Search

Your search keyword '"Epstein, Ronald M."' showing total 21 results
Start Over Author "Epstein, Ronald M." Journal journal of clinical oncology
21 results on '"Epstein, Ronald M."'

1. Importance of information-seeking styles among patients with cancer pre- and post-treatment: A URCC NCORP Research Base study.

Author

Yilmaz, Sule, primary, Mohile, Supriya Gupta, additional, Adler, David, additional, Epstein, Ronald M., additional, Loh, Kah Poh, additional, Medina-Walpole, Annette, additional, Naik, Aanand, additional, Grudzen, Corita, additional, Culakova, Eva, additional, Sun, Hongying, additional, Morrow, Gary R., additional, McGuire, Jeremy, additional, Mattick, Lindsey Jean, additional, Rieth, Katherine, additional, Kadambi, Sindhuja G, additional, Clark, Viktor, additional, Kinney, Michelle, additional, Onitilo, Adedayo A., additional, Wade, James L, additional, and Peppone, Luke Joseph, additional

Published
2024
Full Text
View/download PDF

2. Promoting End-of-Life Discussions in Advanced Cancer: Effects of Patient Coaching and Question Prompt Lists

Author

Rodenbach, Rachel A, Brandes, Kim, Fiscella, Kevin, Kravitz, Richard L, Butow, Phyllis N, Walczak, Adam, Duberstein, Paul R, Sullivan, Peter, Hoh, Beth, Xing, Guibo, Plumb, Sandy, and Epstein, Ronald M

Subjects
Clinical Trials and Supportive Activities, Cancer, Clinical Research, 7.1 Individual care needs, Management of diseases and conditions, Good Health and Well Being, Adult, Advance Care Planning, Aged, Attitude to Death, Communication, Female, Humans, Male, Middle Aged, Neoplasms, Oncologists, Physician-Patient Relations, Terminal Care, Clinical Sciences, Oncology and Carcinogenesis, Oncology & Carcinogenesis
Abstract

Purpose To build on results of a cluster randomized controlled trial (RCT) of a combined patient-oncologist intervention to improve communication in advanced cancer, we conducted a post hoc analysis of the patient intervention component, a previsit patient coaching session that used a question prompt list (QPL). We hypothesized that intervention-group participants would bring up more QPL-related topics, particularly prognosis-related topics, during the subsequent oncologist visit. Patients and Methods This cluster RCT with 170 patients who had advanced nonhematologic cancer (and their caregivers) recruited from practices of 24 participating oncologists in western New York. Intervention-group oncologists (n = 12) received individualized communication training; up to 10 of their patients (n = 84) received a previsit individualized communication coaching session that incorporated a QPL. Control-group oncologists (n = 12) and patients (n = 86) received no interventions. Topics of interest identified by patients during the coaching session were summarized from coaching notes; one office visit after the coaching session was audio recorded, transcribed, and analyzed by using linear regression modeling for group differences. Results Compared with controls, more than twice as many intervention-group participants brought up QPL-related topics during their office visits (70.2% v 32.6%; P < .001). Patients in the intervention group were nearly three times more likely to ask about prognosis (16.7% v 5.8%; P =.03). Of 262 topics of interest identified during coaching, 158 (60.3%) were QPL related; 20 (12.7%) addressed prognosis. Overall, patients in the intervention group brought up 82.4% of topics of interest during the office visit. Conclusion A combined coaching and QPL intervention was effective to help patients with advanced cancer and their caregivers identify and bring up topics of concern, including prognosis, during their subsequent oncologist visits. Considering that most patients are misinformed about prognosis, more intensive steps are needed to better promote such discussions.

Published
2017

3. Prognostic understanding, hospitalization, and hospice use among older patients with advanced cancer.

Author

Loh, Kah Poh, primary, Seplaki, Christopher, additional, Yousefi Nooraie, Reza, additional, Lund, Jennifer Leigh, additional, Epstein, Ronald M., additional, Duberstein, Paul, additional, Flannery, Marie Anne, additional, Culakova, Eva, additional, Xu, Huiwen, additional, Klepin, Heidi D., additional, Lin, Po-Ju, additional, Sanapala, Chandrika, additional, Watson, Erin, additional, Targia, Valerie, additional, Vogelzang, Nicholas J., additional, Dib, Elie G., additional, Onitilo, Adedayo A., additional, Mustian, Karen Michelle, additional, and Mohile, Supriya Gupta, additional

Published
2021
Full Text
View/download PDF

4. Caregiver-oncologist concordance in patient prognosis, caregiver depression, and caregiver mastery.

Author

Loh, Kah Poh, primary, Culakova, Eva, additional, Xu, Huiwen, additional, Kadambi, Sindhuja M, additional, Magnuson, Allison, additional, Flannery, Marie Anne, additional, Duberstein, Paul, additional, Epstein, Ronald M., additional, McHugh, Colin, additional, Nipp, Ryan David, additional, Trevino, Kelly Marie, additional, Sanapala, Chandrika, additional, Canin, Beverly, additional, Gayle, Arlene Angela, additional, Conlin, Alison Katherine, additional, Bearden, James, additional, and Mohile, Supriya Gupta, additional

Published
2020
Full Text
View/download PDF

6. Associations of caregiver-oncologist discordance in prognostic understanding with caregiver-reported therapeutic alliance and anxiety.

Author

Loh, Kah Poh, primary, Xu, Huiwen, additional, Epstein, Ronald M., additional, Mohile, Supriya Gupta, additional, Prigerson, Holly Gwen, additional, Plumb, Sandy, additional, Ladwig, Susan, additional, Wong, Melisa L., additional, Kadambi, Sindhuja M, additional, McHugh, Colin, additional, An, Amy W., additional, Trevino, Kelly Marie, additional, Saeed, Fahad, additional, and Duberstein, Paul, additional

Published
2019
Full Text
View/download PDF

8. Improving person-centered communication of goals, proxy, and advance directives in older patients with advanced cancer: Secondary analysis from a University of Rochester NCI Community Oncology Research Program (NCORP) cluster randomized controlled trial (CRCT).

Author

Flannery, Marie Anne, primary, Culakova, Eva, additional, Loh, Kah Poh, additional, Epstein, Ronald M., additional, Kamen, Charles Stewart, additional, Obrecht, Spencer, additional, Melnyk, Nataliya, additional, Whitehead, Mary I., additional, Geer, Jodi, additional, Giguere, Jeffrey K., additional, Mustian, Karen Michelle, additional, Duberstein, Paul, additional, Dale, William, additional, and Mohile, Supriya Gupta, additional

Published
2019
Full Text
View/download PDF

10. Associations of uncertainty with psychological status and quality of life (QoL) among 527 older patients with advanced cancer.

Author

Babu, Dilip Sankar, primary, Loh, Kah Poh, additional, Bautista, Javier, additional, Xu, Huiwen, additional, Culakova, Eva, additional, Canin, Beverly E., additional, Conlin, Alison Katherine, additional, Bearden, James, additional, Berenberg, Jeffrey L., additional, Zhang, Yingzi, additional, Wells, Megan, additional, Epstein, Ronald M., additional, Dale, William, additional, Duberstein, Paul, additional, Mohile, Supriya Gupta, additional, and Tejani, Mohamedtaki Abdulaziz, additional

Published
2019
Full Text
View/download PDF

12. Willingness to bear adversity and beliefs about the curability of advanced cancer.

Author

Loh, Kah Poh, primary, Mohile, Supriya Gupta, additional, Epstein, Ronald M., additional, McHugh, Colin, additional, Flannery, Marie Anne, additional, Culakova, Eva, additional, Lei, Lianlian, additional, Wells, Megan, additional, Gilmore, Nikesha, additional, Babu, Dilip Sankar, additional, Conlin, Alison Katherine, additional, Thomas, Melanie B., additional, Berenberg, Jeffrey L., additional, and Duberstein, Paul, additional

Published
2018
Full Text
View/download PDF

14. Improving communication with older patients with cancer using geriatric assessment (GA): A University of Rochester NCI Community Oncology Research Program (NCORP) cluster randomized controlled trial (CRCT).

Author

Mohile, Supriya Gupta, primary, Epstein, Ronald M., additional, Hurria, Arti, additional, Heckler, Charles E., additional, Duberstein, Paul, additional, Canin, Beverly E., additional, Gilmore, Nikesha, additional, Wells, Megan, additional, Xu, Huiwen, additional, Culakova, Eva, additional, Lowenstein, Lisa M., additional, Flannery, Marie Anne, additional, Magnuson, Allison, additional, Loh, Kah Poh, additional, Mustian, Karen Michelle, additional, Hopkins, Judith O., additional, Liu, Jijun, additional, Melnyk, Nataliya, additional, Morrow, Gary R., additional, and Dale, William, additional

Published
2018
Full Text
View/download PDF

16. Patient-Clinician Communication: American Society of Clinical Oncology Consensus Guideline

Author

Gilligan, Timothy, primary, Coyle, Nessa, additional, Frankel, Richard M., additional, Berry, Donna L., additional, Bohlke, Kari, additional, Epstein, Ronald M., additional, Finlay, Esme, additional, Jackson, Vicki A., additional, Lathan, Christopher S., additional, Loprinzi, Charles L., additional, Nguyen, Lynne H., additional, Seigel, Carole, additional, and Baile, Walter F., additional

Published
2017
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results