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View article: All providers Better Communication Skills (ABCs) program: protocol for a randomized controlled trial assessing communication training effectiveness with interprofessional clinicians
All providers Better Communication Skills (ABCs) program: protocol for a randomized controlled trial assessing communication training effectiveness with interprofessional clinicians Open
Background High-quality person-centred communication for those living with serious illness benefits patients, families, and health care professionals (HCPs). However, research suggests that HCPs often find it challenging to engage in these…
View article: Predictors of Advance Directive Changes in Ontario Nursing Home Residents: A Case–Control Study
Predictors of Advance Directive Changes in Ontario Nursing Home Residents: A Case–Control Study Open
Background Goals of care (GOC) discussions between the clinical team and nursing home (NH) residents provide the basis for decision‐making on advance directives (AD) that include do‐not‐resuscitate (DNR) and do‐not‐hospitalize (DNH). Optim…
View article: Real‐World Outcomes of Transplant Ineligible Older Adults With Multiple Myeloma Treated With Novel Regimens: A Population‐Based Retrospective Cohort Study
Real‐World Outcomes of Transplant Ineligible Older Adults With Multiple Myeloma Treated With Novel Regimens: A Population‐Based Retrospective Cohort Study Open
View article: The association between <scp>HIV</scp> drug resistance testing, viral suppression and mortality in Ontario: a retrospective cohort study
The association between <span>HIV</span> drug resistance testing, viral suppression and mortality in Ontario: a retrospective cohort study Open
Background Drug resistance compromises the effectiveness of antiretroviral therapy (ART). Resistance testing prior to initiating therapy is recommended in guidelines in many high‐income countries, and it has been shown to improve outcomes …
View article: Primary Care Providers’ Perceptions of the CAPACITI Palliative Care Education Trial: A Qualitative Study of Experiences With Self-Directed and Facilitated Modalities
Primary Care Providers’ Perceptions of the CAPACITI Palliative Care Education Trial: A Qualitative Study of Experiences With Self-Directed and Facilitated Modalities Open
Objective CAPACITI (Community Access to PAlliative Care via Interprofessional Teams Improvement) is a virtual training program that teaches primary care providers how to incorporate an early palliative approach to care in practice. Buildin…
View article: Novel Systemic Anticancer Treatments and Health Services Use at the End of Life Among Adults With Cancer
Novel Systemic Anticancer Treatments and Health Services Use at the End of Life Among Adults With Cancer Open
PURPOSE Use of chemotherapy at the end of life (EOL) is discouraged, but evidence to guide decisions on the use of novel systemic anticancer treatment (SACT) agents is lacking. We examined trends of use among SACT types and association wit…
View article: Facilitated Versus Self-Directed Educational Modalities in Palliative Care Training: A Randomized Controlled Trial of the CAPACITI Intervention
Facilitated Versus Self-Directed Educational Modalities in Palliative Care Training: A Randomized Controlled Trial of the CAPACITI Intervention Open
Background: Community Access to Palliative Care via Interprofessional Teams Improvement (CAPACITI) is a virtual educational program designed to support primary care providers in delivering a palliative approach to care. This study evaluate…
View article: A mixed methods pilot study of a serious illness communication training curriculum among medical residents
A mixed methods pilot study of a serious illness communication training curriculum among medical residents Open
Background: It is crucial that clinicians develop skillful communication to support patients to improve their illness understanding. A strong understanding of illness is associated with improved quality of life and care that is consistent …
View article: A Prognostic Symptom Model Incorporating Patient-Reported Symptoms for Transplant-Ineligible Patients with Multiple Myeloma
A Prognostic Symptom Model Incorporating Patient-Reported Symptoms for Transplant-Ineligible Patients with Multiple Myeloma Open
Introduction: Patients with transplant-ineligible (TIE) multiple myeloma (MM) have high rates of symptom burden. The aim of this study was to develop and validate a prognostic model to predict symptoms in patients with TIE MM. Methods: In …
View article: Reliability and construct validation of the Blended Learning Usability Evaluation–Questionnaire with interprofessional clinicians in Canada: a methodological study
Reliability and construct validation of the Blended Learning Usability Evaluation–Questionnaire with interprofessional clinicians in Canada: a methodological study Open
Purpose: To generate Cronbach’s alpha and further mixed methods construct validity evidence for the Blended Learning Usability Evaluation–Questionnaire (BLUE-Q).Methods: Forty interprofessional clinicians completed the BLUE-Q after finishi…
View article: Testing the ABCs of Serious Illness Program for Oncology Trainees: A Feasibility Trial Comparing Different Learning Formats for a Virtual Communication Curriculum
Testing the ABCs of Serious Illness Program for Oncology Trainees: A Feasibility Trial Comparing Different Learning Formats for a Virtual Communication Curriculum Open
Recruitment was below target, but study activities were feasible in virtual format. The curriculum improved communication skills. The addition of virtual SPs and coaching optimized learning. The curriculum was associated with improved self…
View article: Correction: A multi-stage process to develop quality indicators for community-based palliative care using interRAI data
Correction: A multi-stage process to develop quality indicators for community-based palliative care using interRAI data Open
[This corrects the article DOI: 10.1371/journal.pone.0266569.].
View article: Development and Validation of a Survival Prediction Model for Patients With Pancreatic Cancer
Development and Validation of a Survival Prediction Model for Patients With Pancreatic Cancer Open
INTRODUCTION: Patients with pancreatic ductal adenocarcinoma (PDAC) face challenging treatment decisions following their diagnosis. We developed and validated a survival prognostication model using routinely available clinical information,…
View article: Designing a tool to capture skill acquisition in serious illness conversations among family physicians: a mixed methods study
Designing a tool to capture skill acquisition in serious illness conversations among family physicians: a mixed methods study Open
CONTEXT: A large team of family medicine, palliative, and end-of-life care clinicians, researchers, and educators from across Canada have collaborated to develop and pilot an innovative serious illness educational program called “All provi…
View article: Timing of Palliative Care, End-of-Life Quality Indicators, and Health Resource Utilization
Timing of Palliative Care, End-of-Life Quality Indicators, and Health Resource Utilization Open
Importance Despite research supporting the benefits of early palliative care, timely initiation by gynecologic oncology patients is reportedly low, which may limit the effectiveness of palliative care. Objective To investigate the associat…
View article: Impact of age on treatment utilization for newly diagnosed multiple myeloma: a nationwide retrospective cohort study
Impact of age on treatment utilization for newly diagnosed multiple myeloma: a nationwide retrospective cohort study Open
View article: Simplifying Serious Illness Communication: Preparing or Deciding
Simplifying Serious Illness Communication: Preparing or Deciding Open
Clinicians have a sincere desire to ensure that the decision-making processes of seriously ill patients are well informed throughout illness trajectories. A quagmire of variable terminology (e.g., advance care planning, serious illness con…
View article: Comparing the clinical trial efficacy <i>versus</i> real-world effectiveness of treatments for multiple myeloma: a population-based study
Comparing the clinical trial efficacy <i>versus</i> real-world effectiveness of treatments for multiple myeloma: a population-based study Open
Not available.
View article: Economic evaluation of the “paramedics and palliative care: bringing vital services to Canadians” program compared to the status quo
Economic evaluation of the “paramedics and palliative care: bringing vital services to Canadians” program compared to the status quo Open
Objective Based on programs implemented in 2011–2013 in three Canadian provinces to improve the support paramedics provide to people receiving palliative care, the Canadian Partnership Against Cancer and Healthcare Excellence Canada provid…
View article: Virtual Education Program to Increase Early Identification and Provider Competency: The CAPACITI Randomized Trial (RP110)
Virtual Education Program to Increase Early Identification and Provider Competency: The CAPACITI Randomized Trial (RP110) Open
View article: A Prognostic Survival Model Incorporating Patient-Reported Outcomes for Transplant-Ineligible Patients With Multiple Myeloma
A Prognostic Survival Model Incorporating Patient-Reported Outcomes for Transplant-Ineligible Patients With Multiple Myeloma Open
Developing prognostic tools specifically for patients themselves represents an important step in empowering patients to engage in shared decision-making. Incorporating patient-reported outcomes may improve the accuracy of these prognostic …
View article: Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities
Supporting the Journey Home: The Process of Co-designing an Education Program to Strengthen Palliative Care Capacity in First Nations Communities Open
In Ontario, Canada, several training programs have been created to improve home-based palliative care in First Nations communities, though they primarily focus on meeting needs at end-of-life. Therefore, education focused on incorporating …
View article: Socioeconomic Status, Palliative Care, and Death at Home Among Patients With Cancer Before and During COVID-19
Socioeconomic Status, Palliative Care, and Death at Home Among Patients With Cancer Before and During COVID-19 Open
Importance The COVID-19 pandemic had a profound impact on the delivery of cancer care, but less is known about its association with place of death and delivery of specialized palliative care (SPC) and potential disparities in these outcome…
View article: Are We Consulting, Sharing Care, or Taking Over? A Conceptual Framework
Are We Consulting, Sharing Care, or Taking Over? A Conceptual Framework Open
Background: Primary- and specialist-level palliative care services are needed. They should work collaboratively and synergistically. Although several service models have been described, these remain open to different interpretations and de…
View article: Sex-Based Analysis of Quality Indicators of End-of-Life Care in Gastrointestinal Malignancies
Sex-Based Analysis of Quality Indicators of End-of-Life Care in Gastrointestinal Malignancies Open
Indices of aggressive or supportive end-of-life (EOL) care are used to evaluate health services quality. Disparities according to sex were previously described, with studies showing that male sex is associated with aggressive EOL care. Thi…
View article: A312 FACTORS ASSOCIATED WITH PHYSICAL SYMPTOM BURDEN AMONG PATIENTS WITH PANCREATIC CANCER
A312 FACTORS ASSOCIATED WITH PHYSICAL SYMPTOM BURDEN AMONG PATIENTS WITH PANCREATIC CANCER Open
Background Patients with pancreatic ductal adenocarcinoma (PDAC) experience substantial physical symptoms. Factors associated with symptom burden in PDAC are not well described. Aims To evaluate risk factors for symptoms assessed through t…
View article: High-Sensitivity Cardiac Troponin I for Long-Term Cardiovascular Risk Stratification in a Cancer Clinic Population
High-Sensitivity Cardiac Troponin I for Long-Term Cardiovascular Risk Stratification in a Cancer Clinic Population Open
View article: Implementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot program
Implementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot program Open
Background CAPACITI is a virtual education program that teaches primary care teams how to provide an early palliative approach to care. After piloting its implementation, we conducted an in-depth qualitative study with CAPACITI participant…
View article: Impact of timing of palliative care initiation on end-of-life quality metrics and health resource utilization (058)
Impact of timing of palliative care initiation on end-of-life quality metrics and health resource utilization (058) Open
View article: Intensity of end-of-life care among children with life-threatening conditions: a national population-based observational study
Intensity of end-of-life care among children with life-threatening conditions: a national population-based observational study Open