Improving Advance Care Planning in a Resident Primary Care Clinic.

Introduction: Two-thirds of chronically ill patients do not have an advance directive. The primary aim of this study was to develop an intervention to increase the documentation of advance directives in elderly adults in an internal medicine resident primary care clinic. The secondary aims were to improve resident confidence in discussing advance care planning and increase the number of discussions.

Incident invasive breast cancer, geographic location of residence, and reported average time spent outside.

There have been reports of greater breast cancer incidence and mortality at northern compared with southern latitudes postulated to be related to vitamin D exposure. Among 71,662 participants in the Women's Health Initiative Observational Study (WHIOS) free of cancer at baseline (1993-1998), associations were explored between incident invasive postmenopausal breast cancer (n = 2,535), over approximately 8.6 years follow-up, and the following: (a) region of residence at birth, age 15 years, age 35 years; (b) region of residence at WHIOS baseline; and (c) clinic center solar irradiance.

Alcohol and folate intake and breast cancer risk in the WHI Observational Study.

Background: Alcohol increases breast cancer risk. Epidemiological studies suggest folate may modify this relationship.

Objective: To examine the relationship among breast cancer, alcohol and folate in the Women's Health Initiative-Observational Study (WHI-OS).

Health maintenance and screening in breast cancer survivors in the United States.

Background: The general health maintenance and follow-up of breast cancer survivors has not been well-studied. In a population-based sample we sought to investigate the health practices of breast cancer survivors and to compare rates of screening to women with no history of breast cancer.

Methods: Subjects were participants of the medical expenditure survey in the years 1996 and 1998, years for which information on screening were available.

Discussions regarding reproductive health for young women with breast cancer undergoing chemotherapy.

Purpose: Young women who undergo chemotherapy for breast cancer face serious consequences to their reproductive health. Research in this area has previously focused on men, or on childhood cancer survivors. We sought to explore self-report of reproductive health counseling in young women undergoing chemotherapy for breast cancer.