Publications

The following is a list of selected publications of PDX-PCCCRT, not our full body of work.

  • Identifying Distinct Subgroups of ICU Patients: A Machine Learning Apporach. 2017.
    • Tests the effectiveness of a “machine learning approach” to empirically identify subgroups of ICU patients with similar needs and trajectories. The study found that the machine learning approach found important differences between subgroups of ICU patients that are not typically revealed by admitting diagnosis or severity of illness alone.
  • Longitudinal Assessment of Distress among Veterans with Incidental Pulmonary Nodules. 2016.
    • Many patients who are diagnosed with pulmonary nodules express increased distress. This study asks if the increased distress is mitigated by participant-reported quality of communication. It finds that most participants experience mild distress at least once. High-quality nodule communication decreased the odds of distress, and low-quality communication of participants’ values and preferences increased odds of distress. These findings suggest that effective communication can indeed lower the distress experienced by patients diagnosed with pulmonary nodules.
  • Primary Care Providers and a System Problem: A Qualitative Study of Clinicians Caring for Patients With Incidental Pulmonary Nodules. 2015 Dec.
    • Recent increases in lung cancer screening has led to the increased detection and diagnosis of pulmonary nodules. Interviews of clinicians reveal that many primary care providers believe they have inadequate information to counsel patients regarding lung nodules despite a desire for said information. PCPs often lack the systemic resources that would lead to more effective discussions with patients about incidental pulmonary nodules. The researchers conclude that pulmonologists should assist PCPs in providing accurate information to counsel patients and manage conversations about the risk of cancer.
  • Patient-centered outcomes among lung cancer screening recipients with computed tomography: a systematic review. 2014 Jul.
    • In order to determine the consequences of screening with LDCT and its results on patient-centered outcomes, researchers performed a content analysis of randomized controlled trials involving asymptomatic adults. LDCT lung cancer screening was associated with short-term psychologic discomfort but not distress, worry, or health-related quality of life. In terms of results, false-positives were associated with short-term increases in distress before returning to levels similar to people with negative results.