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1. The TELEhealth Shared decision-making COaching and navigation in Primary carE (TELESCOPE) intervention: a study protocol for delivering shared decision-making for lung cancer screening by patient navigators

Author

Tan, Naomi Q. P., Lowenstein, Lisa M., Douglas, Elisa E., Silva, Jeanne, Bershad, Joshua M., An, Jinghua, Shete, Sanjay S., Steinberg, Michael B., Ferrante, Jeanne M., Clark, Elizabeth C., Natale-Pereira, Ana, Sahu, Novneet N., Hastings, Shirin E., Hoffman, Richard M., Volk, Robert J., and Kinney, Anita Y.

Published
2024
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7. Geriatric assessment for the practicing clinician: The why, what, and how.

Author

Magnuson, Allison, Loh, Kah Poh, Stauffer, Fiona, Dale, William, Gilmore, Nikesha, Kadambi, Sindhuja, Klepin, Heidi D., Kyi, Kaitlin, Lowenstein, Lisa M., Phillips, Tanyanika, Ramsdale, Erika, Schiaffino, Melody K., Simmons, John F., Williams, Grant R., Zittel, Jason, and Mohile, Supriya

Subjects
ELDER care, DRUG toxicity, MOBILE apps, HEALTH services accessibility, HEALTH status indicators, PREDICTION models, HEMATOLOGIC malignancies, ANTINEOPLASTIC agents, CANCER patient medical care, DECISION making in clinical medicine, POLYPHARMACY, CANCER chemotherapy, TELEMEDICINE, CAREGIVERS, GERIATRIC assessment, QUALITY of life, COMMUNICATION, TUMORS, MEDICAL screening, PHYSICAL activity, ADVANCE directives (Medical care), ACCIDENTAL falls, HEALTH care teams, OLD age
Abstract

Older adults with cancer heterogeneously experience health care, treatment, and symptoms. Geriatric assessment (GA) offers a comprehensive evaluation of an older individual's health status and can predict cancer‐related outcomes in individuals with solid tumors and those with hematologic malignancies. In the last decade, randomized controlled trials have demonstrated the benefits of GA and GA management (GAM), which uses GA information to provide tailored intervention strategies to address GA impairments (e.g., implementing physical therapy for impaired physical function). Multiple phase 3 clinical trials in older adults with solid tumors and hematologic malignancies have demonstrated that GAM improves treatment completion, quality of life, communication, and advance care planning while reducing treatment‐related toxicity, falls, and polypharmacy. Nonetheless, implementation and uptake of GAM remain challenging. Various strategies have been proposed, including the use of GA screening tools, to identify patients most likely to benefit from GAM, the systematic engagement of the oncology workforce in the delivery of GAM, and the integration of technologies like telemedicine and mobile health to enhance the availability of GA and GAM interventions. Health inequities in minoritized groups persist, and systematic GA implementation has the potential to capture social determinants of health that are relevant to equitable care. Caregivers play an important role in cancer care and experience burden themselves. GA can guide dyadic supportive care interventions, ultimately helping both patients and caregivers achieve optimal health. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Cluster randomized pilot of the Best Case/Worst Case-Geriatric Oncology (BC/WC-GeriOnc) communication tool for older adults with cancer.

Author

Wong, Melisa L., Lee Jr., Howard Jinsoo, DeBoer, Rebecca Jane, Suchman, Lauren, Litt, Henry Kazunaru, Nicosia, Francesca, Boscardin, W. John, Loh, Kah Poh, Walter, Louise Christie, Smith, Alexander K., Huang, Li-Wen, Lowenstein, Lisa M., Neuman, Heather B., Volk, Robert J., Hopkins, Judith O., Mohile, Supriya Gupta, Mercurio, Anne Marie, and Schwarze, Margaret L.

Published
2024
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9. Interventions to reduce racial/ethnic disparities across the breast cancer care continuum.

Author

George, Milan, Barbosa Moreira, Matheus José, Yang, Jeremy, Rangel Brandão, Gabriela, Murad Carvalho, Bruno, Marin Comini, Ana Carolina, Campello Jorge, Carlos Alberto, Ayumi Miyawaki, Isabele, Mella Soares Pessôa, Beatriz, Reis, Pedro, Silva, Caroliny, Xavier, Debora, Hicklen, Rachel S, Lama, Nazer, Lowenstein, Lisa M., McNeill, Lorna H, Batalini, Felipe, and Lin, John Kent

Published
2024
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10. Improving Surgical Care and Outcomes in Older Cancer Patients Through Implementation of a Presurgical Toolkit (OPTI-Surg)--Final Results of a Phase III Cluster Randomized Trial (Alliance A231601CD).

Author

Chang, George J., Gunn, Heather J., Barber, Anne K., Lowenstein, Lisa M., Dohan, Daniel, Broering, Jeanette, Dockter, Travis, Tan, Angelina D., Dueck, Amylou, Chow, Selina, Neuman, Heather, and Finlayson, Emily

Abstract

Objective: To assess the effect of a practice-level preoperative frailty screening and optimization toolkit (OPTI-Surg) on postoperative functional recovery and complications in elderly cancer patients undergoing major surgery. Background: Frailty is common in older adults. It increases the risk of poor postoperative functional recovery and complications. The potential for a practice-level screening/optimization intervention to improve outcomes is unknown. Methods: Thoracic, gastrointestinal, and urologic oncological surgery practices within the National Cancer Institute Community Oncology Research Program (NCORP) were randomized 1:1:1 to usual care (UC), OPTI-Surg, or OPTI-Surg with an implementation coach. OPTI-Surg consisted of the Edmonton Frail Scale and guided recommendations for referral interventions. Patients 70 years old or above undergoing curative intent surgery were eligible. The primary outcome was 8 weeks postoperative function (kcal/wk). The key secondary outcome was complications within 90 days. Mixed models were used to compare UC to the 2 OPTISurg arms combined. Results: From July 2019 to September 2022, 325 patients were enrolled in 29 practices. One hundred ninety-nine (64 UC, 135 OPTI-Surg) and 279 (78 UC, 201 OPTI-Surg) were evaluable for primary and secondary analysis, respectively. UC and OPTI-Surg patients did not significantly differ in total caloric expenditure (2.2 UC, 2.0 OPTI-Surg) after adjusting for baseline function (P=0.53). UC and OPTI-Surg patients did not significantly differ in postoperative complications (25.6% UC, 35.3% OPTI-Surg, P=0.5). Conclusions: Frailty assessment was successfully performed, but the OPTI-Surg intervention did not improve postoperative function nor reduce postoperative complications compared with UC. Future analysis will explore practice-level factors associated with toolkit implementation and the differences between the coaching and noncoaching arms. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Tobacco quitline staffs' knowledge and attitudes about connecting quitline callers to lung cancer screening educational materials.

Author

Tan, Naomi Q. P., Volk, Robert J., Leal, Viola B., Lettieri, Jessica S., Bailey, Linda A., Ylioja, Thomas, Celestino, Paula, and Lowenstein, Lisa M.

Subjects
EARLY detection of cancer, LUNG cancer, DEMOGRAPHIC surveys, TOBACCO, ATTITUDE (Psychology)
Abstract

Objective: To evaluate the impact of training quitline staff in lung cancer screening (LCS) on knowledge and attitudes towards connecting quitline callers to LCS educational materials. Methods: We conducted a pre‐post evaluation within a larger implementation project in the U.S. to support LCS among quitline callers. From July 2020 to June 2021, staff from four quitline service providers completed surveys before and after training on LCS knowledge. After training, staff completed the acceptability of intervention measure, intervention appropriateness measure, and feasibility of the intervention measure. Results: A total of 245 staff completed the initial demographic survey (analytic sample), 130 completed the pre‐training survey, and 225 completed the post‐training survey. Staff were on average 47.4 years old and 76.7% were female. LCS knowledge improved after the training (n = 120, mean difference = +26.5%, 95% CI 21.6, 31.4, p < 0.001). Overall, staff felt that connecting quitline callers to LCS education materials was acceptable (M = 4.0, SD = 0.8), appropriate (M = 4.1, SD = 0.7), and feasible (M = 4.0, SD = 0.7). Conclusions: Receiving training about LCS eligibility and the benefits and harms of screening improved LCS knowledge among quitline staff. Quitline staff found that connecting callers with LCS educational materials is acceptable, appropriate, and feasible, and aligned with their primary mission. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Randomized trial of a patient-centered decision aid for promoting informed decisions about lung cancer screening: Implementation of a PCORI study protocol and lessons learned

Author

Lowenstein, Lisa M., Escoto, Kamisha H., Leal, Viola B., Bailey, Linda, Bevers, Therese B., Cantor, Scott B., Cinciripini, Paul M., Jacobs, Lianne E., Esparza, Angelina, Godoy, Myrna C., Housten, Ashley J., Lin, Heather, Luckett, Pamela, Munden, Reginald F., Rabius, Vance, and Volk, Robert J.

Published
2018
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17. Geriatric pre-surgical optimization in the NCORP (Alliance).

Author

Finlayson, Emily, primary, Gunn, Heather, additional, Barber, Anne, additional, Lowenstein, Lisa M., additional, Dohan, Daniel Paul, additional, Broering, Jeanette M., additional, Dockter, Travis, additional, Tan, Angelina D., additional, Dueck, Amylou C., additional, Bailey, Lisa, additional, Chow, Selina Lai-ming, additional, Wills, Rachel, additional, Jatoi, Aminah, additional, Lee, Eugene K., additional, Delacroix, Scott Edward, additional, Gills, Jessie, additional, Mulligan, Charles, additional, Hayseen, Therese, additional, and Chang, George J., additional

Published
2023
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19. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Update

Author

Dale, William, primary, Klepin, Heidi D., additional, Williams, Grant R., additional, Alibhai, Shabbir M.H., additional, Bergerot, Cristiane, additional, Brintzenhofeszoc, Karlynn, additional, Hopkins, Judith O., additional, Jhawer, Minaxi P., additional, Katheria, Vani, additional, Loh, Kah Poh, additional, Lowenstein, Lisa M., additional, McKoy, June M., additional, Noronha, Vanita, additional, Phillips, Tanyanika, additional, Rosko, Ashley E., additional, Ruegg, Tracy, additional, Schiaffino, Melody K., additional, Simmons, John F., additional, Subbiah, Ishwaria, additional, Tew, William P., additional, Webb, Tracy L., additional, Whitehead, Mary, additional, Somerfield, Mark R., additional, and Mohile, Supriya G., additional

Published
2023
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20. Surgical care and outcomes in older patients with cancer through implementation of a pre-surgical toolkit (OPTI-Surg): Interim results of a phase III cluster randomized trial (Alliance A231601CD).

Author

Chang, George J., primary, Gunn, Heather, additional, Barber, Anne, additional, Lowenstein, Lisa M, additional, Dohan, Daniel Paul, additional, Broering, Jenny M., additional, Dockter, Travis, additional, Tan, Angelina D., additional, Dueck, Amylou C., additional, Bailey, Lisa, additional, Chow, Selina Lai-ming, additional, Cleary, Robert K, additional, Mesleh, Marc, additional, Woodall, Charles, additional, Solfelt, Marc L, additional, and Finlayson, Emily, additional

Published
2023
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24. Lung Cancer Screening Eligibility and Referral Practices in Texas Organizations Serving People with Substance Use Disorders

Author

Britton, Maggie, primary, Chen, Tzuan A., additional, Martinez Leal, Isabel, additional, Rogova, Anastasia, additional, Kyburz, Bryce, additional, Williams, Teresa, additional, Patel, Mayuri, additional, El-Zein, Randa, additional, Bernicker, Eric H., additional, Lowenstein, Lisa M., additional, and Reitzel, Lorraine R., additional

Published
2023
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27. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Questions and Answers.

Author

Williams, Grant R., Hopkins, Judith O., Klepin, Heidi D., Lowenstein, Lisa M., Mackenzie, Amy, Mohile, Supriya G., Somerfield, Mark R., and Dale, William

Subjects
PSYCHOLOGICAL vulnerability, GERIATRIC assessment, MEDICAL protocols, TREATMENT effectiveness, DECISION making, COMBINED modality therapy
Abstract

The article focuses on ASCO's guideline for the practical assessment and management of vulnerabilities in older patients receiving systemic cancer therapy. It highlights changes to the updated guideline, including the use of geriatric assessments to identify impairments and guide management and emphasizes the benefits of using such assessments for improved patient outcomes.

Published
2023
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31. Short-form adaptive measure of financial toxicity from the Economic Strain and Resilience in Cancer (ENRICh) study: Derivation using modern psychometric techniques

Author

Xu, Cai, primary, Smith, Grace L., additional, Chen, Ying-Shiuan, additional, Checka, Cristina M., additional, Giordano, Sharon H., additional, Kaiser, Kelsey, additional, Lowenstein, Lisa M., additional, Ma, Hilary, additional, Mendoza, Tito R., additional, Peterson, Susan K., additional, Shih, Ya-Chen T., additional, Shete, Sanjay, additional, Tang, Chad, additional, Volk, Robert J., additional, and Sidey-Gibbons, Chris, additional

Published
2022
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35. sj-docx-1-mpp-10.1177_23814683221137752 – Supplemental material for Patients’ Preferences for Androgen Deprivation Therapy in the Treatment of Intermediate-Risk Prostate Cancer

Author

De, Brian, Lowenstein, Lisa M., Corrigan, Kelsey L., Andring, Lauren M., Kuban, Deborah A., Cantor, Scott B., Volk, Robert J., and Hoffman, Karen E.

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, sj-docx-1-mpp-10.1177_23814683221137752 for Patients’ Preferences for Androgen Deprivation Therapy in the Treatment of Intermediate-Risk Prostate Cancer by Brian De, Lisa M. Lowenstein, Kelsey L. Corrigan, Lauren M. Andring, Deborah A. Kuban, Scott B. Cantor, Robert J. Volk and Karen E. Hoffman in MDM Policy & Practice

Published
2022
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45. A geriatric assessment (GA) intervention for older patients with advanced cancer: Secondary outcomes from a University of Rochester cancer center NCI community oncology research program cluster randomized controlled trial (CRCT).

Author

Mohile, Supriya Gupta, primary, Mohamed, Mostafa, additional, Xu, Huiwen, additional, Patil, Amita, additional, Culakova, Eva, additional, Ramsdale, Erika E., additional, Loh, Kah Poh, additional, Magnuson, Allison, additional, Flannery, Marie Anne, additional, Gilmore, Nikesha, additional, Dunne, Richard Francis, additional, Obrecht, Spencer, additional, Plumb, Sandy, additional, Lowenstein, Lisa M, additional, Mustian, Karen Michelle, additional, Morrow, Gary R., additional, Hopkins, Judith O., additional, Gaur, Rakesh, additional, Berenberg, Jeffrey L., additional, and Dale, William, additional

Published
2020
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47. A geriatric assessment (GA) intervention to reduce treatment toxicity in older patients with advanced cancer: A University of Rochester Cancer Center NCI community oncology research program cluster randomized clinical trial (CRCT).

Author

Mohile, Supriya Gupta, primary, Mohamed, Mostafa Refaat, additional, Culakova, Eva, additional, Xu, Huiwen, additional, Loh, Kah Poh, additional, Magnuson, Allison, additional, Flannery, Marie Anne, additional, Ramsdale, Erika E., additional, Dunne, Richard Francis, additional, Gilmore, Nikesha, additional, Obrecht, Spencer, additional, Patil, Amita, additional, Plumb, Sandy, additional, Lowenstein, Lisa M, additional, Janelsins, Michelle Christine, additional, Mustian, Karen Michelle, additional, Hopkins, Judith O., additional, Berenberg, Jeffrey L., additional, Gaur, Rakesh, additional, and Dale, William, additional

Published
2020
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49. Online_supplemental_material_2 – Supplemental material for A Review of the Presentation of Overdiagnosis in Cancer Screening Patient Decision Aids

Author

Housten, Ashley J., Lowenstein, Lisa M., Aubri Hoffman, Jacobs, Lianne E., Zineb Zirari, Hoover, Diana S., Stacey, Dawn, Pratt, Greg, Bevers, Therese B., and Volk, Robert J.

Subjects
111799 Public Health and Health Services not elsewhere classified, FOS: Health sciences
Abstract

Supplemental material, Online_supplemental_material_2 for A Review of the Presentation of Overdiagnosis in Cancer Screening Patient Decision Aids by Ashley J. Housten, Lisa M. Lowenstein, Aubri Hoffman, Lianne E. Jacobs, Zineb Zirari, Diana S. Hoover, Dawn Stacey, Greg Pratt, Therese B. Bevers and Robert J. Volk in MDM Policy & Practice

Published
2020
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50. Effect of a Patient Decision Aid on Lung Cancer Screening Decision-Making by Persons Who Smoke

Author

Volk, Robert J., Lowenstein, Lisa M., Leal, Viola B., Escoto, Kamisha H., Cantor, Scott B., Munden, Reginald F., Rabius, Vance A., Bailey, Linda, Cinciripini, Paul M., Lin, Heather, Housten, Ashley J., Luckett, Pamela Graef, Esparza, Angelina, Godoy, Myrna C., and Bevers, Therese B.

Subjects
Adult, Aged, 80 and over, Male, Lung Neoplasms, Smokers, Research, Middle Aged, United States, Decision Support Techniques, Online Only, Oncology, Humans, Mass Screening, Female, Patient Participation, Tomography, X-Ray Computed, Early Detection of Cancer, Original Investigation, Aged
Abstract

This randomized clinical trial compares the effect of a patient decision aid on lung cancer screening vs standard educational information on decision-making outcomes among persons who smoke., Key Points Question Does providing a lung cancer screening decision aid through tobacco quitlines improve informed decision-making about lung cancer screening among persons who smoke? Findings In this randomized clinical trial of 516 smokers, use of a patient decision aid compared with standard educational information led to better preparedness to decide about screening, higher reports of feeling informed and clear about screening choices, and greater knowledge of screening benefits and harms. Meaning The findings suggest that decision aids about lung cancer screening can reach large numbers of smokers who are eligible for screening through tobacco quitlines, can inform them about lung cancer screening, and can promote high-quality screening decisions., Importance Lung cancer screening with low-dose computed tomography lowers lung cancer mortality but has potential harms. Current guidelines support patients receiving information about the benefits and harms of lung cancer screening during decision-making. Objective To examine the effect of a patient decision aid (PDA) about lung cancer screening compared with a standard educational material (EDU) on decision-making outcomes among smokers. Design, Setting, and Participants This randomized clinical trial was conducted using 13 state tobacco quitlines. Current and recent tobacco quitline clients who met age and smoking history eligibility for lung cancer screening were enrolled from March 30, 2015, to September 12, 2016, and followed up for 6 months until May 5, 2017. Data analysis was conducted between May 5, 2017, and September 30, 2018. Interventions Participants were randomized to the PDA video Lung Cancer Screening: Is It Right for Me? (n = 259) or to EDU (n = 257). Main Outcomes and Measures The primary outcomes were preparation for decision-making and decisional conflict measured at 1 week. Secondary outcomes included knowledge, intentions, and completion of screening within 6 months of receiving the intervention measured by patient report. Results Of 516 quit line clients enrolled, 370 (71.7%) were younger than 65 years, 320 (62.0%) were female, 138 (26.7%) identified as black, 47 (9.1%) did not have health insurance, and 226 (43.8%) had a high school or lower educational level. Of participants using the PDA, 153 of 227 (67.4%) were well prepared to make a screening decision compared with 108 of 224 participants (48.2%) using EDU (odds ratio [OR], 2.31; 95% CI, 1.56-3.44; P

Published
2020

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