A5070585280- Palliative Care and End-of-Life Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Hip and Femur Fractures
- Ethics in medical practice
- Health Systems, Economic Evaluations, Quality of Life
- Religion, Spirituality, and Psychology
- Grief, Bereavement, and Mental Health
- Organ Donation and Transplantation
- Biblical Studies and Interpretation
- Patient Dignity and Privacy
- Family and Patient Care in Intensive Care Units
- Nutrition and Health in Aging
- Hepatocellular Carcinoma Treatment and Prognosis
- Enhanced Recovery After Surgery
- Pancreatic and Hepatic Oncology Research
- Optimism, Hope, and Well-being
- Thyroid Disorders and Treatments
- Geriatric Care and Nursing Homes
- Abdominal Surgery and Complications
- Pituitary Gland Disorders and Treatments
- Adrenal and Paraganglionic Tumors
- Healthcare cost, quality, practices
Vanderbilt University Medical Center
2014-2025
Geriatric Research Education and Clinical Center
2020-2025
VA Tennessee Valley Healthcare System
2020-2025
Vanderbilt University
2007-2022
University of California, San Francisco
2021-2022
VA Northern California Health Care System
2022
University of North Carolina at Chapel Hill
2020-2021
The University of Texas Health Science Center at San Antonio
2020-2021
The University of Texas Health Science Center at Houston
2020-2021
South Texas Veterans Health Care System
2020-2021
<h3>Importance</h3> Patients with frailty have higher risk for postoperative mortality and complications; however, most research has focused on small groups of high-risk procedures. The associations among frailty, operative stress, are poorly understood. <h3>Objective</h3> To assess the association between at varying levels stress as measured by Operative Stress Score, a novel measure created this study. <h3>Design, Setting, Participants</h3> This retrospective cohort study included veterans...
<h3>Importance</h3> Frailty is an important risk factor for postoperative mortality. Whether the association between frailty and mortality consistent across all surgical specialties, especially those predominantly performing lower stress procedures, remains unknown. <h3>Objective</h3> To examine specialties. <h3>Design, Setting, Participants</h3> A cohort study was conducted 9 noncardiac specialties in hospitals participating American College of Surgeons National Surgical Quality Improvement...
BACKGROUND Frailty is a marker of dependency, disability, hospitalization, and mortality in community‐dwelling older adults. However, existing tools for measuring frailty are too cumbersome rapid point‐of‐care assessment. The Risk Analysis Index (RAI) validated surgical populations, but its performance outside populations unknown. OBJECTIVE Validate the RAI ambulatory patients. DESIGN, SETTING, AND PARTICIPANTS Observational cohort study outpatient clinics within University Pittsburgh...
Recent legislation facilitates veterans' ability to receive non-Veterans Affairs (VA) surgical care. However, contemporary data comparing the quality and safety of VA non-VA care are lacking.To compare perioperative outcomes among veterans treated in hospitals with patients private-sector hospitals.This cohort study took place across 8 noncardiac specialties Veterans Surgical Quality Improvement Program (VASQIP) American College Surgeons National (NSQIP) from January 1, 2015, through...
Specialist palliative care benefits patients undergoing medical treatment of cancer; however, data are lacking on whether surgery for cancer similarly benefit from specialist care.
The aim of this study was to expand Operative Stress Score (OSS) increasing procedural coverage and assessing OSS frailty association with Preoperative Acute Serious Conditions (PASC), complications mortality in females versus males.
OBJECTIVE. The objective of this study was to assess the validity parental report influenza vaccinations. PATIENTS AND METHODS. A cross-sectional children who were 6 59 months age and presented a large, pediatric residency clinic from February through April 2005 performed. standardized, questionnaire ascertained vaccination status during 2004–2005 season compared with medical chart, criterion standard. Children classified as being at high risk when they had specific vaccine recommendation in...
Significant challenges arise for clinical care teams when a patient or surrogate decision-maker hopes miracle will occur. This article answers the question, "How should bioethicists respond medical uses hope to orient her decisions?" We argue ethicist must first understand complexity of miracle-invocation. To this end, we provide taxonomy miracle-invocations that assist in analyzing invocator's conceptions God, community, and self. After appreciates how these concepts influence worldview,...
This study estimates the potential impact, on rates of pertussis infections, hospitalizations, and deaths among infants in United States, administering first dose diphtheria tetanus toxoids acellular vaccine at 6 weeks rather than 2 months age.We used existing data to estimate current US according age infant population 2004. We then estimated impact accelerating administration from age, an alternative schedule consistent with vaccination guidelines. Poisson distribution analysis determine...
Background: Earlier palliative care consultation is associated with less intensive medical and improved quality outcomes for patients cancer. However, there are limited data about how the timing of affects utilization among noncancer exposed to consultation. Objective: Comparison health hospice decedents who received early versus late care. Design: A retrospective cohort study utilizing hospital administrative databases. Setting/Subjects: Patients cancer diagnoses specialty before dying at a...
Abstract Background In medical oncology settings, early specialist palliative care interventions have demonstrated improvements in patient quality of life and survival compared with usual oncologic care. However, the effect surgical settings is not well studied. Methods The Surgery for Cancer Option Palliative Care Expert (SCOPE) Trial a single-center, prospective, single-blind, randomized controlled trial intervention cancer patients undergoing non-palliative surgery. It will enroll 236...
The aim of this study was to determine the health utility states most commonly used traumatic brain injury (TBI) clinical trial endpoint, Extended Glasgow Outcome Scale (GOSE).Health utilities represent strength one's preferences under conditions uncertainty. There are insufficient data indicate how an individual would value levels disability after a TBI.This cross-sectional web-based online convenience sampling adaptive survey. Using standard gamble approach, participants evaluated their...