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 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 teamsBystander Empowerment Workshop: How to Respond to Microaggressions in Clinical Environments (INV307)
O'Neill L, Fisher H, Bernacki R, Carey E, Thomas J, Kapo J, Morrison L, Periyakoil V. Bystander Empowerment Workshop: How to Respond to Microaggressions in Clinical Environments (INV307). Journal Of Pain And Symptom Management 2023, 65: e533-e534. DOI: 10.1016/j.jpainsymman.2023.02.048.Peer-Reviewed Original ResearchLung 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 ResearchAssociation 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 oddsAssociation of palliative care and hospital outcomes among solid tumour oncology inpatients
Im JHB, Chow R, Novosel M, et al. BMJ Supportive & Palliative Care doi:10.1136/ spcare-2023-004207Peer-Reviewed Original Research
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 hospitalsCOVID-19 Traumatic Disaster Appraisal and Stress Symptoms Among Health Care Workers
Olson K, Fogelman N, Maturo L, Alvarado J, Ball S, Forray A, Hu M, Ivy M, Kapo J, Krystal J, Mayes L, Rohrbaugh R, Southwick S, Tebes J, Wassel B, Sinha R. COVID-19 Traumatic Disaster Appraisal and Stress Symptoms Among Health Care Workers. Journal Of Occupational And Environmental Medicine 2022, 64: 934-941. PMID: 35959912, PMCID: PMC9640251, DOI: 10.1097/jom.0000000000002673.Peer-Reviewed Original ResearchConceptsHealth care workersCare workersChronic mental healthCross-sectional evaluationTotal Worker HealthAdverse psychological outcomesPredictive factorsSevere stress eventsResponse rateCare qualityMental healthAdverse effectsPrivate practitionersHigh levelsWorkers' healthSense of controlStress symptomsPsychological outcomesLevel of educationGreater proportionHealthPandemicStress eventsSymptomsWorkersConsensus-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 studyParticipantsComorbiditiesMisusePrognosisThe X Waiver to Prescribe Buprenorphine: The Why and How
Jones K, Ho JJ, Merlin JS, Weimer M, Sager Z, Kapo J, Childers J. The X Waiver to Prescribe Buprenorphine: The Why and How. Journal Of Palliative Medicine 2022, 25: 1021-1023. PMID: 35775892, DOI: 10.1089/jpm.2022.0170.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsImproving 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 goalsExpert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305)
Jones K, Merlin J, Arnold R, Meier D, Kapo J, Paice J. Expert Consensus-Based Guidance on Approaches to Opioid Management in Individuals with Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder: Results of a Delphi Study (RP305). Journal Of Pain And Symptom Management 2022, 63: 1070. DOI: 10.1016/j.jpainsymman.2022.04.021.Peer-Reviewed Original ResearchOpioid use disorderBuprenorphine/naloxoneCancer-related painUrine drug testsOpioid misuseUncertain appropriatenessOpioid managementLonger prognosisComorbid painShort prognosisTraditional opioidsUse disordersUntreated opioid use disorderFull opioid agonistsPrescription of methadoneCancer pain managementDrug testsExpert panel consensusHigh-risk behaviorsMethadone accessTaper opioidsPrescribed opioidsUncontrolled painOUD treatmentPain managementBystander 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 carePatientsBarriers to recruitment into emergency department-initiated palliative care: a sub-study of a multi-site, randomized controlled trial.
Brickey J, Flannery M, Cuthel A, Cho J, Grudzen CR, EMPallA Investigators.. Barriers to recruitment into emergency department-initiated palliative care: a sub-study of a multi-site, randomized controlled trial. BMC Palliat Care 2022, 21: 22. PMID: 35168622, DOI: 10.1186/s12904-021-00899-9.Peer-Reviewed Original Research
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