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  1. Article ; Online: Risk Stratification and the Art of Medicine.

    Handley, Nathan R / Hong, Arthur S

    JCO oncology practice

    2022  , Page(s) OP2200577

    Language English
    Publishing date 2022-10-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.22.00577
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7198: Show issues Location:
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  2. Article ; Online: Integrative Medicine: An Opportunity for Improving Quality of Care in the Inpatient Setting.

    Maheu, Arlene R / Ayubcha, Soussan / Handley, Nathan R

    Quality management in health care

    2023  Volume 32, Issue 4, Page(s) 257–262

    Abstract: As medicine shifts to a value-based focus, health care providers in inpatient settings are actively seeking approaches to providing high-quality patient care without exacerbating prevailing cost burden. Complementary and integrative medicine may offer ... ...

    Abstract As medicine shifts to a value-based focus, health care providers in inpatient settings are actively seeking approaches to providing high-quality patient care without exacerbating prevailing cost burden. Complementary and integrative medicine may offer one potential solution for this challenge. Although the benefits of utilizing integrative practices in the inpatient setting have not been explored extensively thus far, early evidence demonstrates great promise of using integrative modalities to improve symptom burden in the inpatient setting while increasing patient pain satisfaction and reducing overall costs of care. Currently, social, educational, and financial barriers exist, limiting the widespread incorporation of complementary and integrative medicine into the inpatient setting. Nonetheless, a more robust body of literature demonstrating the effectiveness of complementary and integrative medicine in reducing costs of care and improving patient outcomes may help address these limitations and lead to the acceptance of integrative practices as the standard of high-value inpatient care.
    MeSH term(s) Humans ; Integrative Medicine ; Inpatients ; Hospitalization ; Patient Satisfaction ; Quality of Health Care
    Language English
    Publishing date 2023-08-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162319-6
    ISSN 1550-5154 ; 1063-8628
    ISSN (online) 1550-5154
    ISSN 1063-8628
    DOI 10.1097/QMH.0000000000000432
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3806: Show issues Location:
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  3. Article ; Online: From Risk Prediction to Delivery Innovation: Envisioning the Path to Personalized Cancer Care Delivery.

    Hong, Arthur S / Handley, Nathan R

    JCO oncology practice

    2021  Volume 18, Issue 2, Page(s) 90–92

    MeSH term(s) Delivery of Health Care ; Humans ; Neoplasms/therapy
    Language English
    Publishing date 2021-10-12
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S. ; Comment
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.21.00581
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7198: Show issues Location:
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  4. Article ; Online: Cannabis Use in Patients With Cancer: A Clinical Review.

    Worster, Brooke / Hajjar, Emily R / Handley, Nathan

    JCO oncology practice

    2022  Volume 18, Issue 11, Page(s) 743–749

    Abstract: Cannabis use and interest continues to increase among patients with cancer and caregivers. High-quality research remains scant in many areas, causing hesitancy or discomfort among most clinical providers. Although we have limitations on hard outcomes, we ...

    Abstract Cannabis use and interest continues to increase among patients with cancer and caregivers. High-quality research remains scant in many areas, causing hesitancy or discomfort among most clinical providers. Although we have limitations on hard outcomes, we can provide some guidance and more proactively engage in conversations with patients and family about cannabis. Several studies support the efficacy of cannabis for various cancer and treatment-related symptoms, such as chemotherapy-induced nausea and cancer pain. Although formulations and dosing guidelines for clinicians do not formally exist at present, attention to tetrahydrocannabinol concentration and understanding of risks with inhalation can reduce risk. Conflicting information exists on the interaction between cannabis and immunotherapy as well as estrogen receptor interactions. Motivational interviewing can help engage in more productive, less stigmatized conversations.
    MeSH term(s) Humans ; Cannabis ; Nausea/chemically induced ; Nausea/drug therapy ; Neoplasms/complications ; Neoplasms/drug therapy ; Neoplasms/epidemiology ; Dronabinol/adverse effects ; Caregivers
    Chemical Substances Dronabinol (7J8897W37S)
    Language English
    Publishing date 2022-06-24
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.22.00080
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 7198: Show issues Location:
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  5. Article ; Online: Improving Cancer Care Through Digital Health Coaching.

    Nguyen, Jennifer / Maio, Vittorio / Handley, Nathan

    American journal of medical quality : the official journal of the American College of Medical Quality

    2022  Volume 37, Issue 4, Page(s) 369–370

    MeSH term(s) Diabetes Mellitus, Type 2 ; Health Personnel ; Humans ; Mentoring ; Neoplasms/therapy
    Language English
    Publishing date 2022-04-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1131772-3
    ISSN 1555-824X ; 1062-8606
    ISSN (online) 1555-824X
    ISSN 1062-8606
    DOI 10.1097/JMQ.0000000000000059
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    Zs.A 2436: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: The Oncology Hospital at Home.

    Handley, Nathan R / Bekelman, Justin E

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology

    2019  Volume 37, Issue 6, Page(s) 448–452

    MeSH term(s) Cost Savings ; Cost-Benefit Analysis ; Fee-for-Service Plans ; Health Services Needs and Demand ; Home Care Services, Hospital-Based/economics ; Hospital Costs ; Hospitalization/economics ; Humans ; Neoplasms/economics ; Neoplasms/therapy ; Oncology Service, Hospital/economics ; Outcome and Process Assessment, Health Care/economics ; Patient Selection ; Treatment Outcome
    Language English
    Publishing date 2019-01-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604914-x
    ISSN 1527-7755 ; 0732-183X
    ISSN (online) 1527-7755
    ISSN 0732-183X
    DOI 10.1200/JCO.18.01167
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1847: Show issues Location:
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    Zs.MO 650: Show issues

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  7. Article ; Online: Well-Being During a Time of Crisis and Beyond: Supporting a Culture of Mindfulness in Oncology Practices.

    Handley, Nathan R / Tomescu, Oana / Lopez, Ana Maria

    JCO oncology practice

    2020  Volume 16, Issue 11, Page(s) 713–717

    MeSH term(s) Medical Oncology ; Mindfulness
    Language English
    Publishing date 2020-09-02
    Publishing country United States
    Document type Editorial
    ZDB-ID 3028198-2
    ISSN 2688-1535 ; 2688-1527
    ISSN (online) 2688-1535
    ISSN 2688-1527
    DOI 10.1200/OP.20.00334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 7198: Show issues Location:
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  8. Article ; Online: The Home is the New Cancer Center.

    Handley, Nathan R / Bekelman, Justin E / Binder, Adam F

    Journal of the National Comprehensive Cancer Network : JNCCN

    2020  Volume 18, Issue 10, Page(s) 1297–1299

    MeSH term(s) Home Care Services ; Humans ; Neoplasms/diagnosis ; Neoplasms/therapy
    Keywords covid19
    Language English
    Publishing date 2020-10-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2250759-0
    ISSN 1540-1413 ; 1540-1405
    ISSN (online) 1540-1413
    ISSN 1540-1405
    DOI 10.6004/jnccn.2020.7626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6365: Show issues Location:
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  9. Article ; Online: Development of an Oncology Acute Care Risk Prediction Model.

    Csik, Valerie P / Li, Michael / Binder, Adam F / Handley, Nathan R

    JCO clinical cancer informatics

    2021  Volume 5, Page(s) 266–271

    Abstract: Purpose: Acute care utilization (ACU), including emergency department (ED) visits or hospital admissions, is common in patients with cancer and may be preventable. The Center for Medicare & Medicaid Services recently implemented OP-35, a measure in the ... ...

    Abstract Purpose: Acute care utilization (ACU), including emergency department (ED) visits or hospital admissions, is common in patients with cancer and may be preventable. The Center for Medicare & Medicaid Services recently implemented OP-35, a measure in the Hospital Outpatient Quality Reporting Program focused on ED visits and inpatient admissions for 10 potentially preventable conditions that arise within 30 days of chemotherapy. This new measure exemplifies a growing focus on preventing unnecessary ACU. However, identifying patients at high risk of ACU remains a challenge. We developed a real-time clinical prediction model using a discrete point allocation system to assess risk for ACU in patients with active cancer.
    Methods: We performed a retrospective cohort analysis of patients with active cancer from a large urban academic medical center. The primary outcome, ACU, was evaluated using a multivariate logistic regression model with backward variable selection. We used estimates from the multivariate logistic model to construct a risk index using a discrete point allocation system.
    Results: Eight thousand two hundred forty-six patients were included in the analysis. ED utilization in the last 90 days, history of chronic obstructive pulmonary disease, congestive heart failure or renal failure, and low hemoglobin and low neutrophil count significantly increased risk for ACU. The model produced an overall C-statistic of 0.726. Patients defined as high risk (achieving a score of 2 or higher on the risk index) represented 10% of total patients and 46% of ACU.
    Conclusion: We developed an oncology acute care risk prediction model using a risk index-based scoring system, the REDUCE (Reducing ED Utilization in the Cancer Experience) score. Further efforts to evaluate the effectiveness of our model in predicting ACU are ongoing.
    MeSH term(s) Aged ; Emergency Service, Hospital ; Humans ; Medicare ; Models, Statistical ; Prognosis ; Retrospective Studies ; United States
    Language English
    Publishing date 2021-03-15
    Publishing country United States
    Document type Journal Article
    ISSN 2473-4276
    ISSN (online) 2473-4276
    DOI 10.1200/CCI.20.00146
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Acute home-based care for patients with cancer to avoid, substitute, and follow emergency department visits: a conceptual framework using Porter's Five Forces.

    Baugh, Christopher W / Dorner, Stephen C / Levine, David M / Handley, Nathan R / Mooney, Kathi H

    Emergency Cancer Care

    2022  Volume 1, Issue 1, Page(s) 8

    Abstract: Background: Patients with cancer constitute a large and increasing segment of patients who receive unscheduled hospital-based care due to treatment-related symptoms and disease progression. The initial hospital-based touchpoint for these unscheduled ... ...

    Abstract Background: Patients with cancer constitute a large and increasing segment of patients who receive unscheduled hospital-based care due to treatment-related symptoms and disease progression. The initial hospital-based touchpoint for these unscheduled hospitalizations is often the emergency department. Traditional models of emergency department and inpatient hospital-based care are saturated and incapable of scaling to accommodate the future, increased needs projected for this population. New models of care are necessary to address this gap. Acute home-based care is a promising tool potentially providing patient-centric, efficient care to eligible patients.
    Methods: We applied Porter's Five Forces framework that addresses the bargaining power of buyers and suppliers, threat of substitutes and new entrants, and industry rivalries plus the sixth force of regulation to clarify the factors that will promote or challenge the adoption of a home-based cancer care referral model before or following emergency department visits. Exploring this framework provides insights into the complexities of scaling an acute home-based cancer care model and highlights ways for health systems including hospitals, emergency departments, physician groups, and individual emergency physicians and oncologists to optimize their roles in this emerging model of care.
    Results: We found that current workforce shortages, as well as workflow, infrastructure, and regulatory complexities, pose major challenges that unless carefully addressed may restrict the growth of acute home-based cancer care. Additional uncertainties persist around appropriate payment models and the competitive landscape. Key promoting factors include the recognized need in the cancer community and among payers for new models to decrease unscheduled hospitalizations and emergency department visits as well as the uptake of home-based and technology-enabled solutions during the COVID-19 pandemic. A better understanding of these forces helps to clarify the risks and opportunities as new entrants build their programs.
    Conclusions: Acute home-based cancer care is a promising tool to complement traditional outpatient clinics, emergency departments, and inpatient hospital-based models of cancer care. New technologies and policies increasingly enable a broader scope of cancer care in the home setting.
    Language English
    Publishing date 2022-07-01
    Publishing country England
    Document type Journal Article
    ISSN 2731-4790
    ISSN (online) 2731-4790
    DOI 10.1186/s44201-022-00008-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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