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Your search keyword '"Hannon, Breffni"' showing total 265 results
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265 results on '"Hannon, Breffni"'

5. Symptom screening with Targeted Early Palliative care (STEP) versus usual care for patients with advanced cancer: a mixed methods study

Author

Zimmermann, Camilla, Pope, Ashley, Hannon, Breffni, Bedard, Philippe L., Rodin, Gary, Dhani, Neesha, Li, Madeline, Herx, Leonie, Krzyzanowska, Monika K., Howell, Doris, Knox, Jennifer J., Leighl, Natasha B., Sridhar, Srikala, Oza, Amit M., Lheureux, Stephanie, Booth, Christopher M., Liu, Geoffrey, Castro, Jacqueline Alcalde, Swami, Nadia, Sue-A-Quan, Rachel, Rydall, Anne, and Le, Lisa W.

Published
2023
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6. Association of socioeconomic status with aggressive end-of-life care in patients with cancer before and during the COVID-19 pandemic.

Author

Iqbal, Javaid, primary, Moineddin, Rahim, additional, Fowler, Robert A, additional, Booth, Christopher M., additional, Downar, James, additional, Lau, Jenny, additional, Le, Lisa, additional, Rodin, Gary, additional, Seow, Hsien, additional, Tanuseputro, Peter, additional, Earle, Craig, additional, Quinn, Kieran L, additional, Krzyzanowska, Monika K., additional, Hannon, Breffni, additional, and Zimmermann, Camilla, additional

Published
2024
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8. Socioeconomic Status, Palliative Care, and Death at Home Among Patients With Cancer Before and During COVID-19

Author

Iqbal, Javaid, primary, Moineddin, Rahim, additional, Fowler, Robert A., additional, Krzyzanowska, Monika K., additional, Booth, Christopher M., additional, Downar, James, additional, Lau, Jenny, additional, Le, Lisa W., additional, Rodin, Gary, additional, Seow, Hsien, additional, Tanuseputro, Peter, additional, Earle, Craig C., additional, Quinn, Kieran L., additional, Hannon, Breffni, additional, and Zimmermann, Camilla, additional

Published
2024
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22. Advanced Cancer in Young Adults (YAs): Living in a Liminal Space

Author

Avery, Jonathan, primary, Campbell, Kristin L., additional, Mosher, Pamela, additional, Al-Awamer, Ahmed, additional, Goddard, Karen, additional, Edwards, Annemarie, additional, Burnett, Laura, additional, Hannon, Breffni, additional, Gupta, Abha, additional, and Howard, A. Fuchsia, additional

Published
2023
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25. Interventions to improve outcomes for caregivers of patients with advanced cancer: a meta-analysis

Author

Chow, Ronald, primary, Mathews, Jean J, additional, Cheng, Emily YiQin, additional, Lo, Samantha, additional, Wong, Joanne, additional, Alam, Sorayya, additional, Hannon, Breffni, additional, Rodin, Gary, additional, Nissim, Rinat, additional, Hales, Sarah, additional, Kavalieratos, Dio, additional, Quinn, Kieran L, additional, Tomlinson, George, additional, and Zimmermann, Camilla, additional

Published
2023
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30. Advanced Cancer in Young Adults (YAs): Living in a Liminal Space.

Author

Avery, Jonathan, Campbell, Kristin L., Mosher, Pamela, Al-Awamer, Ahmed, Goddard, Karen, Edwards, Annemarie, Burnett, Laura, Hannon, Breffni, Gupta, Abha, and Howard, A. Fuchsia

Subjects
TUMOR diagnosis, DISEASE progression, COMPUTER software, SPECIALTY hospitals, SOCIAL constructionism, GROUNDED theory, RESEARCH methodology, FUNCTIONAL status, PATIENT decision making, ACHIEVEMENT, ACTIVITIES of daily living, INTERVIEWING, MENTAL health, UNCERTAINTY, PATIENTS' attitudes, CANCER treatment, TREATMENT effectiveness, HOPE, DIARY (Literary form), COMMUNICATION, FIELD notes (Science), RESEARCH funding, DEATH, STATISTICAL sampling, JUDGMENT sampling, PSYCHOLOGICAL adaptation, DATA analysis, DATA analysis software, ONCOLOGISTS, CANCER patient medical care, GOAL (Psychology), PROMPTS (Psychology), ADULTS
Abstract

Young adults (YAs), defined as individuals between the ages of 18 and 39 years, experience unique challenges when diagnosed with advanced cancer. Using the social constructivist grounded theory approach, we aimed to develop a theoretical understanding of how YAs live day to day with their diagnosis. A sample of 25 YAs (aged 22–39 years) with advanced cancer from across Canada participated in semi-structured interviews. Findings illustrate that the YAs described day-to-day life as an oscillating experience swinging between two opposing disease outcomes: (1) hoping for a cure and (2) facing the possibility of premature death. Oscillating between these potential outcomes was characterized as living in a liminal space wherein participants were unsure how to live from one day to the next. The participants oscillated at various rates, with different factors influencing the rate of oscillation, including inconsistent and poor messaging from their oncologists or treatment team, progression or regression of their cancer, and changes in their physical functioning and mental health. These findings provide a theoretical framework for designing interventions to help YAs adapt to their circumstance. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Symptom screening with Targeted Early Palliative care (STEP) versus usual care for patients with advanced cancer: A mixed methods study

Author

Zimmermann, Camilla, primary, Pope, Ashley, additional, Hannon, Breffni, additional, Bedard, Philippe L., additional, Rodin, Gary, additional, Dhani, Neesha, additional, Li, Madeline, additional, Herx, Leonie, additional, Krzyzanowska, Monika K., additional, Howell, Doris, additional, Knox, Jennifer J., additional, Leighl, Natasha B., additional, Srid, Srikala, additional, Oza, Amit M., additional, Lheureux, Stephanie, additional, Booth, Christopher M., additional, Liu, Geoffrey, additional, Castro, Jacqueline Alcalde, additional, Swami, Nadia, additional, Sue-A-Quan, Rachel, additional, Rydall, Anne, additional, and Le, Lisa W., additional

Published
2023
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34. Telehealth outpatient palliative care in the COVID-19 pandemic: patient experience qualitative study

Author

Alcalde Castro, Mirza Jacqueline, Zaig, Shenhab, Nissim, Rinat, O’Connor, Brenda, Lau, Jenny, Mak, Ernie, Zimmermann, Camilla, and Hannon, Breffni

Abstract

ObjectivesOutpatient in-person early palliative care improves quality of life for patients with advanced cancer. The COVID-19 pandemic forced a rapid shift to telehealth visits; however, little is known about how telehealth in outpatient palliative care settings should be optimised beyond the pandemic. We aimed to explore, from the perspective of patients attending an outpatient palliative care clinic, the most appropriate model of care for in-person versus telehealth visits.MethodsA qualitative study using the grounded theory method. One-on-one, semistructured qualitative interviews were conducted with 26 patients attending an outpatient palliative care clinic at a tertiary cancer centre recruited from two groups: (1) those with >1 in-person appointment prior to 1 March 2020 and >1 telehealth appointment after this date (n=17); and (2) patients who had exclusively telehealth appointments (n=9). Purposive sampling was used to incorporate diverse perspectives.ResultsOverall, participants endorsed a flexible hybrid approach incorporating both in-person and telehealth visits. Specific categories were: (1) in-person outpatient palliative care supported building interpersonal connections and trust; (2) telehealth palliative care facilitated greater efficiency, comfort and independence and (3) patient-preferred circumstances for in-person visits (preferred for initial consultations, visits where a physical examination may be required and advance care planning discussions), versus telehealth visits (preferred during periods of relative heath stability).ConclusionsThe elements of in-person and telehealth outpatient palliative care clinic visits described by patients as integral to their care may be used to develop models of hybrid outpatient palliative care delivery beyond the pandemic alongside reimbursement and regulatory guidelines.

Published
2024
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35. Palliative medicine outpatient clinic ‘no-shows’: retrospective review

Author

Alcalde Castro, Mirza Jacqueline, Pope, Ashley, Zhang, Yuhua, Al-Awamer, Ahmed, Banerjee, Subrata, Lau, Jenny, Mak, Ernie, O'Connor, Brenda, Saltman, Alexandra, Wentlandt, Kirsten, Zimmermann, Camilla, and Hannon, Breffni

Abstract

ObjectivesPatients who do not attend outpatient palliative care clinic appointments (‘no-shows’) may have unmet needs and can impact wait times. We aimed to describe the characteristics and outcomes associated with no-shows.MethodsWe retrospectively reviewed new no-show referrals to the Princess Margaret Cancer Centre Oncology Palliative Care Clinic (OPCC) in Toronto, Canada, between January 2017 and December 2018, compared with a random selection of patients who attended their first appointment, in a 1:2 ratio. We collected patient information, symptoms, performance status (Eastern Cooperative Oncology Group (ECOG) and outcomes. Univariable and multivariable logistic regression analyses were used to identify significant factors.ResultsCompared with those who attended (n=214), no-shows (n=103), on multivariable analysis, were at higher odds than those who attended of being younger (OR 0.98, 95% CI 0.96 to 1.00, p=0.019), living outside Toronto (OR 2.67, 95% CI 1.54 to 4.62, p<0.001) and having ECOG ≥2 (OR 2.98, 95% CI 1.41 to 6.29, p=0.004). No-shows had a shorter median survival compared with those who attended their first appointment (2.3 vs 8.7 months, p<0.001).ConclusionCompared with patients who attended, no-shows lived further from the OPCC, were younger, and had a poorer ECOG. Strategies such as virtual visits should be explored to reduce no-shows and enable attendance at OPCCs.

Published
2024
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39. A Phase II, Open-Label Clinical Trial of Intranasal Ketamine for Depression in Patients with Cancer Receiving Palliative Care (INKeD-PC Study)

Author

Rosenblat, Joshua D., primary, deVries, Froukje E., additional, Doyle, Zoe, additional, McIntyre, Roger S., additional, Rodin, Gary, additional, Zimmermann, Camilla, additional, Mak, Ernie, additional, Hannon, Breffni, additional, Schulz-Quach, Christian, additional, Kindy, Aida Al, additional, Patel, Zeal, additional, and Li, Madeline, additional

Published
2023
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41. Artificial intelligence in cancer palliative care: a scoping review

Author

GHOSHAL, ARUN, Zimmermann, Camilla, Haibe-Kains, Benjamin, Hannon, Breffni, al-Awamer, Ahmed, Zaig, Shenhab, Fazelzad, Rouhi, lo, samantha, and chow, ronald

Subjects
machine learning, palliative, Medicine and Health Sciences, cancer, natural language processing, artificial intelligence
Abstract

scoping review

Published
2022
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42. Family physicians' involvement in palliative cancer care

Author

Moon, Christine C., primary, Mah, Kenneth, additional, Pope, Ashley, additional, Swami, Nadia, additional, Hannon, Breffni, additional, Lau, Jenny, additional, Mak, Ernie, additional, al‐Awamer, Ahmed, additional, Banerjee, Subrata, additional, Dawson, Laura A., additional, Husain, Amna, additional, Rodin, Gary, additional, Le, Lisa W., additional, and Zimmermann, Camilla, additional

Published
2022
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43. Public interest in medical assistance in dying and palliative care

Author

Cheng, Emily YiQin, primary, Mah, Kenneth, additional, Al-Awamer, Ahmed, additional, Pope, Ashley, additional, Swami, Nadia, additional, Wong, Joanne L, additional, Mathews, Jean, additional, Howell, Doris, additional, Hannon, Breffni, additional, Rodin, Gary, additional, Shapiro, Gilla K, additional, Li, Madeline, additional, Le, Lisa W, additional, and Zimmermann, Camilla, additional

Published
2022
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44. Using linked administrative data to evaluate and improve the quality of end-of-life care in nursing homes.

Author

Webber, Colleen, primary, Milani, Christina, additional, Clarke, Anna, additional, R Isenberg, Sarina, additional, Downar, James, additional, Kobewka, Daniel, additional, Hsu, Amy, additional, Lau, Jenny, additional, Sinnarajah, Aynharan, additional, Simon, Jessica, additional, Boese, Kaitlyn, additional, Arya, Amit, additional, Hannon, Breffni, additional, Roberts, Rhiannon, additional, Turcotte, Luke, additional, Howard, Michelle, additional, Maxwell, Colleen, additional, and Tanuseputro, Peter, additional

Published
2022
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46. Randomized controlled trial (RCT) of symptom screening with targeted early palliative care (STEP) versus usual care in patients with advanced cancer.

Author

Zimmermann, Camilla, primary, Pope, Ashley, additional, Hannon, Breffni, additional, Krzyzanowska, Monika K., additional, Rodin, Gary, additional, Li, Madeline, additional, Howell, Doris, additional, Knox, Jennifer J., additional, Leighl, Natasha B., additional, Sridhar, Srikala S., additional, Oza, Amit M., additional, Prince, Rebecca M., additional, Lheureux, Stephanie, additional, Hansen, Aaron Richard, additional, Dhani, Neesha C., additional, Liu, Geoffrey, additional, Bedard, Philippe L., additional, Chen, Eric Xueyu, additional, Swami, Nadia, additional, and Le, Lisa W, additional

Published
2022
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49. Family physicians' involvement in palliative cancer care.

Author

Moon, Christine C., Mah, Kenneth, Pope, Ashley, Swami, Nadia, Hannon, Breffni, Lau, Jenny, Mak, Ernie, al‐Awamer, Ahmed, Banerjee, Subrata, Dawson, Laura A., Husain, Amna, Rodin, Gary, Le, Lisa W., and Zimmermann, Camilla

Subjects
PALLIATIVE treatment, CANCER treatment, TRAVEL time (Traffic engineering), PHYSICIANS, LOGISTIC regression analysis
Abstract

Background: Family physicians' (FPs) long‐term relationships with their oncology patients position them ideally to provide primary palliative care, yet their involvement is variable. We examined perceptions of FP involvement among outpatients receiving palliative care at a cancer center and identified factors associated with this involvement. Methods: Patients with advanced cancer attending an oncology palliative care clinic (OPCC) completed a 25‐item survey. Eligible patients had seen an FP within 5 years. Binary multivariable logistic regression analyses were conducted to identify factors associated with (1) having seen an FP for palliative care within 6 months, and (2) having a scheduled/planned FP appointment. Results: Of 258 patients, 35.2% (89/253) had seen an FP for palliative care within the preceding 6 months, and 51.2% (130/254) had a scheduled/planned FP appointment. Shorter travel time to FP (odds ratio [OR] = 0.67, 95% confidence interval [CI] = 0.48–0.93, p = 0.02), the FP having a 24‐h support service (OR = 1.96, 95% CI = 1.02–3.76, p = 0.04), and a positive perception of FP's care (OR = 1.05, 95% CI = 1.01–1.09, p = 0.01) were associated with having seen the FP for palliative care. English as a first language (OR = 2.90, 95% CI = 1.04–8.11, p = 0.04) and greater ease contacting FP after hours (OR = 1.33, 95% CI = 1.08–1.64, p = 0.008) were positively associated, and female sex of patient (OR = 0.51, 95% CI = 0.30–0.87, p = 0.01) and travel time to FP (OR = 0.66, 95% CI = 0.47–0.93, p = 0.02) negatively associated with having a scheduled/planned FP appointment. Number of OPCC visits was not associated with either outcome. Conclusion: Most patients had not seen an FP for palliative care. Accessibility, availability, and equity are important factors to consider when planning interventions to encourage and facilitate access to FPs for palliative care. [ABSTRACT FROM AUTHOR]

Published
2023
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