• Publications
  • Influence
Approximately One In Three US Adults Completes Any Type Of Advance Directive For End-Of-Life Care.
TLDR
The findings provide benchmarks for gauging future policies and practices designed to motivate completion of advance directives, particularly among those people most likely to benefit from having these documents on record. Expand
Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries.
TLDR
Among patients older than 65 years who died with cancer in 7 developed countries in 2010, end-of-life care was more hospital-centric in Belgium, Canada, England, Germany, and Norway than in the Netherlands or the United States. Expand
Outcomes Among Patients Discharged From Busy Intensive Care Units
TLDR
The results suggest that bed availability pressures may encourage physicians to discharge patients from the ICU more efficiently and that ICU readmissions are unlikely to be causally related to patient outcomes. Expand
The epidemiology of intensive care unit readmissions in the United States.
TLDR
Medical patients in academic hospitals are more likely to be readmitted than patients in community hospitals without residents, and ICU readmission rates could be useful for policy makers and investigations into their causes and consequences. Expand
Misclassification of pulmonary hypertension due to reliance on pulmonary capillary wedge pressure rather than left ventricular end-diastolic pressure.
TLDR
Without assessing LVEDP, investigators may include patients with left-heart disease in therapeutic trials of PAH drugs, thereby limiting their ability to detect beneficial drug effects, and reliance on PCWP may result in the dangerous or cost-ineffective use of pulmonary vasodilators for patients withleft- heart disease. Expand
Management of the Potential Organ Donor in the ICU: Society of Critical Care Medicine/American College of Chest Physicians/Association of Organ Procurement Organizations Consensus Statement
TLDR
The goal of this document is to provide critical care practitioners with essential information and practical recommendations related to management of the potential organ donor, based on the available literature and expert consensus. Expand
The continuing unethical conduct of underpowered clinical trials.
TLDR
It is concluded that underpowered trials are ethical in only 2 situations: small trials of interventions for rare diseases in which investigators document explicit plans for including their results with those of similar trials in a prospective meta-analysis, and early-phase trials in the development of drugs or devices, provided they are adequately powered for defined purposes other than randomized treatment comparisons. Expand
Randomized trial of four financial-incentive programs for smoking cessation.
TLDR
Reward-based programs were much more commonly accepted than deposit-based Programs, leading to higher rates of sustained abstinence from smoking, and group-oriented incentive programs were no more effective than individual-oriented programs. Expand
Empirical assessment of whether moderate payments are undue or unjust inducements for participation in clinical trials.
TLDR
Although higher payment motivates research participation, it is found that commonly used payment levels represent undue or unjust inducements, and increasing payments do not alter peoples' perceptions of risk. Expand
Mortality among patients admitted to strained intensive care units.
TLDR
Retrospective cohort study of 264,401 patients admitted to 155 U.S. ICUs from 2001 to 2008 to determine whether transient increases in ICU strain influence patient mortality, and to identify characteristics of ICUs that are resilient to surges in capacity strain. Expand
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