Silver Spring, Maryland. Ms. Morgan's 25-year career spans such specialties as cardiovascular intensive care, hospice and palliative care, third world health care, liver disease management, and national-level policy development. Prior to her nursing career, Ms. Morgan served as a geopolitical intelligence officer in the US Army. At the time of manuscript development, Ms. Morgan was a senior policy advisor at the American Nurses Association. She presented on this topic at INS 2018 in Cleveland, Ohio.

Since the introduction of the first antibiotic, the quick development of resistance has threatened the efficacy of such medications. Improving antibiotic use is, above all, a patient safety issue. As frontline health care providers, nurses can become more engaged and take a leadership role to enhance antibiotic stewardship programs. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000315DOI Listing
April 2019
4 Reads

Healthcare professionals' views of palliative care for American war veterans with non-malignant respiratory disease living in a rural area: a qualitative study.

BMC Palliat Care 2019 Feb 27;18(1):22. Epub 2019 Feb 27.

Pulmonary and MICU, Boise VA Medical Centre, Boise, USA.

Background: Chronic lung diseases, such as COPD, are a growing health concern within the veteran population. Palliative care programs have mainly focused on the needs of people with malignant disease in the past, however the majority of those worldwide needing palliative care have a non-malignant diagnosis. Additionally, palliative care provision can often be fragmented and varied dependent upon a patient's geographical location. Read More

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http://dx.doi.org/10.1186/s12904-019-0408-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394001PMC
February 2019

Assessing Relationships Between Muslim Physicians' Religiosity and End-of-Life Health-Care Attitudes and Treatment Recommendations: An Exploratory National Survey.

Am J Hosp Palliat Care 2019 Feb 27:1049909119833335. Epub 2019 Feb 27.

1 Initiative on Islam and Medicine, The University of Chicago, Chicago, IL, USA.

Background:: Research demonstrates that the attitudes of religious physicians toward end-of-life care treatment can differ substantially from their nonreligious colleagues. While there are various religious perspectives regarding treatment near the end of life, the attitudes of Muslim physicians in this area are largely unknown.

Objective:: This article attempts to fill in this gap by presenting American Muslim physician attitudes toward end-of-life care decision-making and by examining associations between physician religiosity and these attitudes. Read More

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http://dx.doi.org/10.1177/1049909119833335DOI Listing
February 2019

Development of Curricular Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S.

J Pain Symptom Manage 2019 Feb 18. Epub 2019 Feb 18.

Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Context: A physician workgroup of the American Academy of Hospice and Palliative Medicine sought to define curricular milestones (CMs) for hospice and palliative medicine (HPM) Fellowship Programs. The developed list of CMs would serve as components upon which to organize curriculum and standardize what to teach during training. These would complement entrustable professional activities previously developed by this group and new specialty-specific reporting milestones (RMs) for HPM developed through the Accreditation Council for Graduate Medical Education. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.013DOI Listing
February 2019

Higher Annual Operator Volume Is Associated With Better Reperfusion Rates in Stroke Patients Treated by Mechanical Thrombectomy: The ETIS Registry.

JACC Cardiovasc Interv 2019 Feb;12(4):385-391

Department of Neurology and Stroke Center, Centre Hospitalier de Versailles, Versailles, France; Versailles Saint-Quentin en Yvelines and Paris Saclay University, Versailles, France; INSERM LVTS (Laboratory for Vascular Translational Science)-1148, Paris, France. Electronic address:

Objectives: The aim of this study was to determine whether individual operator characteristics have an impact on reperfusion and procedural complication rates.

Background: Mechanical thrombectomy (MT) is a Level IA treatment in acute ischemic stroke (AIS) patients. The operator's effect has been found to be an independent predictor for clinical outcome and technical performance in interventional cardiology. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19368798183243
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http://dx.doi.org/10.1016/j.jcin.2018.12.007DOI Listing
February 2019
4 Reads

Impact of Hospice and Palliative Care Service Utilization on All-Cause 30-Day Readmission Rate for Older Adults Hospitalized with Heart Failure.

Am J Hosp Palliat Care 2019 Feb 17:1049909119828712. Epub 2019 Feb 17.

1 Department of Medicine, Washington DC Veterans Affairs Medical Center, Washington, DC, USA.

Background:: Acute decompensated heart failure (HF) is the leading cause for hospital readmission. Large-scale sustainable interventions to reduce readmission rate have not been fully explored or proven effective.

Objective:: We studied the impact of hospice and palliative care service utilization on 30-day all-cause hospital readmissions for patients with HF. Read More

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http://dx.doi.org/10.1177/1049909119828712DOI Listing
February 2019
1.347 Impact Factor

Introduction to a New Special Series for the Journal of Pain and Symptom Management-Science in Action: Evidence and Opportunities for Palliative Care Across Diverse Populations and Care Settings.

J Pain Symptom Manage 2019 Feb 11. Epub 2019 Feb 11.

Director of Quality and Research, American Academy of Hospice and Palliative Medicine (AAHPM), Chicago, Illinois, USA.

Practices to optimize palliative care delivery and new opportunities in which to integrate palliative care vary across populations and care settings. Systematic reviews are an efficient and methodologically rigorous approach to summarize existing research to identify both evidence-based best practices and new areas for future research and clinical practice. This is the introduction to a special series of articles in which members of the American Academy of Hospice and Palliative Medicine Research Committee report the results of circumscribed systematic reviews, which in a specific population or care setting seek to 1) summarize existing evidence for optimal palliative care practices or 2) identify opportunities where better palliative care delivery could improve patient and/or family outcomes. Read More

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http://dx.doi.org/10.1016/j.jpainsymman.2019.02.005DOI Listing
February 2019

Disparities in place of death for patients with hematological malignancies, 1999 to 2015.

Blood Adv 2019 Feb;3(3):333-338

Division of Hematologic Malignancies and Cellular Therapy, Duke Cancer Institute, Durham, NC.

Patients with hematologic malignancies (HMs) often receive aggressive end-of-life care and less frequently use hospice. Comprehensive longitudinal reporting on place of death, a key quality indicator, is lacking. Deidentified death certificate data were obtained via the National Center for Health Statistics for all HM deaths from 1999 to 2015. Read More

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http://www.bloodadvances.org/lookup/doi/10.1182/bloodadvance
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http://dx.doi.org/10.1182/bloodadvances.2018023051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373747PMC
February 2019
6 Reads

L’émergence des traitements par cellules CAR-T dans les lymphomes.

Bull Cancer 2018 Dec;105 Suppl 2:S168-S177

Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service d'Hématologie, 69495 Pierre Bénite cedex, France; Université Claude Bernard Lyon-1, 69100 Villeurbanne, France.

Emerging Therapies Using Car-t Cells In Lymphoma: After the promising results obtained in North American academic centers suggesting the curative potential of these treatments, the development of T cells carrying a chimeric antigen receptor (CAR-T) directed against the CD19 antigen has experienced rapid developments in recent years. Three major trials (each involving about 100 patients with relapsed or refractory aggressive B-cell lymphoma) were conducted and evaluated the efficacy of these treatments (Zuma-1, Juliet and Transcend). Tumor responses are observed in 52% to 82% of patients, with a best complete response (CR) rate of 40% to 58%. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00074551193004
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http://dx.doi.org/10.1016/S0007-4551(19)30047-5DOI Listing
December 2018
9 Reads

Palliative Care in Gynecologic Oncology.

Obstet Gynecol Clin North Am 2019 Mar;46(1):179-197

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, Alvin J. Siteman Cancer Center, 660 South Euclid Avenue, Mail Stop 8064-37-905, St Louis, MO 63110, USA. Electronic address:

The integration of palliative care and hospice into standard gynecologic oncology care is associated with cost-savings, longer survival, lower symptom burden, and better quality of life for patients and caregivers. Consequently, this comprehensive approach is formally recognized and endorsed by the Society of Gynecologic Oncology, the National Comprehensive Cancer Network, and the American Society of Clinical Oncology. This article reviews the background, benefits, barriers, and most practical delivery models of palliative care. Read More

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http://dx.doi.org/10.1016/j.ogc.2018.10.001DOI Listing
March 2019
1 Read

ED-PALS: A Comprehensive Palliative Care Service for Oncology Patients in the Emergency Department.

Am J Hosp Palliat Care 2019 Jan 23:1049909119825847. Epub 2019 Jan 23.

1 Department of Palliative Medicine, Tan Tock Seng Hospital, Singapore, Singapore.

Background:: The American College of Emergency Physicians has identified early palliative care referral for patients with advanced cancer as a key competent of the Choosing Wisely campaign.

Objectives:: To study the feasibility of a new 3-way model of care between emergency department (ED), hospital palliative care department, and inpatient/home hospice.

Methods:: This was a prospective, descriptive study that included oncology patients who attended the hospital ED over a 3-year period from January 2015 to December 2017. Read More

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http://dx.doi.org/10.1177/1049909119825847DOI Listing
January 2019
5 Reads

Assessing the Quality of Mobile Phone Apps for Weight Management: User-Centered Study With Employees From a Lebanese University.

JMIR Mhealth Uhealth 2019 Jan 23;7(1):e9836. Epub 2019 Jan 23.

Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Background: Evaluating the quality of mobile health apps for weight loss and weight management is important to understand whether these can be used for obesity prevention and treatment. Recent reviews call for more research on multidimensional aspects of app quality, especially involving end users, as there are already many expert reviews on this domain. However, no quantitative study has investigated how laypersons see popular apps for weight management and perceive different dimensions of app quality. Read More

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http://dx.doi.org/10.2196/mhealth.9836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364203PMC
January 2019
2 Reads

Role of Patients and Parents in Pediatric Drug Development.

Ther Innov Regul Sci 2019 Jan 20:2168479018820875. Epub 2019 Jan 20.

13 Pfizer Inc, New York, NY, USA.

Patient engagement in health care has been an emerging priority in the global effort and move toward the consideration of patients as experts of their own conditions. However, the input of pediatric patients and their families have not been consistently requested nor regarded as valuable when deriving protocols for, as well as assessing the outcomes of, pediatric clinical trials. Extending this mutual collaboration further upstream is important, especially in the area of pediatric drug development where the lack of formalized trials for children and adolescents result in the increased use of off-label prescribing and risk of adverse effects. Read More

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http://dx.doi.org/10.1177/2168479018820875DOI Listing
January 2019
3 Reads

The CAUTI Prevention Tool Kit: A Professional Practice and Collaborative Project of the Wound, Ostomy and Continence Nurses Society.

J Wound Ostomy Continence Nurs 2019 Mar/Apr;46(2):154-157

Kathleen G. Lawrence, MSN, RN, CWOCN, VNA and Hospice of the Southwest Region, Rutland, Vermont. Donna Z. Bliss, PhD, RN, FGSA, FAAN, University of Minnesota School of Nursing, Minneapolis. Maureen Dailey, PhD, RN, CWOCN, FAAN, Daileysolution, New York, New York. Chenel Trevellini, MSN, RN, CWOCN, Patient Safety Solutions, LLC, Bayside, New York. Vicky Pontieri-Lewis, MS, RN, ACNS-BC, CWOCN, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.

In order to address the need for a tool to support hospital-based nurses in catheter-associated urinary tract infection (CAUTI) prevention, the American Nurses Association (ANA) was asked to convene a Technical Expert Panel of stakeholders in CAUTI prevention. The Technical Expert Panel was chaired by the ANA's Senior Policy Fellow, a certified wound, ostomy and continence (WOC) nurse. The panel comprised 23 representatives, including nurses from specialty practice organizations, nursing affiliated with the ANA, infection control specialists, patient safety authorities, award-winning hospitals using the National Database of Nursing Quality Indicators, and content experts. Read More

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http://dx.doi.org/10.1097/WON.0000000000000505DOI Listing
January 2019
7 Reads

Insurers on a Shopping Spree For All Sorts of Providers.

Authors:
Susan Ladika

Manag Care 2018 Nov;27(11):36-38

UnitedHealth Group, Humana, Centene, and Anthem have announced billions of dollars of deals to acquire primary care practices, hospice providers, and home health care companies. The insurers' foray into provider territory comes as the traditional contours of American health care are in flux. Read More

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November 2018
1 Read

Trauma Surgeon and Palliative Care Physician Attitudes Regarding Goals-of-Care Delineation for Injured Geriatric Patients.

Am J Hosp Palliat Care 2019 Jan 6:1049909118823182. Epub 2019 Jan 6.

13 Department of Surgery, University of Texas Southwestern, Dallas, TX, USA.

Background:: The value of defining goals of care (GoC) for geriatric patients is well known to the palliative care community but is a newer concept for many trauma surgeons. Palliative care specialists and trauma surgeons were surveyed to elicit the specialties' attitudes regarding (1) importance of GoC conversations for injured seniors; (2) confidence in their own specialty's ability to conduct these conversations; and (3) confidence in the ability of the other specialty to do so.

Methods:: A 13-item survey was developed by the steering committee of a multicenter, palliative care-focused consortium and beta-tested by trauma surgeons and palliative care specialists unaffiliated with the consortium. Read More

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http://dx.doi.org/10.1177/1049909118823182DOI Listing
January 2019
2 Reads

Outcomes and Risk Score for Distal Pancreatectomy with Celiac Axis Resection (DP-CAR): An International Multicenter Analysis.

Ann Surg Oncol 2019 Mar 4;26(3):772-781. Epub 2019 Jan 4.

Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

Background: Distal pancreatectomy with celiac axis resection (DP-CAR) is a treatment option for selected patients with pancreatic cancer involving the celiac axis. A recent multicenter European study reported a 90-day mortality rate of 16%, highlighting the importance of patient selection. The authors constructed a risk score to predict 90-day mortality and assessed oncologic outcomes. Read More

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http://dx.doi.org/10.1245/s10434-018-07101-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373251PMC
March 2019
12 Reads

A new MRI marker of ataxia with oculomotor apraxia.

Eur J Radiol 2019 Jan 29;110:187-192. Epub 2018 Nov 29.

Hospices Civils de Lyon, Neurology D and Neuro-Ophthalmology Unit, Hôpital Neurologique Pierre Wertheimer, Bron, F-69677, France; Université de Lyon, Lyon 1 University, Lyon, F-69373, France; Lyon Neuroscience Research Center, INSERM U1028 CNRS UMR5292, Team ImpAct, Bron, F-69676, France. Electronic address:

Purpose: Evaluate the specificity and sensitivity of disappearance of susceptibility weighted imaging (SWI) dentate nuclei (DN) hypointensity in oculomotor apraxia patients (AOA).

Method: In this prospective study, 27 patients with autosomal genetic ataxia (AOA (n = 11), Friedreich ataxia and ataxia with vitamin E deficit (n = 4), and dominant genetic ataxia (n = 12)) were included along with fifteen healthy controls. MRIs were qualitatively classified for the presence or absence of DN hypointensity on FLAIR and SWI sequences. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.11.035DOI Listing
January 2019
3 Reads
2.369 Impact Factor

Advance Care Planning Outcomes in African Americans: An Empirical Look at the Trust Variable.

J Palliat Med 2019 Apr 26;22(4):442-451. Epub 2018 Dec 26.

1 University of Pennsylvania School of Nursing , Philadelphia, Pennsylvania.

Context: Racial disparities in rates of hospice use, a marker of quality of end-of-life (EOL) care, have been a long-standing problem. Although distrust has been cited as a main reason for the preference of intensive EOL care among African Americans, the role of trust has not been closely analyzed in predicting EOL care in the context of advance care planning (ACP) outcomes.

Objectives: The goal of this review was to empirically examine the role of trust in ACP outcomes. Read More

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http://dx.doi.org/10.1089/jpm.2018.0312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459264PMC
April 2019
3 Reads

Safe and Appropriate Use of Methadone in Hospice and Palliative Care: Expert Consensus White Paper.

J Pain Symptom Manage 2019 Mar 20;57(3):635-645.e4. Epub 2018 Dec 20.

Division of General Internal Medicine and Geriatrics, OHSU, USA.

Methadone has several unique characteristics that make it an attractive option for pain relief in serious illness, but the safety of methadone has been called into question after reports of a disproportionate increase in opioid-induced deaths in recent years. The American Pain Society, College on Problems of Drug Dependence, and the Heart Rhythm Society collaborated to issue guidelines on best practices to maximize methadone safety and efficacy, but guidelines for the end-of-life scenario have not yet been developed. A panel of 15 interprofessional hospice and palliative care experts from the U. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924183111
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http://dx.doi.org/10.1016/j.jpainsymman.2018.12.001DOI Listing
March 2019
20 Reads

A Farewell to Falsity: Shifting Standards in Medicare Fraud Enforcement.

Authors:
Isaac D Buck

Seton Hall Law Rev 2019;49(1):1-51

University of Tennessee College of Law.

For the better part of a decade, Americans have had a front-row seat to a fervent and turbulent debate over the future of their health care system. The passage of the Patient Protection and Affordable Care Act of 2010 (ACA), the most comprehensive health reform effort since the mid-1960s, ushered in a new era in health law and policy, granting millions of Americans access to health care. After multiple legal challenges and congressional efforts that ultimately failed to slay the law, the ACA had become entrenched by the end of the Obama administration, even though pieces of the law had failed to work exactly as planned. Read More

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January 2019
2 Reads

Moving Toward Openness: Blackfeet Indians' Perception Changes Regarding Talking About End of Life.

Am J Hosp Palliat Care 2019 Apr 16;36(4):282-289. Epub 2018 Dec 16.

2 Eagle Shield Center, Blackfeet Nation, Browning, MT, USA.

This study was conducted to examine cultural appropriateness and readiness for the Blackfeet people in the United States talking about end of life. In the past, a taboo perception of Blackfeet traditional belief in end-of-life discussion was identified as a core barrier for hospice use. However, a recent anecdotal increase in hospice interest triggered the research team to investigate community-wide interest as well as traditional appropriateness of hospice introduction. Read More

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http://dx.doi.org/10.1177/1049909118818255DOI Listing
April 2019
15 Reads

A retrospective study of factors associated with treatment decision for nontuberculous mycobacterial lung disease in adults without altered systemic immunity.

BMC Infect Dis 2018 Dec 14;18(1):659. Epub 2018 Dec 14.

Département des Maladies infectieuses et tropicales, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 103, Grande-Rue de la Croix-Rousse, 69317, cedex 04, Lyon, France.

Background: Nontuberculous mycobacteria (NTM) lung diseases are increasingly recognized as chronic opportunistic infections, occurring in individuals with a wide variety of underlying conditions. In the absence of systemic immunodeficiency, decision of NTM lung disease treatment must relies on a careful risk/benefit assessment, given the requirement of long-term administration of multidrug therapies supported by limited evidence. The primary objective was to identify the factors associated with anti-NTM treatment initiation. Read More

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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s128
Publisher Site
http://dx.doi.org/10.1186/s12879-018-3559-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295085PMC
December 2018
2 Reads

Engaging the African American Church to Improve Communication About Palliative Care and Hospice: Lessons From a Multilevel Approach.

J Palliat Care 2018 Dec 12:825859718810718. Epub 2018 Dec 12.

1 Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Background:: As the spiritual family for many African Americans, the church presents an opportunity to improve communication about palliative care and hospice (PCH). However, sustainable change in church-based, practices related to PCH requires a compreshensive, multilevel approach.

Objectives:: Our primary goal was to encourage churches to embrace palliative care and hospice as acceptable alternatives for end-of-life care by creating venues to improve communications about PCH. Read More

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http://journals.sagepub.com/doi/10.1177/0825859718810718
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http://dx.doi.org/10.1177/0825859718810718DOI Listing
December 2018
9 Reads

Prevalence of iron deficiency in patients aged 75 years or older with heart failure.

J Geriatr Cardiol 2018 Nov;15(11):682-686

Geriatric Cardiology Department, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.

Background: The latest studies presented at the American Heart Association (AHA) meeting on heart failure and the update of the European Cardiology Society's (ECS) recommendations on heart failure in 2016 recommend intravenous iron supplementation in patients with heart failure, reduced ejection fraction and iron deficiency for improves walking performance and quality of life, and reduces morbidity. In the present study, we investigated the prevalence of iron deficiency in heart failure patients aged 75 years or older, as there is currently no data on these patients.

Methods: We performed an observational study on hospitalized patients in Geriatric Cardiology Department. Read More

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http://dx.doi.org/10.11909/j.issn.1671-5411.2018.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283820PMC
November 2018
3 Reads

International Stakeholder Community of Pain Experts and Leaders Call for an Urgent Action on Forced Opioid Tapering.

Authors:
Beth D Darnall David Juurlink Robert D Kerns Sean Mackey Brent Van Dorsten Keith Humphreys Julio A Gonzalez-Sotomayor Andrea Furlan Adam J Gordon Debra B Gordon Diane E Hoffman Joel Katz Stefan G Kertesz Sally Satel Richard A Lawhern Kate M Nicholson Rosemary C Polomano Owen D Williamson Heath McAnally Ming-Chih Kao Stephan Schug Robert Twillman Terri A Lewis Richard L Stieg Kate Lorig Theresa Mallick-Searle Robert W West Sarah Gray Steven R Ariens Jennifer Sharpe Potter Penney Cowan Chad D Kollas Danial Laird Barby Ingle J Julian Grove Marian Wilson Kashelle Lockman Fiona Hodson Carol S Palackdharry Roger B Fillingim Jeffrey Fudin Jennifer Barnhouse Ajay Manhapra Steven R Henson Bruce Singer Marie Ljosenvoor Marlisa Griffith Jason N Doctor Kimeron Hardin Cathleen London Jon Mankowski Andrea Anderson Linda Ellsworth Lisa Davis Budzinski Becky Brandt Greg Hartley Debbie Nickels Heck Mark J Zobrosky Celeste Cheek Megan Wilson Cynthia E Laux Geralyn Datz Justin Dunaway Eileen Schonfeld Melissa Cady Thérèse LeDantec-Boswell Meredith Craigie John Sturgeon Pamela Flood Melita Giummarra Jessica Whelan Beverly E Thorn Richard L Martin Michael E Schatman Maurice D Gregory Joshua Kirz Patti Robinson James G Marx Jessica R Stewart Phillip S Keck Scott E Hadland Jennifer L Murphy Mark A Lumley Kathleen S Brown Michael S Leong Mechele Fillman James W Broatch Aaron Perez Kristine Watford Kari Kruska Dokyoung Sophia You Stacy Ogbeide Amy Kukucka Susan Lawson James B Ray T Wade Martin James B Lakehomer Anne Burke Robert I Cohen Peter Grinspoon Marc S Rubenstein Stephani Sutherland Kristie Walters Travis Lovejoy

Pain Med 2019 03;20(3):429-433

Department of Psychiatry, Oregon Health & Science University, Portland, Oregon.

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http://fdslive.oup.com/www.oup.com/pdf/production_in_progres
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http://dx.doi.org/10.1093/pm/pny228DOI Listing
March 2019
18 Reads
2.300 Impact Factor

Knowledge Gaps About End-of-Life Decision Making Among Mexican American Older Adults and Their Family Caregivers: An Integrative Review.

J Transcult Nurs 2018 Nov 22:1043659618812949. Epub 2018 Nov 22.

1 The University of Arizona, Tucson, AZ, USA.

Introduction: Mexican Americans (MAs) are the largest, fastest growing Latino subgroup in the United States, yet their use of hospice is limited. To better understand this disparity, the authors conducted an integrative review focused on MA caregiving families' end-of-life (EOL) care decisions.

Method: In this literature review, the authors content analyzed results and discussions of 22 research studies focused on EOL decisions, which sampled MA adults at least 50 years old and/or families. Read More

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http://dx.doi.org/10.1177/1043659618812949DOI Listing
November 2018
13 Reads

Attitudes, Beliefs, and Practices of Pediatric Palliative Care Physicians Regarding the Use of Methadone in Children With Advanced Cancer.

J Pain Symptom Manage 2019 Feb 15;57(2):260-265. Epub 2018 Nov 15.

Department of Palliative, Rehabilitation and Integrative Medicine, University of Texas, M.D. Anderson Cancer Center, Houston, Texas, USA.

Context: Methadone is a long-acting opioid known for its unique pharmacokinetic and pharmacodynamic properties. Most research on methadone in children is limited to its effect on the prolongation of the corrected QT (QTc) interval.

Objectives: To better understand the attitudes, beliefs, and practices of pediatric palliative care physicians regarding the use of methadone in children with advanced cancer. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08853924183107
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http://dx.doi.org/10.1016/j.jpainsymman.2018.11.009DOI Listing
February 2019
26 Reads

Evidence of axonal damage in cerebellar peduncles without T2-lesions in multiple sclerosis.

Eur J Radiol 2018 Nov 17;108:114-119. Epub 2018 Sep 17.

CREATIS, UMR 5220 CNRS & U1206 INSERM, Université Claude Bernard - Lyon1, Université de Lyon, Villeurbanne, France; Département IRM, CERMEP-Imagerie du Vivant, Université de Lyon, Bron, France. Electronic address:

Background And Aim: Cerebellar peduncles (CP) can be probed by diffusion tensor imaging (DTI) to evaluate the integrity of cerebellar afferent and efferent networks. Damage to the CP in multiple sclerosis (MS) could lead to serious cognitive and mobility impairment. The aim of this study was to investigate the extent and the clinical impact of CP damage in MS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183031
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http://dx.doi.org/10.1016/j.ejrad.2018.09.016DOI Listing
November 2018
19 Reads
2.369 Impact Factor

Barriers to Referral for Palliative Radiotherapy by Physicians: A Systematic Review.

Clin Oncol (R Coll Radiol) 2019 Jan 21;31(1):e75-e84. Epub 2018 Oct 21.

Department of Radiation Oncology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA. Electronic address:

Aims: Palliative radiotherapy (PRT) can relieve symptoms and improve quality of life, but remains underutilised, possibly due to lack of referrals. We conducted a systematic review to study barriers impeding referral for PRT.

Materials And Methods: We searched EMBASE and MEDLINE to identify published studies of physician barriers to PRT referral. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09366555183046
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http://dx.doi.org/10.1016/j.clon.2018.09.009DOI Listing
January 2019
18 Reads

External validation of the epidemiology-based mortality score in status epilepticus in an American intensive care population.

Epilepsy Res 2018 12 3;148:32-36. Epub 2018 Oct 3.

Department of Neurosurgery, UT Health San Antonio Lozano School of Medicine, United States.

Introduction: Although overall mortality of status epilepticus is high, baseline patient characteristics and co-morbidities may be helpful to predict outcomes and shape treatment decisions. Two previously published scoring systems exist to predict outcomes: the Status Epilepticus Severity Score (STESS) and the Epidemiology-based Mortality Score in Status Epilepticus (EMSE). However, a comparison of the two scores has not previously been completed in an American intensive care unit. Read More

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http://dx.doi.org/10.1016/j.eplepsyres.2018.10.001DOI Listing
December 2018
4 Reads

Sample management for clinical biochemistry assays: Are serum and plasma interchangeable specimens?

Crit Rev Clin Lab Sci 2018 11 12;55(7):480-500. Epub 2018 Oct 12.

a Section of Clinical Biochemistry, Department of Neurosciences , Biomedicine and Movement Sciences, University of Verona , Verona , Italy.

The constrained economic context leads laboratories to centralize their routine analyses on high-throughput platforms, to which blood collection tubes are sent from peripheral sampling sites that are sometimes distantly located. Providing biochemistry results as quickly as possible implies to consolidate the maximum number of tests on a minimum number of blood collection tubes, mainly serum tubes and/or tubes with anticoagulants. However, depending on the parameters and their pre-analytical conditions, the type of matrix - serum or plasma - may have a significant impact on results, which is often unknown or underestimated in clinical practice. Read More

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https://www.tandfonline.com/doi/full/10.1080/10408363.2018.1
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http://dx.doi.org/10.1080/10408363.2018.1499708DOI Listing
November 2018
3 Reads
3.692 Impact Factor

Palliative care clinicians and online education in India: a survey.

BMJ Support Palliat Care 2018 Oct 9. Epub 2018 Oct 9.

Department of Medicine, Section of Palliative Care, Stanford University School of Medicine, Stanford, California, USA.

Background: Whether online resources can facilitate spread of palliative care knowledge and skills in India is an urgent question given few providers and a large, ageing population.

Objectives: We surveyed needs and feasibility regarding e-learning.

Methods: Indian, Australian and North American palliative care experts developed an electronic survey using Qualtrics, emailed to all registrants of the 2017 Indian Association of Palliative Care (IAPC) conference and distributed during the conference. Read More

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http://spcare.bmj.com/lookup/doi/10.1136/bmjspcare-2018-0015
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http://dx.doi.org/10.1136/bmjspcare-2018-001546DOI Listing
October 2018
3 Reads

High Burden of Palliative Care Needs of Older Adults During Emergency Major Abdominal Surgery.

J Am Geriatr Soc 2018 Nov 24;66(11):2072-2078. Epub 2018 Sep 24.

Icahn School of Medicine at Mount Sinai, New York, New York.

Objectives: To quantify preoperative illness burden in older adults undergoing emergency major abdominal surgery (EMAS), to examine the association between illness burden and postoperative outcomes, and to describe end-of-life care in the year after discharge.

Design: Retrospective study using data from Health and Retirement Study interviews linked to Medicare claims (2000-2012).

Setting: National population-based dataset. Read More

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http://dx.doi.org/10.1111/jgs.15516DOI Listing
November 2018
10 Reads

2015 Beers criteria medication review in assisted living facilities.

J Am Assoc Nurse Pract 2018 Nov;30(11):648-654

DocTalker Family Medicine, Vienna, Virginia.

Background And Purpose: The elderly population is expected to double by 2050 with falls and hospitalizations due to adverse drug events having a major effect on health and quality of life. With the release of the revised 2015 American Geriatrics Society (AGS) Beers criteria, usage of potentially inappropriate medications (PIMs) should be studied to determine their effect on falls and hospitalizations in frail populations such as those in assisted living facilities.

Methods: This quality improvement project used a retrospective chart review on residents from a purposive sample of two assisted living facilities in Northern Virginia. Read More

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http://dx.doi.org/10.1097/JXX.0000000000000082DOI Listing
November 2018
2 Reads

Spirituality and Interprofessional Healthcare Education: An Exploratory Study.

J Christ Nurs 2018 Oct/Dec;35(4):E47-E52

Cynthia Hovland, PhD, MSSW, is an assistant professor of Social Work at Cleveland State University. Her research interests are grounded in nearly 17 years of clinical practice. Joan Niederriter, PhD, RN, is an associate professor of Nursing at Cleveland State University. She has taught older adult clinicals at the University of Akron Nursing department for two years and has vast clinical experience. Joan Thoman, PhD, RN, is a course coordinator for Community Health Nursing that includes topics of community health, home care, and hospice. She serves as faculty advisor for NCF at Cleveland State University.

Undergraduate and graduate programs for healthcare professions are inconsistent in curricular offerings and incorporation of spiritual training. This study reviewed perceptions and opinions about spiritual care held by students at an American university. Data were collected using the Spirituality and Spiritual Care Rating Scale and one open-ended question. Read More

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http://Insights.ovid.com/crossref?an=00005217-201810000-0002
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http://dx.doi.org/10.1097/CNJ.0000000000000543DOI Listing
September 2018
27 Reads

Quantitative Analysis of Surgical Residency Reform: Using Case-Logs to Evaluate Resident Experience.

J Surg Educ 2019 Jan - Feb;76(1):25-35. Epub 2018 Sep 5.

Maine Medical Center Department of Surgery, Portland, Maine; Clinical Associate Professor of Surgery, Tufts University School of Medicine at Maine Medical Center, Portland, Maine.

Background: Curricular changes at a mid-sized surgical training program were developed to rebalance clinical rotations, optimize education over service, decrease the size of service teams, and integrate apprenticeship-type experiences. This study quantifies the operative experience before and after implementation as part of a mixed-methods program evaluation.

Study Design: Retrospective review of case-log data and data from the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Surgeons National Surgical Quality Improvement Program: quality in-training initiative to evaluate case volume pre- and postintervention. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.05.013DOI Listing
September 2018
1 Read