Alexander K Smith

Summary

Affiliation: University of California
Country: USA

Publications

  1. doi request reprint Prevalence and Outcomes of Breathlessness in Older Adults: A National Population Study
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California
    J Am Geriatr Soc 64:2035-2041. 2016
  2. pmc Hearing Loss in Hospice and Palliative Care: A National Survey of Providers
    Alexander K Smith
    Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA Geriatrics, Palliative, and Extended Care, Veterans Affairs Medical Center, San Francisco, California, USA Electronic address
    J Pain Symptom Manage 52:254-8. 2016
  3. pmc The diverse landscape of palliative care clinics
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA
    J Palliat Med 16:661-8. 2013
  4. pmc When previously expressed wishes conflict with best interests
    Alexander K Smith
    Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94941, USA
    JAMA Intern Med 173:1241-5. 2013
  5. pmc Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there
    Alexander K Smith
    Division of Geriatrics, University of California, San Francisco UCSF, CA, USA
    Health Aff (Millwood) 31:1277-85. 2012
  6. doi request reprint Am I doing the right thing? Provider perspectives on improving palliative care in the emergency department
    Alexander K Smith
    Department of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Ann Emerg Med 54:86-93, 93.e1. 2009
  7. pmc Racial and ethnic differences in end-of-life care in fee-for-service Medicare beneficiaries with advanced cancer
    Alexander K Smith
    Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    J Am Geriatr Soc 57:153-8. 2009
  8. pmc Palliative care for Latino patients and their families: whenever we prayed, she wept
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, USA
    JAMA 301:1047-57, E1. 2009
  9. pmc Emergency department experiences of acutely symptomatic patients with terminal illness and their family caregivers
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA 94121, USA
    J Pain Symptom Manage 39:972-81. 2010
  10. pmc The epidemiology of pain during the last 2 years of life
    Alexander K Smith
    University of California, San Francisco, Veterans Affairs Medical Center, 94121, USA
    Ann Intern Med 153:563-9. 2010

Detail Information

Publications35

  1. doi request reprint Prevalence and Outcomes of Breathlessness in Older Adults: A National Population Study
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California
    J Am Geriatr Soc 64:2035-2041. 2016
    ..To determine the prevalence and outcomes of breathlessness in older Americans...
  2. pmc Hearing Loss in Hospice and Palliative Care: A National Survey of Providers
    Alexander K Smith
    Division of Geriatrics, University of California at San Francisco, San Francisco, California, USA Geriatrics, Palliative, and Extended Care, Veterans Affairs Medical Center, San Francisco, California, USA Electronic address
    J Pain Symptom Manage 52:254-8. 2016
    ..Age-related hearing loss can impair patient-provider communication about symptom management, goals of care, and end-of-life decision-making...
  3. pmc The diverse landscape of palliative care clinics
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA
    J Palliat Med 16:661-8. 2013
    ..Many health care organizations are interested in instituting a palliative care clinic. However, there are insufficient published data regarding existing practices to inform the development of new programs...
  4. pmc When previously expressed wishes conflict with best interests
    Alexander K Smith
    Division of Geriatrics, University of California, San Francisco, San Francisco, CA 94941, USA
    JAMA Intern Med 173:1241-5. 2013
    ....
  5. pmc Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there
    Alexander K Smith
    Division of Geriatrics, University of California, San Francisco UCSF, CA, USA
    Health Aff (Millwood) 31:1277-85. 2012
    ..Policies that encourage the preparation of patients and families for death and early enrollment in hospice may prevent emergency department visits at the end of life...
  6. doi request reprint Am I doing the right thing? Provider perspectives on improving palliative care in the emergency department
    Alexander K Smith
    Department of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
    Ann Emerg Med 54:86-93, 93.e1. 2009
    ..Little is known about delivering palliative care in the emergency department (ED). We explore the attitudes, experiences, and beliefs of emergency providers about palliative care in the ED, using structured qualitative methods...
  7. pmc Racial and ethnic differences in end-of-life care in fee-for-service Medicare beneficiaries with advanced cancer
    Alexander K Smith
    Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
    J Am Geriatr Soc 57:153-8. 2009
    ..To examine racial and ethnic variation in use of hospice and high-intensity care in patients with terminal illness...
  8. pmc Palliative care for Latino patients and their families: whenever we prayed, she wept
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, USA
    JAMA 301:1047-57, E1. 2009
    ..Concrete suggestions are provided for clinicians in working with interpreters, eliciting culturally based attitudes and beliefs, and implementing universal strategies for clear health communication...
  9. pmc Emergency department experiences of acutely symptomatic patients with terminal illness and their family caregivers
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA 94121, USA
    J Pain Symptom Manage 39:972-81. 2010
    ..Despite increased focus on improving palliative care in the emergency department (ED), there is little research on how to best address the specific needs of this patient population...
  10. pmc The epidemiology of pain during the last 2 years of life
    Alexander K Smith
    University of California, San Francisco, Veterans Affairs Medical Center, 94121, USA
    Ann Intern Med 153:563-9. 2010
    ..The epidemiology of pain during the last years of life has not been well described...
  11. pmc Conducting high-value secondary dataset analysis: an introductory guide and resources
    Alexander K Smith
    Department of Medicine, University of California, San Francisco, CA, USA
    J Gen Intern Med 26:920-9. 2011
    ..Secondary dataset analysis is a well-established methodology. Secondary analysis is particularly valuable for junior investigators, who have limited time and resources to demonstrate expertise and productivity...
  12. pmc Every patient is an individual: clinicians balance individual factors when discussing prognosis with diverse frail elderly adults
    Julie N Thai
    Division of Geriatrics, Department of Medicine, University of California at San Francisco, San Francisco, California 94121, USA
    J Am Geriatr Soc 61:264-9. 2013
    ..To explore clinician choice of whether to discuss prognosis with their frail older patients...
  13. pmc Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgment, religiousness, and treatment preferences
    Alexander K Smith
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 1309 Beacon St, Brookline, MA 02446, USA
    J Clin Oncol 26:4131-7. 2008
    ..Despite well-documented racial and ethnic differences in advance care planning (ACP), we know little about why these differences exist. This study tested proposed mediators of racial/ethnic differences in ACP...
  14. pmc Disability during the last two years of life
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California, San Francisco2Veterans Affairs Medical Center, San Francisco, California
    JAMA Intern Med 173:1506-13. 2013
    ....
  15. pmc "Knowing is better": preferences of diverse older adults for discussing prognosis
    Cyrus Ahalt
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
    J Gen Intern Med 27:568-75. 2012
    ..Evidence suggests that preferences for prognostic information may be culturally determined. Yet little is known about the preferences of diverse elders for discussing prognosis...
  16. pmc Use of the Medicare posthospitalization skilled nursing benefit in the last 6 months of life
    Katherine Aragon
    Division of Palliative Care, Department of Medicine, University of California, San Francisco, CA 94121, USA
    Arch Intern Med 172:1573-9. 2012
    ..We sought to examine patterns of Medicare posthospitalization SNF use in the last 6 months of life...
  17. pmc Length of stay for older adults residing in nursing homes at the end of life
    Anne Kelly
    Veterans Affairs Medical Center, San Francisco, California, USA
    J Am Geriatr Soc 58:1701-6. 2010
    ..To describe lengths of stay of nursing home decedents...
  18. pmc Advance care planning and the quality of end-of-life care in older adults
    Kara E Bischoff
    Department of Medicine, University of California at San Francisco, San Francisco, California 94143, USA
    J Am Geriatr Soc 61:209-14. 2013
    ..To determine whether advance care planning influences quality of end-of-life care...
  19. pmc Increase in Disability Prevalence Before Hip Fracture
    Alexander K Smith
    Division of Geriatrics, Department of Medicine, University of California at San Francisco, San Francisco, California
    J Am Geriatr Soc 63:2029-35. 2015
    ..To establish the prevalence and correlates of disability during the 2 years before hip fracture...
  20. pmc Self-Reported Hearing in the Last 2 Years of Life in Older Adults
    Alexander K Smith
    Division of Geriatrics, University of California at San Francisco, San Francisco, California
    J Am Geriatr Soc 64:1486-91. 2016
    ..To assess the prevalence and correlates of self-reported hearing loss during the last 2 years of life...
  21. ncbi request reprint On being fired: experiences of patient-initiated termination of the patient-physician relationship in palliative medicine
    Alexander K Smith
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02446, USA
    J Palliat Med 10:938-47. 2007
    ..Little has been written about the experience of patient-initiated termination of the patient-physician relationship, and to our knowledge, nothing has been written that is specific to palliative care...
  22. doi request reprint Crying: experiences and attitudes of third-year medical students and interns
    Anthony D Sung
    Harvard Medical School, Boston, Massachusetts, USA
    Teach Learn Med 21:180-7. 2009
    ..The medical socialization process is emotionally stressful for trainees; anecdotally, crying is a frequent response...
  23. pmc Differences in the quality of the patient-physician relationship among terminally ill African-American and white patients: impact on advance care planning and treatment preferences
    Alexander K Smith
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA, USA
    J Gen Intern Med 22:1579-82. 2007
    ..Little is known about the quality of the patient-physician relationship for terminally ill African Americans...
  24. pmc Pain behind bars: the epidemiology of pain in older jail inmates in a county jail
    Brie A Williams
    1 Division of Geriatrics, University of California, San Francisco, San Francisco, California
    J Palliat Med 17:1336-43. 2014
    ..A lack of data about the prevalence and management of pain in older jail inmates limits our ability to develop optimal palliative care strategies for this population...
  25. pmc High Levels of Geriatric Palliative Care Needs in Hip Fracture Patients Before the Hip Fracture
    Christine S Ritchie
    Division of Geriatrics, Department of Medicine, University of California, San Francisco UCSF, San Francisco, California, USA Jewish Home of San Francisco Center for Research on Aging, San Francisco, California, USA Electronic address
    J Pain Symptom Manage 52:533-538. 2016
    ....
  26. pmc Quality of life in late-life disability: "I don't feel bitter because I am in a wheelchair"
    Jennifer King
    School of Medicine, University of California at San Francisco, San Francisco, California 94121, USA
    J Am Geriatr Soc 60:569-76. 2012
    ..To determine perceived quality of life in a diverse population of elderly adults with late-life disability...
  27. ncbi request reprint Resident approaches to advance care planning on the day of hospital admission
    Alexander K Smith
    Division of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA
    Arch Intern Med 166:1597-602. 2006
    ..Previous research has demonstrated a need to improve patient-physician communication around advance care planning. A critical time for advance care planning conversations is the day of admission to the hospital...
  28. doi request reprint Viewing Hospice Decision Making as a Process
    Rafael D Romo
    Department of Physiological Nursing, School of Nursing, University of California, San Francisco, CA, USA San Francisco Veterans Affair Medical Center, Geriatrics, Palliative and Extended Care, San Francisco, CA, USA
    Am J Hosp Palliat Care 33:503-10. 2016
    ..Our goal is to provide a framework from which to understand the end-of-life needs of all patients, no matter where they receive care. ..
  29. pmc One-Year Mortality After Hip Fracture: Development and Validation of a Prognostic Index
    Irena S Cenzer
    Division of Geriatrics, University of California at San Francisco, San Francisco, California
    J Am Geriatr Soc 64:1863-8. 2016
    ..To develop a prediction index for 1-year mortality after hip fracture in older adults that includes predictors from a wide range of domains...
  30. pmc Discrimination in Healthcare Settings is Associated with Disability in Older Adults: Health and Retirement Study, 2008-2012
    Stephanie E Rogers
    Department of Medicine, Division of Geriatrics, University of California, San Francisco, CA, USA
    J Gen Intern Med 30:1413-20. 2015
    ..Few studies have focused on the presence of healthcare discrimination and its effects on older adults...
  31. pmc Prognostic indices for older adults: a systematic review
    Lindsey C Yourman
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA 94121, USA
    JAMA 307:182-92. 2012
    ..To better target services to those who may benefit, many guidelines recommend incorporating life expectancy into clinical decisions...
  32. doi request reprint Racial/ethnic disparities in liver transplant surgery and hospice use: parallels, differences, and unanswered questions
    Alexander K Smith
    Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA 02446, USA
    Am J Hosp Palliat Care 25:285-91. 2008
    ..Although the goals of care are different, by examining hospice and transplant surgery side by side in the larger context of health disparities, a number of potentially promising avenues for future research have been uncovered...
  33. pmc Hearing loss in palliative care
    Alexander K Smith
    1Division of Geriatrics, University of California San Francisco, San Francisco, California
    J Palliat Med 18:559-62. 2015
    ..Despite its high prevalence, there is remarkably little written on the impact of hearing loss in the palliative care literature...
  34. pmc "It Just Consumes Your Life": Quality of Life for Informal Caregivers of Diverse Older Adults With Late-Life Disability
    Julie N Thai
    Division of Geriatrics, Department of Medicine, University of California, San Francisco, CA, USA
    Am J Hosp Palliat Care 33:644-50. 2016
    ..In conclusion, informal caregivers take on a huge burden in enabling older adults to age in the community. These caregivers need more support in maintaining their QoL. ..
  35. pmc Sense of Control in End-of-Life Decision-Making
    Rafael D Romo
    Department of Physiological Nursing, School of Nursing, University of California San Francisco, San Francisco, California
    J Am Geriatr Soc . 2016
    ..To explore how older adults in the community with a limited life expectancy make healthcare decisions and the processes used when they are not in an acute crisis...