A5052388472- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Machine Learning in Healthcare
- Economic and Financial Impacts of Cancer
- Clinical practice guidelines implementation
- Pain Management and Opioid Use
- Pain Mechanisms and Treatments
- Opioid Use Disorder Treatment
- Patient Dignity and Privacy
- Artificial Intelligence in Healthcare and Education
- Frailty in Older Adults
- Explainable Artificial Intelligence (XAI)
- Patient-Provider Communication in Healthcare
- Bladder and Urothelial Cancer Treatments
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Family Support in Illness
- Radiomics and Machine Learning in Medical Imaging
- Lung Cancer Diagnosis and Treatment
- Intestinal and Peritoneal Adhesions
- Enhanced Recovery After Surgery
- Gastrointestinal motility and disorders
- CNS Lymphoma Diagnosis and Treatment
- Family and Patient Care in Intensive Care Units
City of Hope
2015-2024
City Of Hope National Medical Center
2013-2024
Cancer-related fatigue is defined as a distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer treatment that not proportional recent activity and interferes with usual functioning. It one the most common side effects in patients cancer. Fatigue has been shown be consequence active treatment, but it may also persist into posttreatment periods. Furthermore, difficulties end-of-life care can compounded by fatigue. The NCCN...
Importance Numerous studies show that early palliative care improves quality of life and other key outcomes in patients with advanced cancer their caregivers, although most lack access to this evidence-based model care. Objective To evaluate whether delivering via secure video vs in-person visits has an equivalent effect on non–small cell lung (NSCLC). Design, Setting, Participants Randomized, multisite, comparative effectiveness trial from June 14, 2018, May 4, 2023, at 22 US centers among...
The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care patients with cancer. These Insights summarize and context the updated guidelines regarding hospice end-of-life (EOL) care. Updates 2017 include revisions to restructuring of algorithms that address important EOL concerns. were revised clearer guidance oncologists as they cancer who are approaching transition Recommendations interventions reassessment based estimated life expectancy...
BACKGROUND Family caregivers (FCGs) experience significant deteriorations in quality of life while caring for patients with lung cancer. In this study, the authors tested effectiveness an interdisciplinary palliative care intervention FCGs diagnosed stage I through IV nonsmall cell METHODS who were identified by as their primary enrolled a prospective, quasi‐experimental study which usual group was accrued first followed group. presented at meetings, and they also received 4 educational...
Objective Family caregivers (FCGs) caring for loved ones with lung cancer are at risk psychological distress and impaired quality of life (QOL). This study explores the relationship between FCGs' distress, per thermometer (DT) QOL, burden, preparedness. The purpose is to identify types problems unique FCGs in care. Methods patients diagnosed non-small cell were recruited from an adult outpatient setting a comprehensive center. Questionnaires included demographic information, City Hope QOL...
Palliative care has evolved to be an integral part of comprehensive cancer with the goal early intervention improve quality life and patient outcomes. The NCCN Guidelines for Care provide recommendations help primary oncology team promote best possible throughout illness trajectory each cancer. Panel meets annually evaluate update based on panel members' clinical expertise emerging scientific data. These Insights summarize panel's recent discussions highlights updates importance fostering...
LBA3 Background: National guidelines recommend the early integration of palliative and oncology care for patients with advanced cancer, given robust evidence showing that this model improves quality life (QOL) other important outcomes. However, most do not receive (EPC) in outpatient setting due to limited access resources. To overcome these barriers, we conducted a large-scale comparative effectiveness trial EPC delivered via secure video versus person among non-small cell lung cancer...
The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care patients with cancer. are intended to guidance the primary oncology team integration of into oncology. Panel's seek ensure that each patient experiences best quality life possible throughout illness trajectory. Accordingly, outline practices screening, assessment, interventions, reassessment, and after-death care.
To date, oncologist and model prognostic performance have been assessed independently mostly retrospectively; however, how compares with prospectively remains unknown.To compare a in predicting 3-month mortality for patients metastatic solid tumors an outpatient setting.This study evaluated prospective predictions cohort of seen oncology clinics at National Cancer Institute-designated cancer center associated satellites between December 6, 2019, August 2021. Oncologists (57 physicians 17...
Introduction: Early palliative care (PC) integrated with oncology improves quality of life (QOL), depression symptoms, illness understanding, and end-of-life (EOL) for patients advanced lung cancer. The aims this trial are to compare the effect delivering early PC through telehealth versus in-person on patient caregiver outcomes. We hypothesize that both modalities would be equivalent improving QOL, communication about EOL preferences their oncologist, length stay in hospice. Methods: For...
Background: Patients on clinical trials experience numerous quality of life (QOL) concerns, including those associated with advancing disease. This pilot project tested the feasibility and initial outcomes an advanced practice registered nurse (APRN)-led intervention for patients gastrointestinal (GI) tumors transitioning after completing a phase I trial. Objectives: The objectives were to (1) Develop “Transitions” care plan based prior research support patient QOL symptom management,...
Consistent with the recommendations of Institute Medicine Report on quality cancer care, attention to symptom management and life concerns patients lung should be addressed throughout disease trajectory. As part a NCI-funded Program Project grant, this paper reports patient family caregiver education component nurse-lead, tailored palliative care intervention for early (I-III, n=130) late (IV, n=142) stage cancer. Patients caregivers received 4 separate educational sessions organized around...
Early integrated palliative care (EIPC) significantly improves clinical outcomes for patients with advanced cancer. Telehealth may be a useful tool to deliver EIPC sustainably and equitably. Palliative clinicians completed survey regarding their perceptions of the barriers, facilitators, benefits using telehealth video visits delivering lung Forty-eight across 22 cancer centers between May July 2022. Most (91.7%) agreed that increases access simplifies process receive (79.2%). Clinicians...
9035 Background: From 2020-2023, the Alliance of Dedicated Cancer Centers (ADCC) undertook a national initiative to improve goal concordant care (IGCC) where all cancer patients and their families receive that aligns with values priorities. One core components program was implement formal communications skills training supporting delivery care. As an ADCC member, City Hope’s (COH) Department Supportive Care Medicine created Improving Goal Concordant Virtual Workshop Series address this need....
Background: Collecting, monitoring, and responding to patient-generated health data (PGHD) are associated with improved quality of life patient satisfaction, possibly survival in oncology. However, the current state adoption, types PGHD collected, degree integration into electronic records (EHRs) is unknown. Methods: The NCCN EHR Oncology Advisory Group formed a Patient-Reported Outcomes (PRO) Workgroup perform an assessment provide recommendations for cancer centers, researchers, vendors...
During their careers, the oncologists or palliative care physicians will have been confronted at least once with patients substance use disorders. Addiction was defined by a consensus of American Academy Pain Medicine, Society and Medicine as "primary, chronic, neurobiologic disease, genetic, psychosocial, environmental factors influencing its development manifestations. It is characterized behaviours that include one more following: impaired control over drug use, compulsive continued...
You have accessJournal of UrologyGeneral & Epidemiological Trends Socioeconomics: Quality Improvement Patient Safety I1 Apr 2016PD02-02 ENHANCED RECOVERY AFTER SURGERY AND CARE COORDINATION PATHWAY AT CITY OF HOPE: DECREASED LENGTH STAY, READMISSIONS, COMPLICATIONS Steven V. Kardos, M.D. Kevin G. Chan, Bertram Yuh, Jonathan Yamzon, Nora H. Ruel, Finly Zachariah, Clayton S. Lau, andM.D. Laura CrocittoM.D. KardosSteven Kardos More articles by this author , ChanKevin Chan YuhBertram Yuh...