• Author: Karleen F. Giannitrapani
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Initial long-term opioid prescriptions among Veterans with and without kidney disease

Abstract:Approximately 50% of patients with chronic kidney disease (CKD) have chronic pain. This pain is often severe and associated with poor quality of life, contributing to …

Improving shared decision-making around antimicrobial-prescribing during the end-of-life period: a qualitative study of Veterans, their support caregivers, and their providers

Abstract: Objective: Antimicrobials are frequently used for palliation during end-of-life care, but adverse effects, such as antimicrobial resistance, are a concern. Shared …

Clinical Perspectives on Cancer and Palliative Care Access among Native Hawaiian/Pacific Islander Veterans

Abstract: Outcomes: 1. Along with understanding sources for rising cancer prevalence among Veterans of Native Hawaiian/Pacific Islander heritage, participants will be able to …

Barriers Facing Primary Care Leaders in Implementing Goals of Care Conversations with Seriously Ill Veterans

Abstract: Outcomes: 1. To better understand provider barriers faced by organizational leaders when implementing goals of care conversations in primary care settings. 2. To better …

Strategies to improve perioperative palliative care integration for seriously ill Veterans

Abstract: CONTEXT: Seriously ill patients are at higher risk for adverse surgical outcomes. Palliative care (PC) interventions for seriously ill surgical patients are associated …

Integrating patient and expert perspectives to conceptualize high-quality palliative cancer care for symptoms in the US Veterans Health Administration: A qualitative study

Abstract: Quality measurement is typically the domain of clinical experts and health system leaders; patient/caregiver perspectives are rarely solicited. We aimed to describe and …

Patient-Centered Substance Use Disorder Treatment for Women Veterans

Abstract: Substance use disorder (SUD) is damaging to women’s health and quality of life. Appropriate treatment can mitigate the effects and health consequences of SUD, yet many …