Renda Soylemez Wiener, MD, MPH

Assistant Professor of Medicine

Education:Wiener_Renda-photo

AB, 1996, Harvard College, Cambridge, MA
MD, 2000, Columbia University College of Physicians & Surgeons (P&S), New York, NY
MPH, 2008, The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH
2000-03 Resident, Internal Medicine, New York-Presbyterian Hospital, New York, NY
2003-06 Fellow, Pulmonary & Critical Care Medicine, Boston Medical Center, Boston, MA
2006-07 Fellow, Health Services Research, VA Outcomes Group, White River Junction, VT

General Field of Work:

Pulmonary and Critical Care outcomes research

Affiliations other than medicine:

1) Investigator, Center for Health Quality, Outcomes, & Economic Research – Bedford VAMC
2) Adjunct Faculty, The Dartmouth Institute for Health Policy & Clinical Practice

Contact information:

Office and Lab:  The Pulmonary Center, R-304
Phone: (617)-638-4860
rwiener@bu.edu

Other research websites:

http://www.bumc.bu.edu/pulmonary/people/faculty/renda-soylemez-wiener/

Keywords:

medical decision-making
pulmonary nodules
lung cancer
physician behavior
outcomes research
health services research

Summary of academic interest:

The goal of my research is to improve how patients, families, and doctors understand, discuss, and make decisions about medical care. Based on my clinical work, I understand why doctors are eager for new strategies to improve patient outcomes. However, we have a tendency to adopt strategies when there is still limited knowledge of the benefits or possible harms. It is essential that we understand these effects before exposing our patients to the harms that may result from management.

Much of my ongoing work focuses on improving patient-centered care and decision-making for the hundreds of thousands of Americans diagnosed with a potentially malignant pulmonary nodule each year. I have received grant funding from the NIH and VA HSR&D to study the impact of the diagnosis of pulmonary nodules on patients’ lung cancer risk perception and health-related quality of life, physicians’ decision-making, and resource utilization in the healthcare system. I am a member of the writing committee for the pulmonary nodule management chapter of the American College of Chest Physician’s Lung Cancer Guidelines, 3rd edition.

I also have ongoing projects, many as collaborations with fellows in our department, to study outcomes and resource use among critically ill patients using large publically available databases.

Recent Publications:

1. Walkey AJ, Wiener RS. Factors associated with use of lung protective ventilation in patients with acute lung injury. J Crit Care. 2011; in press.

2. Wiener RS, Schwartz LM, Woloshin S, Welch HG. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: An analysis of discharge records. Ann Intern Med. 2011;155(3):137-44. PMID 21810706.

3. Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med. 2011;171(9):831-7. PMID 21555660.

4. Walkey AJ, Wiener RS. Utilization patterns and patient outcomes associated with use of rescue therapies in acute lung injury. Crit Care Med. 2011;39(6):1322-8. PMID 21336109.

5. Walkey AJ, O’Donnell MR, Wiener RS. Linezolid versus glycopeptide antibiotics for the treatment of suspected methicillin-resistant Staphylococcus aureus nosocomial pneumonia: a meta-analysis of randomized controlled trials. Chest. 2011;139(5):1148-55. Epub 2010 Sep 23. PMID 20864609.

6. Wiener RS. Examining disparities in ARDSNet trial enrollment: Moving closer to evidence-based medicine. Crit Care Med. 2010;38(6):1493-4. PMID 20502144.

7. Wiener RS, Wiener DC, Larson RJ. Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA. 2008;300(8):933-944. PMID 18728267.

8. Wiener RS, Welch HG. Trends in the use of the pulmonary artery catheter in the United States, 1993-2004. JAMA. 2007;298(4):423-9. PMID 17652296.