A5003850068- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Cancer survivorship and care
- Empathy and Medical Education
- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Economic and Financial Impacts of Cancer
- Religion, Spirituality, and Psychology
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Planetary Science and Exploration
- Health and Wellbeing Research
- Cannabis and Cannabinoid Research
- Pediatric Pain Management Techniques
- Family and Patient Care in Intensive Care Units
- Global Cancer Incidence and Screening
- Spaceflight effects on biology
- Family Support in Illness
- Space Exploration and Technology
The University of Texas MD Anderson Cancer Center
2013-2019
Abstract Objective. There are limited data on the effects of financial distress (FD) overall suffering and quality life (QOL) patients with advanced cancer (AdCa). In this cross-sectional study, we examined frequency FD its correlates in AdCa. Patients Methods. We interviewed 149 patients, 77 at a comprehensive center (CCC) 72 general public hospital (GPH). AdCa completed self-rated (subjective experience attributed to problems) numeric rating scale (0 = best, 10 worst) validated...
Improper use, storage, and disposal of prescribed opioids can lead to diversion or accidental poisoning. Our previous study showed a large proportion cancer patients have unsafe opioid practices. objective was determine whether an improvement occurred in the patterns among outpatients after implementation patient educational program.Our palliative care (PC) clinic provides every with material (EM) on safe time they receive prescription. We prospectively assessed 300 adult receiving our PC...
Improper storage, use, and disposal of prescribed opioids can lead to diversion or accidental poisoning. Our objective was determine the patterns utilization, among cancer outpatients.We surveyed 300 adult outpatients receiving in our supportive care center collected information regarding opioid disposal, along with scores on CAGE (cut down, annoyed, guilty, eye-opener) alcoholism screening questionnaire. Unsafe use defined as sharing losing opioids; unsafe storage storing plain sight.The...
Information regarding treatment options and prognosis is essential for patient decision making. Patient perception of physicians as being less compassionate when they deliver bad news might be a contributor to physicians' reluctance in delivering these types communication.To compare patients' physician compassion after watching video vignettes 2 conveying more optimistic vs message, determine preference both videos, establish demographic clinical predictors compassion.Randomized trial at an...
Understanding patients' decision control preferences is important in providing quality cancer care. Patients' decisional preference can be either active (patients prefer to make decisions themselves), shared (collaborative between patient, their physician, and/or family), or passive that the are made by physician family).To determine frequency and predictors of among advanced patients. We also determined concordance actual decision-making its association with patient satisfaction.In this...
Abstract Background There are limited data on illness understanding and perception of cure among advanced cancer patients around the world. The aim study was to determine frequency factors associated with inaccurate curability receiving palliative care across globe. Materials Methods Secondary analysis a understand core concepts in end-of-life from 11 countries Advanced were surveyed using Patient Illness Understanding survey Control Preference Scale. Descriptive statistics multicovariate...
Patients with advanced cancer experience severe physical, psychosocial, and spiritual distress requiring palliative care (PC). There are limited literature regarding characteristics outcomes of patients evaluated by PC services at public hospitals (PHs). Objective, Design, Setting/Subjects, Measurements: To compare the undergoing a PH those comprehensive center (CCC). We reviewed 359 consecutive (PH, 180; CCC, 179) PC. Symptoms consultation first follow-up visit were assessed. Summary...
9635 Background: Financial problems are frequent and severe for AdCa. There is limited data on the effects of FD suffering quality life(QOL) In this prospective cross sectional study, we examined frequency its correlates in Methods: We interviewed 149 AdCa, 77 at a Comprehensive Cancer Center(CCC) 72 General Public Hospital(GPH). AdCa completed self-rated FD(subjective experience distress attributed to financial problems) numeric rating scale(0=best, 10=worst) also validated questionnaires...
10121 Background: Palliative Care referral is often thought to be delayed as judged by health professionals and caregivers. However, no studies have ever examined patients’ perception of timeliness referral. The primary objective this study was determine the their own an outpatient palliative care clinic. We also association between perceived actual timing Methods: In prospective survey, patients with advanced cancer were asked rate using a 5-point Likert scale ranging from much too early...
245 Background: Caregivers of cancer patients often face physical, and psychosocial hardship. The association between spirituality (S), religiosity (R), spiritual pain (SP), coping, quality life (QOL) have not been well characterized. main purpose this multicenter study was to determine these associations among LACs. Methods: We interviewed 319 LACs at palliative care clinics in Chile, Guatemala, the US. completed FICA (S/R assessment), ESAS–FS, PSWQ (worry), B-COPE/B-R-COPE (coping),...
6578 Background: The frequency of passive decisional control (pt prefers physician to make decisions) has been reported be variable but generally larger among pts living in developing countries. This study aimed determine the DCP patients with advanced cancer (ACP) different centers across world. To identify association their socio-demographic and clinical characteristics. Methods: 1492 ACP referred palliative care 11 countries underwent assessment preferences using a validated tools...
39 Background: Environment is important component of communication skills. Physicians’ style including attire may influence patient perceptions. Previous studies mostly based on pictures providers in different attires provide conflicting evidence. This RCT aimed to explore the effects physician patients’ perceptions compassion, professionalism and preference. Hypothesis was that patients will perceive doctor formal as more compassionate than wearing casual attire. Methods: 105 English...
25 Background: Data on the use of question prompt sheets (QPS) in palliative care is limited. Our team previously developed a single page QPS using Delphi process. The main objective this study was to determine perception helpfulness patient-physician communication among advanced cancer outpatients. Methods: 104 eligible patients received for during their first clinic. Patient and physician perceptions about were assessed at end visit. Patients’ anxiety also measured pre- post-consultation...
9625 Background: Despite previous studies showing benefits of early referral to palliative care in improving quality cancer care, late and under-utilization are major concerns. The aim this study was determine the impact medicine specialist (EPC) on outcomes advanced lung pts at a comprehensive center. Methods: In prospective non-randomized controlled study, with non-small cell oncologist estimated survival ≤ 6 months were referred EPC, N=51. A control group similar characteristics recruited...
208 Background: AdCa experience severe physical, psychosocial and existential distress. Their needs might not be met only by standard care. We compared outcomes of receiving SPC at a General Public Hospital (GPH) Comprehensive Cancer Center (CCC). Methods: reviewed 364 consecutive AdCa(182 GPH 182 CCC). were managed SPC-specialists with common clinical-pathways. assessed symptoms(Edmonton Symptom Assessment System:ESAS) consult first follow-up. Results: Race was White, African-American,...
e21656 Background: The association between Spirituality(S), religiosity(R), spiritual pain(SP), symptom expression, coping strategies and Quality of life(QOL) have not been well characterized. main purpose this Multicenter study was to analyze these associations among LAAdCa. Methods: We interviewed 325 LAAdCa receiving outpatient Palliative Care in Chile, Guatemala, USA. Patients completed FICA(S/R assessment), Edmonton Symptom Assessment Scale–FS(symptoms including SP), PSWQ(Worry),...
222 Background: Prescription opioid abuse is an epidemic in the US. Of abusers, 75% obtain from a friend or relative, which may be related to improper storage and disposal practices. Our aim was determine patients’ practices of use, storage, disposal. Methods: We surveyed 300 cancer outpatients presenting our Supportive Care Center who were receiving opioids for at least 1 month collected information regarding along with patient characteristics scores on Cut-down, Annoyed, Guilty, Eye-opener...
191 Background: There is limited evidence on the perception of medical marijuana (MM) among cancer patients in a legalized vs. non-legalized state. In this study, we compared attitudes (Arizona) state (Texas) legalizing for use and their its usefulness. We also examined preference MM pain, anxiety depression against current treatments any demographic, physical or psychosocial association with perception. Methods: Two hundred adult were enrolled from outpatient palliative care centers at...