Faculty Highlights Archive
Jean Ahn, FACHE & Mark Keroack, MD, MPH
Jean Ahn, Senior Vice President and Chief Strategy Officer, Baystate Health, along with Dr. Mark Keroack, President and CEO of Baystate Health, and Professor of Medicine at UMMS-Baystate, authored an article in the November 2018 issue of Trustee Insights, a quarterly resource on the hottest topics in health care published by the American Hospital Association (AHA). “Engaging Boards in Disruptive Innovation: A Strategy Simulation Can Be Effective for Assessing Potential Disruptors” emphasized that hospitals and health systems must understand the threats posed by market disruptors to generate effective strategies in safeguarding their missions.
In an innovative approach to engage the board of trustees at its annual retreat in May 2018, Baystate Health used simulation-based learning to help board members gain key insights into disruptive competitors. The exercise involved directly assuming the identities of the disruptors themselves and imagining how competitors might think and behave in the local market. After the simulation, the board demonstrated an enhanced appreciation for the health system’s competitive strategy and generating ideas for partnering with potential disruptors.
Citation: Ahn, J., & Keroack, M. K. Engaging boards in disruptive innovation: A strategy simulation can be effective for assessing potential disruptors. Trustee Insights. November, 2018. (Read the Article)
Thomas Lincoln, MD
Dr. Thomas Lincoln, Associate Professor of Medicine at the
University of Massachusetts Medical School-Baystate, is the
recipient of the 2018 Armond Start Award for Excellence from the American College of Correctional Physicians. This annual award honors an individual who represents high ideals in correctional medicine, including consistently advocating for standards for better patient care and professional correctional medical environments.
Dr. Lincoln is an active member of the American College of Correctional Physicians and his work at the Hampden County Correctional Centers spans 25 years. His service as an architect and founder of the Hampden County Public Health Model for Correctional Health Care has been recognized as an innovative, logical, effective, and sustainable approach to health care for an incarcerated population. The community integrated health program is a national model for collaborative health care delivery in the context of corrections and community health and has won numerous awards.
Dr. Lincoln has served in leadership roles with the American College of Correctional Physicians (formerly the Society of Correctional Physicians), including serving on the Board of Directors, and Information Technology, and Education Committees, with a focus on supporting physicians and advanced practitioners new to jail correctional health. Dr. Lincoln was honored with the award at the Annual ACCP Conference on October 21st in Las Vegas.
In 2017, Dr. Warren Ferguson, Professor of Family Medicine and Community Health at UMMS, received the Armond Start Award for Excellence.
Read more about the Armond Start Award of Excellence.
Christopher Otis, MD
Dr. Christopher Otis, Professor of Pathology at the University of Massachusetts Medical School-Baystate, authored an article in the October 2018 issue of Cancer Cytopathology. “Perspectives and Perceptions of Urgent and Alert Values in Surgical Pathology and Cytopathology: A Survey of Clinical Practitioners and Pathologists” demonstrated areas of agreement and disagreement among physicians regarding key critical diagnosis policy issues.
In order to improve patient care and safety, the publication recommended fostering agreement within the interdepartmental medical team about what findings should be considered alert-urgent or unexpected and how they should be communicated. In addition, it stressed the importance of giving pathologists additional investigative and communication tools as well as maintaining a robust quality assurance system to overcome obstacles that arise.
Citation: Cretara, A. D., & Otis, C. N. (October 06, 2018). Perspectives and perceptions of urgent and alert values in surgical pathology and cytopathology: A survey of clinical practitioners and pathologists. Cancer Cytopathology. (Read the Abstract)
Daniel Engelman, MD
Dr. Daniel Engelman, Associate Professor of Surgery at UMMS-Baystate, and Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, has been forging efforts to improve the health of cardiac surgery patients in his role as president of ERAS® (Enhanced Recovery After Surgery) Cardiac—an international non-profit society with a mission to optimize the perioperative care of cardiac surgical patients through collaborative discovery, analysis, expert consensus, and dissemination of best practices. He has overseen the creation of an executive board, advisory board, and a subject matter panel of 40 international experts for ERAS® Cardiac.
With his colleagues within ERAS® Cardiac, Dr. Engelman has organized symposia at The American Association of Thoracic Surgeons Annual Meeting for the last two years on the advantages of superior perioperative care such as optimizing a patient’s nutritional status and addressing smoking cessation prior to surgery. This year, he was also asked to organize symposia at the International European Association of Cardiothoracic Surgery in Milan and at the World Congress on Enhanced Recovery in Stockholm.
Dr. Engelman and his clinical team are optimizing care for our own patients, particularly around the pre-habilitation component of treatment, by embracing best practices promulgated by ERAS® Cardiac.
Esra Caylan, MD
Dr. Esra Caylan, Assistant Professor of Pediatrics at UMMS-Baystate, published an article in the June 2018 issue of The Journal of Pediatrics that compared the characteristics and severity of respiratory disease in children testing positive for enterovirus D68 (EV-D68) and for human rhinovirus (RhV).
“Comparison of the Severity of Respiratory Disease in Children Testing Positive for Enterovirus D68 and Human Rhinovirus” found that children with EV-D68 appeared to have more severe respiratory disease on admission than children with RhV as evidenced by higher rates of fever, wheezing, bronchodilator use, and pediatric intensive care unit admission. Despite the initial difference in severity, no significant difference in length of stay was found, suggesting that patients with EV-D68 recovered as quickly as other groups.
There are many viruses causing respiratory disease in children but there is inadequate information to help differentiate, manage, or prevent these infections. By comparing EV-D68 with RhV infections, the investigators hope to elucidate clinical differences between these two disease processes. There was a nationwide outbreak of EV-D68 associated with severe respiratory illness in 2014.
Citation: Caylan E, Weinblatt E, Welter J, Dozor A, Wang G, Nolan SM. Comparison of the severity of respiratory disease in children testing positive for enterovirus d68 and human rhinovirus. The journal of pediatrics. 2018;197:147-153. doi:10.1016/j.jpeds.2018.02.027. (Read the Abstract)
Barry Sarvet, MD
Dr. Barry Sarvet, Professor and Chair of the Department of Psychiatry, University of Massachusetts Medical School-Baystate, is the recipient of the 2018 Outstanding Psychiatrist for Public Sector Psychiatry Award from the Massachusetts Psychiatric Society (MPS). This annual award honors psychiatrists for their contributions to the Society, the profession, and evidence-based high quality patient care. It will be presented to Dr. Sarvet at the MPS Annual Meeting on April 24, 2018 in Waltham, MA.
Dr. Sarvet’s career has focused on developing and implementing models to promote integrating psychiatry into primary care, and disseminating best practices in children’s mental health treatment. With pediatric colleagues, he helped develop the Massachusetts Child Psychiatry Access Project (MCPAP)—an innovative statewide public system to improve access to care for children with mental health needs. MCPAP has become a national model for helping pediatric primary care providers address mental health. Dr. Sarvet has served as its statewide medical director since 2004. He has provided technical assistance and consultation to public health agencies and health systems across the U.S. to promote the dissemination of this and other models of collaboration between psychiatry and primary care.
Dr. Sarvet helped found the National Network of Child Psychiatry Access Programs, which has members from 32 states. He co-chairs the Mental Health Task Force of the MA Chapter of the American Academy of Pediatrics, and chairs the American Academy of Child and Adolescent Psychiatry Committee in Healthcare Access and Economics.
Dr. Sarvet’s work has also focused on the needs of children impacted by traumatic stress. His efforts to develop the mental health program within the Baystate Children’s Hospital Family Advocacy Center, a clinical and research program for children who have experienced trauma, have included leadership on a series of federally funded demonstration projects involving dissemination and adaptation of evidence-based treatment models in community settings.
Cynthia Sites, MD
Dr. Cynthia Sites, Chief of Reproductive Endocrinology at Baystate Medical Center and Professor of Obstetrics and Gynecology at UMMS-Baystate, published an article in the November 2017 issue of Fertility and Sterility that evaluated whether assisted reproductive technology (ART) cycles involving cryopreserved-warmed embryos are associated with the development of preeclampsia.
“Embryo Cyropreservation and Preeclampsia Risk” found that ART cycles with frozen embryo transfers are associated with a higher risk for preeclampsia with severe features and preterm delivery compared with fresh embryo transfers of patients' own eggs.
Accordingly, patients having in vitro fertilization, particularly frozen embryo transfers, should be counseled about and monitored more closely for preeclampsia.
Citation: Sites CK, Wilson D, Barsky M, Bernson D, Bernstein IM, Boulet S, Zhang Y. Embryo cryopreservation and preeclampsia risk. Fertil Steril. 2017 Nov;108(5):784-790. (Read the Abstract)
Adam Kellogg, MD
Dr. Adam Kellogg, Assistant Professor of Emergency Medicine at the University of Massachusetts Medical School-Baystate and Associate Residency Director and Co-Director of the Medical Education Fellowship in the Department of Emergency Medicine, is the 2017 recipient of the Emergency Medicine Residents Association (EMRA) Joseph F. Waeckerle Alumni Award. This national award honors a physician who has made an extraordinary, lasting contribution to the success of EMRA and was presented to Dr. Kellogg at a ceremony in Washington, DC on October 30, 2017.
As Chair of EMRA's Student Advising Task Force, Dr. Kellogg led multiple initiatives to better educate and advise students pursuing a career in Emergency Medicine. He was instrumental in starting what is now EMRA Hangouts, a platform that has reached over a thousand medical students and achieved the goal of ensuring quality educational support to students that do not have an Emergency Medicine program at their home institution. Additionally, Dr. Kellogg led a collaborative effort to bring multiple national organizations together to provide students a reliable online database with up-to-date residency program information.
In addition to his leadership at the national level, Dr. Kellogg runs his own independent medical student mentorship blog, EMAdvisor. He also serves as the Student Advising Editor for the Vocal CORD, the official CORD-EM blog.
Corina Schoen, MD
Dr. Corina Schoen, Assistant Director of Obstetric Research at Baystate Medical Center and Assistant Professor of Obstetrics and Gynecology at UMMS-Baystate, published an article in the June 2017 issue of Obstetrics and Gynecology that evaluated whether adding oxytocin to preinduction cervical ripening with a Foley catheter increases the rate of delivery within 24 hours.
“Intracervical Foley Catheter With and Without Oxytocin for Labor Induction: A Randomized Controlled Trial” found that in both nulliparous and multiparous women induction with concurrent oxytocin infusion added to Foley significantly increased the rate of delivery within 24 hours as compared with Foley followed by oxytocin.
Approximately 1 in 5 pregnant women in the United States has her labor induced, and extended periods of labor induction are associated with multiple potential complications for both mother and baby. It is possible that more efficient means of labor induction may be able to reduce the incidence of these adverse events for a large population.
Citation: Schoen, C., Grant, G., Berghella, V., Hoffmann, M., & Sciscione, A. (2017). 43: The intracervical foley catheter with and without oxytocin for labor induction: A randomized trial. American Journal of Obstetrics and Gynecology, 216(1), 31. doi:10.1016/j.ajog.2016.11.012 (Read the Abstract)
Peter Lindenauer, MD
Dr. Peter Lindenauer, Professor of Medicine and Quantitative Health Sciences and Director of the Institute for Healthcare Delivery and Population Science at UMMS-Baystate, was recently awarded a 4.5 year, $3.1M grant from the National Heart, Lung, and Blood Institute at the National Institutes of Health.
“A mixed methods study to analyze the use of pulmonary rehabilitation following hospitalization for COPD and to identify effective strategies for increasing rates of participation” focuses on increasing the use of pulmonary rehabilitation by patients with chronic obstructive pulmonary disease (COPD) following hospital discharge.
Pulmonary rehabilitation—a structured program of exercise, education and support—can increase exercise capacity and quality of life, reduce the risk of hospitalization, and improve survival for the roughly 700,000 people hospitalized with COPD each year in the US. Yet, there is evidence that too few patients take advantage of this treatment option even though it is covered by Medicare. Data also suggest that rates of participation vary widely across hospitals, as do the strategies used to promote patient participation.
Lindenauer and his co-investigators—Drs. Victor Pinto-Plata, Mihaela Stefan and Penny Pekow (UMMS-Baystate), and Kathleen Mazor (UMMS)—will seek to identify the factors and strategies that enable some hospitals to achieve higher rates of participation using statistical analyses of the records of Medicare beneficiaries, site visits and interviews at hospitals with high, low, and improving rates of patient participation and a national survey of hospital practices.
For more information, visit NIH RePORT
Matthew Sadof, MD
Dr. Matthew Sadof, Associate Professor of Pediatrics, University of Massachusetts Medical School-Baystate, was among five visionary leaders honored by the Massachusetts Public Health Association for advancing health equity across the Commonwealth.
Dr. Sadof was one of two recipients presented with The Public Health Leadership in Medicine Award on June 2, 2017 in recognition of extraordinary commitment to bringing public health principles and partnerships into the practice of medicine.
Dr. Sadof currently directs 4C (Collaborative Consultative Care Coordination Program), a regional consultative care coordination program for children with medical complexity and social fragility at Baystate Children’s Hospital. Since 1998, he has worked to develop sustainable systems of care and further medical education for medically and socially fragile children.
Dr. Sadof also serves as Chair of the Pioneer Valley Asthma Coalition. With the help of Dr. Sadof and the Partners for a Healthier Community an asthma community health worker program for children was established. This effort is currently part of the Green Healthy Homes Social Investment Bond Initiative to create a regional center of excellence for asthma community health workers.
Maura Brennan, MD
Dr. Maura Brennan, Geriatric Medicine Fellowship Director and Division Chief for Geriatrics, Palliative Care and Post-Acute Medicine, will receive the American Geriatrics Society's (AGS) Dennis W. Jahnigen Memorial Award. This national award honors the contributions of a clinician educator whose leadership in geriatrics training has contributed significantly to the progress of geriatrics education in health professions schools. The award recognizes teaching expertise as well as educational program development.
Dr. Brennan’s professional passions include patient care, quality improvement, scholarship, mentoring trainees and junior faculty, and change leadership. She founded the first geriatrics residency-based track in the U.S., and developed AGS residency recruitment activities such as, clinical skills workshops and the annual Residents’ Poster competition.
As Project Director for a $2.5 million HRSA Geriatrics Workforce Enhancement Program grant to integrate geriatrics and palliative care principles across BH, Brennan continues striving to develop new models for interprofessional teams that combine the best of geriatrics and palliative care and teach trainees to provide excellent care for patients and their families.
She is also Baystate’s Hospice Medical Director and Professor of Medicine at the University of Massachusetts Medical School-Baystate.
Peter Friedmann, MD, MPH
Dr. Peter Friedmann, Chief Research Officer at Baystate Health and Associate Dean for Research at UMMS-Baystate, published an article in the March 9, 2017 New England Journal of Medicine illustrating how repeal of the Affordable Care Act (ACA) may negatively impact the current opioid epidemic.
The perspective piece "How ACA Repeal Would Worsen the Opioid Epidemic" discusses how provisions of the ACA have mitigated the effect of the opioid crisis, and it raises concerns about the adverse impact of repealing and replacing the ACA without comparable coverage and parity for treatment of opioid use disorders.
Citation: Peter D. Friedmann, M.D., M.P.H., Christina M. Andrews, Ph.D., and Keith Humphreys, Ph.D.
N Engl J Med 2017; 376:e16March 9, 2017DOI: 10.1056/NEJMp1700834 (Read the Article)
Karin Johnson, MD
Dr. Karin Johnson, Assistant Professor of Neurology at the University of Massachusetts Medical School-Baystate and Medical Director of Baystate Sleep Center and Regional Sleep Program, and her father, Dr. Douglas Johnson, pulmonologist and sleep specialist at Baystate Medical Center and Associate Professor of Medicine at Tufts University School of Medicine, recently published an invited editorial supporting research and clinical interests in the overlap of obstructive sleep apnea with other medical and neurological disorders including strokes, headaches and dementia.
"Cognitive dysfunction: Another reason to treat obstructive sleep apnea in stroke patients," published online in Sleep Medicine on January 5, 2017, highlights the growing evidence that obstructive sleep apnea not only affects memory and concentration, but can promote neurodegeneration and increase the incidence of Alzheimer’s disease and other dementias. Treating sleep apnea, especially in high risk groups like stroke patients, can help with patients' recovery and improve their quality of life.
Dr. Karin Johnson also has a Baystate Research Pilot Award Program (RPAP) Grant of $50,000 per year for two years to study a novel scoring method for patients with mild sleep apnea.
Many patients are underdiagnosed and undertreated for sleep apnea, especially women with atypical symptoms and complaints like cognitive issues or headaches, despite the fact that treatment can lead to significant improvement in symptoms and quality of life even in those with mild cases. Dr. Johnson's research is looking for polysomnogram features that are more predictive of improvement with treatment than the current apnea/hypopnea index.
Citation: Johnson KG, Johnson DC. Cognitive dysfunction: Another reason to treat obstructive sleep apnea in stroke patients. Sleep Med. 2017 Jan 5. Pii: S1389-9457(16)30340-9.doi: 10.1016/j.sleep.2016.12.014. [Epub ahead of print] (Read the Abstract)
Jessica Wozniak, PsyD
Dr. Jessica Wozniak, Clinical Psychologist and Clinical Research and Development Manager at Baystate Family Advocacy Center and Assistant Professor of Psychiatry at University of Massachusetts Medical School-Baystate, was recently awarded two federal grants totaling more than $2.5 million.
The Substance Abuse Mental Health Service Administration’s National Child Traumatic Stress Network awarded Dr. Wozniak a $2,000,000 grant for "Partners in Care: Community-Based Implementation of Evidence-Based Treatment for Childhood Trauma" which seeks to improve access to evidence-based, trauma-informed mental health care for children and families who experience trauma and loss. By engaging in the following three activities, the grant aims to address health disparities and reduce barriers to treatment throughout Massachusetts: 1) Disseminate the In-Home Therapy (IHT) application of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) on a statewide scale, with emphasis on developing capacity for serving Latino and military families; 2) Implement a program of training in trauma-informed mental health care for paraprofessionals working in a variety of community-based mental health settings, and 3) Strengthen cultural competence of the clinical workforce for trauma-informed treatment within special populations.
The second, a $600,000 grant from the Department of Justice's Office for Victims of Crime, is for "One Mission: A Comprehensive Service Program for Victims of Human Trafficking." The focus of this project is on increasing coordination and access to trauma-informed services for human trafficking victims ages 3-24 who are identified in Hampden County, Massachusetts. This effort will be achieved by providing specialized and comprehensive case coordination and victim advocacy.
Timothy Mader, MD
Dr. Timothy MaderDr. Timothy J. Mader, Clinical Professor of Emergency Medicine at Tufts University School of Medicine, Director of Resuscitation Research in the Department of Emergency Medicine at Baystate Medical Center, and the Emergency Medicine Research Fellowship Program Director, was recently awarded a $100,000 R03 grant from the Agency for Healthcare Research and Quality.
“Valuation of a simple tool for chest pain patient risk-stratification in North America” is a pilot study to determine the feasibility of conducting a large R01-funded clinical trial on a new quantitative cardiac risk-stratification tool to discriminate between low- and moderate-risk chest pain among emergency department patients in the U.S.
For more information, visit NIH RePORT: Valuation of a Simple Tool for Chest Pain
Elizabeth Schoenfeld, MD
Drs. Elizabeth Schoenfeld and Tala Elia, physician-faculty in the Department of Emergency Medicine, along with Drs. Peter Lindenauer and Sarah Goff, physician-faculty in the Department of Medicine, recently published a study to identify and explore factors that may motivate emergency physicians' engagement in shared decision-making.
"The Physician-as-Stakeholder: An Exploratory Qualitative Analysis of Physicians' Motivations for Using Shared Decision-Making in the Emergency Department", published in the July 2016 Journal of Academic Emergency Medicine, utilized qualitative methods to explore reasons why emergency physicians use (and don't use) shared decision-making in the emergency department.
Physicians' motivations in the study varied and included the desire to avoid potentially harmful or low-yield tests or treatments, and the desire to share uncertainty. Despite the challenges of using shared decision-making in the emergency department, all physicians recognized benefits to patients from its use.
Citation: Schoenfeld EM, Goff SL, Elia TR, Khoridpour ER, Poronsky KE, Nault KA, Lindenauer PK, Mazor KM. The Physician-as-Stakeholder: An Exploratory Qualitative Analysis of Physicians' Motivations for Using Shared Decision-Making in the Emergency Department. Acad Emerg Med. 2016 Jul 7. doi: 10.1111/acem.13043. [Epub ahead of print] PMID: 27385557. (Read the abstract)
Alan Kulig, MD
Alan Kulig, MD, Assistant Professor in the Department of Anesthesiology, and Rebecca Blanchard, PhD, Assistant Professor in the Department of Medicine, recently published an article to assess anesthesiology resident applicants’ higher-order cognitive thinking skills during Anesthesiology resident applicant interviews.
"Use of Cognitive Simulation During Anesthesiology Resident Applicant Interviews to Assess Higher-Order Thinking" in the Journal of Graduate Medical Education, published on July 1, 2016, examined whether the addition of a brief simulation would (1) provide added useful information for the resident selection committee; (2) be feasible within the constraints of the interview schedule; and (3) be acceptable to the applicants.
When employed in conjunction with standard application metrics to determine rank status, cognitive simulation was helpful in assessing resident applicant higher-order thinking skills and in stratifying candidates.
Citation:Alan W. Kulig and Rebecca D. Blanchard (2016) Use of Cognitive Simulation During Anesthesiology Resident Applicant Interviews to Assess Higher-Order Thinking. Journal of Graduate Medical Education: July 2016, Vol. 8, No. 3, pp. 417-421. (Link to article)
Susan A. DeJoy, CNM, MSN, PhD, FACNM
Susan A. DeJoy, CNM, MSN, PhD, FACNM, is one of three recipients of the Dorothea M. Lang Pioneer Award; a national award honoring midwifery’s “unsung heroes” who have demonstrated pioneering vision and innovative leadership.
Susan DeJoy, earned her MSN in Nurse-midwifery from the University of Pennsylvania in 1982, and practiced midwifery at UCLA. In 1986 she joined the Baystate Medical Center midwifery practice and became practice director within a year.
Recognizing that the work of midwives in this large, tertiary setting involved much staff turnover and early burnout, Susan devised a plan to both improve job satisfaction and retain qualified midwives. Her solution was to develop and become first director of the Baystate Medical Center Midwifery Education Program, a thriving education program, more than 25 years later!
Dr. DeJoy, Assistant Clinical Professor in the Department of Obstetrics of Gynecology at Baystate Medical Center, is currently Baystate’s Chief of the Division of Midwifery and Community Health.
Read more about DeJoy's pioneering work in midwifery
Laura Iglesias Lino, MD
Dr. Laura Iglesias Lino, Medical Director for Geriatrics and Palliative Care at Baystate Brightwood Health Center/Centro de Salud and Associate Medical Director for Hospice at Baystate Medical Center, received the 2016 Arnold P. Gold Foundation Humanism in Medicine Award for Practicing Doctors at the annual meeting of the American Geriatrics Society in May 2016.
This award honors a practicing physician who best demonstrates the ideals of compassionate and respectful care for a patient’s physical and emotional well-being.
“Dr. Iglesias Lino has played a critical role in care planning for vulnerable older adults in her community, a key area of focus for the AGS,” said AGS President Steven R. Counsell, MD, AGSF. “Colleagues recognize Dr. Iglesias Lino’s commitment to embracing the network of friends, family, and caregivers who are vital contributors to the care continuum. This is something at the heart of an award for recognizing compassionate clinician leaders.”
Dr. Iglesias Lino, Assistant Professor of Medicine at Baystate Medical Center, has dedicated her career to interweaving geriatrics and palliative care to improve older adult health. She works with some of the Springfield community’s most disenfranchised elders, serving as a link to healthcare resources for Latino, Ukrainian, Moldavian, and Russian older adults.
Dr. Iglesias Lino has developed a program at the health center where she works to improve the quality of care delivered to the frailest patients with dementia.
William McGee MD, Diane Dietzen MD, Thomas Higgins MD
Drs. William McGee, Diane Dietzen and Thomas Higgins, physician-faculty in the Department of Medicine, recently published a study that is one of the first to relate intensity of treatment to the prevalence of hospital-based palliative care services at the state level.
"A State-Level Assessment of Hospital-Based Palliative Care and the Use of Life-Sustaining Therapies in the United States", published in the April 2016 Journal of Palliative Medicine, utilized state-level data to investigate associations among the prevalence of hospital palliative care programs, poverty, and commonly used interventions for critically ill patients.
Their research revealed that states with higher poverty levels had fewer palliative care programs; additionally, states with more programs had lower rates of interventions for critically ill patients.
Citation: Nathanson BH, McGee WT, Dietzen DL, Chen Q, Young J, Higgins TL. A State-Level Assessment of Hospital-Based Palliative Care and the Use of Life-Sustaining Therapies in the United States. J Palliat Med. 2016 Apr; 19(4):421-7. PMID: 26871522.
Peter Friedmann, MD, MPH
Peter Friedmann MD, MPH, Chief Research Officer at Baystate Health and Associate Dean for Research at UMMS-Baystate, published an article in the March 31, 2016 New England Journal of Medicine on preventing opioid relapse.
"Extended-Release Naltrexone to Prevent Opioid Relapse in Criminal Justice Offenders" established the effectiveness of extended-release naltrexone in reducing opioid relapse among criminal justice-involved individuals with opioid use disorder, compared to usual care in community treatment programs.
Opioid use disorders, both from prescription pain medication and heroin use, and overdose mortality are increasing in the US. Extended-release naltrexone, an opioid receptor antagonist, is a promising relapse prevention medication intervention, but data supporting its effectiveness in U.S. criminal justice populations are limited.
Citation: Lee JD, Friedmann PD, Kinlock TW, et al. Extended-release naltrexone to prevent opiod relapse in criminal justice offenders. N Engl J Med 2016; 374:1232-1242