- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Colorectal Cancer Surgical Treatments
- Gastric Cancer Management and Outcomes
- Pancreatic and Hepatic Oncology Research
- Stoma care and complications
- Patient-Provider Communication in Healthcare
- Migration, Health and Trauma
- Enhanced Recovery After Surgery
- Ethics in medical practice
- Patient Dignity and Privacy
- Sarcoma Diagnosis and Treatment
- Metastasis and carcinoma case studies
- COVID-19 and healthcare impacts
- Minimally Invasive Surgical Techniques
- Sexual function and dysfunction studies
- Diverticular Disease and Complications
- Health Literacy and Information Accessibility
- Neuroblastoma Research and Treatments
- Geriatric Care and Nursing Homes
- Mobile Health and mHealth Applications
- Pelvic floor disorders treatments
- Innovations in Medical Education
- Health Systems, Economic Evaluations, Quality of Life
McMaster University
2021-2025
Johns Hopkins University
2022-2025
Johns Hopkins Medicine
2023-2025
Health First
2024
McGill University
2021-2023
Jewish General Hospital
2023
Abstract Background Young adults (YAs) with advanced gastrointestinal (GI) cancer have unique care needs, which may be addressed through palliative therapy. Objectives The aims of this study were to describe temporal trends and identify predictors therapy utilization in YAs GI cancer. Methods We conducted a retrospective cohort using the National Cancer Database. (18–39 years age) diagnosed from 2004 2020 identified. performed trend analysis followed by univariable multivariable logistic...
Abstract Introduction: Disparities in access to palliative care persist, particularly among underserved populations. We elicited recommendations for integrating community health workers (CHWs) into clinical teams, by exploring perspectives on potential barriers and facilitators, ultimately aiming facilitate equitable care. Materials Methods: Twenty-five stakeholders were recruited semi-structured interviews through purposive snowball sampling at three enrollment sites the USA. Interviews...
Abstract Introduction Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including provision HIV care. The ongoing war is a human‐caused mass trauma, severe ecological and psychosocial disruption that greatly exceeds coping capacity community. bioecological model trauma builds on Bronfenbrenner's concept interaction between nested systems to argue social context determines impact life events individual how an responds. This paper uses explore...
Abstract Aim Low anterior resection syndrome (LARS) refers to a constellation of bowel symptoms that affect the majority patients following restorative proctectomy. LARS is associated with poorer quality life (QoL), and can lead distress, anxiety isolation. Peer support could be an important resource for people living LARS, helping them normalize validate their experience. The aim this work describe development interactive online informational peer app protocol randomized controlled trial....
Abstract Background There are persistent racial and ethnic health disparities in end-of-life outcomes the United States. African American patients less likely than White to access palliative care, enroll hospice have documented goals of care discussions with their healthcare providers, receive adequate symptom control, or die at home. We developed Community Health Worker Intervention for Disparities Palliative Care (DeCIDE PC) address these disparities. DeCIDE PC is an integrated community...
African American patients are less likely than White to access palliative care. Community health workers (CHWs) non-clinical public who may address this gap. We developed a Palliative Care Curriculum and Training Plan for CHWs as part of an ongoing randomised controlled trial evaluating the effectiveness CHW care intervention with advanced cancer. This study aimed determine whether leads gains in knowledge, perceived competence on study-based tasks, satisfaction among CHWs. The curriculum...
Palliative care remains underutilized by African American patients with advanced cancer. Community health workers (CHWs) may help improve palliative outcomes among this patient population.
Sexual dysfunction is an important, and often overlooked, sequela of rectal cancer treatment with significant implications for patients' quality life. The aim this study was to explore information needs regarding sexual health after their experiences accessing on throughout the care continuum. secondary surgeons' perspectives gain insight into providing following surgery.
Concurrent palliative care for patients with advanced cancer has been shown to reduce physical and psychological symptoms, improve the quality of life cancer. Underutilization services, especially among African American cancer, remains an important public health problem. To address this gap, we developed a community worker (CHW) intervention which is being formally assessed through ongoing effectiveness-implementation trial (NCT05407844). As part preparatory phase study, conducted...
ABSTRACT Introduction Racial disparities in minimally invasive surgery (MIS) utilization across gastrointestinal (GI) cancers are not well characterized. We evaluated racial/ethnic the use of MIS approaches and associated outcomes. Methods analyzed a cohort patients with GI cancer National Cancer Database (2010–2020). Multinomial logistic regression was used to evaluate associations between race/ethnicity approach. Logistic assess 30‐day readmission 90‐day mortality. Cox analyze overall...