Karl A Lorenz

Summary

Country: USA

Publications

  1. doi request reprint How reliable is pain as the fifth vital sign?
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Code 111 G, Los Angeles, CA 90064, USA
    J Am Board Fam Med 22:291-8. 2009
  2. doi request reprint Quality measures for supportive cancer care: the Cancer Quality-ASSIST Project
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Code 111 G, Los Angeles, CA 90073, USA
    J Pain Symptom Manage 37:943-64. 2009
  3. ncbi request reprint Evidence for improving palliative care at the end of life: a systematic review
    Karl A Lorenz
    Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    Ann Intern Med 148:147-59. 2008
  4. ncbi request reprint Quality indicators for palliative and end-of-life care in vulnerable elders
    Karl A Lorenz
    Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA 90064, USA
    J Am Geriatr Soc 55:S318-26. 2007
  5. ncbi request reprint Changes in symptoms and health-related quality of life in a nationally representative sample of adults in treatment for HIV
    Karl A Lorenz
    Veterans Integrated Palliative Program, Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CA 90073, USA
    Qual Life Res 15:951-8. 2006
  6. ncbi request reprint Health care policy issues in end-of-life care
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    J Palliat Med 9:731-48. 2006
  7. ncbi request reprint Methodological approaches for a systematic review of end-of-life care
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, and Johns Hopkins University, Baltimore, MD, USA
    J Palliat Med 8:S4-11. 2005
  8. doi request reprint Exploring alternative approaches to routine outpatient pain screening
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
    Pain Med 10:1291-9. 2009
  9. ncbi request reprint A qualitative examination of primary care providers' and physician managers' uses and views of research evidence
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Veterans Integrated Palliative Program, 11301 Wilshire Boulevard, Code 111 G, Los Angeles, CA 90064, USA
    Int J Qual Health Care 17:409-14. 2005
  10. ncbi request reprint Quality measures for symptoms and advance care planning in cancer: a systematic review
    Karl A Lorenz
    Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
    J Clin Oncol 24:4933-8. 2006

Detail Information

Publications53

  1. doi request reprint How reliable is pain as the fifth vital sign?
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Code 111 G, Los Angeles, CA 90064, USA
    J Am Board Fam Med 22:291-8. 2009
    ..Although many health care organizations require routine pain screening (eg, "5th vital sign") with the 0 to 10 numeric rating scale (NRS), its accuracy has been questioned; here we evaluated its accuracy and potential causes for error...
  2. doi request reprint Quality measures for supportive cancer care: the Cancer Quality-ASSIST Project
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Code 111 G, Los Angeles, CA 90073, USA
    J Pain Symptom Manage 37:943-64. 2009
    ..Research is needed to characterize adherence to recommended practices and to evaluate the use of these measures in quality improvement efforts...
  3. ncbi request reprint Evidence for improving palliative care at the end of life: a systematic review
    Karl A Lorenz
    Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    Ann Intern Med 148:147-59. 2008
    ..Many persons and their families are burdened by serious chronic illness in late life. How to best support quality of life is an important consideration for care...
  4. ncbi request reprint Quality indicators for palliative and end-of-life care in vulnerable elders
    Karl A Lorenz
    Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA 90064, USA
    J Am Geriatr Soc 55:S318-26. 2007
  5. ncbi request reprint Changes in symptoms and health-related quality of life in a nationally representative sample of adults in treatment for HIV
    Karl A Lorenz
    Veterans Integrated Palliative Program, Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Geffen School of Medicine at UCLA, Los Angeles, CA 90073, USA
    Qual Life Res 15:951-8. 2006
    ..In conclusion, among HIV-infected patients, symptoms are significantly related to HRQOL over time. The functioning and well-being of patients with HIV is inextricably linked to the symptoms they experience...
  6. ncbi request reprint Health care policy issues in end-of-life care
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    J Palliat Med 9:731-48. 2006
  7. ncbi request reprint Methodological approaches for a systematic review of end-of-life care
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, and Johns Hopkins University, Baltimore, MD, USA
    J Palliat Med 8:S4-11. 2005
    ..This very large, diverse body of literature reflects the tremendous growth of the field of end-of-life care over the last decade...
  8. doi request reprint Exploring alternative approaches to routine outpatient pain screening
    Karl A Lorenz
    Veterans Administration Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
    Pain Med 10:1291-9. 2009
    ..To evaluate potential alternatives to the numeric rating scale (NRS) for routine pain screening...
  9. ncbi request reprint A qualitative examination of primary care providers' and physician managers' uses and views of research evidence
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Veterans Integrated Palliative Program, 11301 Wilshire Boulevard, Code 111 G, Los Angeles, CA 90064, USA
    Int J Qual Health Care 17:409-14. 2005
    ..To examine the reasons and search strategies related to physicians' search for evidence and to compare clinician and physician manager approaches...
  10. ncbi request reprint Quality measures for symptoms and advance care planning in cancer: a systematic review
    Karl A Lorenz
    Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
    J Clin Oncol 24:4933-8. 2006
    ..This study was designed to identify systematically the quality measures and the evidence to support their use in pain, dyspnea, depression, and advance care planning (ACP), and to identify research gaps...
  11. ncbi request reprint Charity for the dying: who receives unreimbursed hospice care?
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Veterans Integrated Palliative Program, Division of General Internal Medicine, 11301 Wilshire Boulevard, Code 111 G, Los Angeles, CA 90073, USA
    J Palliat Med 6:585-91. 2003
    ..Many deaths occur among persons without insurance coverage for hospice care. We examined the patient and agency characteristics associated with receiving unreimbursed hospice care in a national survey...
  12. ncbi request reprint Hospice admission practices: where does hospice fit in the continuum of care?
    Karl A Lorenz
    Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA
    J Am Geriatr Soc 52:725-30. 2004
    ..To evaluate selected hospice admission practices that could represent barriers to hospice use and the association between these admission practices and organizational characteristics...
  13. ncbi request reprint End-of-life education using the dramatic arts: the Wit educational initiative
    Karl A Lorenz
    Division of General Internal Medicine, VA Greater Los Angeles Healthcare System and David Geffen School of Medicine, UCLA, Los Angeles, CA 90073, USA
    Acad Med 79:481-6. 2004
    ..An educational program using theatre to educate trainees in the humanistic aspects of end-of-life care was enthusiastically received by medical schools and rated highly by attendees...
  14. ncbi request reprint Accommodating ethnic diversity: a study of California hospice programs
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    Med Care 42:871-4. 2004
    ..Studies have confirmed ethnic disparities in the use of hospice services and identified barriers that minorities face in accessing care...
  15. pmc Does screening for pain correspond to high quality care for veterans?
    Lisa Zubkoff
    Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, USA
    J Gen Intern Med 25:900-5. 2010
    ..Routine numeric screening for pain is widely recommended, but its association with overall quality of pain care is unclear...
  16. doi request reprint Factors associated with clinician intention to address diverse aspects of pain in seriously ill outpatients
    Lisa R Shugarman
    SCAN Foundation, Long Beach, California, USA
    Pain Med 11:1365-72. 2010
    ..Pain is a common, often undertreated problem among patients with palliative needs...
  17. doi request reprint Quality of supportive care for patients with advanced cancer in a VA medical center
    Jennifer L Malin
    VA Greater Los Angeles Healthcare System, RAND Health, David Geffen School of Medicine, University of California, Los Angeles, USA
    J Palliat Med 14:573-7. 2011
    ....
  18. doi request reprint Nursing staff, patient, and environmental factors associated with accurate pain assessment
    Lisa R Shugarman
    RAND Corporation, Santa Monica, California, USA
    J Pain Symptom Manage 40:723-33. 2010
    ..Although pain ranks highly among reasons for seeking care, routine pain assessment is often inaccurate...
  19. doi request reprint Developing quality indicators for cancer end-of-life care: proceedings from a national symposium
    Hsien Seow
    Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
    Cancer 115:3820-9. 2009
    ..Measuring the quality of end-of-life cancer care is essential to understanding how best to improve patient outcomes and care...
  20. doi request reprint A framework for assessing quality indicators for cancer care at the end of life
    Hsien Seow
    Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA
    J Pain Symptom Manage 38:903-12. 2009
    ..By using this conceptual framework, indicator developers, researchers, and policymakers can refine and implement indicator sets to effectively evaluate and improve care at the end of life...
  21. doi request reprint Evidence-based recommendations for information and care planning in cancer care
    Anne Walling
    David Geffen School of Medicine, University of California, Los Angeles, CA, USA
    J Clin Oncol 26:3896-902. 2008
    ..The standards presented here for information and care planning in cancer care should be incorporated into care pathways and should become the expectation rather than the exception...
  22. doi request reprint Impact of consideration of transplantation on end-of-life care for patients during a terminal hospitalization
    Anne M Walling
    Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, CA, USA
    Transplantation 95:641-6. 2013
    ..Many patients considered for transplantation die before receiving the organ, underlining the importance of providing high-quality symptomatic relief and communication for all transplant patients...
  23. doi request reprint Evidence-based recommendations for cancer fatigue, anorexia, depression, and dyspnea
    Sydney M Dy
    Health Policy and Management, Oncology, and Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Clin Oncol 26:3886-95. 2008
    ..CONCLUSION These standards provide a framework for evidence-based screening, assessment, treatment, and follow-up for cancer-associated symptoms...
  24. ncbi request reprint Psychosocial concerns among Latinas with life-limiting advanced cancers
    Frances R Nedjat-Haiem
    Veterans Affairs Greater Los Angeles Healthcare System, USA
    Omega (Westport) 67:167-74. 2013
    ..In-depth interviews were recorded and transcribed, and qualitative analysis was performed using Atlas.ti software...
  25. doi request reprint Urologist attitudes toward end-of-life care
    Jonathan Bergman
    Department of Urology, University of California, Los Angeles, CA, USA
    Urology 82:48-52. 2013
    ..To examine urology trainees' views about the quality and current practices of end-of-life care and to explore strategies for improving integration and quality of care...
  26. doi request reprint Cancer Quality-ASSIST supportive oncology quality indicator set: feasibility, reliability, and validity testing
    Sydney M Dy
    Department of Health Policy and Management, Johns Hopkins School of Medicine, Baltimore, Maryland 21205, USA
    Cancer 116:3267-75. 2010
    ..Although measuring the quality of symptom management and end-of-life care could help provide a basis for improving supportive care for advanced cancer, few quality indicators in this area have been rigorously developed or evaluated...
  27. doi request reprint The quality of supportive care among inpatients dying with advanced cancer
    Anne M Walling
    Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90024, USA
    Support Care Cancer 20:2189-94. 2012
    ..The purpose of this study is to apply novel quality indicators to measure the quality of supportive care provided to patients with advanced cancer who died in a large university medical center...
  28. pmc The quality of care provided to hospitalized patients at the end of life
    Anne M Walling
    Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90024, USA
    Arch Intern Med 170:1057-63. 2010
    ..However, when lifesaving treatments are unsuccessful, patients often die in the hospital with distressing symptoms while receiving burdensome care. Systematic measurement of the quality of care planning and symptom palliation is needed...
  29. doi request reprint Evidence-based recommendations for cancer nausea and vomiting
    Arash Naeim
    David Geffen School of Medicine, University of California, Los Angeles, CA, USA
    J Clin Oncol 26:3903-10. 2008
    ..The standards presented here for preventing and managing nausea and vomiting in cancer care should be incorporated into care pathways and should become the expectation rather than the exception...
  30. doi request reprint Evidence-based standards for cancer pain management
    Sydney M Dy
    Health Policy and Management, Oncology, and Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Clin Oncol 26:3879-85. 2008
    ..These standards provide an initial framework for high-quality evidence-based management of general cancer pain and pain syndromes...
  31. doi request reprint Evaluating a palliative care intervention for veterans: challenges and lessons learned in a longitudinal study of patients with serious illness
    Deborah Riopelle
    Veterans Administration Greater Los Angeles Healthcare Center, Los Angeles, CA, USA
    J Pain Symptom Manage 41:1003-14. 2011
    ..Unfortunately, such studies face substantial methodological challenges...
  32. doi request reprint The quality of supportive cancer care in the veterans affairs health system and targets for improvement
    Anne M Walling
    VA Greater Los Angeles Healthcare System, Los Angeles, California2Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles3RAND Health, Santa Monica, California
    JAMA Intern Med 173:2071-9. 2013
    ..Characterizing the quality of supportive cancer care can guide quality improvement...
  33. doi request reprint Provider approaches to palliative dyspnea assessment: implications for informatics-based clinical tools
    Sangeeta C Ahluwalia
    Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, CA 90064, USA
    Am J Hosp Palliat Care 30:231-8. 2013
    ..To understand provider practices around dyspnea assessment to inform the development of an electronic medical record (EMR)-based dyspnea assessment module in an inpatient palliative care consultation template...
  34. doi request reprint Emergency medicine physicians' perspectives of providing palliative care in an emergency department
    Susan C Stone
    Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
    J Palliat Med 14:1333-8. 2011
    ..Having a palliative care team that is responsive to the needs of the ED will further enhance collaboration with the ED. Future research should focus on understanding the range of benefits to having palliative care in the ED...
  35. ncbi request reprint Negotiating end-of-life decision making: a comparison of Japanese and U.S. residents' approaches
    Baback B Gabbay
    Veteran s Integrated Palliative Program, 11301 Wilshire Boulevard, Mail Code 111G, Los Angeles, CA 90073, USA
    Acad Med 80:617-21. 2005
    ..To compare Japanese and U.S. resident physicians' attitudes, clinical experiences, and emotional responses regarding making disclosures to patients facing incurable illnesses...
  36. doi request reprint Potential impact of a verbal prehospital DNR policy
    Corita R Grudzen
    Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, California, USA
    Prehosp Emerg Care 13:169-72. 2009
    ..The impact of a verbal DNR policy is unclear, given the absence of information about how often cardiac arrest occurs at home, or in the presence of a family member...
  37. ncbi request reprint Cash and compassion: profit status and the delivery of hospice services
    Karl A Lorenz
    VA Greater Los Angeles Healthcare System, University of California, Los Angeles
    J Palliat Med 5:507-14. 2002
    ..To evaluate the relationship of hospice profit status to patient selection and service delivery...
  38. ncbi request reprint A systematic review of satisfaction with care at the end of life
    Sydney Morss Dy
    Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
    J Am Geriatr Soc 56:124-9. 2008
    ..More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation...
  39. doi request reprint Feasibility of discussing end-of-life care goals with inpatients using a structured, conversational approach: the go wish card game
    Azadeh Lankarani-Fard
    VA Greater Los Angeles Healthcare System, Los Angeles, California 90403, USA
    J Pain Symptom Manage 39:637-43. 2010
    ..Our results suggest that it is feasible to use the Go Wish card game even in the chaotic inpatient setting to obtain an accurate portrayal of the patient's goals of care in a time-efficient manner...
  40. ncbi request reprint "There's no cure for this condition": how physicians discuss advance care planning in heart failure
    Sangeeta C Ahluwalia
    Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, Los Angeles, USA
    Patient Educ Couns 91:200-5. 2013
    ..To evaluate the extent to which physicians engage in recommended elements of advance care planning (ACP) communication during outpatient clinic visits with heart failure (HF) patients...
  41. pmc Missed opportunities for advance care planning communication during outpatient clinic visits
    Sangeeta C Ahluwalia
    Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd, Los Angeles, CA 90064, USA
    J Gen Intern Med 27:445-51. 2012
    ....
  42. pmc Hospice use and high-intensity care in men dying of prostate cancer
    Jonathan Bergman
    Department of Urology, University of California, Los Angeles, CA 90095 1738, USA
    Arch Intern Med 171:204-10. 2011
    ..We sought to characterize hospice use by men dying of prostate cancer and to compare the use of high-intensity care between those who did or did not enroll in hospice...
  43. doi request reprint Quality of end-of-life care for patients with advanced cancer in an academic medical center
    Sydney Morss Dy
    Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland 21205, USA
    J Palliat Med 14:451-7. 2011
    ..We assessed key aspects of the quality of end-of-life care using validated explicit process quality measures in an academic medical center (hospital and cancer center) before expanding to a broader palliative care initiative...
  44. doi request reprint Experiences with advanced cancer among Latinas in a public health care system
    Frances R Nedjat-Haiem
    Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
    J Pain Symptom Manage 43:1013-24. 2012
    ..Although Latinos experience barriers to high-quality health care, late-stage cancer diagnoses, and poor health outcomes, little is known about their experiences with advanced, life-threatening cancers...
  45. ncbi request reprint The relationship of reported pain severity to perceived effect on function of nursing home residents
    Mary P Cadogan
    School of Nursing, University of California, Factor 5 952, Box 956919, Los Angeles, CA 90095 6919, USA
    J Gerontol A Biol Sci Med Sci 63:969-73. 2008
    ..We examined whether questions addressing the effect of pain on day-to-day function add unique information to the standardized verbal descriptor scale for pain severity in nursing homes (NHs)...
  46. ncbi request reprint Pain and palliative medicine
    Victor T Chang
    Section Hematology Oncology 111, Department of Veterans Affairs VA New Jersey Health Care System, East Orange, NJ 07018, USA
    J Rehabil Res Dev 44:279-94. 2007
    ..Much work remains to ensure that pain is recognized, treated, and monitored effectively...
  47. doi request reprint Progress in quality-of-care research and hope for supportive cancer care
    Karl A Lorenz
    Veterans Administration, Greater Los Angeles Healthcare System, Los Angeles, CA, USA
    J Clin Oncol 26:3821-3. 2008
  48. doi request reprint Implementing physician orders for life-sustaining treatment in California hospitals: factors associated with adoption
    Takehiro Sugiyama
    Division of General Internal Medicine and Health Services Research, University of California at Los Angeles, Los Angeles, California 90095, USA
    J Am Geriatr Soc 61:1337-44. 2013
    ..Efforts to improve implementation should emphasize dissemination in poorer areas and in for-profit hospitals...
  49. ncbi request reprint Developing quality indicators for the appropriateness of resuscitation in prehospital atraumatic cardiac arrest
    Corita R Grudzen
    Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, CA 90024, USA
    Prehosp Emerg Care 11:434-42. 2007
    ..We sought to develop a set of straightforward clinical indicators that paramedics could use to better match resuscitation attempts to those most likely to benefit...
  50. doi request reprint Advance care planning among the oldest old
    Pauline Wu
    University of Medicine and Dentistry of New Jersey, USA
    J Palliat Med 11:152-7. 2008
    ..To describe end-of-life advance care planning among the oldest-old (those >/= 85 years) and to identify patient characteristics and healthcare utilization patterns associated with likelihood of care planning documentation...
  51. ncbi request reprint Oregon's lessons for improving advance care planning
    Karl A Lorenz
    J Am Geriatr Soc 52:1574-5. 2004
  52. pmc A systematic review of measures of end-of-life care and its outcomes
    Richard A Mularski
    Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
    Health Serv Res 42:1848-70. 2007
    ..To identify psychometrically sound measures of outcomes in end-of-life care and to characterize their use in intervention studies...