2024
Framework for Considering Primary and Subspecialty Palliative Care and Guiding Serious Illness Communication for Patients With Breast Cancer.
Dow L, Kapo J, Boyle F, Shin J. Framework for Considering Primary and Subspecialty Palliative Care and Guiding Serious Illness Communication for Patients With Breast Cancer. American Society Of Clinical Oncology Educational Book 2024, 44: e432554. PMID: 39018514, DOI: 10.1200/edbk_432554.Peer-Reviewed Original ResearchConceptsSubspecialty palliative carePalliative careCore components of palliative carePrimary palliative care skillsComponents of palliative careBreast cancerPalliative care skillsPrimary palliative carePalliative care specialistsType of careQuality of life of patientsCare of patientsResource-constrained settingsIllness communicationCare skillsCoordinated careIllness trajectoryLife of patientsOncology cliniciansCare specialistsManaging painOncology teamPhysical symptomsOncology practiceCare
2023
Expert consensus‐based guidance on approaches to opioid management in individuals with advanced cancer‐related pain and nonmedical stimulant use
Jones K, Khodyakov D, Han B, Arnold R, Dao E, Morrison J, Kapo J, Meier D, Paice J, Liebschutz J, Ritchie C, Merlin J, Bulls H. Expert consensus‐based guidance on approaches to opioid management in individuals with advanced cancer‐related pain and nonmedical stimulant use. Cancer 2023, 129: 3978-3986. PMID: 37691479, PMCID: PMC10910244, DOI: 10.1002/cncr.34921.Peer-Reviewed Original ResearchConceptsCancer-related painConsensus-based guidanceStimulant useUncertain appropriatenessOpioid taperingLonger prognosisShort prognosisPalliative careAddiction expertsNonmedical stimulant useRAND/UCLAStimulant use disorderHarm reduction measuresAdvanced cancerPatient prognosisClinical appropriatenessPainUse disordersPrognosisPatientsExpert consensusOpioidsCancerDelphi panelCliniciansAssociation of palliative care and hospital outcomes among solid tumour oncology inpatients
Im J, Chow R, Novosel M, Xiang J, Strait M, Rao V, Kapo J, Zimmermann C, Prsic E. Association of palliative care and hospital outcomes among solid tumour oncology inpatients. BMJ Supportive & Palliative Care 2023, 14: e1349-e1353. PMID: 36849221, DOI: 10.1136/spcare-2023-004207.Peer-Reviewed Original ResearchPalliative care consultationInpatient palliative care consultationCare consultationsHospital deathHospital outcomesICU admissionPalliative careIntensive care unit useRetrospective chart reviewSite of malignancyEmergency department visitsHospital outcome dataMultivariable logistic regressionLength of stayOncology admissionsChart reviewED visitsOncology inpatientsDepartment visitsMultivariable analysisICU levelMedical recordsPatient presentationRothman IndexHigher odds
2022
Integrating Palliative Care Into Self-management of Breast Cancer
Schulman-Green D, Linsky S, Jeon S, Holland ML, Kapo J, Blatt L, Adams C, Chagpar AB. Integrating Palliative Care Into Self-management of Breast Cancer. Cancer Nursing 2022, 46: e169-e180. PMID: 35353749, PMCID: PMC9519806, DOI: 10.1097/ncc.0000000000001078.Peer-Reviewed Original ResearchConceptsBreast cancer patientsPalliative careCancer careRace/ethnicityCancer patientsChronic Disease Self-Efficacy ScaleStage III/IV cancerSingle-blind pilotSymptom management educationSelf-management planFeasibility/acceptabilityAcademic cancer centerMedical Communication Competence ScaleSelf-management outcomesLate-stage cancerEthnic minority patientsEffect sizeClinical characteristicsCancer CenterHospital AnxietyMishel UncertaintyCancer stageIllness ScaleBreast cancerDepression ScaleQuality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic
Soliman AA, Akgün KM, Coffee J, Kapo J, Morrison LJ, Hopkinson E, Schulman-Green D, Feder SL. Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic. Journal Of Pain And Symptom Management 2022, 65: 6-15. PMID: 36206949, PMCID: PMC9532267, DOI: 10.1016/j.jpainsymman.2022.09.014.Peer-Reviewed Original ResearchConceptsEarly COVID-19 pandemicGoals of carePC consultationElectronic health record reviewCOVID-19 pandemicQuality of telehealthUnmet PC needsInpatient palliative careHealth record reviewPalliative care servicesPatients' social needsRate of assessmentNew England hospitalsCOVID-19 infection ratesSymptom controlRecord reviewPalliative carePC servicesMean agePC needsFamily burdenCare servicesInfection ratePsychological symptomsEngland hospitalsConsensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder
Jones K, Khodyakov D, Arnold R, Bulls H, Dao E, Kapo J, Meier D, Paice J, Liebschutz J, Ritchie C, Merlin J. Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder. JAMA Oncology 2022, 8: 1107-1114. PMID: 35771550, PMCID: PMC9247858, DOI: 10.1001/jamaoncol.2022.2191.Peer-Reviewed Original ResearchConceptsOpioid use disorderCancer-related painOpioid misuseUse disordersClinical scenariosUntreated opioid use disorderAddiction medicine specialistsCommon clinical scenariosDelphi panelImportant comorbidityAdvanced cancerPalliative careMAIN OUTCOMEMedicine specialistsAddiction specialistsPatientsLack of consensusPainAddiction cliniciansDisordersQualitative studyParticipantsComorbiditiesMisusePrognosisExpert Panel Consensus on Management of Advanced Cancer-related Pain in Individuals with Opioid Use Disorder
Merlin J, Khodyakov D, Arnold R, Bulls H, Dao E, Kapo J, King C, Meier D, Paice J, Ritchie C, Liebschutz J. Expert Panel Consensus on Management of Advanced Cancer-related Pain in Individuals with Opioid Use Disorder. Journal Of Pain 2022, 23: 60. DOI: 10.1016/j.jpain.2022.03.226.Peer-Reviewed Original ResearchBuprenorphine/naloxoneFull agonist opioidsUncertain appropriatenessAdvanced cancerPalliative careCancer pain management strategiesCancer-related painAdvanced cancer painPain management strategiesOpioid use disorderExpert panel consensusConsensus-based guidanceCancer painDay dosingBuprenorphine/Optimal dosingMethadone clinicsUse disordersPatientsNaloxonePanel consensusPrognosisMethadoneHealth FoundationPainThe Quality of Telehealth-Delivered Palliative Care During the Initial COVID-19 Pandemic Surge (S530)
Soliman A, Akgün K, Coffee J, Kapo J, Morrison L, Blatt L, Schulman-Green D, Feder S. The Quality of Telehealth-Delivered Palliative Care During the Initial COVID-19 Pandemic Surge (S530). Journal Of Pain And Symptom Management 2022, 63: 921-922. PMCID: PMC9001042, DOI: 10.1016/j.jpainsymman.2022.02.153.Peer-Reviewed Original ResearchPC consultationDiscussion of goalsPalliative carePandemic surgeSerious illnessFamily understandingCOVID-19 pandemic surgeLarge hospitalsInitial pandemic surgeInpatient PC consultationsQuality of telehealthPercent of patientsPalliative care servicesPrimary cancer diagnosisAssessment of patientsEarly COVID-19 pandemicCOVID-19 infection ratesCOVID-19 ratesElectronic health recordsMedian timePC servicesMean ageInitial consultationInterdisciplinary carePatients
2021
Expert Panel Consensus on Management of Advanced Cancer–Related Pain in Individuals With Opioid Use Disorder
Merlin JS, Khodyakov D, Arnold R, Bulls HW, Dao E, Kapo J, King C, Meier D, Paice J, Ritchie C, Liebschutz JM. Expert Panel Consensus on Management of Advanced Cancer–Related Pain in Individuals With Opioid Use Disorder. JAMA Network Open 2021, 4: e2139968. PMID: 34962565, DOI: 10.1001/jamanetworkopen.2021.39968.Peer-Reviewed Original ResearchConceptsOpioid use disorderFull agonist opioidsAdvanced cancerUncertain appropriatenessCancer painPalliative careUse disordersCancer pain managementAppropriateness of managementExpert panel consensusConsensus-based guidanceImportant comorbidityOpioid medicationsPain managementMethadone clinicsPainPatientsPanel consensusPrognosisCancerMethadoneDelphi processExpert panelMonthsOpioidsConsensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process
King C, Arnold R, Dao E, Kapo J, Liebschutz J, Meier D, Paice J, Ritchie C, Czajkowski K, Khodyakov D, Merlin J. Consensus-based approach to managing opioids, including opioid misuse and opioid use disorder, in patients with serious illness: protocol for a modified Delphi process. BMJ Open 2021, 11: e045402. PMID: 34011593, PMCID: PMC8137210, DOI: 10.1136/bmjopen-2020-045402.Peer-Reviewed Original ResearchConceptsOpioid use disorderOpioid misuseSerious illnessInstitutional review boardUse disordersBenefits of opioidsOpioid-related harmsPalliative care cliniciansInstitutional Research BoardPittsburgh Institutional Review BoardOpioid therapyPain managementCare cliniciansPalliative careClinical guidanceEthical approvalIllnessReview boardCliniciansDelphi processPatient casesImplementation toolkitRound 1OpioidsFinal consensus
2018
Palliative care in decompensated cirrhosis: A review
Langberg KM, Kapo JM, Taddei TH. Palliative care in decompensated cirrhosis: A review. Liver International 2018, 38: 768-775. PMID: 29112338, DOI: 10.1111/liv.13620.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsPalliative carePatient populationProspective randomized control trialIncidence of cirrhosisPalliative care consultationAdvanced care planningPatient-reported outcomesSmall observational studiesPotential treatment optionCost of careRandomized control trialQuality of lifeLiver transplantSymptom controlICU utilizationLiver diseaseCare consultationsTreatment optionsPatient satisfactionHospital costsObservational studyCirrhosisCare planningControl trialOnly cure
2017
Chaplains Working in Palliative Care: Who They Are and What They Do
Jeuland J, Fitchett G, Schulman-Green D, Kapo J. Chaplains Working in Palliative Care: Who They Are and What They Do. Journal Of Palliative Medicine 2017, 20: 502-508. PMID: 28146647, DOI: 10.1089/jpm.2016.0308.Peer-Reviewed Original ResearchConceptsPC teamSpiritual care needsPC patientsPatients' spiritual care needsPalliative care programsTime of deathPalliative careCare conversationsMAIN OUTCOMECare needsSpiritual distressCare programNational online surveyPatientsCritical rolePractice informationFirst descriptionUnited StatesOnline surveyExistential issuesChaplainsAverage numberHalfTeam
2016
Integrating palliative care into self-management of breast cancer: Protocol for a pilot randomized controlled trial
Schulman-Green D, Linsky S, Jeon S, Kapo J, Blatt L, Chagpar A. Integrating palliative care into self-management of breast cancer: Protocol for a pilot randomized controlled trial. Contemporary Clinical Trials 2016, 48: 133-138. PMID: 27107680, PMCID: PMC4937876, DOI: 10.1016/j.cct.2016.04.009.Peer-Reviewed Original ResearchConceptsPalliative careBreast cancerPsycho-educational interventionPatient knowledgeFamily caregiversAttention control groupBreast cancer patients' knowledgeSymptom management toolkitSelf-management interventionsCancer patients' knowledgePreliminary effectsLarge-scale trialsIntervention effectsMinority participantsClinical factorsCurative treatmentCancer careIntervention groupExploratory aimSerious illnessPatient behaviorPatientsLength of lifeCancerEffect of MCC
2015
Integrating Palliative Care Into the Care of Patients With Advanced Lung Cancer
Kapo JM, Akgün KM. Integrating Palliative Care Into the Care of Patients With Advanced Lung Cancer. The Cancer Journal 2015, 21: 434-439. PMID: 26389769, DOI: 10.1097/ppo.0000000000000149.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsAdvanced lung cancerLung cancerPalliative careMedian survivalAdvanced non-small cell lung cancerNon-small cell lung cancerBurden of symptomsRegional lymph nodesCell lung cancerLung cancer mortalityTreatment of painTreatment of patientsCare of patientsCause of deathSupport of caregiversMetastatic diseaseLymph nodesCancer mortalityCancer deathPatientsHigh mortalityCancerNeed of supportCareDyspnea
2007
Palliative Care for the Older Adult
Kapo J, Morrison LJ, Liao S. Palliative Care for the Older Adult. Journal Of Palliative Medicine 2007, 10: 185-209. PMID: 17298269, DOI: 10.1089/jpm.2006.9989.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsLong-term care settingsPalliative careCare settingsGeriatric syndromesMultiple chronic medical problemsHigh-quality palliative careCommon geriatric syndromesPalliative care physiciansPalliative care settingGeriatric palliative careChronic medical problemsLife-limiting illnessMajority of deathsQuality of lifeProvision of careEnd of lifeElderly patientsUrinary incontinenceCare physiciansGeriatric populationDisease trajectoriesDifferent long-term care settingsFrail eldersMedical problemsOlder adults