Sandra DeLuccia

Sandra DeLuccia

Masters in Public Health

About

30
Publications
2,287
Reads
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1,307
Citations

Publications

Publications (30)
Article
Full-text available
Background Evidence on the risk of febrile seizures (FS) after vaccination with inactivated influenza vaccine (IIV) and 13-valent pneumococcal conjugate vaccine (PCV13) is mixed. Among children 6–23 months, we examined the risk of FS following IIV and PCV13 during the 2013–14 and 2014–15 influenza seasons, for which vaccine virus strains were the s...
Conference Paper
Purpose: Feasibility is a key aspect of performance measures. For many surgical decisions, identifying and surveying patients is only feasible after the surgery. However, there are concerns, e.g. with recall bias, that may influence results. The objective of this study was to examine how breast cancer patients’ reports of knowledge, goals and invol...
Article
Full-text available
Guidelines for colorectal cancer screening recommend that patients be informed about options and be able to select preferred method of screening; however, there are no existing measures available to assess whether this happens. Colorectal Cancer Screening Decision Quality Instrument (CRC-DQI) includes knowledge items and patients' goals and concern...
Article
A high-quality decision for breast cancer surgery requires that patients are well informed, meaningfully involved in decision making, and receive treatments that match their goals. There is little in the existing literature that examines a comprehensive measure of decision quality for Latina breast cancer patients. To examine the quality of surgica...
Article
This study aims to evaluate the role of a decision aid intervention in knowledge of menopausal symptom management. Five hundred fifteen US women who had menopausal symptoms and had discussed symptom management with providers within the past 12 months were assigned to either receive a decision aid or not. Participants completed a telephone survey 2...
Conference Paper
Purpose: National Quality Forum has identified shared decision making (SDM) as a key measure gap. One challenge in performance measurement of SDM is that for many decisions, reliable patient identification is only feasible after treatment has occurred. However, there are concerns, e.g. recall bias, when patients’ knowledge, involvement and goals ar...
Article
Shared decision making requires informing patients and ensuring that treatment decisions reflect their goals. It is not clear to what extent this happens for patients considering total joint replacement (TJR) for hip or knee osteoarthritis. We conducted a cross-sectional mail survey of osteoarthritis patients at 4 sites, who made a decision about T...
Article
9534 Background: Risk perceptions (RP) play an important role in decision making in localized BC. Little is known about RP in the context of adjuvant (adj) therapy decisions. We examined the accuracy of estimate of absolute benefit of adj therapy among patients (pts) with localized BC and sought to identify determinants of accurate RP. Methods: A c...
Article
Objective To compare the amount of shared decision making in breast cancer surgery interactions when providers do and do not make a treatment recommendation.Methods We surveyed breast cancer survivors who were eligible for mastectomy and lumpectomy. Patients reported whether the provider made a recommendation and the recommendation given. They comp...
Conference Paper
Purpose: To examine decision making about breast cancer surgery among low educated, Latina patients and determine factors associated with decision regret. Methods: A cross-sectional mailed survey of adult females with stage I or II breast cancer within last 2 years. Eligible patients of Hispanic or Spanish descent were identified through the Cali...
Article
Retrospective and prospective patient surveys and a physician survey using a sample from American Medical Association master file. To evaluate the performance of a new instrument designed to measure the quality of decisions about treatment of herniated disc. There is growing consensus on the importance of engaging and informing patients to improve...
Article
Full-text available
A high quality decision requires that patients who meet clinical criteria for surgery are informed about the options (including non-surgical alternatives) and receive treatments that match their goals. The aim of this study was to evaluate the psychometric properties and clinical sensibility of a patient self report instrument, to measure the quali...
Article
The Breast Cancer Initiative (BCI) was started in 2002 to disseminate breast cancer decision aids (PtDAs) to providers. We analysed BCI programme data for 195 sites and determined the proportion of sites involved in each of five stages of dissemination and implementation of PtDAs. We conducted cross-sectional mail and telephone surveys of 79 sites...
Conference Paper
Purpose: To assess the quality of decisions for treatment of hip and knee osteoarthritis (OA). A high quality decision is one in which the patient is well informed and receives treatment tailored to his/her goals. Method: A mailed survey of hip and knee OA patients who either had or discussed total joint replacement (TJR) with a doctor within the...
Article
Background: Decisions about adjuvant chemotherapy are highly challenging for many women with early stage breast cancer. We sought to assess the quality of breast cancer patients' decisions about chemotherapy by measuring their knowledge and the degree to which their treatment decisions reflect their goals and preferences.Methods: We mailed a survey...
Conference Paper
Purpose: We performed a series of qualitative interviews among socioeconomically diverse primary care patients from two academic practices to assess the comprehension of underlying concepts and medical terminology employed in the process of shared decision making with a widely distributed colorectal cancer (CRC) screening decision aid. Method: Ba...
Article
Full-text available
Lung cancer screening could present a "teachable moment" for promoting smoking cessation and relapse prevention. Understanding the risk perceptions of older individuals who undergo screening will guide these efforts. This paper examines National Lung Screening Trial (NLST) participants' perceptions of risk for lung cancer and other smoking-related...
Article
Hospitals routinely survey patients about the quality of care they receive, but little is known about whether patient interviews can detect adverse events that medical record reviews do not. To compare adverse events reported in postdischarge patient interviews with adverse events detected by medical record review. Random sample survey. Massachuset...
Article
Institutional financial conflicts of interest may affect research results. No national data exist on the extent to which US medical schools have formally responded to challenges associated with institutional conflicts of interest (ICOI). To assess the current state of ICOI policies and practices in US medical schools using the recommendations issue...
Article
Institutional academic-industry relationships have the potential of creating institutional conflicts of interest. To date there are no empirical data to support the establishment and evaluation of institutional policies and practices related to managing these relationships. To conduct a national survey of department chairs about the nature, extent,...
Article
Women of minority races and ethnicities have lower mammography return rates compared to Caucasians. To better understand barriers to mammography, we conducted six focus groups with 49 women of minority races and ethnicities (19 Asian, 16 African-American, and 14 Hispanic) recruited from outpatient medical clinics in Boston. Eligible women had at le...
Article
The Institute of Medicine has recommended establishing mandatory error reporting systems for hospitals and other health settings. To examine the opinions and experiences of hospital leaders with state reporting systems. Survey of chief executive and chief operating officers (CEOs/COOs) from randomly selected hospitals in 2 states with mandatory rep...
Article
The purpose of this study was to explore qualitatively the nature, consequences and management of institutional academic industry relationships (IAIRs) in the life and health sciences. The results of our interviews suggest that in the institutions we visited IAIRs are common and deeply embedded in the academic enterprise both among institutional of...
Article
Full-text available
We surveyed a national sample of 643 physicians on events associated with visits during which patients discussed an advertised drug. Physicians perceived improved communication and education but also thought that direct-to-consumer advertising (DTCA) led patients to seek unnecessary treatments. Physicians prescribed the advertised drug in 39 percen...

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