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Zavadil JA, Singh M, Robertson EG, Clark L, Snaman JM, McNeil M, Acerra A, Baker JN. Going Virtual: Adapting an Institutional Annual Bereavement Event During the COVID-19 Pandemic. J Pediatr 2023:113393. [PMID: 36940869 PMCID: PMC10027290 DOI: 10.1016/j.jpeds.2023.03.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 02/20/2023] [Accepted: 03/06/2023] [Indexed: 03/22/2023]
Abstract
Our institution's annual bereaved family event was modified to a virtual format during the COVID-19 pandemic. While necessary to comply with physical distancing directives, the transition also provided greater accessibility for families. Virtual events were feasible and appreciated by attendees. Future hybrid bereavement events should be considered to allow families more flexibility and accessibility.
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Affiliation(s)
- J A Zavadil
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA; Division of Pediatric Palliative Care, Department of Pediatrics, Indiana University, Indianapolis, IN, USA
| | - M Singh
- Department of Pediatrics, University of Tennessee Health Sciences Center, Memphis, TN, USA; Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA
| | - E G Robertson
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA; Discipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, New South Wales, Australia
| | - L Clark
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA
| | - J M Snaman
- Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts and Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts
| | - M McNeil
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA
| | - A Acerra
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA
| | - J N Baker
- Division of Quality of Life and Palliative Care, St Jude Children's Research Hospital, Memphis, TN, USA.
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Murray JC, Rainusso N, Roberts RA, Gomez AM, Egler R, Russell H, Okcu MF, Gururangan S, Fangusaro J, Young-Poussaint T, Lesh S, Onar A, Gilbertson R, Packer R, McLendon R, Friedman HS, Boyett J, Kun LE, Venkatramani R, Haley K, Gilles F, Sposto R, Ji L, Olshefski R, Garvin J, Tekautz T, Kennedy G, Rassekh R, Moore T, Gardner S, Allen J, Shore R, Moertel C, Atlas M, Lasky J, Finlay J, Valera ET, Brassesco MS, Scrideli CA, Oliveira RS, Machado HR, Tone LG, Finlay JL, Kreimer S, Dagri J, Grimm J, Bluml S, Britt B, Dhall G, Gilles F, Finlay JL, Brown RJ, Dhall G, Shah A, Kapoor N, Abdel-Azim H, Rao AAN, Wallace D, Boyett J, Gajjar A, Packer RJ, Pearlman ML, Sadighi Z, Bingham R, Vats T, Khatua S, Ko RH, O'Neil S, Lavey RS, Finlay JL, Dhall G, Davidson TB, Gilles F, Tovar J, Grimm J, Wong K, Olch A, Dhall G, Finlay JL, Murray JC, Honeycutt JH, Donahue DJ, Head HW, Alles AJ, Ray A, Pearlman M, Vats T, Khatua S, Baskin J, Qaddoumi I, Ahchu MS, Alabi SF, Arambu IC, Castellanos M, Gamboa Y, Martinez R, Montero M, Ocampo E, Howard SC, Finlay JL, Broniscer A, Baker SD, Baker JN, Panandiker AP, Onar-Thomas A, Chin TK, Merchant TE, Davidoff A, Kaste SC, Gajjar A, Stewart CF, Espinoza J, Haley K, Patel N, Dhall G, Gardner S, Jeffrey A, Torkildson J, Cornelius A, Rassekh R, Bedros A, Etzl M, Garvin J, Pradhan K, Corbett R, Sullivan M, McGowage G, Puccetti D, Stein D, Jasty R, Ji L, Sposto R, Finlay JL, Antony R, Gardner S, Patel M, Wong KE, Britt B, Dhall G, Grimm J, Krieger M, McComb G, Gilles F, Sposto R, Finlay JL, Davidson TB, Sanchez-Lara PA, Randolph LM, Krieger MD, Wu S, Panigrahy A, Shimada H, Erdreich-Epstein A, Puccetti DM, Patel N, Kennedy T, Salamat S, Bradfield Y, Park HJ, Yoon JH, Ahn HS, Shin HY, Kim SK, Im HJ, Ra YS, Won SC, Baek HJ, Sung KW, Hah JO, Lim YT, Lee GS, Lee YH, Kim HS, Park JK, Kim MK, Park JE, Chung NG, Choi HS, Campen CJ, Fisher PG, Ruge MI, Simon T, Suchorska B, Lehrke R, Hamisch C, Koerber F, Treuer H, Berthold F, Sturm V, Voges J, Davidson TB, Finlay JL, Dhall G, Kirsch M, Lindner C, Schackert G, Brown RJ, Krieger M, Dhall G, Finlay JL. PEDIATRICS CLINICAL RESEARCH. Neuro Oncol 2011. [DOI: 10.1093/neuonc/nor156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Wrede B, Peters O, Kordes U, Kutluk T, Hasselblatt M, Rytting M, Rutkowski S, Mahajan A, Pietsch T, Thall P, Wolff JE, Wolff JE, Thall P, Pfister S, Rytting M, Bingham R, Vats T, Rokes C, Mahajan A, Brown R, Creach KM, Rubin JB, Leonard JR, Limbrick DD, Smyth MD, Dacey RG, Rich KM, Dowling JL, Linette GP, King AA, Michalski JM, Simpson JR, Park TS, Perry A, Mansur DB, Gururangan S, Panandikar AP, Broniscer A, Huang A, Kellie S, Ellison D, Gajjar A, Aguilera D, Goldman S, Tomita T, Fangusaro J, Gururangan S, Fangusaro J, Poussaint TY, Onar A, Gilbertson R, Packer R, McClendon R, Friedman H, Boyett J, Broniscer A, Baker JN, Tagen M, Onar-Thomas A, Gilbertson RJ, Davidoff AM, Pai-Panandiker A, Leung W, Chin TK, Stewart CF, Kocak M, Rowland C, Merchant TE, Kaste S, Gajjar A, Allen J, Donahue B, Mathew J, Kretschmar C, Pollack I, Jakacki R, Massimino M, Biassoni V, Gandola L, Ferroli P, Bongarzone I, Spreafico F, Pecori E, Schiavello E, Modena P, Bach F, Potepan P, Slavc I, Peyrl A, Czech T, Haberler C, Dieckmann K, Brown RJ, Dhall G, Marachelian A, Gozali A, Butturini A, Gilles F, Thompson SJ, Gardner S, Finlay JL, Brown RJ, Dhall G, Goldman S, Eisenstat DD, Gilles F, Evans A, Finlay JL. Pediatrics Clinical Research. Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Baker JN, Hinds PS, Zawistowski CA, Rai S, Ma Y, Althoff J, Smalls A, West N, Kane JR. Effect of race on the quantity and timing of end-of-life discussions in pediatric oncology. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.20004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
20004 Background: Clinicians and parents report that end-of-life (EoL) care discussions and decision making are complex, difficult and affected by personal, family, and disease and treatment factors. The influence of race on EoL discussions and decision making has not been carefully examined in a large pediatric oncology study. The purpose of this study was to assess if race (white, black, Hispanic) influenced the quantity or timing of end-of-life care discussions and decisions. Methods: This abstract represents a retrospective chart review leading to the creation of an EoL database of pediatric oncology patients at St Jude Children’s Research Hospital who died during the time period of July 01, 2001 to February 28, 2005. Eligibility criteria were oncologic diagnosis, and patient age less than 21.99 years of age at the time of death. After strict application of the eligibility criteria, a total of 380 patients met study inclusion criteria. The effect of race on the quantity and timing of EoL discussions and decision making was then analyzed from the database. All extracted data were validated by a different team member as was the accuracy of all entered data. The association of race with other factors was assessed using regression analysis and chi-squared testing statistics. Results: None of the following differed by race: the total number of EoL discussions before an EoL decision was made (p=0.58); the total time from the first such discussion to a specific EoL decision (p=0.23–0.68), the total time from the first discussion to the patient’s death (p=0.105), or having a DNR in place at the time of death (p=0.55). Conclusions: In this cohort of patients from a tertiary referral center, race is not a significant factor on the quantity and timing of EoL discussions and decision making in pediatric oncology patients. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- J. N. Baker
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - P. S. Hinds
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - C. A. Zawistowski
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - S. Rai
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - Y. Ma
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - J. Althoff
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - A. Smalls
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - N. West
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
| | - J. R. Kane
- St Jude Childrens Research Hospital, Memphis, TN; SUNY Downstate Medical Center, Brooklyn, NY
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