A5070408090- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Hospital Admissions and Outcomes
- Empathy and Medical Education
- Healthcare Policy and Management
- Breast Cancer Treatment Studies
- Breast Lesions and Carcinomas
- Healthcare cost, quality, practices
- Cardiac, Anesthesia and Surgical Outcomes
- Gastrointestinal disorders and treatments
- Clinical Reasoning and Diagnostic Skills
- Global Cancer Incidence and Screening
- Musicians’ Health and Performance
- Pancreatitis Pathology and Treatment
- Infectious Diseases and Tuberculosis
- Colorectal and Anal Carcinomas
- Pectus Deformity Diagnosis and Treatment
- Pancreatic and Hepatic Oncology Research
- Diversity and Career in Medicine
- Anesthesia and Pain Management
- Surgical site infection prevention
- History of Medicine Studies
University of Wisconsin–Madison
2020-2024
University of Wisconsin American Family Children's Hospital
2022
Regions Hospital
2022
HealthPartners
2022
University of Pittsburgh
2022
University of Colorado Denver
2021
UW Health University Hospital
2020-2021
Oregon Health & Science University
2020-2021
Brigham and Women's Hospital
2020-2021
University of Colorado Anschutz Medical Campus
2021
<h3>Importance</h3> For patients facing major surgery, surgeons believe preoperative advance care planning (ACP) is valuable and routinely performed. How often ACP occurs unknown. <h3>Objective</h3> To quantify the frequency of discussion documentation for older adults undergoing surgery. <h3>Design, Setting, Participants</h3> This secondary analysis data from a multisite randomized clinical trial testing effects question prompt list intervention on communication considering surgery was...
Introduction Surgeons are entrusted with providing patients information necessary for deliberation about surgical intervention. Ideally, consultations generate a shared understanding of the treatment experience and determine whether surgery aligns patient’s overall health goals. In-depth assessment communication patterns might reveal opportunities to better achieve these objectives. Methods We performed secondary analysis audio-recorded between surgeons considering high-risk surgery. For 43...
People living with human immunodeficiency virus (HIV) are at high risk for anal cancer. Anal cancer screenings recommended annually US veterans HIV. Screenings can identify treatable precursor lesions and prevent development. In a previous study, we found screening rate to be only 15%. Semistructured interviews were conducted Veterans Affairs (VA) providers who treat Participants described their experiences screenings. Researchers developed codebook based on Theoretical Domains Framework...
Older adults with serious illness near the end-of-life often receive invasive treatments. We developed a conceptual model called clinical momentum that describes system-level forces producing trajectory of care is difficult to modify and contributes overtreatment. sought evaluate empirical fit our by examining an event clear guidelines against intervention: permanent feeding tube placement in patients advanced dementia.
"Best Case/Worst Case" (BC/WC) is a communication tool to support shared decision making in older adults with surgical illness. We aimed adapt and test BC/WC for use critically ill adult trauma patients.We conducted focus groups 48 clinicians Wisconsin, Texas, Oregon. used qualitative content analysis characterize feedback adapted the fit this setting. Using rapid sequence iterative design, we developed an implementation kit. pilot tested intervention at two centers using pre-post study...
Objective: We tested the association of systems factors with surgeon’s likelihood offering surgical intervention for older adults life-limiting acute conditions. Background: Use treatments in last year life is frequent. Improved risk prediction and clinician communication are solutions proposed to improve serious illness care, yet may also drive receipt nonbeneficial treatment. Methods: mailed a national survey 5200 surgeons randomly selected from American College Surgeons database comprised...
For seriously ill patients whose pain is best treated with surgery, it important to discuss and explore treatment goals preoperatively. Knowing which health states a patient would tolerate helps the surgeon identify interventions that are overly burdensome, overreach survival goals, or undermine patient's quality of life. Surgical success should be defined by how well an intervention aligns patients' goals. Early integration specialty palliative care can help surgical unmet needs, optimize...
There is growing interest in, and need for, integrating palliative care (PC) into the of patients undergoing emergency surgery those with traumatic injury. Thus, PC consults for these populations will likely grow in coming years. Understanding nuances unique characteristics two acutely ill improve that clinicians can provide. Using a modified Delphi technique, this article offers 10 tips experts field, based on their broad clinical experience, believe should know about trauma patients.