A5083289143- Cancer survivorship and care
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Head and Neck Cancer Studies
- Primary Care and Health Outcomes
- Family Support in Illness
- Economic and Financial Impacts of Cancer
- Bone health and osteoporosis research
- Hip and Femur Fractures
- Global Health Workforce Issues
- Geriatric Care and Nursing Homes
- Intergenerational Family Dynamics and Caregiving
- Emergency and Acute Care Studies
- Lung Cancer Diagnosis and Treatment
- Childhood Cancer Survivors' Quality of Life
- Patient-Provider Communication in Healthcare
- Telemedicine and Telehealth Implementation
- Health Systems, Economic Evaluations, Quality of Life
- Qualitative Research Methods and Ethics
- Smoking Behavior and Cessation
- Education, Healthcare and Sociology Research
- Healthcare cost, quality, practices
- Healthcare Decision-Making and Restraints
- Health Policy Implementation Science
- Mental Health and Psychiatry
University of Iowa
2017-2025
Iowa City VA Health Care System
2018-2024
Veterans Health Administration
2023
University of Iowa Hospitals and Clinics
2020-2021
Health Services Research & Development
2021
University of Chicago
1993-2015
ABSTRACT Objective The incidence of human papillomavirus (HPV)‐related oropharyngeal cancers has increased such that they are now the most prevalent HPV‐related cancer. In 2020, Food and Drug Administration (FDA) expanded indication for Gardasil‐9 to include prevention other head neck caused by selected HPV types, but uptake remains low. Otolaryngology office interactions may provide opportunities increase uptake, given relevance clinical practice. This study explored feasibility...
Abstract Background Recent declines in cancer incidence and mortality have not been distributed equally across the United States. Factors such as tobacco cessation human papillomavirus presence might differentially affect urban rural portions of country. Methods We used Surveillance, Epidemiology, End Results database to assess rates trends from 1973 2015. compared for oral cavity, oropharynx, larynx counties identified using Joinpoint software. Incidence cavity are decreasing faster areas...
Spousal caregivers draw upon understandings of shifting relationality to maintain a familial understanding their spouse with Alzheimer's disease. Working through what it means think an adult disease "like child," I trace how spouses negotiate relationships across the course Alzheimer's. While regarding adults as childlike can be perceived dehumanizing infantilization, for families living disease, conceiving one's like child actually enable processes continued care, sustained recognition, and...
Head and neck cancer (HNC) survivors often experience distress health-related quality of life (HRQOL) impairment. Research suggests that rural patients may have poorer outcomes than urban patients. This study examined whether HNC patient emotional HRQOL differ in those living a versus location at 6 12 months postdiagnosis.A total 261 were included from longitudinal outcomes. The majority diagnosed with advanced stage (51.3%); the most common site was oral cavity (41.0%). Rurality measured...
Abstract Purpose The Centers for Disease Control and Prevention’s National Comprehensive Cancer Program (NCCCP) requires that states develop comprehensive cancer control (CCC) plans recommends disparities related to rural residence are addressed in these plans. objective of this study was explore partner engagement describe effective strategies incorporating a focus CCC Methods States were selected inclusion using stratified sampling based on state rurality region. State leaders interviewed...
The disciplinary contribution of anthropologists employed outside traditional anthropology departments has been a topic discussion and debate in the field for nearly century. Alongside industry, nongovernmental, nonprofit career paths, an increasing number have developed productive research careers academic departments. United States Department Veterans Affairs (VA), which provides health care services to more than 9 million military veterans annually, is one federal employer that become...
Abstract Objective Pain following the completion of treatment is important but has received less attention in head and neck cancer (HNC) literature. The present study sought to examine prevalence predictors pain measured 12 months postdiagnosis its impact on HNC‐specific health‐related quality life (HRQOL) 1038 HNC survivors. Study Design Prospective observational study. Setting Single‐institution tertiary care center. Methods was using a single item ranging from 0 10 with representing no...
Objective To analyze the clinicodemographic characteristics and treatment outcomes of patients receiving postoperative radiation therapy (PORT) at a different facility rather than initial surgical for head neck cancer. Study Design: Retrospective cohort analysis. Methods Utilizing National Cancer Data Base, 2004 to 2015, with diagnosis oral cavity/oropharyngeal, hypopharyngeal, laryngeal squamous cell carcinoma were studied. Multivariate analysis was completed multivariate regression Cox...
Abstract Purpose While limited resources can make high‐quality, comprehensive, coordinated cancer care provision challenging in rural settings, patients often rely on local hospitals for care. To develop and strategies to support high‐quality care, it is critical understand the current experiences of physicians, including perceived strengths challenges providing areas. Methods Semi‐structured interviews were conducted with 13 providers associated all 12 non‐metropolitan/rural Iowa that...
Abstract Purpose The Commission on Cancer (CoC) establishes standards to support multidisciplinary, comprehensive cancer care. CoC‐accredited programs diagnose and/or treat 73% of patients in the United States. However, rural may experience diminished access programs. Our study evaluated distance hospitals by CoC accreditation status, rurality, and Census Division. Methods All US were identified from public‐use Homeland Infrastructure Foundation‐Level Data, then merged with CoC‐accreditation...
Abstract Introduction As the rural–urban cancer mortality gap widens, centering care around needs of rural patients presents an opportunity to advance equity. One barrier delivering patient‐centered at hospitals stems from limited analytic capacity leverage data and monitor patient outcomes. This case study describes experience a public health surveillance system aiming fill this within context network. Methods To support implementation novel network model intervention in Iowa, Iowa Cancer...
Objective Active surveillance (AS) is an increasingly utilized strategy for monitoring men with low-risk prostate cancer (PCa) that allows them to defer active treatment (AT) in the absence of progression. Studies have explored reasons selecting AS and then switching AT, but less known about men's experiences being on AS. We interviewed determine clinical psychological factors associated adhering protocols. Methods conducted semi-structured interviews a PCa at two academic medical centers....
Abstract Purpose By requiring specific measures, cancer endorsements (e.g., accreditations, designations, certifications) promote high-quality care. While 'quality' is the defining feature, less known about how these consider equity. Given inequities in access to care, we assessed extent which equity structures, processes, and outcomes were required for center endorsements. Methods We performed a content analysis of medical oncology, radiation surgical research hospital from American Society...
Abstract Objective Problem alcohol use in persons with head and neck cancer (HNC) is associated poor outcomes, including survival. Some evidence suggests that individuals living rural areas may be at greater risk of problem use. The present exploratory cross‐sectional study sought to examine diagnosis a sample HNC patients by versus urban status. Methods Self‐reported as measured the Short Michigan Alcoholism Screening Test (SMAST) was examined ( N = 454). Multivariable linear regression...
Background Little is known about cancer survivors who discontinue survivorship care. The objective of this study was to characterize patients with head and neck care their treating institution identify factors associated discontinuation. Methods This a retrospective cohort diagnosed between January 1, 2014, December 31, 2016, received cancer‐directed therapy at the University Iowa Hospitals Clinics (UIHC). Eligible achieved cancer‐free status after curative‐intent treatment made least 1...
Background: Structural inequities, in part, undergird urban–rural differences cancer care. The current study aims to understand the potential consequences of structural inequities on rural and urban patients’ access perceived importance supportive care resources. Methods: We used data collected from November 2017 May 2018 a larger cross-sectional needs assessment about support needs, use services, perceptions at Midwestern United States center. Oncology patients received packet during their...
As the population of older adults increases, appropriate deprescribing becomes increasingly important for emergency geriatric care. Older represent sickest patients with chronic medical conditions, and they are often exposed to high-risk medications. We need provide an evidence-based, standardized program in acute care setting, yet evidence base is lacking medication programs needed.We conducted a qualitative study goal understand perspective healthcare workers, patients, caregivers on...