Don Sullivan, MD, MA, MCR, ATSF

@donsullivan.bsky.social

Pulmonary-Critical Care Scientist at OHSU | Focus on Palliative Care, Decision Making, Lung Cancer | Bostonian- Jumbo | Views mine https://scholar.google.com/citations?user=E6K9zbUAAAAJ&hl=en&oi=ao look

Patients with cancer should not have the added burden of ‘work requirements’ while receiving chemotherapy - it’s utterly ridiculous!! @acscan.bsky.social @ascocancer.bsky.social

American Cancer Society Cancer Action Network@acscan.bsky.social · 6d ago

On the 61st anniversary of #Medicaid, our latest survey finds nearly all cancer patients and survivors surveyed would not have been able to meet new Medicaid #WorkRequirements, and many report concerns about losing coverage.

Palliative care interventions improved QOL, survival & symptom burden compared to usual care. Nonpharmacological interventions improved breathlessness & depression. Dr. Anne Walker @monashuniversity.bsky.social @ohsuknight.bsky.social @acscan.bsky.social publications.ersnet.org/content/erre...

Palliative care interventions for thoracic cancer: a systematic review and meta-analysis identifying the core elements

IntroductionDespite increasing trials examining palliative care for people with thoracic cancer, implementation remains limited. Understanding the core elements of palliative care interventions is critical to improving design, scalability, and accessibility globally. This review aimed to determine the core elements and efficacy of palliative care interventions in thoracic cancer.MethodsFive medical databases were searched from January 1987 to January 2025. Randomised controlled trials (RCTs) and nonrandomised studies of palliative care interventions in thoracic cancer addressing at least two National Consensus Project domains were eligible. Meta-analyses of RCTs were performed using a random-effects model.Results34 palliative care interventions (n=6490, mean±sd age 65±10 years, 41% women) were identified. Interventions were categorised as comprehensive palliative care interventions (n=18), nonpharmacological symptom interventions (n=12) and psychosocial-educational interventions (n=4). Comprehensive interventions were significantly longer (21.7 weeks) than nonpharmacological symptom (4.8 weeks) and psychosocial-educational interventions (8.7 weeks; p<0.01), addressed more components (mean components: 8, 3, 4, respectively; p<0.01), were often provided by specialist palliative care clinicians (83%, 16%, 0%; p<0.01), and included interprofessional teams (61%, 8%, 0%; p<0.01). Comprehensive palliative care interventions improved quality of life (standardised mean difference (SMD) 0.25, 95% CI 0.11–0.38), survival (hazard ratio 0.76, 95% CI 0.62–0.94), overall symptoms (SMD 0.20, 95% CI 0.02–0.38) and depression (SMD 0.28, 95% CI 0.07–0.5). Nonpharmacological symptom interventions improved breathlessness (SMD 0.29, 95% CI 0.15–0.43) and depression (SMD 0.17, 95% CI 0.02–0.31). Psychosocial-educational interventions did not affect quality of life or mood.ConclusionsComprehensive palliative care interventions improved quality of life, survival and symptoms among people with thoracic cancers. Nonpharmacological symptom interventions improved breathlessness and depression.

publications.ersnet.org

Congratulations to our BSBSR award recipients! Dr. Michelle Eakin (Lifetime Achievement Award) Dr. Colin Cooke (Mid-career Achievement Award) Dr. Rachel Kohn (Early Career Achievement Award) Dr. Lauren Kearney (Emerging Career Award)!! 🎉

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Palliative care is more important than ever. For clinicians looking to expand their knowledge on palliative care, the ATS and CAPC have a collaborative learning series of seven modules on ATS Ed+ about treating patients with serious illnesses. Learn more: atsedplus.thoracic.org/capc/palliat...

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New York State Department of Health@nysdoh.bsky.social · 9mo ago

“We were honoring my mom’s final wishes by making sure she was comfortable and well loved.” Learn more about Hospice and Palliative Care: health.ny.gov/facilities/h...