Nneka Ufere, MD MSCE
@nnekauferemd.bsky.social
Transplant Hepatologist at Massachusetts General Hospital. My mission statement: Increase healthcare system empathy for patients with cirrhosis #LiverPal #palliativehepatology #geripal #hpm #hapc #medsky #LiverSky
Today we enrolled our 100th patient into our LiverPal RCT assessing whether longitudinal inpatient palliative care can improve outcomes for hospitalized patients with liver disease and their families. What a Good Friday! #palliativehepatology #livertwitter #liversky
Harvard redid its whole homepage to push back against the administration’s demands. I mean, this is just a website but I think it’s kind of a great PR move: www.harvard.edu
Harvard University
Harvard University is devoted to excellence in teaching, learning, and research, and to developing leaders who make a difference globally.
harvard.edu
How many hospitalized patients need care in the ICU? How many of them survive? What interventions do they receive there? These are some of the questions I had two years ago while trying to write the "background" section for my masters thesis. But I couldn't find the answers... they did not exist.
JAMA@jama.com · last yr.Following pandemic-era changes, many ICU outcome measures returned to prior levels. The rates of mechanical ventilation have declined even further, while vasopressor use remained elevated above 2010s rates. #MedSky https://ja.ma/42Jl3NO
As hepatologists, there are few things more devastating and very preventable that we see than HBV reactivation. If you are about to start your patient on an immunosuppressant, please keep this figure in mind. #LiverSky #MedSky https://buff.ly/4gaKqf7
Devastating read. #medsky jamanetwork.com/journals/jam...
A Call for Mental Health Reform in Medical Education—Breaking the Silence
This essay by parents of a medical student who died by suicide calls for medical schools to better address the pressures of medical training and prevent suicide, burnout, and mental stress among healt...
jamanetwork.com
#liversky Guys. Rifaximin
Stacie Dusetzina@dusetzinas.bsky.social · 2y agoHHS announces the next 15 drugs to negotiate under Part D! Great to see this progress. Quite a few cancer treatments, which will mean more savings potential than in the first year's drug list (cancer drugs get limited or no rebates today). Good news for taxpayers and Medicare spending!
Albumin is the closest thing to a "universal remedy" in cirrhosis We use it to treat different complications, with good evidence but also with debatable or negative evidence Excellent analysis by Jonel Trebicka & @ggarciatsao.bsky.social doi.org/10.1097/hep.0000000000000521 #LiverSky
Just created a document titled "R01 SA page". So it begins. Both nervous but also really excited to think big. Advice, thoughts, prayers, etc. welcome! #LiverSky
It is rare that an editorial will make me give a standing ovation to the authors - this one recently published in JAMA Internal Medicine by Kieran Quinn and colleagues did: https://buff.ly/4ggq9FS @kencovinsky.bsky.social #palliativehepatology #liversky #hapc
buff.ly
How do we apply the new SLD definitions in research? To study outcomes and implement trials for different SLD subtypes, we first need to be able to accurately identify each clinical entity using medical records/registry data. www.cghjournal.org/article/S154... @amergastroassn.bsky.social
@j-palliativemed.bsky.social Daniel Shalev et al respond to Susan Block's Special Report: Realizing the Imperative: The Future of Mental Health and Palliative Care Integration www.liebertpub.com/doi/10.1089/...
Realizing the Imperative: The Future of Mental Health and Palliative Care Integration | Journal of Palliative Medicine
Journal of Palliative Medicine
liebertpub.com
Everything you want to know about the management of depression and anxiety in #cirrhosis From Zimbrean (@YalePsych) and Jakab (@YaleDigestive) journals.lww.com/hepcomm/full... #liversky
Depression and anxiety management in cirrhosis : Hepatology Communications
nd depression are linked to lower health-related quality of life, more severe symptoms (eg, fatigue), and poorer response to medical treatment. Screening instruments for depression and anxiety have sh...
journals.lww.com
Wonderful 1st day of @amcollegegastro.bsky.social #DEI Scholar Adjoa Anyane-Yeboa MD MPH in Department of Medicine at Tufts Medical Center Grand Rounds tomorrow: Leveling the Playing Field: Colorectal Cancer Screening in Historically Marginalize Populations
The always-thoughtful Derek Angus, master of the large randomized trial, calls for “a qualitative assessment of [the clinical team’s] experience [to] provide insight on how the intervention worked and on features considered unhelpful” The future of RCTs includes qual jamanetwork.com/journals/jam...
Do Sepsis Alerts Help?
A great hope of moving from paper to electronic health records (EHRs) is that health data could be scanned in real-time, alerting the care team of potential gaps in care before untoward consequences o...
jamanetwork.com
+1. Incredibly proud of the hard work that went into this comprehensive review on sudden cardiac arrest in athletes. Understanding these events in athletes has implications that echo far beyond the field and touches the health of all young adults. Full Text Link: bit.ly/3B1TxjT
Great summary of evidence for safety of naltrexone in liver disease 👇
Things We Do for No Reason™: Avoiding naltrexone for alcohol use disorder in liver disease
Hospitalizations related to alcohol use disorder (AUD) are common. Yet, few patients receive pharmacotherapy consistent with guideline recommendations. Previous concerns over the potential hepatotoxi...
shmpublications.onlinelibrary.wiley.com
Great question to ask our patients during a clinical encounter: "If we could help you with only one thing today, what would you want it to be?" Recommend this wise essay www.nejm.org/doi/full/10....
A Good Day | NEJM
Shared decision making takes time that most clinicians don’t have. So one medical team developed some shortcuts for eliciting essential input from patients with multiple complex problems.
nejm.org
Continually inspired by Dan Shalev's work @pallipsych.bsky.social and excited for ongoing collaborations at intersection of mental health, palliative care, and cirrhosis/transplant care. #pallipsych #palliativehepatology
Daniel Shalev, MD@pallipsych.bsky.social · 2y agoGot to collaborate with friends and colleagues in the #hapc #psychiatry #psychology #socialwork #pallipsych space to respond to Susan Block's inspiring call to improve mental health components of #hapc 1/? www.liebertpub.com/doi/10.1089/...
Let me tell you a story – one of the more haunting I’ve seen in 20 years of journalism. It’s about greed, death and denial. It took two years to unravel one doctor’s myth, a hospital’s complicity in creating it, and a documented trail of suspicious deaths…🧵
Two stages of writing: 1) This shouldn't take too long 2) Oh no
Do conversations about prognosis (defined as "conversation with your hepatologist about the likely outcome of your liver disease over time") cause patients w/ cirrhosis to lose hope? Simple answer: No Work led by🌟@donlan_john in CGH @amergastroassn.bsky.social https://buff.ly/4i1R6OM #LiverSky
Do conversations about prognosis (defined as "conversation with your hepatologist about the likely outcome of your liver disease over time") cause patients w/ cirrhosis to lose hope? Simple answer: No Work led by🌟@donlan_john in CGH @amergastroassn.bsky.social https://buff.ly/4i1R6OM #LiverSky
Amazing, formative work by my friend, collaborator, research role model @nnekauferemd.bsky.social Beyond the impact she is having on the care of people living with cirrhosis, she inspires me to think more expansively about what serious illness and #hspc palliative care are—and can be—as we grow…🧵
Nneka Ufere, MD MSCE@nnekauferemd.bsky.social · 2y agoPsychological distress is prevalent and interdependent among patients with decompensated cirrhosis and their caregivers, confirming cirrhosis as a SHARED EMOTIONAL CONTAGION within dyads - our new study published in @AmJGastro #palliativehepatology journals.lww.com/ajg/abstract...
Psychological distress is prevalent and interdependent among patients with decompensated cirrhosis and their caregivers, confirming cirrhosis as a SHARED EMOTIONAL CONTAGION within dyads - our new study published in @AmJGastro #palliativehepatology journals.lww.com/ajg/abstract...
Psychological Distress is Prevalent and Interdependent... : Official journal of the American College of Gastroenterology | ACG
mong 127 patient-caregiver dyads using Actor-Partner Interdependence Modeling. Results: Among dyads, 26% had both partners reporting clinically significant anxiety and 18% reporting clinically sign...
journals.lww.com
Nice to see Kavish Patidar recognizing our work led by Paige McLean Diaz on RRT decision-making in transplant ineligible patients at #TLM24. Is it time to trial serious illness communication & TLT interventions in the ACLF space? #palliativehepatology #LiverSky #NephSky @juancarlosqvelez.bsky.social
Validation of the Hospital Anxiety and Depression Scale in #cirrhosis 🫡 @nnekauferemd.bsky.social journals.lww.com/hepcomm/full...
Validation of the Hospital Anxiety and Depression Scale in... : Hepatology Communications
An abstract is unavailable.
journals.lww.com
