Kate L. Lapane
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View article: Trends and Healthcare Profiles of Older Asian American Adults With ADRD in U.S. Nursing Homes
Trends and Healthcare Profiles of Older Asian American Adults With ADRD in U.S. Nursing Homes Open
The growing population of older Asian American adults with ADRD, increasing demand for nursing homes, and prevalent preference for non-English languages, which may contribute to social isolation, underscore the need to examine trends and h…
View article: The association of language barrier and depression among newly admitted US nursing home residents
The association of language barrier and depression among newly admitted US nursing home residents Open
Language barriers result in negative outcomes for nursing home residents of diverse linguistic backgrounds. Yet, the relationship between language barriers and resident depression symptoms or clinical diagnosis is understudied. Coming deca…
View article: Recruiting for Qualitative Studies on Cancer and Multimorbidity in Puerto Rico
Recruiting for Qualitative Studies on Cancer and Multimorbidity in Puerto Rico Open
Recruiting participants for qualitative research studies involving older adults and individuals with multiple chronic conditions (MCC) can present unique challenges. This abstract describes the recruitment experiences for two qualitative s…
View article: Exploring Chinese Family Caregivers’ Experience as They Support Loved Ones With Dementia Transitioning Into Nursing Homes: A Qualitative Study
Exploring Chinese Family Caregivers’ Experience as They Support Loved Ones With Dementia Transitioning Into Nursing Homes: A Qualitative Study Open
For Asian American family caregivers, transitioning loved ones with dementia into a U.S. nursing home can be particularly challenging due to cultural expectations and the scarcity of linguistically and culturally appropriate care. This qua…
View article: Patterns of multimorbidity in older adults with multiple myeloma: An analysis of SEER-Medicare
Patterns of multimorbidity in older adults with multiple myeloma: An analysis of SEER-Medicare Open
Objective Multimorbidity influences the management of symptoms, treatment, and health outcomes for older adults with multiple myeloma. Our study characterized patient profiles defined by discrete chronic condition patterns and examined the…
View article: Challenges oncologists face when caring for hispanics living in puerto rico with colorectal cancer and multiple chronic conditions
Challenges oncologists face when caring for hispanics living in puerto rico with colorectal cancer and multiple chronic conditions Open
Background Colorectal cancer (CRC) is the leading cause of cancer-related death in Puerto Rico, posing significant challenges for patients with multiple chronic conditions (MCC). This qualitative study aimed to explore oncologists’ perspec…
View article: Differential associations of the stages of pressure and stasis ulcers and social engagement among nursing home residents
Differential associations of the stages of pressure and stasis ulcers and social engagement among nursing home residents Open
Social engagement should be monitored and addressed in residents with skin ulcers. Since pressure and stasis ulcers have different etiologies and treatment modalities, they should be considered separately in the empirical work on their ass…
View article: COVID-19 Factors Associated With Medication Changes Among Nursing Home Residents With Dementia
COVID-19 Factors Associated With Medication Changes Among Nursing Home Residents With Dementia Open
This study examined associations of COVID-19 mortality rates, staffing, and resident behavior with changes in antidementia and psychotropic medication initiation among nursing home (NH) residents with dementia. A nationally representative …
View article: Comparative Safety of Short‐Acting Opioid Dose Escalation and Long‐Acting Opioid Initiation in Nursing Home Residents
Comparative Safety of Short‐Acting Opioid Dose Escalation and Long‐Acting Opioid Initiation in Nursing Home Residents Open
Background For patients with continued pain while receiving an initial course of a short‐acting opioid (SAO), clinicians may intensify the opioid regimen by escalating the SAO dose or initiating a long‐acting opioid (LAO). The objective of…
View article: CHINESE FAMILY CAREGIVERS’ EXPERIENCE SUPPORTING FAMILY MEMBERS WITH DEMENTIA TRANSITIONING INTO US NURSING HOMES
CHINESE FAMILY CAREGIVERS’ EXPERIENCE SUPPORTING FAMILY MEMBERS WITH DEMENTIA TRANSITIONING INTO US NURSING HOMES Open
Asian American family caregivers of individuals with dementia experience a greater burden compared to other racial/ethnic groups, underscoring the need for formal long-term care options including nursing homes. Transitioning a family membe…
View article: COVID‐19 Mortality Rates and Changes in Antidementia and Psychotropic Medication Use Among Nursing Home Residents
COVID‐19 Mortality Rates and Changes in Antidementia and Psychotropic Medication Use Among Nursing Home Residents Open
Background We examined the relationship between nursing home (NH) COVID‐19 mortality rates and changes in antidementia and psychotropic medication initiation before and during the pandemic and explored the influence of staffing and residen…
View article: COVID-19 MORTALITY RATES AND CHANGES IN ANTI-DEMENTIA AND PSYCHOTROPIC MEDICATION USE AMONG NURSING HOME RESIDENTS
COVID-19 MORTALITY RATES AND CHANGES IN ANTI-DEMENTIA AND PSYCHOTROPIC MEDICATION USE AMONG NURSING HOME RESIDENTS Open
Objective. We examined the relationship between nursing home (NH) COVID-19 mortality rates and changes in antidementia and psychotropic medication initiation before and during the pandemic and explored the influence of staffing and residen…
View article: TRANSITIONS BETWEEN MEDICARE FEE-FOR-SERVICE AND MEDICARE ADVANTAGE AMONG OLDER ADULTS WITH CANCER
TRANSITIONS BETWEEN MEDICARE FEE-FOR-SERVICE AND MEDICARE ADVANTAGE AMONG OLDER ADULTS WITH CANCER Open
To date, SEER-Medicare analyses focused on Medicare Fee for Service (FFS) patients due to data availability. The rising enrollment in Medicare Advantage (MA) underscores the necessity of including these patients in cancer research. We exam…
View article: PAIN BEHAVIORS AND PAIN TREATMENTS AMONG ENGLISH- AND SPANISH-SPEAKING HISPANICS IN US NURSING HOMES
PAIN BEHAVIORS AND PAIN TREATMENTS AMONG ENGLISH- AND SPANISH-SPEAKING HISPANICS IN US NURSING HOMES Open
In U.S. nursing homes, racial/ethnic differences in nonverbal pain indicators and pain management have been documented among individuals with communication challenges. The role of language has yet to be explored. We evaluate the extent to …
View article: THE EFFECT OF FRAILTY ON COGNITION IN OLDER ADULTS: THE MEDIATING ROLE OF DEPRESSIVE SYMPTOMS
THE EFFECT OF FRAILTY ON COGNITION IN OLDER ADULTS: THE MEDIATING ROLE OF DEPRESSIVE SYMPTOMS Open
This study aims to examine the effect of physical frailty on cognitive function with depressive symptoms as a mediator in older adults in the United States. The Health and Retirement Study (HRS 2016; baseline) was linked to its sub-study H…
View article: Health Profile Transitions and the Association With Cognitive Impairment in Older Nursing Home Residents With Suicidal Ideation
Health Profile Transitions and the Association With Cognitive Impairment in Older Nursing Home Residents With Suicidal Ideation Open
Objectives In older U.S. nursing home residents with suicidal ideation (SI), limited studies have longitudinally investigated their health changes as related to cognitive function. This study aimed to identify the health profiles and the t…
View article: Exploring the social and cultural aspects of Chinese family caregivers’ experience as they support loved ones with dementia transitioning into nursing homes: a qualitative study protocol
Exploring the social and cultural aspects of Chinese family caregivers’ experience as they support loved ones with dementia transitioning into nursing homes: a qualitative study protocol Open
Introduction Asian American caregivers supporting loved ones with dementia experience greater burden and more stress than other racial/ethnic groups, warranting the need for more culturally and linguistically appropriate formal support, su…
View article: To treat or not to treat: a comparative effectiveness analysis of oral anticoagulant outcomes among U.S. nursing home residents with atrial fibrillation
To treat or not to treat: a comparative effectiveness analysis of oral anticoagulant outcomes among U.S. nursing home residents with atrial fibrillation Open
Background Nursing home residents with atrial fibrillation are at high risk for ischemic stroke, but most are not treated with anticoagulants. This study compared the effectiveness and safety between oral anticoagulant (OAC) users and non-…
View article: Racial Disparities and Trends in Anticoagulant Use among Ambulatory Care Patients with Atrial Fibrillation and Atrial Flutter in the United States from 2007-2019
Racial Disparities and Trends in Anticoagulant Use among Ambulatory Care Patients with Atrial Fibrillation and Atrial Flutter in the United States from 2007-2019 Open
Introduction Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, significantly increasing the risk of stroke. The introduction of direct oral anticoagulants (DOACs) since 2010 has transformed anticoagulation therapy, …
View article: Methods for structural sexism and population health research: Introducing a novel analytic framework to capture life-course and intersectional effects
Methods for structural sexism and population health research: Introducing a novel analytic framework to capture life-course and intersectional effects Open
Accumulating evidence links structural sexism to gendered health inequities, yet methodological challenges have precluded comprehensive examinations into life-course and/or intersectional effects. To help address this gap, we introduce an …
View article: Prenatal triptan exposure and parent-reported early childhood neurodevelopmental outcomes: An application of propensity score calibration to adjust for unmeasured confounding by migraine severity
Prenatal triptan exposure and parent-reported early childhood neurodevelopmental outcomes: An application of propensity score calibration to adjust for unmeasured confounding by migraine severity Open
Purpose: Triptan medications are serotonin agonists used to treat migraine, a chronic pain condition highly prevalent in women of reproductive age. Data on the safety of triptans during pregnancy are scant. We sought to quantify the associ…
View article: Prenatal Triptan Exposure and Internalising and Externalising Behaviour Problems in 3-Year-Old Children: Results from the Norwegian Mother and Child Cohort Study
Prenatal Triptan Exposure and Internalising and Externalising Behaviour Problems in 3-Year-Old Children: Results from the Norwegian Mother and Child Cohort Study Open
Background Triptans are commonly prescribed for migraine, a pain condition that is highly prevalent in women of childbearing age. No prior studies have investigated associations between exposure to triptans during fetal life and risk of ex…
View article: Longitudinal changes in neurodevelopmental outcomes between 18 and 36 months in children with prenatal triptan exposure: Findings from the Norwegian Mother and Child Cohort Study
Longitudinal changes in neurodevelopmental outcomes between 18 and 36 months in children with prenatal triptan exposure: Findings from the Norwegian Mother and Child Cohort Study Open
Objective This study sought to determine whether changes in neurodevelopmental outcomes between 18 and 36 months of age were associated with prenatal exposure to triptan medications, a class of 5-HT receptor agonists used in the treatment …
View article: Racial and Ethnic Disparities in Use of Colorectal Cancer Screening Among Adults With Chronic Medical Conditions: BRFSS 2012–2020
Racial and Ethnic Disparities in Use of Colorectal Cancer Screening Among Adults With Chronic Medical Conditions: BRFSS 2012–2020 Open
INTRODUCTION: People with chronic conditions and people with colorectal cancer (CRC) may share common risk factors; thus, CRC screening is important for people with chronic conditions. We examined racial and ethnic differences in the use o…
View article: Multiple Chronic Conditions and the Receipt of Cancer Survivorship Care Plans
Multiple Chronic Conditions and the Receipt of Cancer Survivorship Care Plans Open
Background: Most cancer survivors have multiple chronic conditions (MCC) that make it challenging to navigate disease management processes post cancer treatment. Objective: To examine associations between having MCC and receiving a survivo…
View article: U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis
U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis Open
Objectives To explore experiences of U.S. (United States) nursing home leadership during the COVID-19 pandemic in their efforts to address resident loneliness and social isolation and to elicit stories about personal and professional impac…