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 publicly available databases.
- Boston Medical Center
- Bedford VA - Edith Nourse Rogers Memorial VA Hosp
- Columbia University College of Physicians and Surgeons, MD
- Dartmouth College, MPH
- Harvard College, AB
- Published on 3/1/2018
Caverly TJ, Fagerlin A, Wiener RS, Slatore CG, Tanner NT, Yun S, Hayward R. Comparison of Observed Harms and Expected Mortality Benefit for Persons in the Veterans Health Affairs Lung Cancer Screening Demonstration Project. JAMA Intern Med. 2018 Mar 01; 178(3):426-428. PMID: 29356812.
- Published on 2/27/2018
Kim D, Lee KM, Freiman MR, Powell WR, Klings ES, Rinne S, Miller D, Rose AJ, Wiener RS. Phosphodiesterase-5-inhibitor Therapy for Pulmonary Hypertension in the US: Actual vs Recommended Use. Ann Am Thorac Soc. 2018 Feb 27. PMID: 29485908.
- Published on 2/21/2018
Wiener RS, Koppelman E, Bolton R, Lasser KE, Borrelli B, Au DH, Slatore CG, Clark JA, Kathuria H. Patient and Clinician Perspectives on Shared Decision-making in Early Adopting Lung Cancer Screening Programs: a Qualitative Study. J Gen Intern Med. 2018 Feb 21. PMID: 29468601.
- Published on 2/17/2018
Mazzone PJ, Silvestri GA, Patel S, Kanne JP, Kinsinger LS, Wiener RS, Soo Hoo G, Detterbeck FC. Screening for Lung Cancer: CHEST Guideline and Expert Panel Report. Chest. 2018 Apr; 153(4):954-985. PMID: 29374513.
- Published on 2/1/2018
Mehter HM, McCannon JB, Clark JA, Wiener RS. Physician Approaches to Conflict with Families Surrounding End-of-Life Decision-making in the Intensive Care Unit. A Qualitative Study. Ann Am Thorac Soc. 2018 Feb; 15(2):241-249. PMID: 29099239.
- Published on 11/22/2017
Rinne ST, Rinne TJ, Olsen K, Wiener RS, Balcezak TJ, Dardani W, Elwy R. Hospital Administrators' Perspectives on Physician Engagement: A Qualitative Study. J Hosp Med. 2018 03 01; 13(3):179-181. PMID: 29186211.
- Published on 11/1/2017
Kathuria H, Detterbeck FC, Fathi JT, Fennig K, Gould MK, Jolicoeur DG, Land SR, Massetti GM, Mazzone PJ, Silvestri GA, Slatore CG, Smith RA, Vachani A, Zeliadt SB, Wiener RS. Stakeholder Research Priorities for Smoking Cessation Interventions within Lung Cancer Screening Programs. An Official American Thoracic Society Research Statement. Am J Respir Crit Care Med. 2017 Nov 01; 196(9):1202-1212. PMID: 29090963.
- Published on 11/1/2017
Sullivan DR, Golden SE, Ganzini L, Wiener RS, Eden KB, Slatore CG. Association of Decision-making with Patients' Perceptions of Care and Knowledge during Longitudinal Pulmonary Nodule Surveillance. Ann Am Thorac Soc. 2017 Nov; 14(11):1690-1696. PMID: 28489453.
- Published on 10/21/2017
Slatore CG, Wiener RS. Pulmonary Nodules: A Small Problem for Many, Severe Distress for Some, and How to Communicate About It. Chest. 2018 Apr; 153(4):1004-1015. PMID: 29066390.
- Published on 10/15/2017
Walkey AJ, Barnato AE, Wiener RS, Nallamothu BK. Accounting for Patient Preferences Regarding Life-Sustaining Treatment in Evaluations of Medical Effectiveness and Quality. Am J Respir Crit Care Med. 2017 Oct 15; 196(8):958-963. PMID: 28379717.
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