A5068549067- Cancer survivorship and care
- Sexual function and dysfunction studies
- COVID-19 and healthcare impacts
- Stoma care and complications
- Colorectal Cancer Surgical Treatments
- Genital Health and Disease
- Palliative Care and End-of-Life Issues
- Prostate Cancer Diagnosis and Treatment
- Nutrition and Health in Aging
- Innovations in Medical Education
- Family and Patient Care in Intensive Care Units
- Family Support in Illness
- Colorectal Cancer Screening and Detection
- Grief, Bereavement, and Mental Health
- Enhanced Recovery After Surgery
- Economic and Financial Impacts of Cancer
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- Global Cancer Incidence and Screening
- Appendicitis Diagnosis and Management
- Frailty in Older Adults
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- LGBTQ Health, Identity, and Policy
- Digital Imaging in Medicine
University of Michigan
2016-2025
National Patient Safety Foundation
2024
Michigan Medicine
2020-2022
University of Pennsylvania
2022
Ann Arbor Center for Independent Living
2019-2020
University of Baltimore
2020
New York Proton Center
2020
Communities In Schools of Orange County
2020
BACKGROUND: The total mesorectal excision technique is associated with improved outcomes for rectal cancer, and grading the specimen recommended. We implemented a multimodal intervention in Michigan Surgical Quality Collaborative hospitals to increase grading. OBJECTIVE: To compare rates over time between that received early late study. DESIGN: Stepped wedge randomized controlled trial receive education or one year later. used generalized linear mixed model of groups, adjusting hospital...
Men treated for prostate cancer suffer from treatment-related sexual side effects that adversely affect their relationships and quality of life.To investigate what survivors partners want a recovery intervention, whether they consider an online tool acceptable use in promoting recovery.This mixed-methods study included focus groups interviews with both heterosexual gay survivors, as well partners. Focus probed experiences treatment, effects, support received/needed recovery. Participants...
Despite significant sexual dysfunction and distress after localized prostate cancer treatment, patients typically receive only physiologic erectile management. The authors performed a randomized controlled trial of an online intervention supporting couples' posttreatment recovery intimacy.Patients treated with surgery, radiation, or combined radiation androgen deprivation therapy who had partners were recruited to control group. intervention, tailored treatment type orientation, comprised 6...
Abstract Background Rectal cancer (RC) patients experience unique sources of distress, including sexual dysfunction and body image concerns, which can also cause distress among partners. This preliminary study investigated patterns psychological functioning, relationship satisfaction RC patient‐partner couples at pivotal points during treatment. Methods Twenty participated ( N = 40). Patients partners completed a series validated measures (ET), functioning (FSFI; IIEF), (GMSEX; Sexual...
Over half of men who receive treatment for prostate suffer from a range sexual problems that affect negatively their health, intimacy with partners and quality life. In clinical practice, however, care the side effects is often suboptimal or unavailable. The goal current study to test web-based intervention support recovery cancer survivors after treatment. team developed an interactive, intervention, tailored type received, relationship status (partnered/non-partnered) orientation. It...
Parastomal hernias are common and negatively affect patient's lives. We hypothesized that physical activity (or lack thereof) might be associated with the presence of parastomal hernia. If so, this an actionable target for prevention.The objective was to determine rates risk factors in patients a permanent ostomy.This retrospective cohort survey study. Postal included questions about hernia, symptoms, lifestyle, validated instruments measure stoma quality life activity. Medical record...
BACKGROUND: Rectal cancer survivors experience persistent symptoms, which may lead to unmet needs. OBJECTIVE: This study aimed explore the rectal survivor and identify impacts of treatment using photo-elicitation. DESIGN: was a novel in patients were instructed take photographs that showed aspects life have been challenging deal with since undergoing treatment. Participants underwent subsequent qualitative interviews as prompts. SETTING: The conducted center tertiary medical center....
The arrival of coronavirus disrupted health care systems and forced delays in cancer treatment. We explored the experience urologists who had to delay their patients' care.Urologists treat prostate, bladder, renal cancers, selected through purposive sampling, responded a survey about treatment delay. They were asked practice setting, decision making interactions with patients, they reflect on personal experience. A 0 10 point scale, modeled National Comprehensive Cancer Network' Distress...
To understand experiences of patients with genitourinary cancer who experienced delayed care due to the COVID-19 pandemic.
Objective: We sought to determine if and how providers use elements of shared decision-making (SDM) in the care surgical patients intensive unit (ICU). Background: SDM is gold standard for ICU. However, it unknown this communication style used caring critically ill patients. Methods: Qualitative interviews were conducted with who provide ICU-level Veterans Affairs hospitals. Interviews designed examine end-of-life among veterans have undergone surgery require care. Results: Forty-eight...
The rapid expansion of synchronous telephone and video virtual care options allowed the Veterans Health Administration (VHA) to adapt coronavirus disease 2019 (COVID-19) pandemic provided a unique opportunity assess potential for integration utility in VHA systems. objective this study was highlight perspectives providers caring intensive unit (ICU) patients during COVID-19 their views on use communication palliative end-of-life patients.
End-of-life care among surgical patients is largely understudied and far fewer studies examine such from the family perspective. To identify potential opportunities for improvement, we explored responses of members veterans who died following surgery using Veterans Affairs (VAs) Bereaved Family Survey (BFS). We examined data BFS open-text to explore insights into patient's end-of-life care. Data were analysed iteratively qualitative content analysis clustered domains based on content....
Translating empirical evidence into clinical practice remains challenging. Prevention of morbidity from new ileostomies may serve as an example. Despite demonstrating improvements in electrolyte levels, kidney function markers, and hospital readmissions, widespread adoption oral rehydration solutions among patients with has not occurred. The causes low uptake are unknown likely multifactorial.We used the Reach, Effectiveness, Adoption, Implementation, Maintenance implementation science...
The coronavirus disease 2019 (COVID-19) pandemic initiated a series of events halting elective surgery across the United States. American College Surgeons and Centers for Disease Control Prevention guidelines recommended indefinite postponement procedures in all subspecialties surgical care, including colorectal surgery, to redirect resources frontlines COVID-19.1,2 In this restructuring medical care,3 many surgeons have ground halt, whereas other professionals been deployed beyond their...