J
Joshua R Lakin
Researcher at Harvard University
Publications - 68
Citations - 1247
Joshua R Lakin is an academic researcher from Harvard University. The author has contributed to research in topics: Palliative care & Advance care planning. The author has an hindex of 12, co-authored 50 publications receiving 631 citations. Previous affiliations of Joshua R Lakin include University of California, San Francisco & University of Rhode Island.
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Journal ArticleDOI
Effect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial.
Rachelle Bernacki,Joanna Paladino,Joanna Paladino,Bridget A. Neville,Mathilde Hutchings,Jane Kavanagh,Olaf P. Geerse,Olaf P. Geerse,Joshua R Lakin,Joshua R Lakin,Justin J. Sanders,Kate Miller,Stuart R. Lipsitz,Atul A. Gawande,Susan D. Block +14 more
TL;DR: The results of this cluster randomized clinical trial were null with respect to the coprimary outcomes of goal-concordant care and peacefulness at the end of life, but the significant reductions in anxiety and depression in the intervention group are clinically meaningful and require further study.
Journal ArticleDOI
Evaluating an Intervention to Improve Communication Between Oncology Clinicians and Patients With Life-Limiting Cancer: A Cluster Randomized Clinical Trial of the Serious Illness Care Program.
Joanna Paladino,Joanna Paladino,Rachelle Bernacki,Bridget A. Neville,Jane Kavanagh,Stephen P. Miranda,Stephen P. Miranda,Stephen P. Miranda,Marissa Palmor,Joshua R Lakin,Joshua R Lakin,Meghna Desai,Daniela Lamas,Daniela Lamas,Justin J. Sanders,Jonathon Gass,Natalie Henrich,Stuart R. Lipsitz,Erik K. Fromme,Atul A. Gawande,Susan D. Block +20 more
TL;DR: This cluster randomized clinical trial in outpatient oncology was conducted at the Dana-Farber Cancer Institute and included physicians, advanced-practice clinicians, and patients with cancer who were at high risk of death to demonstrate improvement in all 4 of these outcomes.
Journal ArticleDOI
A Systematic Intervention To Improve Serious Illness Communication In Primary Care.
Joshua R Lakin,Luca A. Koritsanszky,Rebecca Cunningham,Francine L. Maloney,Brandon J. Neal,Joanna Paladino,Marissa Palmor,Christine Vogeli,Timothy G. Ferris,Susan D. Block,Atul A. Gawande,Rachelle Bernacki +11 more
TL;DR: Patients in the clinics with the Serious Illness Care Program implemented were more likely than those in comparison clinics to have serious illness conversations-including discussion of values and goals-documented in patients' medical records.
Journal ArticleDOI
Improving Communication About Serious Illness in Primary Care: A Review
Joshua R Lakin,Susan D. Block,J. Andrew Billings,Luca A. Koritsanszky,Rebecca Cunningham,Lisa Wichmann,Doreen Harvey,Jan Lamey,Rachelle Bernacki +8 more
TL;DR: Clinician and system barriers will challenge primary care clinicians and institutions to meet the needs of patients with serious illness and Ensuring that conversations about goals and values occur at the appropriate time for seriously ill patients will require improved training, validation, and dissemination.