Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study

了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究

基本信息

  • 批准号:
    10595437
  • 负责人:
  • 金额:
    $ 29.22万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-05-01 至 2025-04-30
  • 项目状态:
    未结题

项目摘要

Project Summary/Abstract (30 lines max) Our project, R01AG067507: “Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study”, has made great progress toward our goals. As per the criteria of PA-20-272, this proposed work will "increase and preserve the parent award’s overall impact " by "achieving certain new research objectives… within the original scope of the peer reviewed and approved project." We have identified four areas of investigation that would benefit from supplemental funding: 1) The need for evidence on outcomes for surgeries in addition to ones specified in the original project. 2) The need to investigate surgery taking place in outpatient settings including Ambulatory Surgery Centers. 3) The need to investigate medical (non-surgical) alternatives for patients who are eligible for surgery yet prefer not to proceed. 4) The need to examine longer term outcomes, such as 4-5 year survival, with more current data. We therefore propose to supplement our current project to understand the epidemiology of surgery for PLWDs, as well as patient, caregiver, and provider practices and challenges of surgical decision-making in clinical settings. Supplemental Aim 1) Develop the evidence base to understand comparative outcomes of surgery provided to PLWDs. We will use Medicare data to: 1) describe the epidemiology of surgery for PLWDs for selected elective major cancer (e.g., breast cancer) and non-cancer surgery (e.g., colectomy for benign conditions, cholecystectomy), and analyze the association of dementia status with outcomes, including 5 year survival and Excess Days in Acute Care (EDAC); 2) Compare outcomes among alternative surgical interventions; and 3) Track outcomes for patients with and without surgery. Supplemental Aim 2) Characterize surgical decision-making for PLWDs in clinical settings for the surgical situations described in Supplemental Aim 1. Supplemental Aim 3) We will supplement our modified Delphi panel to consider the situations described in Supplemental Aim 1. Impact. Results of this supplemental work will greatly increase the impact of the current project using the currently funded research infrastructure. Our study will support key advancements in ADRD research by focusing on under-studied areas of surgical decision-making. Our Aims are linked but not conditional, and results from Aims 1 and 2 will inform the Delphi panel. Our work also will address other NIH research priorities including barriers faced by vulnerable populations, goals of care, and better decision-making.
项目摘要/摘要(最多30行)

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

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Joel S. Weissman其他文献

MP32-08 ACCOUNTABLE CARE ORGANIZATIONS AND THE USE OF PROSTATE CANCER SCREENING
  • DOI:
    10.1016/j.juro.2017.02.983
  • 发表时间:
    2017-04-01
  • 期刊:
  • 影响因子:
  • 作者:
    Christian P. Meyer;Anna Krasnova;Jesse D. Sammon;Philipp Gild;Nicolas von Landenberg;Stuart R. Lipsitz;Joel S. Weissman;Felix K.H. Chun;Margit Fisch;Maxine Sun;Quoc-Dien Trinh
  • 通讯作者:
    Quoc-Dien Trinh
Understanding the Roles, Responsibilities, and Factors for Success of Health Equity Officers in Health Care Settings: A Qualitative Study
了解卫生保健机构中健康公平官员的角色、责任和成功因素:定性研究
Patients with dementia or frailty undergoing major limb amputation have poor outcomes
患有痴呆症或身体虚弱的患者接受大肢体截肢后预后较差。
  • DOI:
    10.1016/j.jvs.2024.08.058
  • 发表时间:
    2025-01-01
  • 期刊:
  • 影响因子:
    3.600
  • 作者:
    Samir K. Shah;Lingwei Xiang;Rachel R. Adler;Clancy J. Clark;John Hsu;Susan L. Mitchell;Emily Finlayson;Dae Hyun Kim;Kueiyu Joshua Lin;Joel S. Weissman
  • 通讯作者:
    Joel S. Weissman
The impact of patient socioeconomic status and other social factors on readmission: a prospective study in four Massachusetts hospitals.
患者社会经济状况和其他社会因素对再入院的影响:在马萨诸塞州四家医院进行的一项前瞻性研究。
Should obtaining a preoperative audiogram before tympanostomy tube placement be used as a quality metric? A survey of pediatric otolaryngologists
  • DOI:
    10.1016/j.ijporl.2016.06.004
  • 发表时间:
    2016-09-01
  • 期刊:
  • 影响因子:
  • 作者:
    Nikhila Raol;Christopher J. Hartnick;Joel S. Weissman
  • 通讯作者:
    Joel S. Weissman

Joel S. Weissman的其他文献

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{{ truncateString('Joel S. Weissman', 18)}}的其他基金

Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study
了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究
  • 批准号:
    10405060
  • 财政年份:
    2020
  • 资助金额:
    $ 29.22万
  • 项目类别:
Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study
了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究
  • 批准号:
    9973606
  • 财政年份:
    2020
  • 资助金额:
    $ 29.22万
  • 项目类别:
Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study
了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究
  • 批准号:
    10848596
  • 财政年份:
    2020
  • 资助金额:
    $ 29.22万
  • 项目类别:
Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study
了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究
  • 批准号:
    10589248
  • 财政年份:
    2020
  • 资助金额:
    $ 29.22万
  • 项目类别:
Understanding and Improving Surgical Decision-Making for Persons Living with Dementia, their Family Caregivers, and their Providers: A Mixed Methods Study
了解和改善痴呆症患者、其家庭护理人员及其提供者的手术决策:一项混合方法研究
  • 批准号:
    10617273
  • 财政年份:
    2020
  • 资助金额:
    $ 29.22万
  • 项目类别:
Identifying barriers, facilitators and outcomes of Advanced Care Planning conversations with Medicare patients
确定与 Medicare 患者进行高级护理计划对话的障碍、促进因素和结果
  • 批准号:
    9763016
  • 财政年份:
    2017
  • 资助金额:
    $ 29.22万
  • 项目类别:
Advance Care Planning (ACP) among Sexual and Gender Minority Individuals and Their Caregivers
性少数群体及其护理人员的预先护理计划 (ACP)
  • 批准号:
    10093464
  • 财政年份:
    2017
  • 资助金额:
    $ 29.22万
  • 项目类别:
Post-Trial Access for Insured and Uninsured Participants
投保和未投保参与者的试验后访问
  • 批准号:
    7127726
  • 财政年份:
    2005
  • 资助金额:
    $ 29.22万
  • 项目类别:
Post-Trial Access for Insured and Uninsured Participants
投保和未投保参与者的试验后访问
  • 批准号:
    7272821
  • 财政年份:
    2005
  • 资助金额:
    $ 29.22万
  • 项目类别:
Post-Trial Access for Insured and Uninsured Participants
投保和未投保参与者的试验后访问
  • 批准号:
    7034003
  • 财政年份:
    2005
  • 资助金额:
    $ 29.22万
  • 项目类别:
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