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 panelCliniciansAdvance care planning and hospital outcomes in solid tumour oncology inpatients
Qeska D, Chow R, Balboni T, Kapo J, Zimmermann C, Prsic E. Advance care planning and hospital outcomes in solid tumour oncology inpatients. BMJ Supportive & Palliative Care 2023, 14: e541-e544. PMID: 37500567, DOI: 10.1136/spcare-2023-004396.Peer-Reviewed Original ResearchAdvance care planningHospital mortalityED visitsEmergency departmentCare planningYale-New Haven HospitalObservational cohort analysisIntensive care unitMultivariable logistic regressionSolid tumor malignanciesNew Haven HospitalDecreased readmissionsHospital outcomesOncology inpatientsPatient characteristicsACP documentationHospital readmissionLonger LOSCare unitOncology careRothman IndexCohort analysisPatientsTumor malignancyInpatient teamsLung Cancer Supportive Care and Symptom Management
Yao J, Novosel M, Bellampalli S, Kapo J, Joseph J, Prsic E. Lung Cancer Supportive Care and Symptom Management. Hematology/Oncology Clinics Of North America 2023, 37: 609-622. PMID: 37024385, DOI: 10.1016/j.hoc.2023.02.011.Peer-Reviewed Original Research
2022
Consensus-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 studyParticipantsComorbiditiesMisusePrognosisImproving Breast Cancer Family Caregivers’ Palliative Care Literacy: A Pilot Randomized Trial
Schulman-Green D, Linsky S, Blatt L, Jeuland J, Kapo J, Jeon S. Improving Breast Cancer Family Caregivers’ Palliative Care Literacy: A Pilot Randomized Trial. Journal Of Family Nursing 2022, 29: 99-114. PMID: 35670155, DOI: 10.1177/10748407221099541.Peer-Reviewed Original ResearchConceptsCancer family caregiversCaregiver burdenFamily caregiversPilot Randomized TrialRandomized trialsMean agePreliminary efficacyCancer carePatient goalsIntervention participantsCare conversationsCare communicationCaregiver activitiesFurther studiesTrialsCaregiversBurdenTraining programParticipantsPatientsEthnic minoritiesIllnessFamily managementActivityLack of goalsBystander Empowerment Workshop: How to Respond to Microaggressions in Clinical Environments (TH150)
O'Neill L, Thomas J, Bernacki R, Kapo J, Morrison L, Carey E, Sanchez-Reilly S, Periyakoil V, Fisher H, Kozelka K, Natarajan S, Mbewe A. Bystander Empowerment Workshop: How to Respond to Microaggressions in Clinical Environments (TH150). Journal Of Pain And Symptom Management 2022, 63: 796-797. DOI: 10.1016/j.jpainsymman.2022.02.230.Peer-Reviewed Original ResearchExpert 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
Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19ScoresExpert 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 panelMonthsOpioids
2020
Patterns of Opioid Prescribing among Medicare Advantage Beneficiaries with Pain and Cardiopulmonary Conditions
Feder SL, Canavan ME, Wang S, Kent EE, Kapo J, Presley CJ, Ross J, Davidoff AJ. Patterns of Opioid Prescribing among Medicare Advantage Beneficiaries with Pain and Cardiopulmonary Conditions. Journal Of Palliative Medicine 2020, 24: 195-204. PMID: 32673139, PMCID: PMC7840305, DOI: 10.1089/jpm.2020.0193.Peer-Reviewed Original ResearchConceptsCardiopulmonary conditionsOpioid useMedicare Part D prescription claimsPatterns of opioidSevere pain interferenceUse of opioidsInitiation of opioidsMedicare Advantage beneficiariesNon-Hispanic blacksSelf-reported historyNon-Hispanic whitesOpioid prescribingSevere painNoncancer conditionsPain assessmentPain interferencePrescription claimsAdjusted proportionObservational studyPainPatientsOpioidsLogistic regressionOne-yearCancer
2018
Simple interventions to decrease use of chemotherapy in patients at the end of life.
Chiang A, Adelson K, Kapo J, Severino K, Lilenbaum R. Simple interventions to decrease use of chemotherapy in patients at the end of life. Journal Of Clinical Oncology 2018, 36: 181-181. DOI: 10.1200/jco.2018.36.30_suppl.181.Peer-Reviewed Original ResearchDays of lifeCourse of illnessEnd of lifeDay of deathGOC conversationsPrimary oncologistCare centerEarly palliative care referralPalliative care referralUse of chemotherapyPalliative care trainingChemotherapy utilizationCare referralPoor prognosisGOC discussionsCancer patientsUnnecessary treatmentGeneral oncologistsCare conversationsPost interventionPatientsChemotherapyMultidisciplinary teamPatient carePhysicians' skills
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
2013
Caring for oneself to care for others: physicians and their self-care.
Sanchez-Reilly S, Morrison LJ, Carey E, Bernacki R, O'Neill L, Kapo J, Periyakoil VS, Thomas Jde L. Caring for oneself to care for others: physicians and their self-care. The Journal Of Supportive Oncology 2013, 11: 75-81. PMID: 23967495, PMCID: PMC3974630, DOI: 10.12788/j.suponc.0003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2010
Advance Care Planning and Hospice Enrollment: Who Really Makes the Decision To Enroll?
Hirschman KB, Corcoran AM, Straton JB, Kapo JM. Advance Care Planning and Hospice Enrollment: Who Really Makes the Decision To Enroll? Journal Of Palliative Medicine 2010, 13: 519-523. PMID: 20201667, DOI: 10.1089/jpm.2009.0370.Peer-Reviewed Original ResearchConceptsAdvance care planningCare planningNon-white respondentsHospice enrollment decisionLength of stayFamily membersHospice enrollmentMechanical ventilationACP discussionsCardiopulmonary resuscitationPatient participationPatientsHospiceWhite respondentsMajority of respondentsACP preferencesAdvance directivesAnonymous surveyRespondentsStayResuscitationDementiaGreater understandingCancerPhysicians
2006
Why Doesn't a Family Member of a Person With Advanced Dementia Use a Substituted Judgment When Making a Decision for That Person?
Hirschman KB, Kapo JM, Karlawish JH. Why Doesn't a Family Member of a Person With Advanced Dementia Use a Substituted Judgment When Making a Decision for That Person? American Journal Of Geriatric Psychiatry 2006, 14: 659-667. PMID: 16861370, DOI: 10.1097/01.jgp.0000203179.94036.69.Peer-Reviewed Original ResearchConceptsAdvanced dementiaHealthcare preferencesFamily membersLong-term care facilitiesMedical decisionsSubstituted judgmentAlzheimer's Disease CenterEarly-stage dementiaDisease CenterCare facilitiesPatient denialSubstituted judgment standardDementiaHealthcare professionalsPatientsSemistructured interviewsFamily consensusPersonsBest interestsUnrealistic expectations
2005
Are We Referring Patients to Hospice Too Late? Patients' and Families' Opinions
Kapo J, Harrold J, Carroll JT, Rickerson E, Casarett D. Are We Referring Patients to Hospice Too Late? Patients' and Families' Opinions. Journal Of Palliative Medicine 2005, 8: 521-527. PMID: 15992193, DOI: 10.1089/jpm.2005.8.521.Peer-Reviewed Original Research"Lost to Follow-up": Ethnic Disparities in Continuity of Hospice Care at the End of Life
Kapo J, Macmoran H, Casarett D. "Lost to Follow-up": Ethnic Disparities in Continuity of Hospice Care at the End of Life. Journal Of Palliative Medicine 2005, 8: 603-608. PMID: 15992202, DOI: 10.1089/jpm.2005.8.603.Peer-Reviewed Original ResearchConceptsAfrican American patientsEnd of lifeFirst admissionHospice utilizationAmerican patientsEthnic disparitiesMultivariable logistic regression modelAfrican AmericansRetrospective cohort studyIntensive nursing careAfrican American ethnicityElectronic medical recordsLower ratesLogistic regression modelsCohort studyPatient characteristicsSymptom managementHospice dischargeMedical recordsNursing careHospice careLife carePatientsDecreased likelihoodHospice programs