|A newsletter for research & medical education||November 2013|
Great Funding News for Baystate Researchers
Lewis Cohen MD Receives PCORI Grant for Study of Advance Care Planning in Hemodialysis Patients
Dr. Lewis Cohen, Director of Renal Palliative Care Initiative, received a $2 million grant from the Patient Centered Outcomes Research Institute for a 3-year project, "Shared Decision Making and Renal Supportive Care". Other Baystate investigators include Michael Germain MD and Sarah Goff MD.
This study is based on preliminary research that started with patient, family, and caregiver focus groups, created a tool for predicting mortality, and went on to develop a communication intervention that successfully increased the use of hospice services in several Massachusetts dialysis clinics.
"The project continues the momentum of research and end-of-life innovations for patients with kidney disease that Dr. Germain and I have had over the past 20 years", says Dr. Cohen.
The study involves hemodialysis patients with progressive illnesses at 16 clinics split between Massachusetts and New Mexico, and will be conducted in collaboration with nephrologists from the University of New Mexico, Albuquerque. The aim is to explore the dissemination of their innovative clinical model throughout the country.
Peter Lindenauer MD Awarded NHLBI/NIH R21 Grant to Study Use of PAP in Surgery Patients with Sleep Apnea
Dr. Peter Lindenauer, Director of the Center for Quality of Care Research, has been awarded a R21 grant from NHLBI/NIH for a 2-year study, "Perioperative Use and Outcomes of Noninvasive Ventilation in Sleep Apnea". Also on the project are Mihaela Stefan MD and Penny Pekow PhD from Baystate, and Nicholas Hill MD from TUSM, an internationally recognized expert in use of PAP.
The intent of the study is to yield new knowledge about the adoption and effectiveness of noninvasive ventilation in patients with obstructive sleep apnea undergoing major non-cardiac surgery.
"Patients with obstructive sleep apnea who have surgery have a significantly increased risk of adverse outcomes. Now it's common to screen for apnea pre-op and put those patients on PAP devices. But there really isn’t data that shows they help post-op," states Dr. Lindenauer.
This project will look at patients with sleep apnea who undergo major surgery and get CPAP and biPAP to determine if they have a lower risk of complications in the first couple of days post-op. The researchers will also look at whether certain patients are more likely to get PAP, and whether the benefits of PAP therapy vary according to certain patient characteristics, such as age.
New Family Planning Fellowship Matched in First Year of Recruitment
The 2-year Family Planning Fellowship had success filling its first year position through the Fellowship in Family Planning matching process. Their first fellow, Antonella Lavelanet, DO, JD will start at Baystate on July 1, 2014.
Dr. Lavelanet earned her DO from University of Medicine and Dentistry of New Jersey School of Osteopathic Medicine and her JD from Rutgers University School of Law. She received her residency training in Obstetrics-Gynecology at Lankenau Medical Center, Main Line Health, Wynnewood, PA.
According to Dr. Katharine O'Connell White, Family Planning Fellowship Program Director, her program had 6 applicants out of a total of 31 this year. "Five made it here for interviews, we ranked all five, and got our first choice!"
Katie Wong MD Presented 2 Abstracts at American Academy of Pediatrics Conference
Dr. Kaitlyn Wong, PGY3 surgical research resident, presented 2 abstracts at the 2013 American Academy of Pediatrics National Conference on October 25, 2013. The works are entitled “Radiation Free Alternative Method for Measuring Severity of Pectus Excavatum Deformities Using Three Dimensional Body Scanning” and “Evaluation of the Treatment of Pectus Carinatum With Compressive Orthotic Bracing Using Three Dimensional Body Scans”. Dr. David Tashjian, Pediatric Surgery division, was co-author.
Sara Smolinski MD Poster Presented at the Society of Computed Body Tomography & Magnetic Resonance Meeting
Dr. Sara Smolinski's abstract, "'Not another one!' Making sense of CT and MR imaging features of focal splenic masses and recommendations for incidental findings" was accepted for poster presentation at the SCBT-MR 36th Annual Course held October 12 - 16, 2013. Dr. Smolinski, second year radiology resident, is first author. Drs. Dmitry Rakita, Chief of Abdominal Imaging, and first year resident Michael Morrow were also on this project. Their project has also been accepted to RSNA 2013 in December as an electronic presentation.
Inpatient Palliative Care Team Presentation at Annual Conference
April Mazzarino-Willett, MSN, ANP-BC and Alice Leveston, MSW, LICSW, both of the Inpatient Palliative Care Service, were invited to present their paper, "How do we change roles from being the clinician to family member when we care for our own?" at the 2013 Hospice and Palliative Care Federation of Massachusetts Conference. They made their presentation on October 24, 2013 in Norwood, MA.