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A High-Touch Model of Community-Based Specialist Palliative Care: Latent Class Analysis Identifies Distinct Patient Subgroups  Lara Dhingra, PhD, Nathan.

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Presentation on theme: "A High-Touch Model of Community-Based Specialist Palliative Care: Latent Class Analysis Identifies Distinct Patient Subgroups  Lara Dhingra, PhD, Nathan."— Presentation transcript:

1 A High-Touch Model of Community-Based Specialist Palliative Care: Latent Class Analysis Identifies Distinct Patient Subgroups  Lara Dhingra, PhD, Nathan F. Dieckmann, PhD, Helena Knotkova, PhD, Jack Chen, MBS, Alexa Riggs, BA, Brenda Breuer, PhD, Barbara Hiney, RN, Bernard Lee, MD, Maureen McCarthy, RN, Russell Portenoy, MD  Journal of Pain and Symptom Management  Volume 52, Issue 2, Pages (August 2016) DOI: /j.jpainsymman Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

2 Fig. 1 Monthly physician (MD) or nurse practitioner (NP) and licensed clinical social worker (LCSW) visits received by patients enrolled in a high-touch community-based specialist palliative care program for at least one month (n = 796). Boxplots show the distributions of MD/NP and LCSW visits for patients who were in the program for at least one month. The box shows the 25th and 75th percentiles, and the horizontal line within the box shows the median. The horizontal lines at the ends of the whiskers show the fifth and 95th percentiles. Individual data points are shown if they fall outside of the fifth or 95th percentiles. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

3 Fig. 2 Monthly total telephone calls received by patients enrolled in a high-touch community-based specialist palliative care program for at least one month (n = 796). Boxplot shows the distribution of total calls for patients who were in the program for at least one month. The box shows the 25th and 75th percentiles, and the horizontal line within the box shows the median. The horizontal lines at the ends of the whiskers show the fifth and 95th percentiles. Individual data points are shown if they fall outside of the fifth or 95th percentiles. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions

4 Fig. 3 Symptom distress trajectories across time for 50 randomly selected patients enrolled in the palliative care program. Higher CMSAS scores reflect greater symptom distress. Each black line represents the model-estimated linear slope across time for a patient. Fifty randomly selected patients are depicted to show the variation in symptom distress trajectories across time. CMSAS = Condensed Memorial Symptom Assessment Scale. Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2016 American Academy of Hospice and Palliative Medicine Terms and Conditions


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