Publications by authors named "Joseph Lowy"

Background: Hospitalized patients with serious illness have significant symptom burden and face complex medical decisions that often require goals of care discussions. Given the shortage of specialty palliative care providers, there is a pressing need to improve the palliative care skills of internal medicine (IM) residents, who have a central role in the care of seriously ill patients hospitalized at academic medical centers.

Methods: We conducted an anonymous survey of IM residents at a large, urban, academic medical center to identify which aspects of palliative care trainees find most important and their knowledge gaps in palliative care.

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Context: In spring 2020, New York experienced a surge of patients hospitalized with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 or COVID-19) disease, as part of a global pandemic. There are limited data on populations of COVID-19-infected patients seen by palliative care services.

Objective: To describe a palliative care population at one New York hospital system during the initial pandemic surge.

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Background: Early encounters with palliative care (PC) can influence health-care utilization, clinical outcome, and cost.

Aim: To study the effect of timing of PC encounters on brain metastasis patients at an academic medical center.

Setting/participants: All patients diagnosed with brain metastases from January 2013 to August 2015 at a single institution with inpatient and/or outpatient PC records available for review (N = 145).

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A case of a 61-year-old patient with advancing cancer is presented. His care was confounded by his wife challenging the care being delivered. The case report is followed by commentaries on the case from three scholarly perspectives, medicine, philosophy, and law.

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