A5041923648- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Patient Dignity and Privacy
- Family Support in Illness
- Grief, Bereavement, and Mental Health
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
- Economic and Financial Impacts of Cancer
- COVID-19 and healthcare impacts
- Geriatric Care and Nursing Homes
- Venous Thromboembolism Diagnosis and Management
- Frailty in Older Adults
- Telemedicine and Telehealth Implementation
- Treatment of Major Depression
- Health Systems, Economic Evaluations, Quality of Life
- Social Media in Health Education
- Cancer-related cognitive impairment studies
- Artificial Intelligence in Healthcare and Education
- Interprofessional Education and Collaboration
- Ethics and Legal Issues in Pediatric Healthcare
- Intestinal and Peritoneal Adhesions
- Electroconvulsive Therapy Studies
- Sympathectomy and Hyperhidrosis Treatments
- Hernia repair and management
University of Toronto
2016-2025
Princess Margaret Cancer Centre
2016-2025
University Health Network
2016-2025
Health Net
2022-2023
African Palliative Care Association
2017
Zimmer (Switzerland)
2016
University Research Co (United States)
2015
Harvard University
2015
Yahoo (United Kingdom)
2012
St. Vincent's University Hospital
2011
<h3>Background:</h3> Early palliative care is increasingly recommended but seldom practised. We sought to examine perceptions of among patients with advanced cancer and their caregivers. <h3>Methods:</h3> After conducting a cluster randomized controlled trial early versus standard for cancer, we approached caregivers participate in semistructured interviews seeking assess, qualitatively, attitudes about care. used the grounded theory method data collection analysis. <h3>Results:</h3> A total...
Artificial intelligence (AI) chatbots pose the opportunity to draft template responses patient questions. However, ability of generate based on domain-specific knowledge cancer remains be tested.
Early palliative care improves quality of life and satisfaction with is increasingly endorsed for patients advanced cancer. However, little known about the experience receiving early from a patient caregiver perspective.The aim this qualitative study was to determine, participant perspective, elements that care.Qualitative grounded theory using individual interviews.The took place at comprehensive cancer centre. Patients ( n = 26) caregivers 14) intervention arm cluster-randomised controlled...
Routine early palliative care (EPC) improves quality of life (QoL) for patients with advanced cancer, but it may not be necessary all patients. We assessed the feasibility Symptom screening Targeted Early Palliative (STEP) in a phase II trial.Patients cancer were recruited from medical oncology clinics. Symptoms screened at each visit using Edmonton Assessment System-revised (ESAS-r); moderate to severe scores (screen-positive) triggered an email nurse, who called patient and offered EPC....
Antidepressants require several weeks for the onset of action, a lag time that may exceed life expectancy in palliative care. Ketamine has demonstrated rapid antidepressant effects, but been minimally studied cancer and care populations. Herein, objective was to determine feasibility, safety, tolerability preliminary efficacy intranasal racemic ketamine major depressive disorder (MDD) patients with advanced cancer. We conducted single-arm, open-label phase II trial at Princess Margaret...
Background Although the effectiveness of early palliative care for patients with advanced cancer has been demonstrated in several trials, there no detailed published description an intervention. Method In this paper, we delineate iterative conception and systematic evaluation a complex intervention called team-based outpatient (TO-EPC), describe components The was developed based on theory, review previous interventions practice guidelines. We conducted feasibility testing piloting TO-EPC...
Abstract Background Evidence from randomized controlled trials has demonstrated benefits in quality of life outcomes early palliative care concurrent with standard oncology patients advanced cancer. We hypothesized that there would be earlier referral to outpatient at a comprehensive cancer center following this evidence. Materials and Methods Administrative databases were reviewed for two cohorts patients: the pre-evidence cohort was seen between June November 2006, post-evidence 2015....
Abstract Background Early palliative care (EPC) improves the quality of life but may not be feasible for all patients with advanced cancer. Symptom screening has been suggested to triage EPC, scant evidence exists this practice. Methods We conducted a subgroup analysis cluster‐randomized controlled trial EPC vs. standard oncology according patients' baseline symptom scores (high [>23] low [≤23] Edmonton Assessment System Distress Score [ESAS SDS]). A linear mixed‐effects model was used...
Abstract Objective To describe bereaved caregivers' experiences of providing care at home for patients with advanced cancer, while interacting services. Methods Caregivers who had completed a 4‐month randomized controlled trial early palliative versus standard oncology were recruited 6 months to 5 years after the patient's death. All except one (control) eventually received care. In semi‐structured interviews, participants asked about their caregiving. Grounded theory guided all aspects...
Background: Early involvement of palliative care improves patient quality life; however, quantitative studies have not yet demonstrated a similar effect for caregivers, whom the construct life is less well developed. Aim: To conceptualise caregivers from their own perspective and to explore differences in themes between those who did or receive an early intervention. Design: Qualitative grounded theory study. Setting: Tertiary comprehensive cancer centre. Participants: Following...
Abstract Introduction. Early integration of palliative care alongside oncology is being increasingly recommended, although the strategies and models for remain poorly defined. We solicited opinions patients caregivers who participated in a randomized trial early versus standard care, regarding respective roles their oncologist (both groups) physician (early group). Materials Methods. The study was performed at comprehensive cancer center. Forty-eight (26 intervention, 22 control) 23 (14 9...