Keith M. Swetz
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View article: An expert panel Delphi consensus statement on the use of palliative care in the management of patients with pulmonary arterial hypertension
An expert panel Delphi consensus statement on the use of palliative care in the management of patients with pulmonary arterial hypertension Open
Mortality in pulmonary arterial hypertension (PAH) remains high and referral to palliative or supportive care (P/SC) specialist services is recommended when appropriate. However, access to P/SC is frequently a challenge for patients with a…
Top Ten Tips Palliative Care Clinicians Should Know About Prognostication in Oncology, Dementia, Frailty, and Pulmonary Diseases Open
Prognostication has been described as "Medicine's Lost Art." Taken with diagnosis and treatment, prognostication is the third leg on which medical care rests. As research leads to additional beneficial treatments for vexing conditions like…
African American Recruitment in Early Heart Failure Palliative Care Trials: Outcomes and Comparison With the ENABLE CHF-PC Randomized Trial Open
Background: Palliative care trial recruitment of African Americans (AAs) is a formidable research challenge. Objectives: Examine AA clinical trial recruitment and enrollment in a palliative care randomized controlled trial (RCT) for heart …
View article: Safety and Benefit of Discontinuing Statin Therapy in the Setting of Advanced, Life-Limiting Illness: A Randomized Clinical Trial
Safety and Benefit of Discontinuing Statin Therapy in the Setting of Advanced, Life-Limiting Illness: A Randomized Clinical Trial Open
For patients with limited prognosis, some medication risks may outweigh the benefits, particularly when benefits take years to accrue; statins are one example. Data are lacking regarding the risks and benefits of discontinuing statin thera…
Effect of an Early Palliative Care Telehealth Intervention vs Usual Care on Patients With Heart Failure Open
ClinicalTrials.gov Identifier: NCT02505425.
Evaluation of a Novel Educational Intervention to Improve Conversations About Implantable Cardioverter-Defibrillators Management in Patients with Advanced Heart Failure Open
Background: Implantable cardioverter-defibrillators (ICDs) reduce the incidence of sudden cardiac death for high-risk patients with heart failure (HF), but shocks from these devices can also cause pain and anxiety at the end of life. Altho…
Advances in Cardiopulmonary Life-Support Change the Meaning of What It Means to be Resuscitated Open
As options for advanced cardiopulmonary support proliferate, the use of mechanical circulatory support, such as left ventricular assist device as destination therapy (LVAD-DT), is becoming increasingly commonplace. In the current case, a p…
Effects of a Telehealth Early Palliative Care Intervention for Family Caregivers of Persons With Advanced Heart Failure Open
ClinicalTrials.gov Identifier: NCT02505425.
Palliative Care and Pulmonary Hypertension Open
Guest editors Christopher Barnett, MD, and Hunter Groninger, MD, conducted a roundtable discussion on March 23, 2018, with Keith Swetz, MD, Associate Professor of Medicine at the University of Alabama School of Medicine, Section Chief of P…
More chemo or home hospice? Narrative results from an N-of-1 trial Open
Words matter. They have tremendous power to heal or hurt. And although the patients we care for in oncology and palliative medicine often die from, or despite, their neoplastic illness; caregivers and loved ones often hold onto the words t…
Challenges and successes in non-operative management of high-grade malignant bowel obstruction Open
Malignant bowel obstruction (MBO) occurs in between 3% and 15% of patients with cancer, and portends a poor mean survival of four weeks for patients who are not able to undergo operative intervention. Surgical interventions may be fraught …