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 hospitals
2021
An observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19
Ouellet JA, Prsic EH, Spear RA, Blatt L, Kukulka S, Cronin-Ozyck R, Kapo JM, Lai JM. An observational case series of targeted virtual geriatric medicine and palliative care consults for hospitalized older adults with COVID-19. Annals Of Palliative Medicine 2021, 0: 0-0. PMID: 34154358, DOI: 10.21037/apm-21-117.Peer-Reviewed Original ResearchConceptsPalliative care cliniciansPalliative care consultationCare cliniciansGeriatric medicineCare consultationsOlder adultsCode statusCOVID-19Virtual consultationsIntensive care unit levelLarge tertiary academic hospitalObservational case series studyDNR/DNIPalliative care consultCare unit levelHospitalized older adultsMedical record reviewCase series studyGoals of careObservational case seriesTime of consultationTertiary academic hospitalPersonal protective equipmentCare consultChart abstraction
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-yearCancerSevere functional limitation due to pain & emotional distress and subsequent receipt of prescription medications among older adults with cancer
Presley CJ, Canavan M, Wang SY, Feder SL, Kapo J, Saphire ML, Sheinfeld E, Kent EE, Davidoff AJ. Severe functional limitation due to pain & emotional distress and subsequent receipt of prescription medications among older adults with cancer. Journal Of Geriatric Oncology 2020, 11: 960-968. PMID: 32169548, PMCID: PMC7346676, DOI: 10.1016/j.jgo.2020.02.006.Peer-Reviewed Original ResearchConceptsSevere functional limitationsCo-occurring symptomsFunctional limitationsOlder adultsPrescription medicationsEmotional distressOlder adult Medicare beneficiariesAdult Medicare beneficiariesPrescription claims dataStage IV diseaseSupportive care needsMultivariable logistic regressionPrescription medication useMedicare Part D enrollmentPart D enrollmentCertain cancer typesMedication useLung cancerClaims dataPainMedicare beneficiariesCare needsFunctional independenceParticipant characteristicsCancer
2019
Patterns of pain medication use associated with reported pain interference in older adults with and without cancer
Davidoff AJ, Canavan ME, Feder S, Wang S, Sheinfeld E, Kent EE, Kapo J, Presley CJ. Patterns of pain medication use associated with reported pain interference in older adults with and without cancer. Supportive Care In Cancer 2019, 28: 3061-3072. PMID: 31637515, PMCID: PMC7338979, DOI: 10.1007/s00520-019-05074-8.Peer-Reviewed Original ResearchConceptsSevere pain interferencePrescription pain medicationPain interferencePain medicationOlder adultsMedication receiptMedicare Part D prescription claimsNon-steroidal anti-inflammatory drugsModerate pain interferenceReceipt of opioidsPain medication useManagement of painHalf of adultsAnti-inflammatory drugsPart D low-income subsidyLow-income subsidyOpioid prescribingOpioid prescriptionsSevere painMedication usePain managementSurveillance EpidemiologyPrescription claimsCancer historyChronic conditions
2018
Advance Care Planning in Cognitively Impaired Older Adults
Thomas J, Sanchez‐Reilly S, Bernacki R, O'Neill L, Morrison LJ, Kapo J, Periyakoil VS, Carey EC. Advance Care Planning in Cognitively Impaired Older Adults. Journal Of The American Geriatrics Society 2018, 66: 1469-1474. PMID: 30277566, DOI: 10.1111/jgs.15471.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsAdvance care planningCognitive impairmentOlder adultsCare planningFuture careRates of ACPSite of careSystem-related factorsOwn health careCognitive impairment progressesAdvanced dementiaIllness trajectoryArtificial hydrationHospice careAnticipatory guidanceDecision-making capacityCareCliniciansHealth careImpairmentHealthcare challengesAdultsImportant outcomesSpecial considerationIndividuals
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
2008
Identifying the Factors That Facilitate or Hinder Advance Planning by Persons With Dementia
Hirschman KB, Kapo JM, Karlawish JH. Identifying the Factors That Facilitate or Hinder Advance Planning by Persons With Dementia. Alzheimer Disease & Associated Disorders 2008, 22: 293-298. PMID: 18580595, PMCID: PMC2666935, DOI: 10.1097/wad.0b013e318169d669.Peer-Reviewed Original Research
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
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 programsIs the Palliative Performance Scale a Useful Predictor of Mortality in a Heterogeneous Hospice Population?
Harrold J, Rickerson E, Carroll JT, McGrath J, Morales K, Kapo J, Casarett D. Is the Palliative Performance Scale a Useful Predictor of Mortality in a Heterogeneous Hospice Population? Journal Of Palliative Medicine 2005, 8: 503-509. PMID: 15992191, DOI: 10.1089/jpm.2005.8.503.Peer-Reviewed Original ResearchConceptsPalliative Performance ScaleNursing home residentsNon-cancer diagnosesHospice populationPPS scoreHome residentsPrognostic valueSix-month mortality rateCox proportional hazards modelStudy periodPredictors of mortalityProspective cohort studyPredictor of prognosisStrong independent predictorTime of enrollmentCommunity hospice programsProportional hazards modelSite of careStrong predictive valueCohort studyNoncancer diagnosesIndependent predictorsHospice eligibilityMedical recordsInpatient settingTiming of Hospice Referral and Families' Perceptions of Services: Are Earlier Hospice Referrals Better?
Rickerson E, Harrold J, Kapo J, Carroll JT, Casarett D. Timing of Hospice Referral and Families' Perceptions of Services: Are Earlier Hospice Referrals Better? Journal Of The American Geriatrics Society 2005, 53: 819-823. PMID: 15877557, DOI: 10.1111/j.1532-5415.2005.53259.x.Peer-Reviewed Original ResearchConceptsLength of stayFamilies of patientsHospice referralHospice servicesEarlier hospice referralFamily perceptionsEnd of lifeHospice admissionHospice enrollmentPatient deathStayFamily reportHospicePatientsLess benefitLonger lengthReferralDeathShorter lengthHelpfulness ratingsMost familiesReportGreat benefitFuture effortsAdmission