Renda S. Wiener MD, MPH
Professor, Pulmonary, Allergy, Sleep & Critical Care Medicine
72 E. Concord Street | (617) 638-4860rwiener@bu.edu
Sections
Pulmonary, Allergy, Sleep & Critical Care Medicine
Centers
Pulmonary Center
Evans Center for Interdisciplinary Biomedical Research
Biography
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 iatrogenic harms that may result from overly aggressive management.
My research has focused on two core areas:
1) Identifying and de-implementing low-value care in pulmonary and critical care medicine,
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, Department of Defense, PCORI, and several foundations to study these issues, and have co-chaired or participated in several clinical practice guidelines and policy statements to improve the quality, value, and patient-centeredness of care.
Other Positions
Education
Medicine-Internal, MD, Columbia University College of Physicians and Surgeons
Health Policy Management, MPH, Dartmouth College
Anthropology, AB, Harvard College
Publications
Kearney L, Bolton RE, Núñez ER, Boudreau JH, Sliwinski S, Herbst AN, Caverly TJ, Wiener RS. Tackling Guideline Non-concordance: Primary Care Barriers to Incorporating Life Expectancy into Lung Cancer Screening Decision-Making-A Qualitative Study. J Gen Intern Med. 2024 Mar 08. PMID: 38459413.
Published on 2/6/2024Flores A, Wiener RS, Hon S, Wakeman C, Howard J, Virani N, Mattus B, Foreman AG, Singh J, Rosen L, Bulekova K, Kathuria H. Sustainability of an Opt-Out Electronic-Health Record-based Tobacco Treatment Consult Service at a large safety-net hospital: A 6-year Analysis. Nicotine Tob Res. 2024 Feb 06. PMID: 38320328.
Published on 1/15/2024Núñez ER, Zhang S, Glickman ME, Qian SX, Boudreau JH, Lindenauer PK, Slatore CG, Miller DR, Caverly TJ, Wiener RS. What Goes into Patient Selection for Lung Cancer Screening? Factors Associated with Clinician Judgments of Suitability for Screening. Am J Respir Crit Care Med. 2024 Jan 15; 209(2):197-205. PMID: 37819144.
Published on 12/19/2023Lui JK, Cozzolino M, Winburn M, Trojanowski MA, Wiener RS, LaValley MP, Bujor AM, Gopal DM, Klings ES. Role of Left Ventricular Dysfunction in Systemic Sclerosis-Related Pulmonary Hypertension. Chest. 2023 Dec 19. PMID: 38128607.
Published on 11/22/2023Herbst AN, McCullough MB, Wiener RS, Barker AM, Maguire EM, Fix GM. Proactively tailoring implementation: the case of shared decision-making for lung cancer screening across the VA New England Healthcare Network. BMC Health Serv Res. 2023 Nov 22; 23(1):1282. PMID: 37993840.
Published on 9/29/2023Robinson SA, Shimada SL, Sliwinski SK, Wiener RS, Moy ML. Stakeholder Perceptions of a Web-Based Physical Activity Intervention for COPD: A Mixed-Methods Study. J Clin Med. 2023 Sep 29; 12(19). PMID: 37834938.
Published on 9/1/2023Núñez ER, Lindenauer PK, Wiener RS. Electronic Health Record-Based Algorithms as Part of the Solution for Improving Lung Cancer Screening. JCO Clin Cancer Inform. 2023 Sep; 7:e2300222. PMID: 38055916.
Published on 6/24/2023Gould MK, Creekmur B, Qi L, Golden SE, Kaplan CP, Walter E, Mularski RA, Vaszar LT, Fennig K, Steiner J, de Bie E, Musigdilok VV, Altman DA, Dyer DS, Kelly K, Miglioretti DL, Wiener RS, Slatore CG, Smith-Bindman R. Emotional Distress, Anxiety, and General Health Status in Patients With Newly Identified Small Pulmonary Nodules: Results From the Watch the Spot Trial. Chest. 2023 Dec; 164(6):1560-1571. PMID: 37356710.
Published on 6/23/2023Anderson E, Wiener RS, Molloy-Paolillo B, McCullough M, Kim B, Harris JI, Rinne ST, Elwy AR, Bokhour BG. Using a person-centered approach in clinical care for patients with complex chronic conditions: Perspectives from healthcare professionals caring for Veterans with COPD in the U.S. Veterans Health Administration's Whole Health System of Care. PLoS One. 2023; 18(6):e0286326. PMID: 37352241.
Published on 5/26/2023Carter-Bawa L, Banerjee SC, Comer RS, Kale MS, King JC, Leopold KT, Monahan PO, Ostroff JS, Slaven JE, Valenzona F, Wiener RS, Rawl SM. Leveraging social media to increase lung cancer screening awareness, knowledge and uptake among high-risk populations (The INSPIRE-Lung Study): study protocol of design and methods of a community-based randomized controlled trial. BMC Public Health. 2023 May 26; 23(1):975. PMID: 37237339.
Media Mentions
Published on 2/8/2023
Risk-based lung cancer screening more cost-effective than USPSTF strategy, study finds
Published on 2/7/2023
Risk Model-Based Lung Cancer Screening More Cost-Effective Than USPSTF Recs
Published on 9/23/2021
MED’s Biology of the Lung Funded through Its 50th—Yes, 50th—Year
View full list of 3 media mentions.