Search Results - "Moss, Alvin H"

Revised Dialysis Clinical Practice Guideline Promotes More Informed Decision-Making by Moss, Alvin H

“…Over a decade ago, the Renal Physicians Association and the American Society of Nephrology published the clinical practice guideline, Shared Decision-Making in…”
Get full text

Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care by Davison, Sara N, Levin, Adeera, Moss, Alvin H, Jha, Vivekanand, Brown, Edwina A, Brennan, Frank, Murtagh, Fliss E M, Naicker, Saraladevi, Germain, Michael J, O'Donoghue, Donal J, Morton, Rachael L, Obrador, Gregorio T

“…Patients with advanced chronic kidney disease (CKD) have a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Current…”
Get more information

Predicting Six-Month Mortality for Patients Who Are on Maintenance Hemodialysis by Cohen, Lewis M, Ruthazer, Robin, Moss, Alvin H, Germain, Michael J

“…Prognostic information is rarely conveyed by nephrologists because of clinical uncertainty about accuracy. The objective of this study was to develop an…”
Get full text

Update on End-of-Life Care Training During Nephrology Fellowship: A Cross-sectional National Survey of Fellows by Combs, Sara A., MD, Culp, Stacey, PhD, Matlock, Daniel D., MD, MPH, Kutner, Jean S., MD, MSPH, Holley, Jean L., MD, Moss, Alvin H., MD

“…Background Patients with end-stage renal disease have high mortality and symptom burden. Past studies demonstrated that nephrologists do not feel prepared to…”
Get full text

Ethical Principles and Processes Guiding Dialysis Decision-Making by Moss, Alvin H

“…When the US Congress created the End-Stage Renal Disease (ESRD) Program in 1972, it gave physicians the responsibility of determining which patients were…”
Get full text

Integrating Supportive Care Principles into Dialysis Decision-Making: A Primer for Palliative Medicine Providers by Moss, Alvin H., MD

“…Abstract Despite advances in pre-dialysis care and dialysis technology, patients with advanced chronic kidney disease and end-stage renal disease continue to…”
Get full text

Prognostic significance of the "surprise" question in cancer patients by Moss, Alvin H, Lunney, June R, Culp, Stacey, Auber, Miklos, Kurian, Sobha, Rogers, John, Dower, Joshua, Abraham, Jame

“…Physicians consistently overestimate survival for patients with cancer. The "surprise" question--"Would I be surprised if this patient died in the next…”
Get more information

Utility of the “Surprise” Question to Identify Dialysis Patients with High Mortality by Moss, Alvin H, Ganjoo, Jesse, Sharma, Sanjay, Gansor, Julie, Senft, Sharon, Weaner, Barbara, Dalton, Cheryl, MacKay, Karen, Pellegrino, Beth, Anantharaman, Priya, Schmidt, Rebecca

“…Dialysis patients are increasingly characterized by older age, multiple comorbidities, and shortened life expectancy. This study investigated whether the…”
Get full text

Unmet Supportive Care Needs in U.S. Dialysis Centers and Lack of Knowledge of Available Resources to Address Them by Culp, Stacey, PhD, Lupu, Dale, PhD, Arenella, Cheryl, MD, MPH, Armistead, Nancy, MPA, Moss, Alvin H., MD

“…Abstract Context Because of high symptom burden, numerous comorbidities, and shortened life expectancy, dialysis patients are increasingly recognized as…”
Get full text

"Diving in the deep-end and swimming": a mixed methods study using normalization process theory to evaluate a learning collaborative approach for the implementation of palliative care practices in hemodialysis centers by Holdsworth, Laura M, Stedman, Margaret, Gustafsson, Erika Saliba, Han, Jialin, Asch, Steven M, Harbert, Glenda, Lorenz, Karl A, Lupu, Dale E, Malcolm, Elizabeth, Moss, Alvin H, Nicklas, Amanda, Tamura, Manjula Kurella

“…Normalization Process Theory (NPT) is an implementation theory that can be used to explain how and why implementation strategies work or not in particular…”
Get full text

Dying on Dialysis: The Case for a Dignified Withdrawal by Schmidt, Rebecca J, Moss, Alvin H

“…Acceleration of comorbid illness in patients undergoing long-term maintenance hemodialysis may be manifested by clinical deterioration that is subtle and not…”
Get full text

POST Forms More Than Advance Directives Associated With Out-of-Hospital Death: Insights From a State Registry by Pedraza, Sandra L., MD, Culp, Stacey, PhD, Falkenstine, Evan C., BS, Moss, Alvin H., MD

“…Abstract Context Patients' end-of-life care outcomes often do not reflect their preferences. Ninety-two percent of West Virginians prefer to die outside the…”
Get full text

To Dialyze or Not: The Patient with Metastatic Cancer and AKI in the Intensive Care Unit by Moss, Alvin H

“…AKI severe enough to necessitate renal replacement therapy occurs in approximately 5% of patients admitted to the intensive care unit (ICU) and is associated…”
Get full text

When Enough Is Enough: The Nephrologist's Responsibility in Ordering Dialysis Treatments by Germain, Michael J., MD, Davison, Sara N., MD, Moss, Alvin H., MD

“…For more than 20 years, nephrologists have been reporting that they are increasingly being expected to dialyze patients whom they believe may receive little…”
Get full text

Ethical and Legal Obligation to Avoid Long-Term Tunneled Catheter Access by Rehman, Raheela, Schmidt, Rebecca J, Moss, Alvin H

“…Despite recent national initiatives promoting the arteriovenous fistula as the initial, primary, and sole vascular access to be used by hemodialysis patients…”
Get full text

Nephrologists’ Reported Preparedness for End-of-Life Decision-Making by Davison, Sara N, Jhangri, Gian S, Holley, Jean L, Moss, Alvin H

“…Nephrologists commonly engage in end-of-life decision-making with patients with ESRD and their families. The purpose of this study was to determine the…”
Get full text

Use of Hospice in the United States Dialysis Population by Murray, Anne M, Arko, Cheryl, Chen, Shu-Cheng, Gilbertson, David T, Moss, Alvin H

“…Hospice is recognized for providing excellent end-of-life care but may be underused by dialysis patients. Hospice use and related outcomes were measured among…”
Get full text

Study protocol of coaching end-of-life palliative care for advanced heart failure patients and their family caregivers in rural appalachia: a randomized controlled trial by Piamjariyakul, Ubolrat, Petitte, Trisha, Smothers, Angel, Wen, Sijin, Morrissey, Elizabeth, Young, Stephanie, Sokos, George, Moss, Alvin H, Smith, Carol E

“…Heart failure (HF) afflicts 6.5 million Americans with devastating consequences to patients and their family caregivers. Families are rarely prepared for…”
Get full text

ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity by Kimmel, Paul L, Emont, Seth L, Newmann, John M, Danko, Helen, Moss, Alvin H

“…Recent research suggests that patients’ perceptions may be more important than objective clinical assessments in determining quality of life (QOL) for patients…”
Get full text

Should the Incapacitated Patient's Prior Refusal of Dialysis Be Honored? The Value of a Systematic Approach to Gathering Data in an Ethics Consultation by Moss, Alvin H.

Get full text