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1,069 results on '"Temel, Jennifer S"'

10. Multi-site randomized trial of a collaborative palliative and oncology care model for patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) receiving non-intensive therapy.

Author

El-Jawahri, Areej, primary, Kavanaugh, Alison, additional, Greer, Joseph A., additional, Jackson, Vicki, additional, Gustin, Jillian, additional, Mims, Alice S., additional, Cook, Albert, additional, LeBlanc, Thomas William, additional, Choe, Joanna, additional, Reynolds, Mathew, additional, Fathi, Amir Tahmasb, additional, Hobbs, Gabriela, additional, Brunner, Andrew Mark, additional, and Temel, Jennifer S., additional

Published
2024
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11. Comparative effectiveness trial of early palliative care delivered via telehealth versus in person among patients with advanced lung cancer.

Author

Greer, Joseph A., primary, Trotter, Chardria, additional, Jackson, Vicki, additional, Rinaldi, Simone, additional, Kamdar, Mihir, additional, El-Jawahri, Areej, additional, Horick, Nora K., additional, Pintro, Kedie, additional, Rabideau, Dustin, additional, Feliciano, Josephine Louella, additional, Chua, Isaac S., additional, Leventakos, Konstantinos, additional, Fischer, Stacy, additional, Campbell, Toby Christopher, additional, Rabow, Michael W., additional, Zachariah, Finly, additional, Hanson, Laura C., additional, Martin, Sara F., additional, Silveira, Maria, additional, and Temel, Jennifer S., additional

Published
2024
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16. Effects of a perioperative geriatric intervention for older adults with Cancer: A randomized clinical trial

Author

Nipp, Ryan D., Qian, Carolyn L., Knight, Helen P., Ferrone, Cristina R., Kunitake, Hiroko, Castillo, Carlos Fernandez-del, Lanuti, Michael, Qadan, Motaz, Ricciardi, Rocco, Lillemoe, Keith D., Temel, Brandon, Hashmi, Ardeshir Z., Scott, Erin, Stevens, Erin, Williams, Grant R., Fong, Zhi Ven, O'Malley, Terrence A., Franco-Garcia, Esteban, Horick, Nora K., Jackson, Vicki A., Greer, Joseph A., El-Jawahri, Areej, and Temel, Jennifer S.

Published
2022
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19. Stepped Palliative Care for Patients With Advanced Lung Cancer: A Randomized Clinical Trial.

Author

Temel, Jennifer S., Jackson, Vicki A., El-Jawahri, Areej, Rinaldi, Simone P., Petrillo, Laura A., Kumar, Pallavi, McGrath, Kathryn A., LeBlanc, Thomas W., Kamal, Arif H., Jones, Christopher A., Rabideau, Dustin J., Horick, Nora, Pintro, Kedie, Gallagher Medeiros, Emily R., Post, Kathryn E., and Greer, Joseph A.

Subjects
*PALLIATIVE treatment, *CANCER patients, *CLINICAL trials, *NON-small-cell lung carcinoma, *ACADEMIC medical centers, *DENTAL emergencies
Abstract

Key Points: Question: Is stepped care, with palliative care visits occurring only at key points in patients' cancer trajectories and using a decrement in quality of life (QOL) to trigger more intensive palliative care, an effective model for delivering palliative care to patients with advanced cancer? Findings: In this randomized trial of 507 adults with advanced lung cancer, patients assigned to stepped palliative care had significantly fewer palliative care visits and reported QOL scores at week 24 that were noninferior (adjusted mean, 100.6 vs 97.8; P <.001) to the QOL scores of patients assigned to an early palliative care model with monthly visits after diagnosis. Meaning: Stepped palliative care is an effective and more scalable means to deliver palliative care to improve QOL for patients with advanced lung cancer. Importance: Despite the evidence for early palliative care improving outcomes, it has not been widely implemented in part due to palliative care workforce limitations. Objective: To evaluate a stepped-care model to deliver less resource-intensive and more patient-centered palliative care for patients with advanced cancer. Design, Setting, and Participants: Randomized, nonblinded, noninferiority trial of stepped vs early palliative care conducted between February 12, 2018, and December 15, 2022, at 3 academic medical centers in Boston, Massachusetts, Philadelphia, Pennsylvania, and Durham, North Carolina, among 507 patients who had been diagnosed with advanced lung cancer within the past 12 weeks. Intervention: Step 1 of the intervention was an initial palliative care visit within 4 weeks of enrollment and subsequent visits only at the time of a change in cancer treatment or after a hospitalization. During step 1, patients completed a measure of quality of life (QOL; Functional Assessment of Cancer Therapy–Lung [FACT-L]; range, 0-136, with higher scores indicating better QOL) every 6 weeks, and those with a 10-point or greater decrease from baseline were stepped up to meet with the palliative care clinician every 4 weeks (intervention step 2). Patients assigned to early palliative care had palliative care visits every 4 weeks after enrollment. Main Outcomes and Measures: Noninferiority (margin = −4.5) of the effect of stepped vs early palliative care on patient-reported QOL on the FACT-L at week 24. Results: The sample (n = 507) mostly included patients with advanced non–small cell lung cancer (78.3%; mean age, 66.5 years; 51.4% female; 84.6% White). The mean number of palliative care visits by week 24 was 2.4 for stepped palliative care and 4.7 for early palliative care (adjusted mean difference, −2.3; P <.001). FACT-L scores at week 24 for the stepped palliative care group were noninferior to scores among those receiving early palliative care (adjusted FACT-L mean score, 100.6 vs 97.8, respectively; difference, 2.9; lower 1-sided 95% confidence limit, −0.1; P <.001 for noninferiority). Although the rate of end-of-life care communication was also noninferior between groups, noninferiority was not demonstrated for days in hospice (adjusted mean, 19.5 with stepped palliative care vs 34.6 with early palliative care; P =.91). Conclusions and Relevance: A stepped-care model, with palliative care visits occurring only at key points in patients' cancer trajectories and using a decrement in QOL to trigger more intensive palliative care exposure, resulted in fewer palliative care visits without diminishing the benefits for patients' QOL. While stepped palliative care was associated with fewer days in hospice, it is a more scalable way to deliver early palliative care to enhance patient-reported outcomes. Trial Registration: ClinicalTrials.gov Identifier: NCT03337399 This randomized clinical trial assesses whether a stepped-care model of palliative care is noninferior to early integrated palliative care based on patient-reported quality of life among patients with advanced lung cancer. [ABSTRACT FROM AUTHOR]

Published
2024
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27. Supportive Oncology Care at Home Intervention for Patients With Pancreatic Cancer

Author

Nipp, Ryan D., Gaufberg, Eva, Vyas, Charu, Azoba, Chinenye, Qian, Carolyn L., Jaggers, Jordon, Weekes, Colin D., Allen, Jill N., Roeland, Eric J., Parikh, Aparna R., Miller, Laurie, Wo, Jennifer Y., Smith, Melissa Hennessey, Brown, Patricia M.C., Shulman, Eliza, Fernandez-del Castillo, Carlos, Kimmelman, Alec C., Ting, David, Hong, Theodore S., Greer, Joseph A., Ryan, David P., Temel, Jennifer S., and El-Jawahri, Areej

Published
2022
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31. Clinician Perceptions of Barriers and Facilitators for Delivering Early Integrated Palliative Care via Telehealth

Author

Sadang, Katrina Grace, primary, Centracchio, Joely A., additional, Turk, Yael, additional, Park, Elyse, additional, Feliciano, Josephine L., additional, Chua, Isaac S., additional, Blackhall, Leslie, additional, Silveira, Maria J., additional, Fischer, Stacy M., additional, Rabow, Michael, additional, Zachariah, Finly, additional, Grey, Carl, additional, Campbell, Toby C., additional, Strand, Jacob, additional, Temel, Jennifer S., additional, and Greer, Joseph A., additional

Published
2023
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41. Integrative Oncology Care of Symptoms of Anxiety and Depression in Adults With Cancer: Society for Integrative Oncology–ASCO Guideline

Author

Carlson, Linda E., primary, Ismaila, Nofisat, additional, Addington, Elizabeth L., additional, Asher, Gary N., additional, Atreya, Chloe, additional, Balneaves, Lynda G., additional, Bradt, Joke, additional, Fuller-Shavel, Nina, additional, Goodman, Joseph, additional, Hoffman, Caroline J., additional, Huston, Alissa, additional, Mehta, Ashwin, additional, Paller, Channing J., additional, Richardson, Kimberly, additional, Seely, Dugald, additional, Siwik, Chelsea J., additional, Temel, Jennifer S., additional, and Rowland, Julia H., additional

Published
2023
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42. Study protocol for NeuroCARE: a randomised controlled trial of a psychological intervention for caregivers of patients with primary malignant brain tumours

Author

Forst, Deborah Anne, primary, Rhee, John Y, additional, Mesa, Michelle Marie, additional, Podgurski, Alyx F, additional, Strander, Sumita Madhok, additional, Datta, Shibani, additional, Kaslow-Zieve, Emilia, additional, Horick, Nora K, additional, Greer, Joseph A, additional, El-Jawahri, Areej, additional, Sannes, Timothy S, additional, Temel, Jennifer S, additional, and Jacobs, Jamie, additional

Published
2023
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43. Delivering High-Quality and Affordable Care Throughout the Cancer Care Continuum

Author

Shih, Ya-Chen Tina, Ganz, Patricia A, Aberle, Denise, Abernethy, Amy, Bekelman, Justin, Brawley, Otis, Goodwin, James S, Hu, Jim C, Schrag, Deborah, Temel, Jennifer S, and Schnipper, Lowell

Subjects
Behavioral and Social Science, Prevention, Cancer, Clinical Research, Health Services, Health and social care services research, 8.1 Organisation and delivery of services, Good Health and Well Being, Continuity of Patient Care, Delivery of Health Care, Health Care Costs, Humans, Neoplasms, United States, Clinical Sciences, Oncology and Carcinogenesis, Oncology & Carcinogenesis
Abstract

The national cost of cancer care is projected to reach $173 billion by 2020, increasing from $125 billion in 2010. This steep upward cost trajectory has placed enormous an financial burden on patients, their families, and society as a whole and raised major concern about the ability of the health care system to provide and sustain high-quality cancer care. To better understand the cost drivers of cancer care and explore approaches that will mitigate the problem, the National Cancer Policy Forum of the Institute of Medicine held a workshop entitled "Delivering Affordable Cancer Care in the 21st Century" in October 2012. Workshop participants included bioethicists, health economists, primary care physicians, and medical, surgical, and radiation oncologists, from both academic and community settings. All speakers expressed a sense of urgency about the affordability of cancer care resulting from the future demographic trend as well as the high cost of emerging cancer therapies and rapid diffusion of new technologies in the absence to evidence indicating improved outcomes for patients. This article is our summary of presentations at the workshop that highlighted the overuse and underuse of screening, treatments, and technologies throughout the cancer care continuum in oncology practice in the United States.

Published
2013

45. The Diverse Landscape of Palliative Care Clinics

Author

Smith, Alexander K, Thai, Julie N, Bakitas, Marie A, Meier, Diane E, Spragens, Lynn H, Temel, Jennifer S, Weissman, David E, and Rabow, Michael W

Subjects
Health Services and Systems, Nursing, Health Sciences, Clinical Research, Cancer, Pain Research, Chronic Pain, Behavioral and Social Science, Health Services, 7.2 End of life care, Management of diseases and conditions, Good Health and Well Being, Ambulatory Care Facilities, Cross-Sectional Studies, Health Care Surveys, Health Facility Size, Humans, Palliative Care, Personnel Staffing and Scheduling, Referral and Consultation, United States, Workforce, Clinical Sciences, Public Health and Health Services, Gerontology, Health services and systems
Abstract

BackgroundMany health care organizations are interested in instituting a palliative care clinic. However, there are insufficient published data regarding existing practices to inform the development of new programs.ObjectiveOur objective was to obtain in-depth information about palliative care clinics.MethodsWe conducted a cross-sectional survey of 20 outpatient palliative care practices in diverse care settings. The survey included both closed- and open-ended questions regarding practice size, utilization of services, staffing, referrals, services offered, funding, impetus for starting, and challenges.ResultsTwenty of 21 (95%) practices responded. Practices self-identified as: hospital-based (n=7), within an oncology division/cancer center (n=5), part of an integrated health system (n=6), and hospice-based (n=2). The majority of referred patients had a cancer diagnosis. Additional common diagnoses included chronic obstructive pulmonary disease, neurologic disorders, and congestive heart failure. All practices ranked "pain management" and "determining goals of care" as the most common reasons for referrals. Twelve practices staffed fewer than 5 half-days of clinic per week, with 7 operating only one half-day per week. Practices were staffed by a mixture of physicians, advanced practice nurses or nurse practitioners, nurses, or social workers. Eighteen practices expected their practice to grow within the next year. Eleven practices noted a staffing shortage and 8 had a wait time of a week or more for a new patient appointment. Only 12 practices provide 24/7 coverage. Billing and institutional support were the most common funding sources. Most practices described starting because inpatient palliative providers perceived poor quality outpatient care in the outpatient setting. The most common challenges included: funding for staffing (11) and being overwhelmed with referrals (8).ConclusionsOnce established, outpatient palliative care practices anticipate rapid growth. In this context, outpatient practices must plan for increased staffing and develop a sustainable financial model.

Published
2013

46. Quality of life and mood of older patients with acute myeloid leukemia (AML) receiving intensive and non-intensive chemotherapy

Author

El-Jawahri, Areej, Abel, Gregory A., Traeger, Lara, Waldman, Lauren, Markovitz, Netana, VanDusen, Harry, Fathi, Amir, Steensma, David P., LeBlanc, Thomas W., Horick, Nora K., DeAngelo, Daniel J., Wadleigh, Martha, Hobbs, Gabriela, Foster, Julia, Brunner, Andrew M., Amrein, Philip, Stone, Richard M., Temel, Jennifer S., and Greer, Joseph A.

Published
2019
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48. Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer

Author

Aslakson, Rebecca A., primary, Rickerson, Elizabeth, additional, Fahy, Bridget, additional, Waterman, Brittany, additional, Siden, Rachel, additional, Colborn, Kathryn, additional, Smith, Shelby, additional, Verano, Mae, additional, Lira, Isaac, additional, Hollahan, Caroline, additional, Siddiqi, Amn, additional, Johnson, Kemba, additional, Chandrashekaran, Shivani, additional, Harris, Elizabeth, additional, Nudotor, Richard, additional, Baker, Joshua, additional, Heidari, Shireen N., additional, Poultsides, George, additional, Conca-Cheng, Alison M., additional, Cook Chapman, Allyson, additional, Lessios, Anna Sophia, additional, Holdsworth, Laura M., additional, Gustin, Jillian, additional, Ejaz, Aslam, additional, Pawlik, Timothy, additional, Miller, Judi, additional, Morris, Arden M., additional, Tulsky, James A., additional, Lorenz, Karl, additional, Temel, Jennifer S., additional, Smith, Thomas J., additional, and Johnston, Fabian, additional

Published
2023
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