A5016734907- Lung Cancer Diagnosis and Treatment
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Lung Cancer Treatments and Mutations
- Patient-Provider Communication in Healthcare
- Head and Neck Cancer Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Radiomics and Machine Learning in Medical Imaging
- Smoking Behavior and Cessation
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Health Literacy and Information Accessibility
- Primary Care and Health Outcomes
- COVID-19 and healthcare impacts
- Health Systems, Economic Evaluations, Quality of Life
- Economic and Financial Impacts of Cancer
- Family and Patient Care in Intensive Care Units
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- COVID-19 and Mental Health
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Inflammatory mediators and NSAID effects
- Healthcare professionals’ stress and burnout
VA Portland Health Care System
2016-2025
Oregon Health & Science University
2016-2025
Health Services Research & Development
2016-2025
Portland VA Medical Center
2015-2025
American College of Chest Physicians
2015-2025
Veterans Health Administration
2011-2025
OHSU Knight Cancer Institute
2019-2024
United States Department of Veterans Affairs
2014-2024
Research Network (United States)
2023
University of Portland
2012-2023
The US Preventive Services Task Force recommends annual lung cancer screening (LCS) with low-dose computed tomography for current and former heavy smokers aged 55 to 80 years. There is little published experience regarding implementing this recommendation in clinical practice.To describe organizational- patient-level experiences an LCS program selected Veterans Health Administration (VHA) hospitals estimate the number of VHA patients who may be candidates LCS.This demonstration project was...
Section:ChooseTop of pageAbstract <<ContentsOverviewIntroductionMethodsResultsPlanningImplementationMaintenanceConclusionsReferencesCITING ARTICLES
Background:The Accreditation Council for Graduate Medical Education work-hour limitations (WHLs) were implemented in July 2003.Effects on resident wellbeing, patient care, and education are not well understood.We investigated these effects of WHLs.Methods: Self-administered survey internal medicine residents a university-based residency program Seattle, Wash.Part this was identical to one completed at our institution 2001, permitting comparison burnout, career satisfaction, depression before...
Lung cancer is the leading cause of cancer-related mortality among women. The role hormone replacement therapy (HRT) in lung development unclear.We evaluated a prospective cohort 36,588 peri- and postmenopausal women aged 50 to 76 years from Washington State recruited 2000 2002 (Vitamins Lifestyle [VITAL] Study). cases (n = 344) were identified through Seattle-Puget Sound Surveillance, Epidemiology, End Results registry during 6 follow-up. Hazard ratios (HRs) associated with use duration...
There is little data about the combined effects of COPD and obesity. We compared dyspnea, health-related quality life (HRQoL), exacerbations, inhaled medication use among patients who are overweight obese to those normal weight with COPD.
<h3>Importance</h3> Palliative care is a patient-centered approach associated with improvements in quality of life; however, results regarding its association survival benefit have been mixed, which may be factor underuse. <h3>Objective</h3> To assess whether early palliative among patients advanced lung cancer. <h3>Design, Setting, and Participants</h3> This retrospective population-based cohort study was conducted cancer who were diagnosed between January 1, 2007, December 31, 2013,...
High-quality communication is a key determinant and facilitator of patient-centered care. Nurses engage in most the with patients patients' families intensive care unit.To perform qualitative analysis nurses' communications.Ethnographic observations 315 hours interactions 53 semistructured interviews 33 nurses were conducted 26-bed cardiac-medical unit an academic hospital general Veterans Affairs Portland, Oregon. Communication categorized into 5 domains Interviews analyzed to identify...
Purpose Depression symptoms are common among patients with lung cancer; however, longitudinal changes and their impact on survival understudied. Methods This was a prospective, observational study from the Cancer Care Outcomes Research Surveillance Consortium five US geographically defined regions September 2003 through December 2005. Patients enrolled within 3 months of cancer diagnosis were eligible. The eight-item Center for Epidemiologic Studies scale administered at 12 months’...
<h3>Importance</h3> Pulmonary nodules are common, and more will be found with implementation of lung cancer screening. How potentially malignant pulmonary evaluated may affect patient outcomes, health care costs, effectiveness screening programs. Guidelines for evaluating exist, but little is known about how in the usual setting. <h3>Objective</h3> To characterize nodule evaluation concordance guidelines. <h3>Design, Setting, Participants</h3> A retrospective cohort study was conducted...
Section:ChooseTop of pageAbstract <<ContentsOverviewIntroductionMethodsResultsDiscussionReferencesCITING ARTICLES
<h3>Importance</h3> Lung cancer screening (LCS) can reduce lung mortality with close follow-up and adherence to management recommendations. Little is known about factors associated LCS in real-world practice, data limited case series from selected programs. <h3>Objective</h3> To analyze based on standardized recommendations a national cohort identify delayed or absent follow-up. <h3>Design, Setting, Participants</h3> This retrospective study was conducted Veterans Health Administration (VHA)...
High-dose β-carotene supplementation in high-risk persons has been linked to increased lung cancer risk clinical trials; whether effects are similar the general population is unclear. The authors examined associations of supplemental β-carotene, retinol, vitamin A, lutein, and lycopene with among participants, aged 50–76 years, VITamins And Lifestyle (VITAL) cohort Study Washington State. In 2000–2002, eligible (n = 77,126) completed a 24-page baseline questionnaire, including detailed...
Lung cancer is the leading cause of cancer-related mortality in United States. Although supplements are used by half population, limited information available about their specific effect on lung risk.
Long-acting inhaled medications are an important component of the treatment patients with chronic obstructive pulmonary disease (COPD), yet few studies have examined determinants medication adherence among this patient population.We sought to identify factors associated long-acting beta-agonists (LABA) and corticosteroids (ICS) COPD.We performed secondary analysis baseline data collected in a randomized trial 376 Veterans spirometrically confirmed COPD. We used electronic pharmacy records...
Rationale: Lung cancer screening has a mortality benefit to high-risk smokers, but implementation remains suboptimal. Providers represent the key entry point screening, and an understanding of provider perspectives on lung is necessary improve referral overall implementation.Objectives: The objective this study was understand knowledge, beliefs, attitudes, barriers, facilitators in diverse group referring pulmonologists primary care providers.Methods: We conducted electronic survey pulmonary...
Lung cancer is the leading cause of cancer-related mortality. Intensive care unit (ICU) use among patients with increasing, but data regarding ICU outcomes for lung are limited.We used Surveillance, Epidemiology, and End Results (SEER) -Medicare registry (1992 to 2007) conduct a retrospective cohort study who were admitted an reasons other than surgical resection their tumor. We logistic Cox regression evaluate associations patient characteristics hospital mortality 6-month mortality,...
Little is known about vulnerable patients' perceptions and understanding of, preferences for, lung cancer screening decision aids.To determine, in a low-income, racially diverse population, (1) participants' experience, preferences, reactions to web-based paper aids, (2) their of harms benefits screening.We enrolled outpatients at an urban county hospital six focus group discussions that included review paper-based lung-cancer aid. Participants completed surveys before after the...