Research Topics
| A H MossSummaryAffiliation: West Virginia University Country: USA Publications
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Detail Information
Publications
Revised dialysis clinical practice guideline promotes more informed decision-makingAlvin H Moss
West Virginia University Center for Health Ethics and Law, Morgantown, WV 26506 9022, USA
Clin J Am Soc Nephrol 5:2380-3. 2010....- To dialyze or not: the patient with metastatic cancer and AKI in the intensive care unitAlvin H Moss
Section of Nephrology, West Virginia University School of Medicine, and Center for Health Ethics and Law, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, West Virginia 26506 9022, USA
Clin J Am Soc Nephrol 7:1507-12. 2012..This Attending Rounds presents an approach to deciding when it is not appropriate to dialyze patients with AKI in the ICU... - Ethical principles and processes guiding dialysis decision-makingAlvin H Moss
Section of Nephrology, West Virginia University School of Medicine, and Center for Health Ethics and Law, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, WV, USA
Clin J Am Soc Nephrol 6:2313-7. 2011..It urges examination of medical indications and identifies appropriate limits to shared decision-making when the burdens of dialysis can be predicted to substantially outweigh the benefits... 
Attitudes of patients toward cardiopulmonary resuscitation in the dialysis unitA H Moss
Center for Health Ethics and Law and the Section of Nephrology, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, WV 26506 9022, USA
Am J Kidney Dis 38:847-52. 2001..Most importantly, nephrologists and dialysis unit staff need to educate dialysis patients about the poor outcomes with CPR so that dialysis patients' decisions about CPR are informed...- Prognostic significance of the "surprise" question in cancer patientsAlvin H Moss
West Virginia University, Morgantown, West Virginia 26506, USA
J Palliat Med 13:837-40. 2010..It has not been previously studied in patients with cancer... 
Utility of the "surprise" question to identify dialysis patients with high mortalityAlvin H Moss
Section of Nephrology, Department of Medicine, School of Medicine, West Virginia University, Morgantown, West Virginia 26506 9022, USA
Clin J Am Soc Nephrol 3:1379-84. 2008..This study investigated whether the "surprise" question, "Would I be surprised if this patient died in the next year?" identifies patients who are at high risk for early mortality...- Palliative careAlvin H Moss
Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, WV 26506, USA
Am J Kidney Dis 43:172-3. 2004 - Too many patients who are too sick to benefit start chronic dialysis nephrologists need to learn to "just say no"Alvin H Moss
Center for Health Ethics and Law, Section of Nephrology, West Virginia University, Morgantown, WV, USA
Am J Kidney Dis 41:723-7. 2003 - Rationing dialysis in the United States: possible implications of capitated systemsJ J Glover
Center for Health Ethics and Law, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown 26506 9022, USA
Adv Ren Replace Ther 5:341-9. 1998..Managed care companies will need ethics committees to ensure that their policies and procedures for rationing are fair, principled, and subject to review and appeal... - The need for more physician communication with patients/families facing the end of lifeA H Moss
Center for Health Ethics and Law, Robert C. Byrd Health Sciences Center West Virginia University, Morgantown, USA
W V Med J 97:206-8. 2001..All in all, this approach presents the opportunity for physicians and their patients to experience the best aspects of medicine, meaningful relationships that result from working through the patient's medical problems together... - Should the medicare ESRD program pay for daily dialysis? An ethical analysisPriya Anantharaman
Section of Nephrology, West Virginia University School of Medicine, Morgantown, WV 26506, USA
Adv Chronic Kidney Dis 14:290-6. 2007..Randomized controlled trials comparing conventional hemodialysis to short daily and long nocturnal hemodialysis are much needed... - The development and outcomes of a statewide network of hospital-based palliative care teamsAngela Reed Demanelis
West Virginia University Center for Health Ethics and Law, Morgantown, WV 26506, USA
J Palliat Med 8:324-32. 2005..Health care systems need to be developed that meet the palliative care needs of patients and their families... - Communicating prognosis in the dialysis consent process: a patient-centered, guideline-supported approachDonna M Michel
Center for Health Ethics and Law and Department of Medicine, Robert C Byrd Health Sciences Center, West Virginia University, Morgantown, WV 26506, USA
Adv Chronic Kidney Dis 12:196-201. 2005..The approach described in this article should help nephrologists discuss prognosis with their patients in a way that is patient centered and in accordance with clinical practice guideline recommendations... - Hemodialysis patients' experience with and attitudes toward the buttonhole technique for arteriovenous fistula cannulationA Hashmi
Section of Nephrology, Department of Medicine, West Virginia University School of Medicine, WV 26506 9022, USA
Clin Nephrol 74:346-50. 2010..the buttonhole technique for arteriovenous fistula cannulation has been recommended as an alternative to the rope ladder technique... - Use of the Physician Orders for Life-Sustaining Treatment (POLST) paradigm program in the hospice settingSusan E Hickman
School of Nursing, School of Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA
J Palliat Med 12:133-41. 2009..Data are lacking about the use of POLST in the hospice setting... - Barriers to quality end-of-life care in West Virginia ICU units: physicians' and nurses' prospectivesAlvin H Moss
West Virginia Center for End-of-Life Care, West Virginia University School of Medicine, Morgantown, USA
W V Med J 101:200-4. 2005..Futher education of physicians, nurses and especially the public is needed to improve end-of-life care in West Virginia... - Ethical and legal obligation to avoid long-term tunneled catheter accessRaheela Rehman
Section of Nephrology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia 26506 9022, USA
Clin J Am Soc Nephrol 4:456-60. 2009..If catheters must be used to initiate dialysis, nephrologists should present catheters only as "temporary" measures and "unsafe for long-term use.".. - Recommendations regarding conflict resolution and forgoing dialysis in special patient populationsA H Moss
Section of Nephrology, West Virginia University School of Medicine, Morgantown, W. Va, USA
Nephrol News Issues 15:51-4. 2001..quot; The goal of the RPA and ASN in developing this guideline was to help nephrologists and other members of the renal care team with challenging dialysis decisions regarding starting, continuing, and stopping dialysis... - Treating difficult or disruptive dialysis patients: practical strategies based on ethical principlesAdnan Hashmi
West Virginia University Hospital, West Virginia University School of Medicine, Morgantown, WV 26506 9022, USA
Nat Clin Pract Nephrol 4:515-20. 2008..This approach also allows health-care professionals to identify the limited situations in which involuntary patient discharge from a dialysis unit is ethically justified... - Update on pain management in West Virginia: new legislation encourages control of dying patients' painAlvin H Moss
Center for Health Ethics and Law, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, USA
W V Med J 98:100-3. 2002 - Efficacy of the world health organization analgesic ladder to treat pain in end-stage renal diseaseAhmad S Barakzoy
Section of Nephrology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia 26506-9022, USA
J Am Soc Nephrol 17:3198-203. 2006..Older patients will need more careful pain management to achieve the same results as younger patients. Further studies are needed to confirm these results in a larger, more diverse dialysis population... - ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicityPaul L Kimmel
Department of Medicine, Division of Renal Diseases and Hypertension, George Washington University, Washington, DC, USA
Am J Kidney Dis 42:713-21. 2003.... - Inadequate self-care knowledge among elderly hemodialysis patients: assessing its prevalence and potential causesL Badzek
School of Nursing, West Virginia University, Morgantown 26506 9610, USA
ANNA J 25:293-300. 1998..The purpose of this study was to determine how well informed elderly hemodialysis patients (EHP) are about information needed for self-care and to identify factors that might lead their self-care knowledge to be inadequate... - Use of hospice in the United States dialysis populationAnne M Murray
Department of Medicine, Hennepin County Medical Center, Minneapolis, MN 55404, USA
Clin J Am Soc Nephrol 1:1248-55. 2006..Increased hospice use may enable more dialysis patients to die at home, with substantial cost savings. Research regarding additional benefits of hospice care for dialysis patients is needed... - New guideline describes nephrology community consensus on withholding and withdrawing dialysis. Recommendations regarding withdrawing dialysis. 2A H Moss
Section of Nephrology, West Virginia University School of Medicine, Morgantown, W. Va, USA
Nephrol News Issues 15:58-61. 2001..The guideline includes 25 prognostic tables and 302 references. The goal of the guideline was to improve patient care by promoting medically and ethically sound decisions about starting and stopping dialysis... - Nephrologists' changing practices in reported end-of-life decision-makingJean L Holley
Division of Nephrology, University of Virginia Health System, Charlottesville, Virginia 22908, USA
Clin J Am Soc Nephrol 2:107-11. 2007..001). Nephrologists' reported practices in end-of-life care have changed significantly over the 15 years separating the two surveys, suggesting that the development of the clinical practice guideline was worthwhile... - Strategies for timely and effective hospice discussions: end-stage renal diseaseMichael J Germain
Ann Intern Med 147:816; author reply 817. 2007 - Renal palliative careLewis M Cohen
Renal Palliative Care Initiative, Baystate Medical Center, Springfield, Massachusetts 01199, USA
J Palliat Med 9:977-92. 2006..There is an opportunity to integrate many of the advances of palliative medicine into the comprehensive treatment of these patients... - The POLST (Physician Orders for Life-Sustaining Treatment) paradigm to improve end-of-life care: potential state legal barriers to implementationSusan E Hickman
School of Nursing, Oregon Health and Science University in Portland, Oregon, USA
J Law Med Ethics 36:119-40, 4. 2008..Information was obtained from experts at state emergency medical services and long-term care organizations/agencies in combination with a review of relevant state law... - Nephrologists' reported preparedness for end-of-life decision-makingSara N Davison
Division of Nephrology and Immunology, University of Alberta, Edmonton, Alberta, Canada
Clin J Am Soc Nephrol 1:1256-62. 2006..To improve nephrologists' comfort with end-of-life decision-making, fellowship programs should teach the recommendations in the RPA/ASN guideline and position statement... - End-of-life care in West VirginiaAlvin H Moss
W V Med J 101:5. 2005 - A viable alternative to traditional living willsSusan E Hickman
Hastings Cent Rep 34:4-5; author reply 5-6. 2004 - The frequency and significance of the "difficult" patient: The nephrology community's perceptionsKarren King
Adv Chronic Kidney Dis 11:234-9. 2004..These results highlight the need for increased training for personnel and the development of policies by dialysis units to address this increasingly common problem... - The need for end-of-life care training in nephrology: national survey results of nephrology fellowsJean L Holley
Nephrology Division, University of Virginia Health Systems, Charlottesville, VA 22908, USA
Am J Kidney Dis 42:813-20. 2003..Our study therefore suggests that training in palliative care be incorporated into fellowship program curricula...