Research Topics
| Anthony BackSummaryAffiliation: University of Washington Country: USA Publications
Research Grants
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Detail Information
Publications
Approaching difficult communication tasks in oncologyAnthony L Back
University of Washington Seattle Cancer Care Alliance, Fred Hutchinson Cancer Research Center, USA
CA Cancer J Clin 55:164-77. 2005....
What patients value when oncologists give news of cancer recurrence: commentary on specific moments in audio-recorded conversationsAnthony L Back
University of Washington, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
Oncologist 16:342-50. 2011..Recommendations for communicating bad or serious news are based on limited evidence. This study was designed to understand patient perspectives on what patients value when oncologists communicate news of cancer recurrence...- Communication about cancer near the end of lifeAnthony L Back
Department of Medicine, Fred Hutchinson Cancer Research Center, University of Washington, Seattle, WA 98109 1023, USA
Cancer 113:1897-910. 2008.... - How should physicians communicate the transition to palliative care?Anthony L Back
University of Washington, Seattle Cancer Care Alliance, Seattle, WA 98109 1023, USA
Nat Clin Pract Oncol 2:136-7. 2005 - Compassionate silence in the patient-clinician encounter: a contemplative approachAnthony L Back
Department of Medicine, University of Washington, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
J Palliat Med 12:1113-7. 2009..We describe a typology of silences, and describe a type of compassionate silence, derived from contemplative practice, along with the mental qualities that make this type of silence possible... - Patient-physician communication in oncology: what does the evidence show?Anthony Back
University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA 98109 1023, USA
Oncology (Williston Park) 20:67-74; discussion 77-8, 83. 2006..Existing research provides a great deal of descriptive data about patient-oncologist communication, although intervention studies that link communication to patient outcomes are much less common... - Abandonment at the end of life from patient, caregiver, nurse, and physician perspectives: loss of continuity and lack of closureAnthony L Back
Fred Hutchinson Cancer Research Center, School of Medicine, Department of Medicine, University of Washington, Seattle, WA, USA
Arch Intern Med 169:474-9. 2009..Surveys and anecdotes suggest that patients and family members sometimes feel abandoned by their physicians at the transition to end-of-life care. To our knowledge, no prior studies describe abandonment prospectively... - Discussing prognosis: "how much do you want to know?" talking to patients who are prepared for explicit informationAnthony L Back
University of Washington, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
J Clin Oncol 24:4209-13. 2006 - Discussing prognosis: "how much do you want to know?" talking to patients who do not want information or who are ambivalentAnthony L Back
University of Washington, Fred Hutchinson Cancer Research Center, Seattle, WA, USA
J Clin Oncol 24:4214-7. 2006 - Efficacy of communication skills training for giving bad news and discussing transitions to palliative careAnthony L Back
Department of Medicine Oncology, University of Washington, 825 Eastlake Ave E, PO Box 19023, Seattle, WA 98109 1023, USA
Arch Intern Med 167:453-60. 2007..This study evaluated the efficacy of Oncotalk in changing observable communication behaviors... - On saying goodbye: acknowledging the end of the patient-physician relationship with patients who are near deathAnthony L Back
University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1023, USA
Ann Intern Med 142:682-5. 2005 - Dealing with conflict in caring for the seriously ill: "it was just out of the question"Anthony L Back
Department of Medicine, University of Washington, Seattle, USA
JAMA 293:1374-81. 2005..We outline a step-wise approach that physicians can use to deal with conflicts and the use of treatment trials as a strategy to address conflicts about the use of life-sustaining medical interventions... - Communicating bad newsAnthony L Back
Department of Medicine, University of Washington School of Medicine, Seattle 98195, USA
West J Med 176:177-80. 2002 - Clinician-patient interactions about requests for physician-assisted suicide: a patient and family viewAnthony L Back
Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way S 111, Seattle, WA 98108, USA
Arch Intern Med 162:1257-65. 2002..Clinician responses to PAS requests, however, have only been described using data obtained from clinicians... - Hope for the best, and prepare for the worstAnthony L Back
Veterans Administration Puget Sound Health Care System, University of Washington, 1660 South Columbian Way S111, Seattle, WA 98108, USA
Ann Intern Med 138:439-43. 2003 - "Could I add something?": Teaching communication by intervening in real time during a clinical encounterAnthony L Back
Department of Medicine, University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA, USA
Acad Med 85:1048-51. 2010.... - Teaching communication skills to medical oncology fellowsAnthony L Back
Veterans Affairs Puget Sound Health Care System, 1660 S Columbian Way, S-111, Seattle, WA 98108, USA
J Clin Oncol 21:2433-6. 2003 - How oncology fellows discuss transitions in goals of care: a snapshot of approaches used prior to trainingAnthony L Back
University of Washington, Seattle, Washington, USA
J Palliat Med 13:395-400. 2010.... - Communication skills: myths, realities, and new developmentsAnthony Back
VA Puget Sound Health Care System, Seattle, WA 98108, USA
J Support Oncol 1:169-71. 2003 - Impact of palliative care case management on resource use by patients dying of cancer at a Veterans Affairs medical centerAnthony L Back
VA Puget Sound Health Care System, Seattle, Washington, USA
J Palliat Med 8:26-35. 2005..The VA Puget Sound Health Care System (VAPSHCS) started a palliative care service (PCS) in October 2001 to provide case management for patients with advanced cancer... - Reflective teaching practices: an approach to teaching communication skills in a small-group settingKelly Fryer-Edwards
Department of Medical History and Ethics, University of Washington School of Medicine, Seattle, Washington 98195, USA
Acad Med 81:638-44. 2006..These reflective teaching practices, while developed for communication skills training, may be useful for teaching other challenging topics such as ethics and professionalism... - Communication at times of transitions: how to help patients cope with loss and re-define hopeWendy G Evans
Department of Medicine, Section of Medical Ethics and Palliative Care, Institute for Doctor Patient Communication, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Cancer J 12:417-24. 2006..This is accomplished with the Ask-Tell-Ask and Hope for the Best, Prepare for the Worst techniques, and most importantly by being curious about patients' hopes and fears... 
Transitions regarding palliative and end-of-life care in severe chronic obstructive pulmonary disease or advanced cancer: themes identified by patients, families, and cliniciansLynn F Reinke
Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, Washington, USA
J Palliat Med 11:601-9. 2008..Patients may experience transitions in different ways than clinicians. No prior studies have examined this issue from patients', families', and clinicians' perspectives...- An approach to understanding the interaction of hope and desire for explicit prognostic information among individuals with severe chronic obstructive pulmonary disease or advanced cancerJ Randall Curtis
Department of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98104, USA
J Palliat Med 11:610-20. 2008.... - Motivations for physician-assisted suicideRobert A Pearlman
VA Puget Sound Health Care System, Seattle Division, Seattle, WA 98108, USA
J Gen Intern Med 20:234-9. 2005..To obtain detailed narrative accounts of patients' motivations for pursuing physician-assisted suicide (PAS)... - Family member involvement in hastened deathHelene Starks
Department of Medical History and Ethics, University of Washington, Box 357120, Seattle, WA 98195 7240, USA
Death Stud 31:105-30. 2007..These results highlight the positive and negative consequences of family members' participation in a hastened death... - Effect of a quality-improvement intervention on end-of-life care in the intensive care unit: a randomized trialJ Randall Curtis
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle Washington, USA
Am J Respir Crit Care Med 183:348-55. 2011..Because of high mortality, end-of-life care is an important component of intensive care... - How primary care providers talk to patients about alcohol: a qualitative studyKinsey A McCormick
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA, USA
J Gen Intern Med 21:966-72. 2006..Alcohol misuse is a common and well-documented source of morbidity and mortality. Brief primary care alcohol counseling has been shown to benefit patients with alcohol misuse... - Why now? Timing and circumstances of hastened deathsHelene Starks
Department of Medical History and Ethics, University of Washington, Seattle, Washington, USA
J Pain Symptom Manage 30:215-26. 2005..Clinicians should regularly assess where patients perceive they are in the dying process and ask about their comfort with the pace of dying to identify opportunities for intervention... - Burnout and self-reported patient care in an internal medicine residency programTait D Shanafelt
University of Washington, Veterans Affairs Northwest Health Services Research and Development Center of Excellence, and Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
Ann Intern Med 136:358-67. 2002..CONCLUSION: Burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices... - Withdrawing life support and resolution of conflict with familiesJenny Way
Department of Medicine, University of Washington, Seattle, WA 98195, USA
BMJ 325:1342-5. 2002 - The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency programLara Goitein
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Box 359762, University of Washington Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, USA
Arch Intern Med 165:2601-6. 2005..Overall, most residents (65%) approved of WHLs. CONCLUSIONS: Internal medicine residents approve of WHLs overall and report benefits to their well-being. However, they also report negative effects on patient care and resident education... - Manualized communication interventions to enhance palliative care research and training: rigorous, testable approachesJoseph S Weiner
Long Island Jewish Medical Center, Department of Medicine, New Hyde Park, NY 11040, USA
J Palliat Med 9:371-81. 2006..The advantages of manualized communication approaches; some concepts underlying manual construction; and challenges to extending manualized communication to the palliative care domain are discussed... - Titrating guidance: a model to guide physicians in assisting patients and family members who are facing complex decisionsNathan E Goldstein
Hertzberg Palliative Care Institute of the Brookdale, Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York City, USA
Arch Intern Med 168:1733-9. 2008..This model can help improve patient-physician communication and decision making so that complex and difficult decisions can be turned into ones that yield to medical expertise, good communication, and personal caring... - The pursuit of physician-assisted suicide: role of psychiatric factorsAshok J Bharucha
Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
J Palliat Med 6:873-83. 2003.... - Qualitative methods in end-of-life research: recommendations to enhance the protection of human subjectsBarbara A Koenig
Stanford University Center for Biomedical Ethics, 701A Welch Road #1105, Palo Alto, CA 94304, USA
J Pain Symptom Manage 25:S43-52. 2003..Sensitive topics, such as drug use, may require added protections...
Research Grants
- End of Life Communication Skills for Oncology FellowsAnthony Back; Fiscal Year: 2005..This program will create a formal curriculum for communication skills that could be replicated in many institutions to improve the quality of oncologists-patient communication--and ultimately the quality of cancer care--nationwide. ..
- Training Oncology Faculty to Teach Communication SkillsAnthony Back; Fiscal Year: 2007..Our revised proposal represents an empirical, evidence-based approach by an accomplished investigator team with a unique group of interested participants created by the original Oncotalk program. ..