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Division of Palliative Care

2017-2018 Peer Reviewed Publications

Bush SH, Lawlor PG, Lucchesi M, Siddiqui N, Centeno C, Morandi A, Kanji S, Ryan K, Ballarat E, Schofield N, Laurent M, Ida Ripamonti C. ESMO Palliative Care Guidelines, Delirium. Annals of Oncology 2017 (Submitted).

Reis-Pina P, Acharya A, Lawlor PG. Cancer Pain with a neuropathic component: a cross-sectional study of its clinical characteristics, associated psychological distress, treatments and predictors at referral to a cancer pain clinic. J Pain Symptom Manage 2017 Sep. doi: 10.1016/j.jpainsymman.2017.08.028. [Epub ahead of print]

Reis-Pina P, Lawlor PG and Barbosa A. Adequacy of Cancer Related Pain Management and Predictors of Undertreatment at Referral to a Pain Clinic. Journal of Pain Research 2017 Aug;10:2097-2107. doi: 10.2147/JPR.S139715

Bush SH, Tierney S, Lawlor PG. Clinical assessment and management of delirium in the palliative care setting. Drugs 2017;77(55):1623-1643. doi: 10.1007/s40265-017-0804-3. Epub ahead of print; 2017 Sept 1. Invited manuscript peer-reviewed comprehensive review. Available open access: http://rdcu.be/vugX

Chaudhuri D, Tanuseputro P, Herrit B, D’Egidio G, Chalifoux M, Kyeremanteng K. Critical care at the end of life: a population-level cohort study of cost and outcomes. Crit Care 2017; 21(1):124.

Tanuseputro P. Delivering care to those in need: Improving palliative care using linked data. Palliat Med 2017 Jun;31(6):489-491

Chaudhuri D, Tanuseputro P, Herritt B, D’Egidio G, Chalifoux M, Kyeremanteng K. Critical care at the end of life: a population-level retrospective cohort study of cost and outcome. Critical Care 2017 May 31;21:124.

Chin-Yee N, D’Egidio G, Thavorn K, Heyland D, Kyeremanteng K. Cost analysis of the very elderly admitted to intensive care units. Critical Care 2017 May 16;21:109.

Murthy S, James P, Chalifoux M, Tanuseputro P. Higher End of Life Health Care Costs and Hospitalization Burden in Inflammatory Bowel Disease Patients: A Population-Based Study from Ontario, Canada. PLoS One 2017 May 12;12(5):e0177211.

Tanuseputro P. The author responds to “What matters most”. CMAJ 2017 May 1;189(17):E643.

Kendall C, Chalifoux M, Manuel D, Reinhard R, Robinson G, Bacon J, Rourke S, Rosenes R, Tanuseputro P. A population-based study of care at the end of life among people with HIV in Ontario from 2010 to 2013. Journal of Acquired Immune Deficiencies. J Acquir Immune Defic Syndr (JAIDS) 2017 May 1;75(1):e1-e7.

Nekolaichuk C, Huot A, Gratton V, Bush SH, Tarumi Y, Watanabe SM. Development of a French version of the Edmonton Symptom Assessment System-Revised: a pilot study of palliative care patients’ perspectives. J Palliat Med 2017 Sept;20(9)966-976. doi: 10.1089/jpm.2016.0510. Epub 2017 Apr 27.

Book Chapters:

Bush SH. Delirium. Palliative Care Emergencies. In: MacLeod R, Van den Block L (eds), Textbook of Palliative Care. Springer References. (Submitted, April 2017).

 

2016-2017 Peer Reviewed Publications

Rice J, Hunter L, Hsu A, Donskov M, Luciani T, Toal-Sullivan DA, Welch V, Tanuseputro P. Using the ‘surprise question’ in nursing homes: A prospective mixed-methods study. Journal of Palliative Care (Under review, 2017).

Chin-Yee N, D’Egidio G, Thavorn K, Heyland D, Kyeremanteng K. The very elderly admitted to intensive care unit: Outcomes and economic evaluation. Critical Care (Accepted, 2017).

Kyeremanteng K, Hendin A, Rosenberg E, Neilipovitz D, Kubelik D, Thavorn K, D’Egidio G, Stotts G. Neuroscience Intermediate-Level Critical Care Units Staffed by Intensivists: Clinical Outcomes and Cost Analysis. Journal of Intensive Care (Accepted, 2017).

Farrell B, Black C, Archibald D, Raman-Wilms L, Grassau P, Patel T, Weaver L, Eid K, Winsale N. Operationalizing the Canadian Interprofessional Health Collaborative (CIHC) Competency Framework for team management of polypharmacy in older persons: a modified Delphi validation. (Under review, 2017).

Hartley H, Vanderspank B, Grassau P, Murray MA. Dead on the table: a theoretical expansion of the vicarious trauma that Operating Room clinicians experience when their patients died. (Under review, 2017)

Tucker T, Bouvette M, Daly S, Grassau P. Finding the Sweet Spot: Developing, Implementing and Evaluating a Burn Out and Compassion Fatigue Intervention for Third Year Medical Trainees. Evaluation and Program Planning (Accepted with revisions, 2017) 

Bush SH, Marchington KL, Agar M, Davis DHJ, Sikora L, Tsang TWY. Quality of clinical practice guidelines in delirium: a systematic appraisal BMJ Open 2017 Mar;7:e013809. 

Varpio L, Grassau P, Hall P. Looking and listening for learning in arts- and humanities-based creations. Medical Education 2017 Feb;51(2):136-145.

Agar MR, Lawlor PG, Quinn S, Draper B, Caplan GA, Rowett D, Sanderson C, Hardy J, Le B, Eckermann S, McCaffrey N, Devilee L, Fazekas B, Hill M, Currow DC. Efficacy of oral risperidone, haloperidol, or placebo for symptoms of delirium among patients in palliative care: a randomized clinical trial. JAMA Intern Med 2017 Jan;177(1):34-42. doi:10.1001/jamainternmed.2016.7491

Chaudhuri D, Herritt B, Heyland D, Gagnon LP, Thavorn K, Kobewka D, Kyeremanteng K. Early Renal Replacement Therapy Versus Standard Care in the ICU. J Intensive Care Med 2017 Jan; 885066617698635. doi: 10.1177/0885066617698635 [Epub ahead of print]

Hsu A, Chalifoux M, Spruin S, Bronskill S, Manuel D, Tanuseputro P. Where do people with dementia spend their last year of life? Health care use and cost in a population-based cohort. New England Journal of Medicine 2016. doi: 10.1016/S0168-8278(16)00287-7

Kyeremanteng K, Wan C, D’Egidio G, Neilipovitz D. Approach to economic analysis in critical care. J Crit Care 2016 Dec;36:92-96.

Barata P, Santos F, Mesquita G, Custodio MP, Alves M, Papoila A, Barbosa A, Lawlor P. Pain Intensity and Time to Death of Cancer Patients. Acta Medica Portuguesa 2016 Nov;29(11):694-701.

Barata P, Cardoso A, Custodio MP, Alves M, Papoila A, Barbosa A, Lawlor PG. Symptom clusters and survival in Portuguese patients with advanced cancer. Cancer Medicine 2016 Oct,5(10):2731-2739.

Lawlor PG. Cancer patients with delirium in the emergency department: A frequent and distressing problem that calls for better assessment. Cancer 2016 Sep 15;122(18):2783-6.

Kyeremanteng K, D’Egidio G, Thavorn K, Heyland D, Gagnon LP. The impact of palliative care consultation in the ICU on length of stay: a systematic review and cost evaluation. J Intensive Care Med 2016 Aug 31. doi: 10.1177/0885066616664329

Kyeremanteng K, D’Egidio G, Wan C, Baxter A, Rosenberg H. Compartment syndrome as a result of systemic capillary leak syndrome. Case Rep Crit Care 2016 Aug;2016:4206397. 

Bush SH, Lacaze-Masmonteil N, McNamara-Kilian MT. MacDonald AR, Tierney S, Momoli F, Agar M, Currow, DC, Lawlor PG.  The preventative role of exogenous melatonin administration in patients with advanced cancer who are at risk of delirium: study protocol of a feasibility study prior to a larger randomized controlled trial. Trials 2016;17:399.

Rashidi B, Li A, Patel R, Harmsen IE, Sabri E, Kyeremanteng K, D’Egidio G. Effectiveness of an extended period of flashing lights and strategic signage to increase the salience of alcohol-gel dispensers for improving hand hygiene compliance. Am J Infect Control 2016 Jul 1;44(7):782-5.

D’Egidio G & Kyeremanteng K. Tinnitus, Enophthalmos, and Transient Thrombocytopenia as Symptoms of Metastatic Breast Cancer Without Local Disease. Canadian Journal of General Internal Medicine 2016;11(1):38.

Publications / Non-Peer-Reviewed Manuscripts

Bush, SH. “I don’t want to die an old person”. J Palliat Med 2016. doi:10.1089/jpm.2016.0474. Epub 2016 Nov 21.

 

 

 

 

Overview

Our Division, working alongside colleagues from other disciplines in interprofessional teams, has evolved into a dynamic and academically productive team providing clinical coverage across several settings in Ottawa and the Champlain region. These range from in-hospital and community-based consult teams to acute palliative care units and hospices. We value research in the domains of clinical care and education and believe that these are the engines that drive excellence and best practices in these areas.

Palliative Medicine is recognized by the College of Family Physicians of Canada and the Royal College of Physicians and Surgeons of Canada, requiring a year of added competency training in the form of a residency or fellowship. Completion of such training or the equivalent thereof is a requirement to be a member of our Division. Palliative Medicine is unique in that clinicians come from a variety of specialist areas. Our Division has included family physicians, a pediatrician, critical care specialists, internists, oncologists, surgeons and community medicine specialists. We also have physicians with cross appointments from Psychosocial Oncology (Psychiatry) and the Division of Pulmonology. This brings to the specialty a broad range of competencies and perspectives. Our division is also enriched by members holding Masters and degrees in Medical Education and Epidemiology and diplomas in Anesthesiology.

Alongside a busy clinical program, our Division has a variety of scheduled academic undergraduate, postgraduate, and continuing professional development activities. These include academic city-wide rounds (twice a month), weekly journal rounds, weekly residents’ academic half-days, weekly case-based rounds and research rounds twice a month. The research rounds (called WIPS for Research Work in Progress) provide an opportunity to develop new research ideas and showcase the results of ongoing and completed Divisional research.

To advance our academic mission, we have formal affiliations with The Ottawa Hospital Research Insitute (OHRI), the Bruyère Research Institute (BRI), and the Academy for Innovation in Medical Education (AIME) at the University of Ottawa. Our Division has submitted funding applications to numerous local, provincial and national research funding agencies, including the Canadian Institutes of Health Research (CIHR). We also collaborate closely with colleagues in other centres and are investigators, co-investigators, and collaborators on a number of multi-centre studies and projects.

Our Division also values the importance of health services planning and administration. Division members are active in a variety of hospital, regional, provincial, national and international committees. These include the new Regional Palliative Care Program in the Champlain (East Ontario) Local Health Integration Network (LHIN), the new Ottawa Hospice Services Plan , and Cancer Care Ontario.

Vision

We strive to be known locally, nationally and internationally as a Division that provides  the highest quality palliative care to patients and families, equal to that that we would expect for ourselves and our family members, and to be a place of choice for health professionals from across Canada and the world looking for opportunities to learn about and to work in palliative care.

Mission

To:

  • Support, through consultation and shared care, our colleagues in family medicine and other specialty areas in providing primary-level palliative care
  • Provide palliative care as the most responsible physicians at a specialist-level to palliative patients with complex needs
  • Advance the field of palliative care through clinical research
  • Diffuse new knowledge and best practices
  • Advance medical and palliative care education through research in that area
  • Educate health professionals and the public on best practices in palliative care