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Open AccessImplementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot program
CAPACITI is a virtual education program that teaches primary care teams how to provide an early palliative approach to care. After piloting its implementation, we conducted an in-depth qualitative study with C...
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Article
Open AccessIntensity of end-of-life care among children with life-threatening conditions: a national population-based observational study
Children with life-threatening conditions frequently experience high intensity care at the end of life, though most of this research only focused on children with cancer. Some research suggests inequities in c...
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Article
Cardiovascular outcomes in children with Kawasaki disease: a population-based cohort study
The risk of cardiovascular events after Kawasaki disease (KD) remains uncertain. Our objective was to determine the risk of cardiovascular events and mortality after KD.
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Cardiovascular Outcomes During Index Hospitalization in Children with Kawasaki Disease in Ontario, Canada
Kawasaki disease (KD) is a common childhood vasculitis associated with coronary artery aneurysms (CAA). However, there is limited published data on other cardiovascular events diagnosed during acute KD hospita...
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Article
Open AccessComparing machine learning approaches to incorporate time-varying covariates in predicting cancer survival time
The Cox proportional hazards model is commonly used in evaluating risk factors in cancer survival data. The model assumes an additive, linear relationship between the risk factors and the log hazard. However, ...
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Open AccessIncreasing palliative care capacity in primary care: study protocol of a cluster randomized controlled trial of the CAPACITI training program
Primary care providers play a critical role in providing early palliative care to their patients. Despite the availability of clinical education on best practices in palliative care, primary care providers oft...
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Open AccessPatient-reported outcome measures are associated with health care utilization in patients with transplant ineligible multiple myeloma: a population-based study
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Article
Extent of Surgical Resection in Inflammatory Bowel Disease Associated Colorectal Cancer: a Population-Based Study
The extent of surgical resection in inflammatory bowel disease (IBD) patients who develop colorectal cancer (CRC) is not prescribed by guidelines. We aim to evaluate, at a population level, the association of ...
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Article
Incidence and short-term outcomes of Kawasaki disease
Kawasaki disease (KD) is a childhood vasculitis with conflicting reported North American trends in incidence and patient characteristics. Objectives: (1) determine KD incidence between 1995 and 2017; (2) compa...
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External validation of the FIRST trial’s simplified frailty score in a population-based cohort
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Open AccessThe association between varying levels of palliative care involvement on costs during terminal hospitalizations in Canada from 2012 to 2015
Inpatient palliative care is associated with lower inpatient costs; however, this has yet to be studied using a more nuanced, multi-tiered measure of inpatient palliative care and a national population-represe...
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Article
Treatment Modality and Trends in Survival for Gallbladder Cancer: a Population-Based Study
There are only a few reports on the treatment-based survival of gallbladder cancer (GBC). The primary objective of this study was to examine the change in treatment modality and the related trends in the survi...
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Emergency Department Use at End of Life
There has been an increasing interest in describing emergency department (ED) use by cancer patients at the end of life (EOL) over the past two decades. Patients, providers, and healthcare administrators have ...
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Open AccessDescribing the characteristics and healthcare use of high-cost acute care users at the end of life: a pan-Canadian population-based study
A minority of individuals use a large portion of health system resources, incurring considerable costs, especially in acute-care hospitals where a significant proportion of deaths occur. We sought to describe ...
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Integration of patient-reported outcomes (PROs) for personalized symptom management in “real-world” oncology practices: a population-based cohort comparison study of impact on healthcare utilization
The use of patient-reported outcomes (PROs) for routine cancer distress screening is endorsed globally as a quality-care standard. However, there is little research on the integration of PROs in “real-world” o...
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Open AccessPotential quality indicators for seriously ill home care clients: a cross-sectional analysis using Resident Assessment Instrument for Home Care (RAI-HC) data for Ontario
Currently, there are no formalized measures for the quality of home based palliative care in Ontario. This study developed a set of potential quality indicators for seriously ill home care clients using a stan...
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Open AccessBenchmarking time to initiation of end-of-life homecare nursing: a population-based cancer cohort study in regions across Canada
Several studies have demonstrated the benefits of early initiation of end-of-life care, particularly homecare nursing services. However, there is little research on variations in the timing of when end-of-life...
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Open AccessValidation of a modified VOICES survey to measure end-of-life care quality: the CaregiverVoice survey
Measuring the care experience at end-of-life (EOL) to inform quality improvement is a priority in many countries. We validated the CaregiverVoice survey, a modified version of the VOICES questionnaire, complet...
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Open AccessPrevalence and risk factors of depressive symptoms in a Canadian palliative home care population: a cross-sectional study
Depression in palliative care patients is important because of its intrinsic burden and association with elevated physical symptoms, reduced immunity and increased mortality risk. Identifying risk factors asso...