- Liver Disease and Transplantation
- Healthcare professionals’ stress and burnout
- Health and Wellbeing Research
- Optimism, Hope, and Well-being
- IL-33, ST2, and ILC Pathways
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Acute Kidney Injury Research
- Organ Transplantation Techniques and Outcomes
- Immune Cell Function and Interaction
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Immune cells in cancer
Massachusetts General Hospital
2024
Harvard University
2022-2024
Brigham and Women's Hospital
2022
Background: Health care–related transportation insecurity (delayed or forgone medical care due to barriers) is being increasingly recognized as a social risk factor affecting health outcomes. We estimated the national burden and adverse outcomes of among US adults with chronic liver disease (CLD). Methods: Using U.S. National Interview Survey from 2014 2018, we identified self-reported CLD. used complex weighted survey analysis obtain estimates insecurity. examined associations between...
Background: While there is a growing need for interventions addressing symptom burden in patients with decompensated cirrhosis (DC), the lack of validated assessment tools critical barrier. We investigated psychometric properties revised Edmonton Symptom Assessment System (ESAS-r) longitudinal cohort DC. Methods: Adult outpatients DC were prospectively recruited from liver transplant center and completed ESAS-r at baseline week 12. examined reliability, floor/ceiling effects, structural...
Objectives: Little is known about the interdependence of psychological distress among patients with decompensated cirrhosis (DC) and their caregivers. Methods: In this cross-sectional study we examined (Hospital Anxiety Depression Scale) 127 patient-caregiver dyads using Actor-Partner Interdependence Modeling. Results: Among dyads, 26% had both partners reporting clinically significant anxiety 18% depression. Caregiver significantly predicted patient depression (β=0.20, p=0.02). Conclusions:...
INTRODUCTION Patients with decompensated cirrhosis (DC) experience substantial psychological distress. Accurate screening of distress in this population is a critical first step toward reducing their morbidity. The Hospital Anxiety and Depression Scale (HADS) self-administered questionnaire designed to identify distress.1 However, there no research into the performance HADS DC. overall goal study evaluate psychometric properties for patients METHODS Study design This secondary data analysis...