I am a pulmonary and critical care physician, health services researcher, and implementation scientist. 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.
My research has focused on two core areas:
1) Identifying and de-implementing overly aggressive, potentially harmful strategies in pulmonary and critical care,
2) Defining and implementing patient-centered strategies to optimize the ratio of benefits to harms in lung cancer screening and evaluation of potentially malignant pulmonary nodules.
I have received grant funding from the NIH, VA HSR&D, VA QUERI, Dept of Defense, PCORI, and several foundations to study these problems, and have co-chaired or participated in several clinical practice guidelines and policy statements to improve the quality, appropriateness, and patient-centeredness of care.
- 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 10/2/2018
Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Reply to: Extent of Overuse of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2018 Oct 02. PMID: 30278144.
- Published on 10/1/2018
Mazzone PJ, Silvestri GA, Patel S, Kanne JP, Kinsinger LS, Wiener RS, Soo Hoo GW, Detterbeck FC. Response. Chest. 2018 Oct; 154(4):997-998. PMID: 30290947.
- Published on 9/10/2018
Iaccarino JM, Steiling KA, Wiener RS. Lung Cancer Screening in a Safety-net Hospital: Implications of Screening a Real-world Population versus the National Lung Screening Trial. Ann Am Thorac Soc. 2018 Sep 10. PMID: 30199643.
- Published on 9/1/2018
Mazzone PJ, Silvestri GA, Patel S, Kanne JP, Kinsinger LS, Wiener RS, Soo Hoo GW, Detterbeck FC. Response. Chest. 2018 Sep; 154(3):716-717. PMID: 30195352.
- Published on 7/15/2018
Rivera MP, Tanner NT, Silvestri GA, Detterbeck FC, Tammemägi MC, Young RP, Slatore CG, Caverly TJ, Boyd CM, Braithwaite D, Fathi JT, Gould MK, Iaccarino JM, Malkoski SP, Mazzone PJ, Tanoue LT, Schoenborn NL, Zulueta JJ, Wiener RS. Incorporating Coexisting Chronic Illness into Decisions about Patient Selection for Lung Cancer Screening. An Official American Thoracic Society Research Statement. Am J Respir Crit Care Med. 2018 Jul 15; 198(2):e3-e13. PMID: 30004250.
- Published on 7/3/2018
Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Impact of Guideline Changes on Indications for Inhaled Corticosteroids Among Veterans with COPD. Am J Respir Crit Care Med. 2018 07 03. PMID: 29969041.
- Published on 6/1/2018
Kim D, Lee KM, Freiman MR, Powell WR, Klings ES, Rinne ST, Miller DR, Rose AJ, Wiener RS. Phosphodiesterase-5 Inhibitor Therapy for Pulmonary Hypertension in the United States. Actual versus Recommended Use. Ann Am Thorac Soc. 2018 Jun; 15(6):693-701. PMID: 29485908.
- Published on 4/25/2018
Admon AJ, Gupta A, Williams M, Valley TS, Sjoding MW, Wiener RS, Cooke CR. Appraising the Evidence Supporting Choosing Wisely® Recommendations. J Hosp Med. 2018 Apr 25. PMID: 29694449.
- 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 2/21/2018
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 Jul; 33(7):1035-1042. PMID: 29468601.
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