Boston University Medical Campus
Pulmonary, Critical Care, and Allergy Medicine

Renda Soylemez Wiener, MD MPH

Faculty and Fellows

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Renda Soylemez Wiener, MD MPH
Assistant Professor of Medicine
Adjunct Faculty, Center for Health Quality, Outcomes & Economic Research, Edith Nourse Rogers Memorial VA Hospital, Bedford, MA

Medical School: Columbia P&S

Internship: New York-Presbyterian Hospital

Residency: New York-Presbyterian Hospital

Fellowship: Boston Medical Center

Other Post-doctoral Fellowships/Training: Outcomes Research Fellowship, VA Outcomes Group, White River Junction, VT

Master’s/PhD programs: MPH, The Dartmouth Institute of Health Policy & Clinical Practice

Board Certifications: Internal Medicine, Pulmonary Medicine, Critical Care Medicine

Special Interests

RESEARCH:

• Pulmonary and critical care outcomes
• Health services research (Analysis of large databases, survey, meta-analysis)
• Shared decision-making

 CLINICAL: 

• Critical care
• General pulmonary medicine

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. This is the focus of my research. 
Pulmonary nodules present a prevalent but understudied diagnostic challenge for physicians, patients, and their families. There are no randomized trials comparing current management strategies for pulmonary nodules, and no definitive data that we are improving outcomes (most importantly, lung cancer mortality) with any of the strategies. I have 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.
 Past projects include a time trend analysis of how utilization of pulmonary artery catheters declined in response to the literature showing no reduction in mortality, a meta-analysis of the effect of tight glucose control in critically ill adults, and a population-based analysis of pneumothorax following transthoracic needle biopsy.

Selected Publications:

1. Gould MK, Wiener RS. Shared decision making in patients with pulmonary nodules. Pulmonary and Critical Care Update (PCCU). 2009;23(Lesson 19). http://www.chestnet.org/education/online/pccu/index.php
2. Wiener RS, Larson RJ. Inclusion and exclusion of trials in meta-analysis.  CMAJ.  2009.  http://www.cmaj.ca
3. Wiener RS, Wiener DC, Larson RJ. Tight glucose control in critically ill adults—Reply.  JAMA.  2008;300(23):2726-2727.
4. 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.
5. 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.
6. Wiener RS, Cao YX, Hinds A, Ramirez MI, Williams MC.  Angiotensin Converting Enzyme 2 is primarily epithelial and is developmentally regulated in the mouse lung.  J Cell Biochem.  2007;101(5):1278-91.
7. Wiener RS, Della-Latta P, Schluger NW.  Effect of nucleic acid amplification for M. tuberculosis on clinical decision-making in suspected extrapulmonary tuberculosis.  Chest.  2005;128(1):102-7.

Selected Reprints:

Benefits and Risks of Tight Glucose Control in Critically Ill Adults: A Meta-analysis

I serve as an attending in the adult intensive care units at Boston University Medical Center and see patients in a general pulmonary clinic at the Edith Nourse Rogers Memorial VA Hospital in Bedford, MA.