2024
Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis
Feder S, Iannone L, Lendvai D, Zhan Y, Akgün K, Ersek M, Luhrs C, Allen L, Bekelman D, Goldstein N, Kavalieratos D. Clinician Insights into Effective Components, Delivery Characteristics, and Implementation Strategies of Ambulatory Palliative Care for People with Heart Failure: A Qualitative Analysis. Journal Of Cardiac Failure 2024 PMID: 39098653, DOI: 10.1016/j.cardfail.2024.07.009.Peer-Reviewed Original ResearchSpecialist palliative careVeterans Affairs Medical CenterCardiology cliniciansPalliative careImplementation strategiesDelivery characteristicsDiscussion of goals of careSpecialist palliative care cliniciansAmbulatory palliative careGoals of careGuideline-directed careQualitative descriptive studyAffairs Medical CenterSemi-structured interviewsCare deliveryAdvanced practiceLeadership supportVA systemReferral proceduresDescriptive studyAmbulatory settingClinicians insightCareHeart failureMedical CenterVariation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findingsVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10
2023
USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE
Han L, Abel E, Zhan Y, Akgün K, Feder S. USING MULTI-LEVEL MODELING TO EXAMINE RACIAL DISPARITIES IN PALLIATIVE CARE AMONG OLDER ADULTS WITH HEART FAILURE. Innovation In Aging 2023, 7: 1149-1150. PMCID: PMC10736640, DOI: 10.1093/geroni/igad104.3689.Peer-Reviewed Original ResearchAdvanced heart failureVeterans Affairs Medical CenterSpecialist palliative careHeart failureOlder adultsWhite raceGuideline-concordant careICD-9/10 codesService delivery characteristicsAHF cohortSPC servicesPalliative careBlack raceMedical CenterLogistic regressionSocioeconomic disparitiesFacility characteristicsRacial disparitiesPersistent disparitiesAdultsRandom interceptDelivery characteristicsConventional logistic regressionCareEquitable accessEasing Suffering for ICU Patients and Their Families: Evidence and Opportunities for Primary and Specialty Palliative Care in the ICU
Doherty C, Feder S, Gillespie-Heyman S, Akgün K. Easing Suffering for ICU Patients and Their Families: Evidence and Opportunities for Primary and Specialty Palliative Care in the ICU. Journal Of Intensive Care Medicine 2023, 39: 715-732. PMID: 37822226, DOI: 10.1177/08850666231204305.Peer-Reviewed Original ResearchSurrogate decision makersPalliative needsCritical illnessICU patientsPalliative medicineIntensive care unit admissionChronic critical illnessPalliative medicine teamsPost-ICU disabilitySpecialty palliative careCare unit admissionTransitions of careImprovement of patientsAdvanced practice nursesFamily-centered carePerson-centred careUnit admissionICU carePalliative supportPalliative carePractice nursesPalliative principlesMedicine teamPatientsICUValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultation
2022
The 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
Palliative Care During a Pandemic
Feder S, Schulman-Green D, Akgün K. Palliative Care During a Pandemic. Respiratory Medicine 2021, 345-372. DOI: 10.1007/978-3-030-81788-6_18.Peer-Reviewed Original ResearchCare deliveryLung diseasePalliative careSevere acute respiratory syndromeChronic lung diseasePalliative care deliveryAcute respiratory syndromeDisease careRespiratory pathogensRespiratory syndromeFamily caregiversHealthcare providersPrevious pandemicsCarePatient autonomyDiseasePalliative communicationVirus pandemicPandemicDeliveryPatientsProvidersSyndromeCaregivers
2020
National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503)
Feder S, Ersek M, Kutney-Lee A, Redeker N, Bastian L, Akgun K. National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503). Journal Of Pain And Symptom Management 2020, 60: 230. DOI: 10.1016/j.jpainsymman.2020.04.095.Peer-Reviewed Original Research