Charles W Given
Biographic Data
| ID | 2264989 |
|---|---|
| NAME | Charles W Given |
| GIVEN NAMES | Charles W |
| FAMILY NAME | Given |
| SIGNATURE | GIVEN C W |
| AFFILIATIONS | Michigan State University |
| ORCID | 0000-0001-7478-2621 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 32 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1989 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 3 |
Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers
Changes in Case-Mix and Health Outcomes of Medicare Fee-for-Service Beneficiaries and Managed Care Enrollees During the Years 1992–2011
BACKGROUND: Recent studies suggest that managed care enrollees (MCEs) and fee-for-service beneficiaries (FFSBs) have become similar in case-mix over time; but comparisons of health outcomes have yielded mixed results. OBJECTIVE: To examine changes in differentials between MCEs and FFSBs both in case-mix and health outcomes over time. DESIGN: Temporal study of the linked Health and Retirement Study (HRS) and Medicare data, comparing case-mix and h…
Identifying Specific Combinations of Multimorbidity that Contribute to Health Care Resource Utilization: An Analytic Approach
BACKGROUND: Multimorbidity affects the majority of elderly adults and is associated with higher health costs and utilization, but how specific patterns of morbidity influence resource use is less understood. OBJECTIVE: The objective was to identify specific combinations of chronic conditions, functional limitations, and geriatric syndromes associated with direct medical costs and inpatient utilization. DESIGN: Retrospective cohort study using the…
Differential Symptom Reporting by Mode of Administration of the Assessment: Automated Voice Response System Versus a Live Telephone Interview
BACKGROUND: Automated voice response (AVR) systems have been used to collect patient-reported outcome data. Mode of administration of the assessment may affect patient reporting. OBJECTIVE: To evaluate if there is a differential reporting of symptoms by the mode of assessment: AVR versus a live telephone interview among cancer patients with solid tumors undergoing chemotherapy. RESEARCH DESIGN: Randomized clinical trial comparing a nurse-assisted…
Inadequate Access to Surgeons: Reason for Disparate Cancer Care
OBJECTIVE: To compare the likelihood of seeing a surgeon between elderly dually eligible non-small-cell lung cancer (NSCLC) and colon cancer patients and their Medicare counterparts. Surgery rates between dually eligible and Medicare patients who were evaluated by a surgeon were also assessed. METHODS: We used statewide Medicaid and Medicare data merged with the Michigan Tumor Registry to extract a sample of patients with a first primary NSCLC (n…
Diagnosis of Advanced Cancer Among Elderly Medicare and Medicaid Patients
BACKGROUND: Medicaid is implicated in late-stage cancer diagnoses, which is the primary indicator of a poor prognosis. OBJECTIVE: We examined Medicaid enrollment and cancer diagnosis in patients ages 66 years and older. Medicaid enrollment was defined as enrolled 12+ months before diagnosis, enrolled <12 months before diagnosis, and enrolled after diagnosis. SUBJECTS: Medicaid and Medicare administrative data were merged with the Michigan Tumor R…
What contributes more strongly to predicting QOL during 1-year recovery from treatment for clinically localized prostate cancer: 4-Weeks-Post-Treatment Depressive Symptoms or Type of Treatment
Exploration of DSM-IV Criteria in Primary Care Patients With Medically Unexplained Symptoms
Objectives: Investigators and clinicians almost always rely on Diagnostic and Statistical Manual of Mental Disorder, 4th edition’s (DSM-IV) somatoform disorders (and its derivative diagnoses) to characterize and identify patients with medically unexplained symptoms (MUS). Our objective was to evaluate this use by determining the prevalence of DSM-IV somatoform and nonsomatoform disorders in patients with MUS proven by a gold standard chart review…
Caregiver Burden and Depressive Symptoms: Analysis of Common Outcomes in Caregivers of Elderly Patients
Health care practitioners should assist caregivers with new care demands stemming from care recipients' mental and functional status to decrease burdens and should monitor caregivers with higher levels of burden for the development of depressive symptoms
Health Care Disparities and Cervical Cancer
Objectives. We compared cervical cancer incidence, stage at diagnosis, and survival in Medicaid-insured and non–Medicaid-insured populations. Methods. We stratified the sample by age and used ordered logistic regression to predict stage at diagnosis and used Cox proportional hazards regression to predict survival. Results. Medicaid insured nearly one quarter of women diagnosed with cervical cancer. The likelihood of late-stage disease was greates…
Late Stage Cancers in a Medicaid-insured Population
BACKGROUND: Medicaid insurance promotes screening for early stage cancers. However, previous research suggests that Medicaid recipients are at risk for late stage disease. OBJECTIVE: To identify differences in stage of diagnosis between cancer patients enrolled in Medicaid before versus after their disease was identified, as well as differences in diagnostic stage between Medicaid enrollees and other patients. DESIGN: Analyses of a linked databas…
Screening for High Utilizing Somatizing Patients Using a Prediction Rule Derived From the Management Information System of an HMO: A Preliminary Study
BACKGROUND: Somatization is a common, costly problem with great morbidity, but there has been no effective screening method to identify these patients and target them for treatment. OBJECTIVES: We tested a hypothesis that we could identify high utilizing somatizing patients from a management information system (MIS) by total number of visits and what we termed "somatization potential," the percentage of visits for which ICD-9 primary diagnosis co…
Comparison of Changes in Physical Functioning of Elderly Patients With New Diagnoses of Cancer
BACKGROUND: Controversy surrounds the impact of site of cancer and treatments on functioning of elderly cancer patients. OBJECTIVES: This research determines (1) whether age, gender, comorbid conditions, site and stage of cancer, and treatments are related to losses in physical functioning at 4 observations during the year after diagnosis; (2) whether symptoms are a mediating variable between treatment and function; and (3) which indicators accou…
Longitudinal Employment Decisions of Daughters and Daughters-in-Law After Assuming Parent Care
Employment decisions of full-time, part-time and not employed daughters and daughters-in-law (n = 157) are described over the first 18 months of parent care at two points in time: three months after assuming care and 15 months later. Employment decisions were also examined when caregiving continued (n = 55), when it was discontinued (n = 55) and when a parent died (n = 47). Findings indicate that part-time employed daughters make more changes and…
Changes in Living Arrangements of Functionally Dependent Older Adults and their Adult Children
This study investigated health and sociodemographic variables associated with co-residency patterns among older patients and their adult children following discharge from an acute care hospital. Data for the analysis were obtained from 172 adult children caring for functionally impaired parents. Logistic regression was employed to determine the probability that an older parent establishes co-residency with the adult child following hospitalizatio…
Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression-A longitudinal view
Predictors of Use of Secondary Carers Used by the Elderly Following Hospital Discharge
This research examines how caregiver-patient relationship (female spouses, and adult daughters and daughters-in-law) when cross classified with patient coresidence patterns explains the level of secondary carers' involvement among patients with newly added needs for assistance at home following hospital discharge. Among 196 primary caregivers (104 spouses, 92 daughters and daughters-in-law), patient needs were divided into ADL and mobility limita…
Social vulnerability and reactions to caregiving in daughters and daughters‐in‐law caring for disabled aging parents
Variables that have been conceptually linked with social vulnerability--income, educational level, employment, cessation of work to provide care, marital status, social support, and health--were used to predict four categories of reaction to caregiving in 159 daughters and daughters-in-law caring for their disabled aging parents. Social support, income, and health best predicted negative reactions to caregiving; social support alone best predicte…
The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments
The development and testing of a multidimensional instrument to assess the reactions of family members caring for elderly persons with physical impairments, Alzheimer's disease, and cancer is reported. Forty items were administered to a sample of 377 caregivers of persons with physical impairments and Alzheimer's disease. Five dimensions of caregivers' reactions were identified through exploratory factor analysis. Using confirmatory factor analys…
Depression as an Overriding Variable Explaining Caregiver Burdens
This research examines the relationship between caregiver burdens and caregiver depression. Five measures of burdens were designed to capture the specificity of psychological reactions to caregiving tasks and processes. In addition, an attempt was made to develop strictly behavioral measures of caregiving processes (e.g., caregiver involvement or support from others) to explore the sensitivity of burden measures to "objective" caregiving conditio…
Methods of Analyzing Physician Practice Patterns in Hypertension
A principal method of studying physician practice patterns has been to examine physicians' responses to brief written cases. We have compared this method with practice patterns of the same physicians derived from chart audit. Subjects were 98 family practice residents for whom data were available in actual patient encounters for the workup of asymptomatic hypertension. Short, carefully structured case reports using four cues were designed and a c…
Depression as an Overriding Variable Explaining Caregiver Burdens
This research examines the relationship between caregiver burdens and caregiver depression. Five measures of burdens were designed to capture the specificity of psychological reactions to caregiving tasks and processes. In addition, an attempt was made to develop strictly behavioral measures of caregiving processes (e.g., caregiver involvement or support from others) to explore the sensitivity of burden measures to "objective" caregiving conditio…
Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression-A longitudinal view
Caregiver Burden and Depressive Symptoms: Analysis of Common Outcomes in Caregivers of Elderly Patients
Health care practitioners should assist caregivers with new care demands stemming from care recipients' mental and functional status to decrease burdens and should monitor caregivers with higher levels of burden for the development of depressive symptoms
Health Care Disparities and Cervical Cancer
Objectives. We compared cervical cancer incidence, stage at diagnosis, and survival in Medicaid-insured and non–Medicaid-insured populations. Methods. We stratified the sample by age and used ordered logistic regression to predict stage at diagnosis and used Cox proportional hazards regression to predict survival. Results. Medicaid insured nearly one quarter of women diagnosed with cervical cancer. The likelihood of late-stage disease was greates…
Changes in Living Arrangements of Functionally Dependent Older Adults and their Adult Children
This study investigated health and sociodemographic variables associated with co-residency patterns among older patients and their adult children following discharge from an acute care hospital. Data for the analysis were obtained from 172 adult children caring for functionally impaired parents. Logistic regression was employed to determine the probability that an older parent establishes co-residency with the adult child following hospitalizatio…
Methods of Analyzing Physician Practice Patterns in Hypertension
A principal method of studying physician practice patterns has been to examine physicians' responses to brief written cases. We have compared this method with practice patterns of the same physicians derived from chart audit. Subjects were 98 family practice residents for whom data were available in actual patient encounters for the workup of asymptomatic hypertension. Short, carefully structured case reports using four cues were designed and a c…
Depression as an Overriding Variable Explaining Caregiver Burdens
This research examines the relationship between caregiver burdens and caregiver depression. Five measures of burdens were designed to capture the specificity of psychological reactions to caregiving tasks and processes. In addition, an attempt was made to develop strictly behavioral measures of caregiving processes (e.g., caregiver involvement or support from others) to explore the sensitivity of burden measures to "objective" caregiving conditio…
The caregiver reaction assessment (CRA) for caregivers to persons with chronic physical and mental impairments
The development and testing of a multidimensional instrument to assess the reactions of family members caring for elderly persons with physical impairments, Alzheimer's disease, and cancer is reported. Forty items were administered to a sample of 377 caregivers of persons with physical impairments and Alzheimer's disease. Five dimensions of caregivers' reactions were identified through exploratory factor analysis. Using confirmatory factor analys…
Predictors of Use of Secondary Carers Used by the Elderly Following Hospital Discharge
This research examines how caregiver-patient relationship (female spouses, and adult daughters and daughters-in-law) when cross classified with patient coresidence patterns explains the level of secondary carers' involvement among patients with newly added needs for assistance at home following hospital discharge. Among 196 primary caregivers (104 spouses, 92 daughters and daughters-in-law), patient needs were divided into ADL and mobility limita…
Social vulnerability and reactions to caregiving in daughters and daughters‐in‐law caring for disabled aging parents
Variables that have been conceptually linked with social vulnerability--income, educational level, employment, cessation of work to provide care, marital status, social support, and health--were used to predict four categories of reaction to caregiving in 159 daughters and daughters-in-law caring for their disabled aging parents. Social support, income, and health best predicted negative reactions to caregiving; social support alone best predicte…
Relationship of caregiver reactions and depression to cancer patients' symptoms, functional states and depression-A longitudinal view
Longitudinal Employment Decisions of Daughters and Daughters-in-Law After Assuming Parent Care
Employment decisions of full-time, part-time and not employed daughters and daughters-in-law (n = 157) are described over the first 18 months of parent care at two points in time: three months after assuming care and 15 months later. Employment decisions were also examined when caregiving continued (n = 55), when it was discontinued (n = 55) and when a parent died (n = 47). Findings indicate that part-time employed daughters make more changes and…
Changes in Living Arrangements of Functionally Dependent Older Adults and their Adult Children
This study investigated health and sociodemographic variables associated with co-residency patterns among older patients and their adult children following discharge from an acute care hospital. Data for the analysis were obtained from 172 adult children caring for functionally impaired parents. Logistic regression was employed to determine the probability that an older parent establishes co-residency with the adult child following hospitalizatio…
Comparison of Changes in Physical Functioning of Elderly Patients With New Diagnoses of Cancer
BACKGROUND: Controversy surrounds the impact of site of cancer and treatments on functioning of elderly cancer patients. OBJECTIVES: This research determines (1) whether age, gender, comorbid conditions, site and stage of cancer, and treatments are related to losses in physical functioning at 4 observations during the year after diagnosis; (2) whether symptoms are a mediating variable between treatment and function; and (3) which indicators accou…
Screening for High Utilizing Somatizing Patients Using a Prediction Rule Derived From the Management Information System of an HMO: A Preliminary Study
BACKGROUND: Somatization is a common, costly problem with great morbidity, but there has been no effective screening method to identify these patients and target them for treatment. OBJECTIVES: We tested a hypothesis that we could identify high utilizing somatizing patients from a management information system (MIS) by total number of visits and what we termed "somatization potential," the percentage of visits for which ICD-9 primary diagnosis co…
Late Stage Cancers in a Medicaid-insured Population
BACKGROUND: Medicaid insurance promotes screening for early stage cancers. However, previous research suggests that Medicaid recipients are at risk for late stage disease. OBJECTIVE: To identify differences in stage of diagnosis between cancer patients enrolled in Medicaid before versus after their disease was identified, as well as differences in diagnostic stage between Medicaid enrollees and other patients. DESIGN: Analyses of a linked databas…
Health Care Disparities and Cervical Cancer
Objectives. We compared cervical cancer incidence, stage at diagnosis, and survival in Medicaid-insured and non–Medicaid-insured populations. Methods. We stratified the sample by age and used ordered logistic regression to predict stage at diagnosis and used Cox proportional hazards regression to predict survival. Results. Medicaid insured nearly one quarter of women diagnosed with cervical cancer. The likelihood of late-stage disease was greates…
Exploration of DSM-IV Criteria in Primary Care Patients With Medically Unexplained Symptoms
Objectives: Investigators and clinicians almost always rely on Diagnostic and Statistical Manual of Mental Disorder, 4th edition’s (DSM-IV) somatoform disorders (and its derivative diagnoses) to characterize and identify patients with medically unexplained symptoms (MUS). Our objective was to evaluate this use by determining the prevalence of DSM-IV somatoform and nonsomatoform disorders in patients with MUS proven by a gold standard chart review…
Caregiver Burden and Depressive Symptoms: Analysis of Common Outcomes in Caregivers of Elderly Patients
Health care practitioners should assist caregivers with new care demands stemming from care recipients' mental and functional status to decrease burdens and should monitor caregivers with higher levels of burden for the development of depressive symptoms
What contributes more strongly to predicting QOL during 1-year recovery from treatment for clinically localized prostate cancer: 4-Weeks-Post-Treatment Depressive Symptoms or Type of Treatment
Diagnosis of Advanced Cancer Among Elderly Medicare and Medicaid Patients
BACKGROUND: Medicaid is implicated in late-stage cancer diagnoses, which is the primary indicator of a poor prognosis. OBJECTIVE: We examined Medicaid enrollment and cancer diagnosis in patients ages 66 years and older. Medicaid enrollment was defined as enrolled 12+ months before diagnosis, enrolled <12 months before diagnosis, and enrolled after diagnosis. SUBJECTS: Medicaid and Medicare administrative data were merged with the Michigan Tumor R…
Differential Symptom Reporting by Mode of Administration of the Assessment: Automated Voice Response System Versus a Live Telephone Interview
BACKGROUND: Automated voice response (AVR) systems have been used to collect patient-reported outcome data. Mode of administration of the assessment may affect patient reporting. OBJECTIVE: To evaluate if there is a differential reporting of symptoms by the mode of assessment: AVR versus a live telephone interview among cancer patients with solid tumors undergoing chemotherapy. RESEARCH DESIGN: Randomized clinical trial comparing a nurse-assisted…
Inadequate Access to Surgeons: Reason for Disparate Cancer Care
OBJECTIVE: To compare the likelihood of seeing a surgeon between elderly dually eligible non-small-cell lung cancer (NSCLC) and colon cancer patients and their Medicare counterparts. Surgery rates between dually eligible and Medicare patients who were evaluated by a surgeon were also assessed. METHODS: We used statewide Medicaid and Medicare data merged with the Michigan Tumor Registry to extract a sample of patients with a first primary NSCLC (n…
Identifying Specific Combinations of Multimorbidity that Contribute to Health Care Resource Utilization: An Analytic Approach
BACKGROUND: Multimorbidity affects the majority of elderly adults and is associated with higher health costs and utilization, but how specific patterns of morbidity influence resource use is less understood. OBJECTIVE: The objective was to identify specific combinations of chronic conditions, functional limitations, and geriatric syndromes associated with direct medical costs and inpatient utilization. DESIGN: Retrospective cohort study using the…
Changes in Case-Mix and Health Outcomes of Medicare Fee-for-Service Beneficiaries and Managed Care Enrollees During the Years 1992–2011
BACKGROUND: Recent studies suggest that managed care enrollees (MCEs) and fee-for-service beneficiaries (FFSBs) have become similar in case-mix over time; but comparisons of health outcomes have yielded mixed results. OBJECTIVE: To examine changes in differentials between MCEs and FFSBs both in case-mix and health outcomes over time. DESIGN: Temporal study of the linked Health and Retirement Study (HRS) and Medicare data, comparing case-mix and h…
Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers
Medicine (21 works) · Gerontology (10 works) · Internal Medicine (9 works) · Psychiatry (9 works) · Psychology (9 works) · Internal Medicine (7 works) · Cancer (6 works) · Health care (6 works) · Intergenerational Family Dynamics and Caregiving (6 works) · Cancer survivorship and care (5 works)