D Casarett

Summary

Affiliation: University of Pennsylvania
Country: USA

Publications

  1. ncbi request reprint Ethical considerations in end-of-life care and research
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia VA Medical Center, and the Division of Geriatrics, Institute on Aging, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Palliat Med 8:S148-60. 2005
  2. doi request reprint The optimal delivery of palliative care: a national comparison of the outcomes of consultation teams vs inpatient units
    David Casarett
    Division of Geriatric Medicine, School of Medicine, University of Pennsylvania, 3615 Chestnut St, Philadelphia, PA 19104, USA
    Arch Intern Med 171:649-55. 2011
  3. doi request reprint Advancing the science of hospice care: Coalition of Hospices Organized to Investigate Comparative Effectiveness
    David J Casarett
    Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
    Curr Opin Support Palliat Care 6:459-64. 2012
  4. doi request reprint Defining patient safety in hospice: principles to guide measurement and public reporting
    David Casarett
    Division of Geriatric Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
    J Palliat Med 15:1120-3. 2012
  5. pmc Which hospice patients with cancer are able to die in the setting of their choice? Results of a retrospective cohort study
    Neha Jeurkar
    University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA
    J Clin Oncol 30:2783-7. 2012
  6. pmc The art versus science of predicting prognosis: can a prognostic index predict short-term mortality better than experienced nurses do?
    David J Casarett
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Palliat Med 15:703-8. 2012
  7. ncbi request reprint How should clinicians describe hospice to patients and families?
    David J Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 52:1923-8. 2004
  8. ncbi request reprint Making difficult decisions about hospice enrollment: what do patients and families want to know?
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 53:249-54. 2005
  9. ncbi request reprint Recruiting for research in hospice: feasibility of a research screening protocol
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia VAMC, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Palliat Med 7:854-60. 2004
  10. ncbi request reprint Improving the use of hospice services in nursing homes: a randomized controlled trial
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    JAMA 294:211-7. 2005

Research Grants

Detail Information

Publications74

  1. ncbi request reprint Ethical considerations in end-of-life care and research
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia VA Medical Center, and the Division of Geriatrics, Institute on Aging, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Palliat Med 8:S148-60. 2005
    ....
  2. doi request reprint The optimal delivery of palliative care: a national comparison of the outcomes of consultation teams vs inpatient units
    David Casarett
    Division of Geriatric Medicine, School of Medicine, University of Pennsylvania, 3615 Chestnut St, Philadelphia, PA 19104, USA
    Arch Intern Med 171:649-55. 2011
    ..Growing attention to end-of-life care has led to intensive efforts to provide better palliative care. However, it is not known whether palliative care is best provided by consultative teams or in dedicated units...
  3. doi request reprint Advancing the science of hospice care: Coalition of Hospices Organized to Investigate Comparative Effectiveness
    David J Casarett
    Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
    Curr Opin Support Palliat Care 6:459-64. 2012
    ..Moreover, they cannot examine the implementation of therapies in real-world settings. Therefore, there is a need for novel, complementary approaches to research in this unique population...
  4. doi request reprint Defining patient safety in hospice: principles to guide measurement and public reporting
    David Casarett
    Division of Geriatric Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
    J Palliat Med 15:1120-3. 2012
    ..Instead, we suggest three principles that can guide the development of hospice-appropriate safety measures by considering a patient's goals and life expectancy, and the degree to which responsibility for a patient's care is shared...
  5. pmc Which hospice patients with cancer are able to die in the setting of their choice? Results of a retrospective cohort study
    Neha Jeurkar
    University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA
    J Clin Oncol 30:2783-7. 2012
    ..To determine which hospice patients with cancer prefer to die at home and to define factors associated with an increased likelihood of dying at home...
  6. pmc The art versus science of predicting prognosis: can a prognostic index predict short-term mortality better than experienced nurses do?
    David J Casarett
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Palliat Med 15:703-8. 2012
    ..To determine whether a prognostic index could predict one-week mortality more accurately than hospice nurses can...
  7. ncbi request reprint How should clinicians describe hospice to patients and families?
    David J Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 52:1923-8. 2004
    ..To describe hospice enrollment from the perspective of bereaved family members and to identify information about hospice that would encourage patients and families to enroll sooner...
  8. ncbi request reprint Making difficult decisions about hospice enrollment: what do patients and families want to know?
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 53:249-54. 2005
    ..To define patients' and families' priorities for information about hospice...
  9. ncbi request reprint Recruiting for research in hospice: feasibility of a research screening protocol
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia VAMC, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Palliat Med 7:854-60. 2004
    ..The goal of this study was to evaluate the feasibility of this strategy for identifying hospice patients who are interested in research participation...
  10. ncbi request reprint Improving the use of hospice services in nursing homes: a randomized controlled trial
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    JAMA 294:211-7. 2005
    ..Hospice care may improve the quality of end-of-life care for nursing home residents, but hospice is underutilized by this population, at least in part because physicians are not aware of their patients' preferences...
  11. pmc Epidemiology and prognosis of coma in daytime television dramas
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, 9 East, 3900 Woodland Avenue, Philadelphia, PA 19104 4155, USA
    BMJ 331:1537-9. 2005
    ..To determine how soap operas portray, and possibly misrepresent, the likelihood of recovery for patients in coma...
  12. ncbi request reprint How should nations measure the quality of end-of-life care for older adults? Recommendations for an international minimum data set
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 54:1765-71. 2006
    ..This article describes the importance of developing national minimum data sets that can be used to assess the quality of end-of-life care that older adults receive and recommends key variables that these data sets should include...
  13. ncbi request reprint "I'm not ready for hospice": strategies for timely and effective hospice discussions
    David J Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center and the University of Pennsylvania, Philadelphia, Pennsylvania, USA
    Ann Intern Med 146:443-9. 2007
    ..This strategy can make hospice discussions both more compassionate and more effective...
  14. ncbi request reprint Important aspects of end-of-life care among veterans: implications for measurement and quality improvement
    David Casarett
    Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, Philadelphia, Pennsylvania, USA
    J Pain Symptom Manage 35:115-25. 2008
    ..VA efforts to evaluate end-of-life care for veterans should not only measure common aspects of care (e.g., pain management), but also examine performance in areas that are more specific to the veteran population...
  15. doi request reprint Do palliative consultations improve patient outcomes?
    David Casarett
    Center for Health Equity Research and Promotion, Department of Veterans Affairs, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 56:593-9. 2008
    ..To determine whether inpatient palliative consultation services improve outcomes of care...
  16. doi request reprint How should we design supportive cancer care? The patient's perspective
    David Casarett
    University of Pennsylvania, 3615 Chestnut St, Philadelphia, PA 19104, USA
    J Clin Oncol 26:1296-301. 2008
    ..Although so-called open-access hospice programs and bridge programs are beginning to offer these services to patients who are still receiving treatment, it is not known whether they best meet patients' needs...
  17. pmc The terrible choice: re-evaluating hospice eligibility criteria for cancer
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Clin Oncol 27:953-9. 2009
    ..Our goal was to determine whether willingness to make this choice identifies patients with greater need for hospice services...
  18. pmc Can metaphors and analogies improve communication with seriously ill patients?
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Palliat Med 13:255-60. 2010
    ..Therefore, the objective of this study was to determine whether the use of metaphors and analogies in difficult conversations is associated with better patient ratings of their physicians' communication skills...
  19. doi request reprint Measuring families' perceptions of care across a health care system: preliminary experience with the Family Assessment of Treatment at End of Life Short form (FATE-S)
    David Casarett
    Center for Health Equity Research and Promotion, Department of Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA
    J Pain Symptom Manage 40:801-9. 2010
    ..Because the Family Evaluation of Treatment at End of Life (FATE) survey was too long for routine use in the Veterans Administration (VA) health care system to measure quality of care, a shorter instrument was developed...
  20. doi request reprint Does nonresponse bias the results of retrospective surveys of end-of-life care?
    David Casarett
    Philadelphia Veterans Affairs Center for Health Equity Research and Promotion, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 58:2381-6. 2010
    ..To evaluate the effect of nonresponse bias on reports of the quality of end-of-life care that older adults receive...
  21. doi request reprint One big happy family? Interdisciplinary variation in job satisfaction among hospice providers
    David J Casarett
    Center for Bioethics, Leonard Davis Institute of Health Economics at the University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    J Palliat Med 14:913-7. 2011
    ..However, little is known about the job satisfaction of hospice providers, or about variation in satisfaction among disciplines...
  22. ncbi request reprint How should clinicians discuss hospice for patients with dementia? Anticipating caregivers' preconceptions and meeting their information needs
    David Casarett
    Philadelphia Veterans Administration Medical Center, Philadelphia, Pennsylvania, USA
    Alzheimer Dis Assoc Disord 16:116-22. 2002
    ..In discussing hospice with AD caregivers, clinicians may want to emphasize selected features of hospice that are particularly important to caregivers...
  23. ncbi request reprint Advocacy and activism: missing pieces in the quest to improve end-of-life care
    David J Casarett
    The Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, University of Pennsylvania 19104, USA
    J Palliat Med 5:3-12. 2002
    ..We discuss some of the reasons for this lack of response, and propose ways in which providers and funding agencies can work with patients and their families to improve end-of-life care...
  24. ncbi request reprint Must patients with advanced cancer choose between a Phase I trial and hospice?
    David J Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
    Cancer 95:1601-4. 2002
    ..However, it is not known whether dual enrollment in a Phase I trial and hospice is feasible...
  25. ncbi request reprint Is satisfaction with pain management a valid and reliable quality indicator for use in nursing homes?
    David J Casarett
    Philadelphia VA Medical Center, Pennsylvania, USA
    J Am Geriatr Soc 50:2029-34. 2002
    ..To determine whether satisfaction with pain management can be measured reliably in nursing homes and to gather preliminary data about the validity of satisfaction assessments in this population...
  26. ncbi request reprint Are hospices ready to participate in palliative care research? Results of a national survey
    David J Casarett
    Philadelphia Veterans Affairs Medical Center and Division of Geriatric Medicine, Department of Medicine, Center for Bioethics and the Leonard Davis Institute of Health Economics, University of Pennsylvania, 19104, USA
    J Palliat Med 5:397-406. 2002
    ..However, it is not known whether hospices are prepared to participate in research, nor is it known what barriers may prevent hospices from becoming involved in research...
  27. ncbi request reprint Does a palliative care clinic have a role in improving end-of-life care? Results of a pilot program
    David J Casarett
    Philadelphia Veterans Affairs Medical Center and Department of Medicine, Institute on Aging, University of Pennsylvania, 19104, USA
    J Palliat Med 5:387-96. 2002
    ..To assess the efficacy of a palliative care clinic (PCC), which provided some of the interdisciplinary services and expertise of an inpatient consult service to outpatients, in traditional clinic sessions...
  28. ncbi request reprint Predictors of withdrawal from hospice
    D J Casarett
    Philadelphia Veterans Affairs Medical Center, University of Pennsylvania, Department of Medicine, Division of Geriatrics, Philadelphia, Pennsylvania, USA
    J Palliat Med 4:491-7. 2001
    ..However, some patients withdraw from hospice even though they are medically eligible. Little is known about these patients, and the factors associated with their withdrawal have not been described...
  29. ncbi request reprint Paying hypertension research subjects
    David Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Gen Intern Med 17:650-2. 2002
    ..Cash payments are often used to compensate subjects who participate in research. However, ethicists have argued that these payments might constitute an undue inducement...
  30. ncbi request reprint NHPCO Task Force Statement on the Ethics of Hospice Participation in Research
    D Casarett
    Institute on Aging, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Palliat Med 4:441-9. 2001
    ..We conclude by proposing ways in which hospices and national professional organizations can begin to overcome some of these challenges...
  31. ncbi request reprint Patients with cancer referred to hospice versus a bridge program: patient characteristics, needs for care, and survival
    D Casarett
    Philadelphia Veterans Affairs Medical Center, PA, USA
    J Clin Oncol 19:2057-63. 2001
    ..The purpose of this study was to compare the characteristics and needs of patients with advanced cancer who were referred to hospice with those referred to a prehospice "bridge" program that is staffed by hospice nurses...
  32. ncbi request reprint Obtaining informed consent for clinical pain research: patients' concerns and information needs
    D Casarett
    University of Pennsylvania Center for Bioethics, PA, Philadelphia, USA
    Pain 92:71-9. 2001
    ..This paper describes these information needs, and identifies clinical and demographic variables associated with specific needs...
  33. ncbi request reprint Systems errors versus physicians' errors: finding the balance in medical education
    D Casarett
    Department of Medicine, University of Pennsylvania, Philadelphia 19104 6218, USA
    Acad Med 74:19-22. 1999
    ..The article concludes with discussion of these and related strategies to achieve the desired balance between the use of a systems approach and a personal-responsibility approach to managing errors in academic medical centers...
  34. ncbi request reprint Determining when quality improvement initiatives should be considered research: proposed criteria and potential implications
    D Casarett
    Institute of Aging, University of Pennsylvania Center for Bioethics and the Division of Geriatrics, Philadelphia Veterans Affairs Medical Center, 19104, USA
    JAMA 283:2275-80. 2000
    ..Implementation of these criteria offers the possibility that the rights and interests of those who participate in quality improvement initiatives will be protected...
  35. ncbi request reprint The relationship between caregivers' global ratings of Alzheimer's disease patients' quality of life, disease severity, and the caregiving experience
    J H Karlawish
    Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 49:1066-70. 2001
    ..These results provide a compelling reason why clinicians should take the time to screen for and address caregiver depression and burden and problematic patient behaviors...
  36. doi request reprint Families' perceptions of end-of-life care in Veterans Affairs versus non-Veterans Affairs facilities
    Hien Lu
    Division of Geriatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
    J Palliat Med 13:991-6. 2010
    ..Therefore, the goal of this study was to compare families' perceptions of end-of-life care among patients who died in VA and non-VA facilities...
  37. ncbi request reprint Addressing the ethical challenges of clinical trials that involve patients with dementia
    J H Karlawish
    Department of Medicine, The University of Pennsylvania, Philadelphia Veterans Affairs Medical Center, USA
    J Geriatr Psychiatry Neurol 14:222-8. 2001
    ..We will use these data to suggest changes to the design and conduct of clinical research in AD that can meet the challenge of justifying research risks...
  38. ncbi request reprint How do AD patients and their caregivers decide whether to enroll in a clinical trial?
    J H Karlawish
    Department of Medicine, The University of Pennsylvania, Philadelphia, USA
    Neurology 56:789-92. 2001
    ....
  39. ncbi request reprint Timing of hospice referral and families' perceptions of services: are earlier hospice referrals better?
    Elizabeth Rickerson
    Division of Geriatric Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Am Geriatr Soc 53:819-23. 2005
    ..To determine whether families of patients who enroll in hospice near the end of life believe that they receive less benefit from hospice services than families of patients who enroll earlier...
  40. ncbi request reprint Relationship between Alzheimer's disease severity and patient participation in decisions about their medical care
    Jason H T Karlawish
    Department of Medicine, University of Pennsylvania, Philadelphia, USA
    J Geriatr Psychiatry Neurol 15:68-72. 2002
    ..Beyond mild-stage disease, the clinician can largely expect that the caregiver is making the final decisions. These results illustrate how and when caregivers can expect changes in their decision making role...
  41. ncbi request reprint Understanding and improving hospice enrollment
    David Casarett
    Leonard Davis Institute of Health Economics, University of Pennsylvania, Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    LDI Issue Brief 11:1-4. 2005
    ..This Issue Brief summarizes a series of studies that shed light on the decision making process about hospice, and describes a simple, effective way to improve referrals to hospice among nursing home residents...
  42. doi request reprint Nationwide veterans affairs quality measure for cancer: the family assessment of treatment at end of life
    Esme Finlay
    Division of Hematology Oncology, University of Pennsylvania, Philadelphia, PA, USA
    J Clin Oncol 26:3838-44. 2008
    ..Early experience with FATE suggests that it will be a helpful tool to characterize end-of-life cancer care and to identify targets for quality improvement...
  43. ncbi request reprint What is the risk of distress in palliative care survey research?
    Jennifer Takesaka
    Division of Geriatric Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Pain Symptom Manage 28:593-8. 2004
    ..Although the likelihood of distress is low overall, investigators recruiting from these populations may improve the research by incorporating methods to assess and manage distress...
  44. doi request reprint A nationwide VA palliative care quality measure: the family assessment of treatment at the end of life
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia VAMC, Philadelphia, Pennsylvania, USA
    J Palliat Med 11:68-75. 2008
    ..To evaluate the FATE (Family Assessment of Treatment at End of Life) Survey for use as a nationwide quality measure in the VA health care system...
  45. pmc Older adults' attitudes toward enrollment of non-competent subjects participating in Alzheimer's research
    Jason Karlawish
    Institute on Aging, 3615 Chestnut St, Philadelphia, PA 19104, USA
    Am J Psychiatry 166:182-8. 2009
    ..The authors used hypothetical Alzheimer's disease studies that included either a blood draw or a blood draw and lumbar puncture to explore older persons' attitudes on this question...
  46. doi request reprint Making difficult discussions easier: using prognosis to facilitate transitions to hospice
    Esme Finlay
    Medical Oncology and Palliative Care, Division of Hematology Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    CA Cancer J Clin 59:250-63. 2009
    ..In addition, by using patient-identified goals and service needs, the authors recommend a method for making a hospice referral after disclosure of poor prognosis...
  47. doi request reprint Cancer and the media: how does the news report on treatment and outcomes?
    Jessica Fishman
    Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, 19104, USA
    Arch Intern Med 170:515-8. 2010
    ..Cancer receives a great deal of news media attention. Although approximately half of all US patients with cancer die of their illness or of related complications, it is unknown whether reports in the news media reflect this reality...
  48. ncbi request reprint Are patient preferences for life-sustaining treatment really a barrier to hospice enrollment for older adults with serious illness?
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA
    J Am Geriatr Soc 54:472-8. 2006
    ..To determine whether patient preferences are a barrier to hospice enrollment...
  49. ncbi request reprint Physical functioning, depression, and preferences for treatment at the end of life: the Johns Hopkins Precursors Study
    Joseph B Straton
    Department of Family Practice and Community Medicine, and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvannia School of Medicine, Philadelphia, 19104, USA
    J Am Geriatr Soc 52:577-82. 2004
    ..To examine the relationship between worsening physical function and depression and preferences for life-sustaining treatment...
  50. ncbi request reprint Patients' willingness to participate in symptom-related and disease-modifying research: results of a research screening initiative in a palliative care clinic
    Roxane Crowley
    Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    Cancer 97:2327-33. 2003
    ..One potential solution to this problem is the use of screening questions that identify patients who are interested in participating in research. The goal of this study was to evaluate this strategy in patients with cancer...
  51. ncbi request reprint Empirical assessment of whether moderate payments are undue or unjust inducements for participation in clinical trials
    Scott D Halpern
    Department of Medicine, Centers for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, USA
    Arch Intern Med 164:801-3. 2004
    ..Paying patients to participate in clinical trials is ethically controversial. However, there has been no empirical documentation regarding whether payment represents an undue or unjust inducement...
  52. ncbi request reprint Working to improve palliative care trials
    Jennifer Kapo
    Division of Geriatrics Medicine, and Center for Bioethics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
    J Palliat Med 7:395-7. 2004
  53. ncbi request reprint Hypertensive patients' willingness to participate in placebo-controlled trials: implications for recruitment efficiency
    Scott D Halpern
    Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Am Heart J 146:985-92. 2003
    ....
  54. ncbi request reprint Are we referring patients to hospice too late? Patients' and families' opinions
    Jennifer Kapo
    Division of Geriatric Medicine and Center for Bioethics, University of Pennsylvania, 19104, USA
    J Palliat Med 8:521-7. 2005
    ..However, it is not known whether patients and their families believe that they are enrolling in hospice too late...
  55. ncbi request reprint "Lost to follow-up": ethnic disparities in continuity of hospice care at the end of life
    Jennifer Kapo
    University of Pennsylvania, Department of Medicine Division of Geriatrics and the Institute on Aging, Philadelphia Veterans Affairs Medical Center, USA
    J Palliat Med 8:603-8. 2005
    ..It is likely that whatever factors are responsible for lower rates of hospice utilization among African Americans also lead to lower rates of return to hospice after discharge, but this is not known...
  56. ncbi request reprint Appropriate use of artificial nutrition and hydration--fundamental principles and recommendations
    David Casarett
    Center for Health Equity Research and Promotion, Veterans Affairs Medical Center, Philadelphia, USA
    N Engl J Med 353:2607-12. 2005
  57. ncbi request reprint Breaking the news: a survey of ALS patients and their caregivers
    Leo McCluskey
    Department of Neurology, University of Pennsylvania, PA 19107, USA
    Amyotroph Lateral Scler Other Motor Neuron Disord 5:131-5. 2004
    ..Greater adherence to certain attributes of effective communication of bad news may improve the way physicians perform this difficult task...
  58. ncbi request reprint Is the palliative performance scale a useful predictor of mortality in a heterogeneous hospice population?
    Joan Harrold
    Hospice of Lancaster County, University of Pennsylvania, PA 19104, USA
    J Palliat Med 8:503-9. 2005
    ..Its prognostic value in a heterogeneous US hospice population is unknown...
  59. ncbi request reprint Obtaining informed consent for cancer pain research: do patients with advanced cancer and patients with chronic pain have different concerns?
    David Casarett
    Center for Health Equity Research and Promotion, Philadelphia, PA, USA
    J Pain Symptom Manage 24:506-16. 2002
    ..Although chronic pain patients' willingness to enroll in research was related to pain severity and a desire for better pain management, cancer patients' willingness to enroll was not...
  60. ncbi request reprint Increasing access and quality in Department of Veterans Affairs care at the end of life: a lesson in change
    Thomas Edes
    Department of Veterans Affairs, Veterans Health Administration, Office of Geriatrics and Extended Care, Washington, DC, USA
    J Am Geriatr Soc 55:1645-9. 2007
    ..The VA's experience serves as a powerful example of the magnitude of change possible in a complex health system and a model for improving access and quality of palliative care services in other health systems...
  61. ncbi request reprint How well are we supporting hospice staff? Initial results of the Survey of Team Attitudes and Relationships (STAR) validation study
    Brye Qaseem
    The Center for Health Equity Research and Promotion, VAMC Research, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Pain Symptom Manage 34:350-8. 2007
    ..74-0.84). These results suggest that the STAR offers a unique instrument to measure the work environment hospices provide to their staff...
  62. ncbi request reprint Ethical issues in research to improve the management of malignant bowel obstruction: challenges and recommendations
    Alice Laneader
    Research Compliance and Quality Improvement, University of Pennsylvania, Philadelphia, Pennsylvania 10104, USA
    J Pain Symptom Manage 34:S20-7. 2007
    ..For each, we outline salient issues and suggest recommendations for enhancing the ethics of MBO studies, including interventional trials...
  63. ncbi request reprint Why would caregivers not want to treat their relative's Alzheimer's disease?
    Jason H T Karlawish
    Department of Medicine, University of Pennsylvania, Philadelphia, USA
    J Am Geriatr Soc 51:1391-7. 2003
    ..To determine family caregivers' willingness to use Alzheimer's disease (AD)-slowing medicines and to examine the relationships between this willingness, dementia severity, and caregiver characteristics...
  64. ncbi request reprint Caregivers' satisfaction with hospice care in the last 24 hours of life
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, University of Pennsylvania Center for Bioethics, Division of Geriatrics, Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania, USA
    Am J Hosp Palliat Care 20:205-10. 2003
    ....
  65. ncbi request reprint Would caregivers of Alzheimer disease patients involve their relative in a decision to use an AD-slowing medication?
    Karen B Hirschman
    Division of Biobehavioral and Health Sciences, The Univ of Pennsylvania, School of Nursing, Philadelphia, PA, USA
    Am J Geriatr Psychiatry 13:1014-21. 2005
    ....
  66. ncbi request reprint You won't know if you're improving unless you measure: recommendations for evaluating Hospice-Veteran Partnerships
    Diane Jones
    Ethos Consulting Group, Moorestown, NJ, USA
    J Pain Symptom Manage 32:488-96. 2006
    ....
  67. ncbi request reprint Surveys to assess satisfaction with end-of-life care: does timing matter?
    David J Casarett
    Center for Health Equity Research and Promotion at the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
    J Pain Symptom Manage 25:128-32. 2003
    ..Distress and response rate do not appear to be influenced by the timing of data collection, even when surveys are administered very soon after death...
  68. ncbi request reprint Alzheimer's disease patients' and caregivers' capacity, competency, and reasons to enroll in an early-phase Alzheimer's disease clinical trial
    Jason H T Karlawish
    Department of Medicine, Division of Geriatrics, University of Pennsylvania, Philadelphia, USA
    J Am Geriatr Soc 50:2019-24. 2002
    ..To examine the capacity, competency, and reasons for enrolling of patients with Alzheimer's disease (AD) and of their caregivers in an early phase AD clinical trial...
  69. ncbi request reprint Identifying ambulatory cancer patients at risk of impaired capacity to consent to research
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center and the Department of Medicine, Division of Geriatrics, Leonard Davis Institute of Health Economics, University of Pennsylvania School of Medicine, USA
    J Pain Symptom Manage 26:615-24. 2003
    ..These data suggest that several patient characteristics, such as age, education, and tests of cognitive functions, may help investigators to identify patients with impaired capacity to give consent for research...
  70. ncbi request reprint Ethical challenges of palliative care research
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, and University iof Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104, USA
    J Pain Symptom Manage 25:S3-5. 2003
  71. ncbi request reprint A taxonomy of value in clinical research
    David J Casarett
    VA Center for Health Equity Research and Promotion, USA
    IRB 24:1-6. 2002
  72. ncbi request reprint How well are we caring for caregivers? Prevalence of grief-related symptoms and need for bereavement support among long-term care staff
    Elizabeth M Rickerson
    Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
    J Pain Symptom Manage 30:227-33. 2005
    ..These community-based long-term care staff experience a variety of symptoms attributable to the deaths of their patients, and would welcome additional sources of bereavement support...
  73. ncbi request reprint Are depressed patients more likely to share health care decisions with others?
    Molly Collins
    School of Arts and Sciences, Philadelphia VA Medical Center, Philadelphia, Pennsylvania, USA
    J Palliat Med 7:527-32. 2004
    ..To determine whether psychological variables, particularly depression, influence patients' willingness to share medical decisions with family members or friends...
  74. ncbi request reprint Assessing decision-making capacity in the setting of palliative care research
    David J Casarett
    Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, and University iof Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104, USA
    J Pain Symptom Manage 25:S6-13. 2003
    ..Next, procedures for assessing decision-making capacity are discussed. It concludes with recommendations to guide the judicious use of these procedures in the design of palliative care research...

Research Grants3

  1. Patients' and families' home care service priorities
    David Casarett; Fiscal Year: 2007
    ..The goal of this Project is to define the supportive home care services that are most valuable to patients with cancer and their families and to define subgroups of patients and families with unique priorities. ..