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3. Improving the quality of discharge communication with an educational intervention

Author

Key-Solle, Mikelle, Paulk, Elizabeth, Bradford, Kathleen, Skinner, Asheley Cockrell, Lewis, Matthew C., and Shomaker, Kyrie

Subjects
Residents (Medicine) -- Training, Residents (Medicine) -- Research, Communication in medicine -- Quality management, Communication in medicine -- Research, Hospitals -- Admission and discharge, Hospitals -- Quality management, Hospitals -- Research
Published
2010

11. Impact of End-of-Life Discussions on the Reduction of Latino/non-Latino Disparities in DNR Order Completion

Author

Shen, Megan Johnson, Prigerson, Holly G., Paulk, Elizabeth, Trevino, Kelly M., Penedo, Frank J., Tergas, Ana I., Epstein, Andrew S., Neugut, Alfred I., and Maciejewski, Paul K.

Subjects
Hospitals, County, Male, Terminal Care, Critical Care, Communication, Religion and Medicine, Catholicism, Hispanic or Latino, Middle Aged, Texas, Article, White People, Neoplasms, Adaptation, Psychological, Humans, Regression Analysis, Female, Advance Directives, Quality of Health Care, Resuscitation Orders
Abstract

Compared with non-Latino, white patients with advanced cancer, Latino patients with advanced cancer are less likely to sign do-not-resuscitate (DNR) orders, which is a form of advance care planning associated with better quality of life at the end of life (EOL). Latinos' completion of DNR orders may be more sensitive to clinical discussions regarding EOL care. The current study examined differences between Latino and white terminally ill patients with cancer with regard to the association between EOL discussions and DNR order completion.A total of 117 participants with advanced cancer (61 of whom were Latino and 56 of whom were non-Latino white individuals) were recruited between 2002 and 2008 from Parkland Hospital (a public hospital in Dallas, Texas) as part of the Coping with Cancer study, which is a large, multiinstitutional, prospective cohort study of patients with advanced cancer that is designed to examine social and psychological influences on EOL care. In structured interviews, patients reported if they had EOL discussions with their physicians, and if they completed DNR orders.The association between EOL discussions and DNR order completion was significantly greater in Latino compared with white patients, adjusting for potential confounds (interaction adjusted odds ratio, 6.64; P = .041). Latino patients who had an EOL discussion were10 times more likely (adjusted odds ratio, 10.91; P = .001) to complete a DNR order than those who had not, and were found to be equally as likely to complete a DNR order as white patients.Differences in the impact of EOL discussions on DNR order completion may explain Latino/non-Latino ethnic disparities in DNR order completion in EOL care, and point to a means to eliminate those disparities. Cancer 2016;122:1749-56. © 2016 American Cancer Society.

Published
2016

13. Palliative care in hematopoietic stem cell transplant recipients and impact on survival: A nationwide analysis.

Author

Premnath, Naveen, Khan, Adeel, Pandey, Mohak, Pandey, Urvashi, Hoff, Fieke W, Chung, Stephen, Ramakrishnan Geethakumari, Praveen, Awan, Farrukh Tauseef, Anderson, Jr, Larry D., Kaur, Gurbakhash, Afrough, Aimaz, Wolfe, Heather, Yilmaz, Elif, Collins, Robert, Terauchi, Stephanie, Paulk, Elizabeth, Sweetenham, John W., and Madanat, Yazan F

Published
2023
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19. Racial Differences in Predictors of Intensive End-of-Life Care in Patients With Advanced Cancer

Author

Loggers, Elizabeth Trice, primary, Maciejewski, Paul K., additional, Paulk, Elizabeth, additional, DeSanto-Madeya, Susan, additional, Nilsson, Matthew, additional, Viswanath, Kasisomayajula, additional, Wright, Alexi Anne, additional, Balboni, Tracy A., additional, Temel, Jennifer, additional, Stieglitz, Heather, additional, Block, Susan, additional, and Prigerson, Holly G., additional

Published
2009
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22. Racial Disparities in End-of-Life Care.

Author

Kuschner, Ware G., Mack, Jennifer W., Paulk, Elizabeth, Viswanath, Kasisomayajula, and Prigerson, Holly G.

Subjects
LETTERS to the editor, MEDICAL care
Abstract

A letter to the editor is presented in response to the article "Racial disparities in the outcomes of communication on medical care received near death," by Jennifer W. Mack et al. in the 2010 issue, as well as a response by the authors to this letter.

Published
2011
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