655 results match your criteria The American journal of hospice & palliative care[Journal]


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, IL.

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 as well as new areas for future research and clinical practice. This is the introduction to a special series of articles in which members of the AAHPM Research Committee report the results of circumscribed systematic reviews which in a specific population or care setting seek to: (a) summarize existing evidence for optimal palliative care practices or (b) 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
2 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
3 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
2 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
January 2019
1 Read

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
2 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 Jan 9. Epub 2019 Jan 9.

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
1 Read

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
1 Read

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
March 2019
4 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
2 Reads
2.369 Impact Factor

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

J Palliat Med 2018 Dec 26. 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
December 2018
2 Reads

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

J Pain Symptom Manage 2018 Dec 19. Epub 2018 Dec 19.

Professor of Medicine, 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 (APS), 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 US and Canada convened in February 2015 to evaluate the APS methadone recommendations for applicability in the hospice and palliative care setting. 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
December 2018
10 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 2018 Dec 16:1049909118818255. 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
December 2018
9 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
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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
4 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
2 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 Harkootley 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 2018 Nov 29. Epub 2018 Nov 29.

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
November 2018
12 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
7 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
17 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
16 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
13 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 Nov 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
8 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
22 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

Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses.

Palliat Support Care 2018 Sep 6:1-8. Epub 2018 Sep 6.

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

Objective: When patients feel spiritually supported by staff, we find increased use of hospice and reduced use of aggressive treatments at end of life, yet substantial barriers to staff spiritual care provision still exist. We aimed to study these barriers in a new cultural context and analyzed a new subgroup with "unrealized potential" for improved spiritual care provision: those who are positively inclined toward spiritual care yet do not themselves provide it.

Method: We distributed the Religion and Spirituality in Cancer Care Study via the Middle East Cancer Consortium to physicians and nurses caring for advanced cancer patients. Read More

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http://dx.doi.org/10.1017/S147895151800055XDOI Listing
September 2018
7 Reads

Trends in Hospice Discharge and Relative Outcomes Among Medicare Patients in the Get With The Guidelines-Heart Failure Registry.

JAMA Cardiol 2018 Oct;3(10):917-926

Department of Medicine, University of Colorado, Aurora.

Importance: While 1 in 10 older patients hospitalized with heart failure (HF) die within 30 days, end-of-life care for this population is not well described.

Objective: To assess rates of discharge to hospice, readmission after hospice, and survival in hospice in patients following hospital discharge.

Design, Setting, And Participants: In this observational cohort analysis of patients in the multicenter American Heart Association Get With The Guidelines (GWTG)-HF registry linked to Medicare fee-for-service claims data, we analyzed patients 65 years and older discharged alive from the hospital between 2005 and 2014. Read More

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http://dx.doi.org/10.1001/jamacardio.2018.2678DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233829PMC
October 2018
3 Reads

Discharge home health services referral and 30-day all-cause readmission in older adults with heart failure.

Arch Med Sci 2018 Aug 13;14(5):995-1002. Epub 2018 Aug 13.

Veterans Affairs Medical Center, Washington, DC, USA.

Introduction: Heart failure (HF) is the leading cause of hospital readmission. Medicare home health services provide intermittent skilled nursing care to homebound Medicare beneficiaries. We examined whether discharge home health referral is associated with a lower risk of 30-day all-cause readmission in HF. Read More

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http://dx.doi.org/10.5114/aoms.2018.77562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111362PMC
August 2018
8 Reads
1.890 Impact Factor

Adherence to Measuring What Matters: Description of an Inpatient Palliative Care Service of an Urban Teaching Hospital.

J Palliat Med 2019 Jan 21;22(1):75-79. Epub 2018 Aug 21.

8 Division of Geriatrics, Department of Internal Medicine, Saint Louis University , St. Louis, Missouri.

Background: Benefits of palliative care have been extensively described; however, reports on adherence to national quality indicators are limited.

Objectives: This study focuses on describing the characteristics of patients who were seen at an urban academic hospital and their care team's adherence to 5 out of 10 Measuring What Matters (MWM) quality indicators.

Design: Retrospective chart review Setting/Subjects: Patients seen by inpatient palliative care service from January 2014 to December 2015 in an urban academic hospital. Read More

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http://www.liebertpub.com/doi/10.1089/jpm.2018.0182
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http://dx.doi.org/10.1089/jpm.2018.0182DOI Listing
January 2019
16 Reads

Predicting non-home discharge in epithelial ovarian cancer patients: External validation of a predictive model.

Gynecol Oncol 2018 10 11;151(1):129-133. Epub 2018 Aug 11.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology and Women's Health Institute, The Cleveland Clinic Foundation, Cleveland, OH, United States of America.

Objective: To externally validate a model predicting non-home discharge in women undergoing primary cytoreductive surgery (CRS) for epithelial ovarian cancer (EOC).

Methods: Women undergoing primary CRS via laparotomy for EOC at three tertiary medical centers in an academic health system from January 2010 to December 2015 were included. Patients were excluded if they received neoadjuvant chemotherapy, had a non-epithelial malignancy, were not undergoing primary cytoreduction, or lacked documented model components. Read More

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http://dx.doi.org/10.1016/j.ygyno.2018.08.011DOI Listing
October 2018
2 Reads

Receipt of cardiac screening does not influence 1-year post-cerebrovascular event mortality.

Neurol Clin Pract 2018 Jun;8(3):192-200

Neurology Service (JJS), Clinical Epidemiology Research Center (CERC) (JJS, JC), and Medical Service (JC, FJ), VA Connecticut Healthcare System, West Haven; Department of Neurology (JJS), Center for Neuroepidemiological and Clinical Research (JJS), and Department of Internal Medicine (JJS, JC, JF, FJ), Yale School of Medicine, New Haven, CT; VA Health Services Research and Development (HSR&D) Center for Health Information and Communication (CHIC) (FB, LJM, JF, LSW, DMB) and the HSR&D Stroke Quality Enhancement Research Initiative (QUERI) (FB, LJM, JF, LSW, DMB), Richard L. Roudebush VA Medical Center, Indianapolis; Departments of Biostatistics (FB, ZY), Internal Medicine (LJM, DMB), and Neurology (LSW, DMB), Indiana University School of Medicine, Indianapolis; Department of Neurology (EMC), VA Greater Los Angeles Healthcare System and David Geffen School of Medicine, University of California, Los Angeles; College of Health and Human Services (GA), Purdue University School of Nursing; Department of Pharmacy Practice (AJZ), Purdue University College of Pharmacy, West Lafayette, IN; Department of Epidemiology and Biostatistics (MJR), Michigan State University, East Lansing; and Regenstrief Institute (LSW, DMB), Indianapolis, IN.

Background: American Heart Association/American Stroke Association expert consensus guidelines recommend consideration of cardiac stress testing to screen for occult coronary heart disease (CHD) among patients with ischemic stroke/TIA who have a high-risk Framingham Cardiac Risk Score (FCRS). Whether this guideline is being implemented in routine clinical practice, and the association of its implementation with mortality, is less clear.

Methods: Study participants were Veterans with stroke/TIA (n = 11,306) during fiscal year 2011 who presented to a VA Emergency Department or who were admitted. Read More

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http://dx.doi.org/10.1212/CPJ.0000000000000465DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6075977PMC
June 2018
6 Reads

The landscape of epilepsy-related GATOR1 variants.

Genet Med 2019 Feb 10;21(2):398-408. Epub 2018 Aug 10.

Sorbonne Université, UPMC Univ Paris 06, UMR S 1127, F-75013, Paris, France.

Purpose: To define the phenotypic and mutational spectrum of epilepsies related to DEPDC5, NPRL2 and NPRL3 genes encoding the GATOR1 complex, a negative regulator of the mTORC1 pathway METHODS: We analyzed clinical and genetic data of 73 novel probands (familial and sporadic) with epilepsy-related variants in GATOR1-encoding genes and proposed new guidelines for clinical interpretation of GATOR1 variants.

Results: The GATOR1 seizure phenotype consisted mostly in focal seizures (e.g. Read More

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http://www.nature.com/articles/s41436-018-0060-2
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http://dx.doi.org/10.1038/s41436-018-0060-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292495PMC
February 2019
16 Reads

Race, Ethnicity, and End-of-Life Care in Dialysis Patients in the United States.

J Am Soc Nephrol 2018 Sep 9;29(9):2387-2399. Epub 2018 Aug 9.

Division of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota.

Background: End-of-life care is a prominent consideration in patients on maintenance dialysis, especially when death appears imminent and quality of life is poor. To date, examination of race- and ethnicity-associated disparities in end-of-life care for patients with ESRD has largely been restricted to comparisons of white and black patients.

Methods: We performed a retrospective national study using United States Renal Data System files to determine whether end-of-life care in United States patients on dialysis is subject to racial or ethnic disparity. Read More

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http://dx.doi.org/10.1681/ASN.2017121297DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115657PMC
September 2018
3 Reads

Guidelines for reporting secondary findings of genome sequencing in cancer genes: the SFMPP recommendations.

Eur J Hum Genet 2018 Dec 8;26(12):1732-1742. Epub 2018 Aug 8.

Université de Montpellier, Montpellier, France.

In oncology, the expanding use of multi-gene panels to explore familial cancer predisposition and tumor genome analysis has led to increased secondary findings discoveries (SFs) and has given rise to important medical, ethical, and legal issues. The American College of Medical Genetics and Genomics published a policy statement for managing SFs for a list of genes, including 25 cancer-related genes. Currently, there are few recommendations in Europe. Read More

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http://dx.doi.org/10.1038/s41431-018-0224-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244405PMC
December 2018
15 Reads

Palliative Care in the Global Setting: ASCO Resource-Stratified Practice Guideline.

J Glob Oncol 2018 Jul(4):1-24

Hibah Osman, Balsam-Lebanese Center for Palliative Care, American University of Beirut Medical Center, Beirut, Lebanon; Sudip Shrestha, Nepal Cancer Hospital and Research Center, Lalitpur Submetropolis, Nepal; Sarah Temin, ASCO, Alexandria, VA; Zipporah V. Ali, Kenya Hospices and Palliative Care Association, Nairobi, Kenya; Rumalie A. Corvera, Asian Hospital and Medical Centre, Muntinlupa, Philippines; Henry D. Ddungu, Uganda Cancer Institute and Hutchinson Center Research Institute, Kampala, Uganda; Liliana De Lima, International Association for Hospice and Palliative Care, Houston, TX; Maria Del Pilar Estevez-Diz, Instituto do Câncer do Estado de São Paulo, São Paulo, Brazil; Frank D. Ferris, OhioHealth, Columbus, OH; Nahla Gafer, Radiation and Isotope Center, Khartoum, Sudan; Harmala K. Gupta, CanSupport, New Delhi, India; Susan Horton, University of Waterloo, Waterloo, Ontario, Canada; Graciela Jacob, Instituto Nacional de Cancerología, Buenos Aires, Argentina; Ruinuo Jia, Henan University of Science and Technology, Luoyang, People's Republic of China; Frank L. Lu, National Taiwan University Children's Hospital, Taipei, Republic of China; Daniela Mosoiu, Transylvania University Brasov, Brasov, Romania; Christina Puchalski, George Washington University, Washington, DC; Carole Seigel, Massachusetts General Hospital Cancer Center, Boston, MA; Olaitan Soyannwo, University College Hospital Ibadan, Ibadan, Nigeria; and James F. Cleary, University of Wisconsin Carbone Cancer Center, Madison, WI.

Purpose The purpose of this new resource-stratified guideline is to provide expert guidance to clinicians and policymakers on implementing palliative care of patients with cancer and their caregivers in resource-constrained settings and is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update of 2016. Methods ASCO convened a multidisciplinary, multinational panel of experts in medical oncology, family medicine, radiation oncology, hematology/oncology, palliative and/or hospice care, pain and/or symptom management, patient advocacy, public health, and health economics. Guideline development involved a systematic literature review, a modified ADAPTE process, and a formal consensus-based process with the Expert Panel and additional experts (consensus ratings group). Read More

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http://ascopubs.org/doi/10.1200/JGO.18.00026
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http://dx.doi.org/10.1200/JGO.18.00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6223509PMC
July 2018
32 Reads

Palliative Nursing Summit: Nurses Leading Change and Transforming Primary Palliative Care: Nursing's Role in Providing Pain and Symptom Management.

J Hosp Palliat Nurs 2018 Feb;20(1):30-35

Judith A. Paice, PhD, RN, is director, Cancer Pain Program, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Vanessa Battista, MS, RN, CPNP, is pediatric nurse practitioner, Pediatric Advanced Care Team, The Children's Hospital of Philadelphia, Pennsylvania. Carol Ann Drick, PhD, RN, AHN-BC, is immediate past president, American Holistic Nurses Association; director, Conscious Living Center, Austintown, Ohio; and director, Golden Room Advocates, Austintown. Ellyn Schreiner, MPH, RN-BC, CHPN, is past president, American Society for Pain Management Nursing, and clinical educator/supervisor (retired), AMITA Health Adventist St Thomas Hospice, Hinsdale, Illinois.

Effective pain and symptom management is a crucial part of the care of those with life-threatening illnesses and their family members. Nurses in all settings have a vital role in providing this essential care. A recent summit held on May 12, 2017, "Nurses Leading Change and Transforming Palliative Care," convened by the Hospice and Palliative Nurses Association and attended by leaders of 26 nursing organizations strongly endorsed the importance of nursing's role in pain and symptom management and developed an agenda to advance these efforts. Read More

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http://dx.doi.org/10.1097/NJH.0000000000000405DOI Listing
February 2018
25 Reads

Development of Hospice and Palliative Medicine Knowledge and Skills for Emergency Medicine Residents: Using the Accreditation Council for Graduate Medical Education Milestone Framework.

AEM Educ Train 2018 Apr 22;2(2):130-145. Epub 2018 Mar 22.

Yale University School of Medicine New Haven CT.

Objectives: Emergency medicine (EM) physicians commonly care for patients with serious life-limiting illness. Hospice and palliative medicine (HPM) is a subspecialty pathway of EM. Although a subspecialty level of practice requires additional training, primary-level skills of HPM such as effective communication and symptom management are part of routine clinical care and expected of EM residents. Read More

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http://dx.doi.org/10.1002/aet2.10088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001832PMC
April 2018
7 Reads

Holmium laser thulium laser enucleation of the prostate: a matched-pair analysis from two centers.

Ther Adv Urol 2018 Aug 7;10(8):223-233. Epub 2018 Jun 7.

Department of Urology and Transplantation, Edouard Herriot Hospital, Lyon, France.

Background: The aim of our study was to compare perioperative and functional outcomes of two different prostatic laser enucleation techniques performed in two high-volume centers: 100 W holmium laser enucleation of the prostate (HoLEP) (Lyon, France) and 110 W thulium laser enucleation of the prostate (ThuLEP) (Varese, Italy).

Materials And Methods: A nonrandomized, observational, retrospective and matched-pair analysis was performed on two homogeneous groups of 117 patients that underwent prostate laser enucleation in the HoLEP or ThuLEP centers between January 2015 and April 2017, following the classical 'three lobes' enucleation technique. The American Society of Anesthesiologists (ASA) score and prostate volume were the main parameters considered for matching the patients between the two groups. Read More

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http://dx.doi.org/10.1177/1756287218779784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048626PMC
August 2018
16 Reads

Weekly enhanced T1-weighted MRI with Gadobutrol injections in MS patients: Is there a signal intensity increase in the dentate nucleus and the globus pallidus?

Eur J Radiol 2018 Aug 19;105:204-208. Epub 2018 Jun 19.

Faculté de médecine Lyon Est, Université Claude Bernard Lyon 1, Université de Lyon, 69008, Lyon, France; CREATIS, CNRS UMR 5220 - INSERM U1206, Université de Lyon, 69621, Villeurbanne, France; Service de Radiologie, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, 69310, Pierre Bénite, France. Electronic address:

Background And Purpose: Gadolinium-based contrast agents (GBCAs) administration have drastically improved the accuracy of Multiple Sclerosis (MS) diagnosis by highlighting any damage to the brain blood barrier, thereby differentiating between active and non-active lesions. Following multiple administrations of GBCAs, several MS studies have reported a signal intensity (SI) increase on unenhanced T1-weighted images in certain brain regions such as the dentate nucleus (DN) and the globus pallidus (GP). Our aim was therefore to determine the accumulation of macrocyclic GBCAs on enhanced T1-weighted images SI in the DN and the GP of MS patients injected eight times. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.06.011DOI Listing
August 2018
13 Reads
2.369 Impact Factor

The Impact of Hospitalists on Value-Based Purchasing Program Scores.

J Healthc Manag 2018 Jul-Aug;63(4):e43-e58

assistant professor, Mayo Clinic Florida, Jacksonville, Florida associate team director, Seasons Hospice & Palliative Care, Orange, California assistant professor, Department of Health Administration, Brooks College of Health, University of North Florida, Jacksonville, Florida professor and chair, Department of Health Administration, Brooks College of Health, Jacksonville, Florida.

Executive Summary: As part of the provisions of the 2010 Affordable Care Act, the Centers for Medicare & Medicaid Services adjusts payments made to hospitals through its Hospital Value-Based Purchasing (HVBP) program. In light of the increasing aim to improve efficiency, healthcare organizations are exploring innovative strategies for care delivery, including the use of hospitalists. Supporters of the hospitalist model suggest use of these specialists offers several advantages over the traditional model of physician care in the inpatient setting, including improved coordination, reduced costs, and improved quality indicator scores. Read More

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http://dx.doi.org/10.1097/JHM-D-16-00035DOI Listing
July 2018
14 Reads

Management After Percutaneous Cholecystostomy: What Should We do With the Catheter?

Surg Laparosc Endosc Percutan Tech 2018 Aug;28(4):256-260

Departments of General and Oncologic Surgery.

Background: Percutaneous cholecystostomy (PC) is an alternative to cholecystectomy for acute calculous cholecystitis (ACC) in patients with high mortality risk, but the catheters' and patients' management remains unclear. This study aimed to determine outcomes after PC and to define surgical strategy.

Methods: All patients who underwent PC between 2009 and 2014 for ACC in a single institution were reviewed for outcomes and postdrainage management. Read More

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http://Insights.ovid.com/crossref?an=00129689-900000000-9949
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http://dx.doi.org/10.1097/SLE.0000000000000559DOI Listing
August 2018
9 Reads

Lung histopathology of non-infectious pulmonary complications after allogeneic haematopoietic stem cell transplantation.

Histopathology 2018 Nov 19;73(5):832-842. Epub 2018 Aug 19.

Service de Pneumologie, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Louis, Paris, France.

Aims: Non-infectious pulmonary complications (NIPCs) occur frequently following allogeneic haematopoietic stem cell transplantation (HSCT). As there is no consensus on the description of the related pulmonary pathological lesions, pathologist reports and clinical conclusions are largely inconsistent in routine practice. The aim of our study was to provide an accurate overview of post-allogeneic HSCT NIPCs from a large number of lung biopsies. Read More

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http://dx.doi.org/10.1111/his.13697DOI Listing
November 2018
8 Reads