Huiwen Xu

Title

Associate Professor

Department

Nell Hodgson Woodruff School of Nursing

Institution

Emory University & EUSHC

huiwen.xu@emory.edu

Education

Research Interests

Nursing Home Staffing Long Term Care Nursing Home Residents

View all research interests

Biography

I am an aging-focused health services researcher with extensive experience studying long-term care, health policy, and cancer survivorship at the Emory University School of Nursing. Over the last 10 years, I have been examining the staffing, quality, disparity, and policy in nursing homes using various large administrative data. I am also interested in applying machine learning to aging research and has built various supervised and unsupervised machine learning models. I currently leads a 4-year R01 grant from the National Institute on Aging (R01 AG081282, 2023-2027). I have participated in multiple NIH-funded projects in cancer survivorship previously (R01, U01, UG1, R21, etc.). I was selected into several prestigious aging-related training programs including the RL5 Pepper Scholar from UTMB Pepper OAIC Center, the NIA RCCN Scholars Program in Multidisciplinary Research, the NIA AWARD Network Dementia Workforce Summer Institute, and the R25 Research Methods in Supportive Oncology from Harvard Medical School. My work resulted in 60+ peer-reviewed articles in leading medical and policy journals including The Lancet, JAMA Internal Medicine, JAMA Oncology, JAMA Network Open, Journal of Clinical Oncology, JAGS, JAMDA, Health Affairs, Health Services Research, and Medical Care, as well as two book chapters and 90+ scientific abstracts. I hold national leadership positions at the AcademyHealth, NIA AWARD Network for Dementia Workforce Research, Cancer and Aging Research Group (CARG), and China Health Policy and Management Society (CHPAMS). I serve as a scientific reviewer for the National Institutes of Health, AWARD Network, and CARG, as well as 25+ scientific journals. I have mentored 20+ statisticians, fellows, junior faculty, and students (undergraduate, master, medical, and doctoral). Before coming to Emory, I held faculty positions at the University of Rochester Medical Center and University of Texas Medical Branch. I earned my PhD in Health Services Research and Policy with Data Science training from the University of Rochester.

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Research

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Cloud List

Nursing Home Staffing Long Term Care Nursing Home Residents Advanced Cancer Older Adults, Older Adult Home Workforce Older Patients Cognitive Problems Low Dose Phase Ii Study Geriatric Assessment Six Months, Six Month Emergency Department Visits, Emergency Department Visit Secondary Analysis Staff Levels Unsupervised Machine Learning Risk Adjusted Rates Cancer Risk Factors Longitudinal Associations Clinical Trials, Clinical Trial Cancer Survivor, Cancer Survivors Staff Shortages Functional Status Retirement Longitudinal Study Rural Urban Disparities Prognostic Understanding Community Oncology Practice Physical Performance Adverse Outcomes Financial Toxicity Cancer Disparities Mental Illness, Mental Illnesses Breast Cancer, Breast Cancers Agency Staff Climate Change, Climate Changes, Climatic Change Emergency Preparedness Excess Deaths Financial Performance Health Information Exchange Health Outcomes Medicare Beneficiaries Staffing Levels Symptom Clusters General Hospital, General Hospitals Bariatric Surgery Fall Risk Health Care Use Physical Functioning, Physical Function Symptom Trajectories United States Psychological Health Social Determinant, Social Determinants Controlled Trial, Controlled Trials, Control Trial Aging Related Conditions Cancer Treatment Baseline Data Peripheral Neuropathy Five Counties Psychiatric Care Cross Sectional Survey Meta Analysis Systematic Review, Systematic Reviews Epidemiological Studies, Epidemiological Study, Epidemiologic Studies Influencing Factors, Influence Factors Qualitative Study, Qualitative Studies Six Counties Suicidal Ideation, Suicidal Ideations, Suicide Ideation Symptom Burden Cancer Screening, Cancer Screenings Caregiver Depression Caregiver Outcomes Caregiving Burden Cognitive Impairment, Cognitive Impairments Emotional Health First Cycle Geriatric Oncology Health Disparities, Health Disparity Informal Caregivers Palliative Treatment Patient Prognosis Improving Communication, Improved Communication Sleep Disturbance, Sleep Disturbances Field Survey, Field Surveys Rural Regions, Rural Region Adult Patients Bedside Ultrasound China Health County Hospitals Emotional Toll Health Professionals Inpatient Care Intensive Care Unit, Intensive Care Units Medication Adherence Multisite Trial Pilot Study Bone Loss Driving Factors Health Insurance Coverage Hematologic Malignancies, Hematological Malignancies High Risk, High Risks Immigration Status Multicenter Study Prostate Cancer Patients Secondary Outcomes Treatment Tolerability Treatment Toxicities, Treatment Toxicity Research Design, Research Designs Rural Health Workforce Adverse Events Cancer Caregiving Cardiovascular Mortality Community Dwelling Facility Characteristics Higher Mortality Late Life Depression Lower Risk Market Factors Psychological Status Pulmonary Function Tests Retrospective Study Seven Years Single Center State Policies Systemic Treatment Three Counties

List of Publications (126)

In 2024

126

Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing: Study examines nursing home staffing. JR Bowblis, CS Brunt, H Xu, R Applebaum, DC Grabowski Health Affairs 43 (3), 327-335, 2024.
Found on Publication Page

125

Nursing Home Workforce: The Authors Reply: A letter to the Editor about nursing home workforce. JR Bowblis, R Applebaum, CS Brunt, H Xu, DC Grabowski Health Affairs 43 (9), 1341-1341, 2024.
Found on Publication Page

124

COVID-19 in Nursing Homes-Learning the Hard Way. JS Goodwin, H Xu JAMA Internal Medicine, 2024.
Found on Publication Page

In 2023

123

Effects of a geriatric assessment intervention on patient-reported symptomatic toxicity in older adults with advanced cancer. E Culakova, SG Mohile, L Peppone, E Ramsdale, M Mohamed, H Xu, ... Journal of Clinical Oncology 41 (4), 835-846, 2023.
Found on Publication Page

122

Longitudinal associations of staff shortages and staff levels with health outcomes in nursing homes. M Chen, JS Goodwin, JE Bailey, JR Bowblis, S Li, H Xu Journal of the American Medical Directors Association 24 (11), 1755-1760. e7, 2023.
Found on Publication Page

121

Understanding nursing home spending and staff levels in the context of recent Nursing Staff Recommendations: study examines nursing home spending and staff levels in the .... JR Bowblis, CS Brunt, H Xu, DC Grabowski Health Affairs 42 (2), 197-206, 2023.
Found on Publication Page

120

An unsupervised machine learning approach to evaluating the association of symptom clusters with adverse outcomes among older adults with advanced cancer: a secondary analysis .... H Xu, M Mohamed, M Flannery, L Peppone, E Ramsdale, KP Loh, ... JAMA network open 6 (3), e234198-e234198, 2023.
Found on Publication Page

119

Does increasing physician volume in primary healthcare facilities under the hierarchical medical system help reduce hospital service utilisation in China? A fixed-effects .... X Li, H Xu, F Du, B Zhu, P Xie, H Wang, X Han BMJ open 13 (2), e066375, 2023.
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118

Excess deaths from COVID 19 among Medicare beneficiaries with psychiatric diagnoses: Community versus nursing home. H Xu, S Li, HB Mehta, EL Hommel, JS Goodwin Journal of the American Geriatrics Society 71 (1), 167-177, 2023.
Found on Publication Page

117

CLIMATE CHANGE AND EMERGENCY PREPAREDNESS FOR HURRICANES AMONG NURSING HOMES IN TEXAS. B Downer, A Holland, Y Kang, B Lacy, H Xu Innovation in Aging 7 (Suppl 1), 1162, 2023.
Found on Publication Page

116

Financial Performance is Associated With PPE Shortages in Chain-Affiliated Nursing Homes During the COVID-19 Pandemic: A Longitudinal Study. Y Kang, SV David, JR Bowblis, O Intrator, B Downer, CY Li, JS Goodwin, ... INQUIRY: The Journal of Health Care Organization, Provision, and Financing ..., 2023.
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115

Abstract B053: Rural-urban disparities in cancer risk factors and screening by United States census region. KA Hirko, H Xu, LQ Rogers, MY Martin, S Roy, KM Kelly, SM Christy, ... Cancer Epidemiology, Biomarkers & Prevention 32 (12_Supplement), B053-B053, 2023.
Found on Publication Page

114

Nursing Home Workforce Challenges: Increased Nursing Staff Labor Costs and Use of Agency Staff from 2017 to 2021. J Bowblis, C Brunt, H Xu, R Applebaum, D Grabowski Innovation in Aging 7 (Suppl 1), 36, 2023.
Found on Publication Page

113

Developing a Machine Learning Risk-adjustment Method for Hospitalizations and Emergency Department Visits of Nursing Home Residents With Dementia. H Xu, JR Bowblis, AZ Becerra, O Intrator Medical care 61 (9), 619-626, 2023.
Found on Publication Page

112

Bans on Outside Visitors and COVID-19 Infections in Nursing Home Residents: A Matched Case-Control Study. H Xu, S Li, J Bowblis, YF Kuo, J Goodwin 2023 Annual Research Meeting, 2023.
Found on Publication Page

111

Longitudinal Associations of the Racial/Ethnic Composition of Nursing Homes with Quality of Care and Staffing Levels: 2009-2019. Y Kang, J Bowblis, A Ahmed, A Razzak, H Xu 2023 Annual Research Meeting, 2023.
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110

Does Health Information Exchange Improve Long-Term Care Service Quality? Evidence from the Panel Data Analysis of the US Long-term Care Facilities. F Wan, A Seidmann, H Xu 56th Annual Hawaii International Conference on System Sciences, HICSS 2023 ..., 2023.
Found on Publication Page

In 2022

109

Overview of Sankey flow diagrams: Focusing on symptom trajectories in older adults with advanced cancer. E Otto, E Culakova, S Meng, Z Zhang, H Xu, S Mohile, MA Flannery Journal of geriatric oncology 13 (5), 742-746, 2022.
Found on Publication Page

108

Cancer disparities in the context of rurality: risk factors and screening across various US rural classification codes. KA Hirko, H Xu, LQ Rogers, MY Martin, S Roy, KM Kelly, SM Christy, ... Cancer Causes & Control 33 (8), 1095-1105, 2022.
Found on Publication Page

107

Association of prognostic understanding with health care use among older adults with advanced cancer: a secondary analysis of a cluster randomized clinical trial. KP Loh, CL Seplaki, C Sanapala, R Yousefi-Nooraie, JL Lund, ... JAMA network open 5 (2), e220018-e220018, 2022.
Found on Publication Page

106

Using geriatric assessment to guide conversations regarding comorbidities among older patients with advanced cancer. AS Kleckner, M Wells, LA Kehoe, NJ Gilmore, H Xu, A Magnuson, ... JCO Oncology Practice 18 (1), e9-e19, 2022.
Found on Publication Page

105

Using the Super Learner algorithm to predict risk of 30-day readmission after bariatric surgery in the United States. M Torquati, M Mendis, H Xu, AA Myneni, K Noyes, AB Hoffman, ... Surgery 171 (3), 621-627, 2022.
Found on Publication Page

104

Evaluating the association of frailty with communication about aging related concerns between older patients with advanced cancer and their oncologists. N Gilmore, H Xu, L Kehoe, AS Kleckner, K Moorthi, L Lei, MRS Mohamed, ... Cancer 128 (5), 1101-1109, 2022.
Found on Publication Page

103

Changing landscape of nursing homes serving residents with dementia and mental illnesses. H Xu, O Intrator, E Culakova, JR Bowblis Health Services Research 57 (3), 505-514, 2022.
Found on Publication Page

102

Association of oncologist-patient communication with functional status and physical performance in older adults: a secondary analysis of a cluster randomized clinical trial. M Jensen-Battaglia, L Lei, H Xu, L Kehoe, A Patil, KP Loh, E Ramsdale, ... JAMA network open 5 (3), e223039-e223039, 2022.
Found on Publication Page

101

Communication about fall risk in community oncology practice: the role of geriatric assessment. M Jensen-Battaglia, L Lei, H Xu, KP Loh, M Wells, R Tylock, E Ramsdale, ... JCO oncology practice 18 (10), e1630-e1640, 2022.
Found on Publication Page

100

Caregiver-oncologist prognostic concordance, caregiving esteem, and caregiver outcomes. KP Loh, E Watson, E Culakova, M Flannery, M Sohn, H Xu, S Kadambi, ... Journal of geriatric oncology 13 (6), 828-833, 2022.
Found on Publication Page

Decomposing Differences in Risk-Adjusted Rates of Emergency Department Visits Between Micropolitan and Urban Nursing Homes. H Xu, JR Bowblis, TV Caprio, Y Li, O Intrator Journal of the American Medical Directors Association 23 (8), 1297-1303, 2022.
Found on Publication Page

Staff Shortages and Decreased Physical Function Among Nursing Home Residents during the COVID-19 Pandemic: A Longitudinal Repeated-Measures Study. M Chen, J Goodwin, J Bailey, J Bowblis, S Li, H Xu 2022 Annual Research Meeting, 2022.
Found on Publication Page

EFFECTS OF YOGA, COGNITIVE BEHAVIORAL THERAPY, AND A BEHAVIORAL PLACEBO ON CANCER-RELATED FATIGUE AMONG CANCER SURVIVORS. PJ Lin, B Altman, N Cherup, H Xu, J Bautista, KP Loh, CS Kamen, ... ANNALS OF BEHAVIORAL MEDICINE 56 (SUPP 1), S452-S452, 2022.
Found on Publication Page

In 2021

Evaluation of geriatric assessment and management on the toxic effects of cancer treatment (GAP70+): a cluster-randomised study. SG Mohile, MR Mohamed, H Xu, E Culakova, KP Loh, A Magnuson, ... The Lancet 398 (10314), 1894-1904, 2021.
Found on Publication Page

Associations of uncertainty with psychological health and quality of life in older adults with advanced cancer. HC Verduzco-Aguirre, D Babu, SG Mohile, J Bautista, H Xu, E Culakova, ... Journal of pain and symptom management 61 (2), 369-376. e1, 2021.
Found on Publication Page

Association of polypharmacy and potentially inappropriate medications with physical functional impairments in older adults with cancer. MR Mohamed, E Ramsdale, KP Loh, H Xu, A Patil, N Gilmore, S Obrecht, ... Journal of the National Comprehensive Cancer Network 19 (3), 267-274, 2021.
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The relationship between frailty and emotional health in older patients with advanced cancer. N Gilmore, L Kehoe, J Bauer, H Xu, B Hall, M Wells, L Lei, E Culakova, ... The Oncologist 26 (12), e2181-e2191, 2021.
Found on Publication Page

Caregiving burden of informal caregivers of older adults with advanced cancer: The effects of rurality and education. H Xu, S Kadambi, SG Mohile, S Yang, LA Kehoe, M Wells, E Culakova, ... Journal of geriatric oncology 12 (7), 1015-1021, 2021.
Found on Publication Page

Patient and caregiver agreement on prognosis estimates for older adults with advanced cancer. KP Loh, E Soto Pe rez de Celis, PR Duberstein, E Culakova, RM Epstein, ... Cancer 127 (1), 149-159, 2021.
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An introduction to machine learning for clinicians: how can machine learning augment knowledge in geriatric oncology?. E Ramsdale, E Snyder, E Culakova, H Xu, A Dziorny, S Yang, M Zand, ... Journal of geriatric oncology 12 (8), 1159-1163, 2021.
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Prevalence of and factors associated with treatment modification at first cycle in older adults with advanced cancer receiving palliative treatment. MR Mohamed, K Kyi, SG Mohile, H Xu, E Culakova, KP Loh, M Flannery, ... Journal of geriatric oncology 12 (8), 1208-1213, 2021.
Found on Publication Page

Caregiver-oncologist prognostic concordance, caregiver mastery, and caregiver psychological health and quality of life. KP Loh, MR Mohamed, S Kadambi, E Culakova, H Xu, A Magnuson, ... The oncologist 26 (4), 310-317, 2021.
Found on Publication Page

Nursing home and market factors and risk-adjusted hospitalization rates among urban, micropolitan, and rural nursing homes. H Xu, JR Bowblis, TV Caprio, Y Li, O Intrator Journal of the American Medical Directors Association 22 (5), 1101-1106, 2021.
Found on Publication Page

Rural-urban differences in nursing home risk-adjusted rates of emergency department visits: a decomposition analysis. H Xu, JR Bowblis, TV Caprio, Y Li, O Intrator Medical care 59 (1), 38-45, 2021.
Found on Publication Page

Effects of yoga, cognitive behavioral therapy, and a behavioral placebo on sleep: A nationwide multicenter phase III RCT in cancer survivors. PJ Lin, CE Heckler, E Culakova, H Xu, RF Dunne, N Gilmore, S Hardy, ... Journal of Clinical Oncology 39 (15_suppl), 12017-12017, 2021.
Found on Publication Page

Cancer-related fatigue. PJ Lin, EK Belcher, NJ Gilmore, SJ Hardy, H Xu, KM Mustian Common Issues in Breast Cancer Survivors: A Practical Guide to Evaluation ..., 2021.
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Association Between Caregiver-Oncologist Discordance in Patient's Life Expectancy Estimates and Caregiver Perceived Autonomy Support by the Oncologist. G Tuch, C Sanapala, SG Mohile, PR Duberstein, E Soto-Perez-de-Celis, ... The Oncologist 26 (11), e1992-e2001, 2021.
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Brain correlates of chemotherapy-induced peripheral neuropathy (CIPN) during somatosensory and interoceptive attention: A functional MRI (fMRI) study. I Kleckner, A Kleckner, E Belcher, H Xu, PJ Lin, RF Dunne, MC Janelsins, ... Journal of Clinical Oncology 39 (15_suppl), e24095-e24095, 2021.
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The effects of geriatric assessment on oncologist-patient communication regarding functional status and physical performance in older adults with cancer: A secondary analysis .... M Jensen-Battaglia, L Lei, H Xu, L Kehoe, A Patil, KP Loh, EE Ramsdale, ... Journal of Clinical Oncology 39 (15_suppl), 12010-12010, 2021.
Found on Publication Page

Functional status in older adults with cancer, caregiver mastery, and caregiver depression. S Kadambi, Z Pan, H Xu, L Kehoe, A Magnuson, S Mohile, B Burnette, ... Journal of Geriatric Oncology 12 (8), S23, 2021.
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The impact of Geriatric Assessment on discussion of falls in community oncology practice: A secondary analysis of a nationwide cluster randomized trial. M Jensen-Battaglia, L Lei, H Xu, KP Loh, M Wells, R Tylock, E Ramsdale, ... Journal of Geriatric Oncology 12 (8), S36, 2021.
Found on Publication Page

The Roles of Nursing Home Financial Performance and Chain-Affiliation in PPE Supply during the COVID-19 Pandemic. H Xu, O Intrator, JR Bowblis https://academyhealth.confex.com/academyhealth/2021arm/meetingapp.cgi/Paper ..., 2021.
Found on Publication Page

When Machine Learning Meets Health Disparities: Predictors of Cancer Screenings in Urban Versus Rural Counties Using Random Forest Algorithm. H Xu, S Meng, K Hirko, S Yang, KP Loh, E Culakova, Q Lu, E Ramsdale, ... https://academyhealth.confex.com/academyhealth/2021arm/meetingapp.cgi/Paper ..., 2021.
Found on Publication Page

Patterns and predictors of rehabilitation therapy among older patients with advanced cancer admitted to nursing homes: A SEER-Medicare analysis. H Xu, SG Mohile, E Culakova, JR Bowblis, O Intrator, M Jensen-Battaglia, ... Journal of Clinical Oncology 39 (15_suppl), 6585-6585, 2021.
Found on Publication Page

Prognostic understanding, hospitalization, and hospice use among older patients with advanced cancer. KP Loh, C Seplaki, R Yousefi Nooraie, JL Lund, RM Epstein, ... Journal of Clinical Oncology 39 (15_suppl), 12037-12037, 2021.
Found on Publication Page

Immune cell counts and perceived cognitive impairment before and after chemotherapy among 544 women with breast cancer. E Belcher, N Gilmore, L Kehoe, I Kleckner, A Kleckner, A Gudina, S Hardy, ... Journal of Clinical Oncology 39 (15_suppl), 12114-12114, 2021.
Found on Publication Page

CHARACTERIZING TRIADIC COMMUNICATION BETWEEN ONCOLOGISTS, OLDER ADULTS WITH ADVANCED CANCER, AND DISTRESSED CAREGIVERS. L Kehoe, NJ Gilmore, H Xu, S Mohile, J Berenberg, VG Vogel, B Burnette, ... ANNALS OF BEHAVIORAL MEDICINE 55, S102-S102, 2021.
Found on Publication Page

YOCAS (c)(R) YOGA, SURVIVORSHIP HEALTH EDUCATION, AND COGNITIVE BEHAVIORAL THERAPY FOR INSOMNIA IN 740 CANCER SURVIVORS. KM Mustian, PJ Lin, J Bautista, H Xu, NJ Gilmore, AS Kleckner, RF Dunne, ... ANNALS OF BEHAVIORAL MEDICINE 55, S518-S518, 2021.
Found on Publication Page

EFFECTS OF A HOME-BASED EXERCISE PROGRAM ON QUALITY OF LIFE IN PATIENTS WITH BREAST CANCER. PJ Lin, H Xu, IR Kleckner, C Fung, NJ Gilmore, KP Loh, RF Dunne, ... ANNALS OF BEHAVIORAL MEDICINE 55, S173-S173, 2021.
Found on Publication Page

Relationships among caregiver-oncologist concordance in patient prognosis, caregiving esteem, and caregiver outcomes. K Loh, E Culakova, H Xu, M Flannery, S Kadambi, A Magnuson, ... JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 69, S131-S131, 2021.
Found on Publication Page

USING SANKEY FLOW DIAGRAMS TO VISUALIZE THE SYMPTOM EXPERIENCE IN OLDER ADULTS WITH CANCER. M Flannery, S Meng, Z Zhang, H Xu, S Mohile, E Culakova ONCOLOGY NURSING FORUM 48 (2), 20-20, 2021.
Found on Publication Page

In 2020

Communication with older patients with cancer using geriatric assessment: a cluster-randomized clinical trial from the National Cancer Institute Community Oncology Research Program. SG Mohile, RM Epstein, A Hurria, CE Heckler, B Canin, E Culakova, ... JAMA oncology 6 (2), 196-204, 2020.
Found on Publication Page

Shortages of staff in nursing homes during the COVID-19 pandemic: what are the driving factors?. H Xu, O Intrator, JR Bowblis Journal of the American Medical Directors Association 21 (10), 1371-1377, 2020.
Found on Publication Page

Associations of polypharmacy and inappropriate medications with adverse outcomes in older adults with cancer: a systematic review and meta analysis. MR Mohamed, E Ramsdale, KP Loh, A Arastu, H Xu, S Obrecht, D Castillo, ... The oncologist 25 (1), e94-e108, 2020.
Found on Publication Page

A geriatric assessment (GA) intervention to reduce treatment toxicity in older patients with advanced cancer: A University of Rochester Cancer Center NCI community oncology .... SG Mohile, MR Mohamed, E Culakova, H Xu, KP Loh, A Magnuson, ... Journal of Clinical Oncology 38 (15_suppl), 12009-12009, 2020.
Found on Publication Page

Assessment of financial toxicity among older adults with advanced cancer. A Arastu, A Patel, SG Mohile, J Ciminelli, R Kaushik, M Wells, E Culakova, ... JAMA network open 3 (12), e2025810-e2025810, 2020.
Found on Publication Page

Medicaid long-term care policies and rates of nursing home successful discharge to community. H Xu, O Intrator Journal of the American Medical Directors Association 21 (2), 248-253. e1, 2020.
Found on Publication Page

Patient hematologist discordance in perceived chance of cure in hematologic malignancies: A multicenter study. KP Loh, H Xu, A Back, PR Duberstein, S Gupta Mohile, R Epstein, ... Cancer 126 (6), 1306-1314, 2020.
Found on Publication Page

Construction and validation of risk-adjusted rates of emergency department visits for long-stay nursing home residents. H Xu, JR Bowblis, Y Li, TV Caprio, O Intrator Medical care 58 (2), 174-182, 2020.
Found on Publication Page

Associations of caregiver-oncologist discordance in prognostic understanding with caregiver-reported therapeutic alliance and anxiety. KP Loh, H Xu, RM Epstein, SG Mohile, HG Prigerson, S Plumb, S Ladwig, ... Journal of pain and symptom management 60 (1), 20-27, 2020.
Found on Publication Page

Medicaid nursing home policies and risk-adjusted rates of emergency department visits: does rural location matter?. H Xu, JR Bowblis, Y Li, TV Caprio, O Intrator Journal of the American Medical Directors Association 21 (10), 1497-1503, 2020.
Found on Publication Page

Relationships of self-perceived age with geriatric assessment domains in older adults with cancer. KP Loh, P Duberstein, J Zittel, L Lei, E Culakova, H Xu, S Plumb, ... Journal of geriatric oncology 11 (6), 1006-1010, 2020.
Found on Publication Page

Changes in health insurance coverage over time by immigration status among US older adults, 1992-2016. J Cobian, MG Gonza lez, YJ Cao, H Xu, R Li, M Mendis, K Noyes, ... JAMA network open 3 (3), e200731-e200731, 2020.
Found on Publication Page

Assessment of financial toxicity among older adults with advanced cancer. JAMA Netw Open 3 (12): e2025810. A Arastu, A Patel, SG Mohile, J Ciminelli, R Kaushik, M Wells, E Culakova, ... .
Found on Publication Page

A geriatric assessment (GA) intervention for older patients with advanced cancer: Secondary outcomes from a University of Rochester cancer center NCI community oncology .... SG Mohile, M Mohamed, H Xu, A Patil, E Culakova, EE Ramsdale, ... Journal of Clinical Oncology 38 (29_suppl), 33-33, 2020.
Found on Publication Page

Using machine learning to identify older adults at high risk for hospitalization and mortality via the Patient-Reported Outcomes version of the Common Terminology Criteria for .... H Xu, SG Mohile, MA Flannery, LJ Peppone, M Mohamed, EE Ramsdale, ... Journal of Clinical Oncology 38 (29_suppl), 169-169, 2020.
Found on Publication Page

Effects of YOCAS yoga, cognitive behavioral therapy, and survivorship health education on insomnia: A URCC NCORP Research Base Phase III RCT in 740 cancer survivors. KM Mustian, PJ Lin, E Culakova, J Bautista, H Xu, SG Mohile, ... Journal of Clinical Oncology 38 (15_suppl), 12005-12005, 2020.
Found on Publication Page

Relationships between aging-related conditions and treatment tolerability in older adults with advanced cancer. E Culakova, L Peppone, M Flannery, H Xu, E Ramsdale, A Patil, B Canin, ... QUALITY OF LIFE RESEARCH 29 (SUPPL 1), S12-S13, 2020.
Found on Publication Page

Communication about comorbidities among 527 older patients with advanced cancer and their oncologists and caregivers: A multisite cluster-randomized controlled trial. A Kleckner, N Gilmore, E Belcher, A Magnuson, RF Dunne, I Kleckner, ... Journal of Clinical Oncology 38 (15_suppl), 12040-12040, 2020.
Found on Publication Page

Abstract PO-258: Cancer risk factors and screening across various US rural classification codes: Cancer disparities in the context of rurality. KA Hirko, H Xu, LQ Rogers, MY Martin, S Roy, KM Kelly, SM Christy, ... Cancer Epidemiology, Biomarkers & Prevention 29 (12_Supplement), PO-258-PO-258, 2020.
Found on Publication Page

Caregiver-oncologist concordance in patient prognosis, caregiver depression, and caregiver mastery. KP Loh, E Culakova, H Xu, SM Kadambi, A Magnuson, MA Flannery, ... Journal of Clinical Oncology 38 (29_suppl), 143-143, 2020.
Found on Publication Page

Effects of a geriatric assessment (GA) intervention on symptomatic toxicity burden reported by older adults with advanced cancer during treatment. E Culakova, SG Mohile, H Xu, A Patil, S Plumb, M Mohamed, Z Pan, ... Journal of Clinical Oncology 38 (29_suppl), 138-138, 2020.
Found on Publication Page

Effective Clustering of Nursing Homes Using Unsupervised Machine Learning Focusing on Dementia and Mental Illness. H Xu, O Intrator, Z Ye, E Culakova, C Wu, H Rao, J Bowblis 2020 Virtual Annual Research Meeting, 2020.
Found on Publication Page

High-dose vitamin D supplementation for cancer-treatment-induced bone loss in 164 breast and prostate cancer patients: A pooled analysis of two randomized controlled trials (RCTs). LJ Peppone, A Kleckner, JE Inglis, JE Reschke, E Belcher, I Kleckner, ... Journal of Clinical Oncology 38 (15_suppl), 12105-12105, 2020.
Found on Publication Page

Novel association of pre-chemotherapy immune cell profiles with functional decline and resilience in women with breast cancer receiving chemotherapy. N Gilmore, SG Mohile, H Xu, KP Loh, A Kleckner, E Belcher, L Lei, PJ Lin, ... Journal of Clinical Oncology 38 (15_suppl), 549-549, 2020.
Found on Publication Page

Association between caregiver-oncologist discordance in length of life estimates for the patient and caregiver satisfaction. K Loh, H Xu, E Culakova, M Flannery, P Duberstein, C McHugh, ... JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 68, S12-S12, 2020.
Found on Publication Page

In 2019

The association of late-life depression with all-cause and cardiovascular mortality among community-dwelling older adults: systematic review and meta-analysis. J Wei, R Hou, X Zhang, H Xu, L Xie, EK Chandrasekar, M Ying, ... The British Journal of Psychiatry 215 (2), 449-455, 2019.
Found on Publication Page

Quality of life of caregivers of older patients with advanced cancer. LA Kehoe, H Xu, P Duberstein, KP Loh, E Culakova, B Canin, A Hurria, ... Journal of the American Geriatrics Society 67 (5), 969-977, 2019.
Found on Publication Page

The impact of contract service policy and doctor communication skills on rural patient-doctor trust relationship in the village clinics of three counties. L Gu, J Deng, H Xu, S Zhang, M Gao, Z Qu, W Zhang, D Tian BMC Health Services Research 19, 1-9, 2019.
Found on Publication Page

Safety and use of pulmonary function tests: a retrospective study from a single center over seven years' clinical practice. F Li, Z Huang, X Wang, H Xu, H Yu, Y Chen, J Huang, J Wang, W Lei BMC Pulmonary Medicine 19, 1-7, 2019.
Found on Publication Page

Patient-reported numbness and tingling augments Common Terminology Criteria for Adverse Events (CTCAE) to detect chemotherapy-induced peripheral neuropathy (CIPN) in older .... E Culakova, M Mohamed, M Flannery, A Patil, S Obrecht, H Xu, ... Journal of Geriatric Oncology 10 (6), S67-S68, 2019.
Found on Publication Page

PATIENT-REPORTED SYMPTOM BURDEN AND ASSOCIATION OF GERIATRIC ASSESSMENT (GA) IMPAIRMENTS WITH THE SYMPTOM BURDEN IN OLDER ADULTS WITH ADVANCED CANCER RECEIVING SYSTEMIC TREATMENT. E Culakova, S Mohile, L Peppone, E Ramsdale, R Maggiore, A Patil, H Xu, ... Journal of Geriatric Oncology 10 (6), S68-S69, 2019.
Found on Publication Page

Prognostic estimates of older adults with advanced cancer and their caregivers. K Loh, P Duberstein, E Culakova, R Epstein, H Xu, S Kadambi, ... JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 67, S159-S160, 2019.
Found on Publication Page

Associations of caregiver-oncologist discordance in prognostic understanding with caregiver-reported therapeutic alliance and anxiety. KP Loh, H Xu, RM Epstein, SG Mohile, HG Prigerson, S Plumb, S Ladwig, ... Journal of Clinical Oncology 37 (31_suppl), 15-15, 2019.
Found on Publication Page

RELATIONSHIP BETWEEN ONCOLOGIST CONFIDENCE ADDRESSING AGE-RELATED CONCERNS AND IMPLEMENTATION OF GERIATRIC ASSESSMENT IN COMMUNITY ONCOLOGY CLINICS: A UR NCORP STUDY. E Ramsdale, A Patil, S Jonnalagadda, H Xu, E Culakova, L Lowenstein, ... Journal of Geriatric Oncology 10 (6), S67, 2019.
Found on Publication Page

Rural-Urban Disparities in Risk-Adjusted Rates of Emergency Department Visits of Nursing Homes: Roles of Facility Characteristics, Market Factors, and State Policies. H Xu University of Rochester, 2019.
Found on Publication Page

Rural Nursing Homes Were Associated with Lower Risk Adjusted Rates of Emergency Department Visit but Higher Mortality. H Xu, J Bowblis, T Caprio, Y Li, O Intrator 2019 Annual Research Meeting, 2019.
Found on Publication Page

Application of machine learning ensemble models to predict hospitalization and emergency department visit of long-stay nursing home residents. H Xu, E Culakova, O Intrator https://academyhealth.confex.com/academyhealth/2019arm/meetingapp.cgi/Paper ..., 2019.
Found on Publication Page

Associations of uncertainty with psychological status and quality of life (QoL) among 527 older patients with advanced cancer. DS Babu, KP Loh, J Bautista, H Xu, E Culakova, BE Canin, AK Conlin, ... Journal of Clinical Oncology 37 (15_suppl), 11544-11544, 2019.
Found on Publication Page

FRAILTY AND COMMUNICATION ABOUT AGE-RELATED CONCERNS IN OLDER PATIENTS WITH ADVANCED CANCER. N Gilmore, H Xu, L Lei, E Culakova, KP Loh, E Ramsdale, M Flannery, ... ANNALS OF BEHAVIORAL MEDICINE 53, S707-S707, 2019.
Found on Publication Page

MODERATION EFFECT OF INCOME ON RURAL-URBAN DISPARITIES IN THE PERCEPTIONS OF CANCER CAREGIVING: A LONGITUDINAL STUDY. H Xu, M Wells, E Culakova, S Obrecht, KP Loh, V Aarne, V Vinciguerra, ... ANNALS OF BEHAVIORAL MEDICINE 53, S9-S9, 2019.
Found on Publication Page

In 2018

Elucidating the associations between sleep disturbance and depression, fatigue, and pain in older adults with cancer. KP Loh, J Zittel, S Kadambi, C Pandya, H Xu, M Flannery, A Magnuson, ... Journal of geriatric oncology 9 (5), 464-468, 2018.
Found on Publication Page

Improving communication with older patients with cancer using geriatric assessment (GA): A University of Rochester NCI Community Oncology Research Program (NCORP) cluster .... SG Mohile, RM Epstein, A Hurria, CE Heckler, P Duberstein, BE Canin, ... Journal of Clinical Oncology 36 (18_suppl), LBA10003-LBA10003, 2018.
Found on Publication Page

Association of financial toxicity (FT) with depression, anxiety, and quality of life (QoL) in older patients with advanced cancer: An analysis of 544 patients from 31 practices .... A Arastu, J Ciminelli, E Culakova, L Lei, H Xu, DW Dougherty, ... Journal of Clinical Oncology 36 (15_suppl), e22037-e22037, 2018.
Found on Publication Page

Improving caregiver satisfaction with communication using geriatric assessment (GA): A University of Rochester NCI Community Oncology Research Program (NCORP) cluster .... SG Mohile, W Dale, A Hurria International Society of Geriatric Oncology (SIOG) 2018 Annual Conference, 2018.
Found on Publication Page

The impact of financial toxicity on quality of life in older patients with cancer: Baseline data from the University of Rochester NCI Community Oncology Research Program (NCORP). A Arastu, J Ciminelli, E Culakova, L Lei, H Xu, DW Dougherty, ... Journal of Clinical Oncology 36 (30_suppl), 87-87, 2018.
Found on Publication Page

Associations of medication measures and geriatric impairments with chemotherapy dose intensity in older adults with advanced cancer: A University of Rochester NCI Community .... MR Mohamed, SG Mohile, H Xu, A Arastu, S Obrecht, KP Loh, ... Journal of Clinical Oncology 36 (15_suppl), e22034-e22034, 2018.
Found on Publication Page

Disparities in healthcare communication in the context of advanced cancer: Black vs. white older patients and social determinants of health. CS Kamen, BE Canin, M Wells, H Xu, N Gilmore, M Asare, GR Morrow, ... Journal of Clinical Oncology 36 (15_suppl), e22025-e22025, 2018.
Found on Publication Page

Disparities in healthcare communication in advanced cancer: Effects of race and social determinants of health. C Kamen, M Asare, B Canin, M Wells, H Xu, N Gilmore, G Morrow, ... APHA's 2018 Annual Meeting & Expo (Nov. 10-Nov. 14), 2018.
Found on Publication Page

Impact of States' Medicaid Spending on Hcbs and Nursing Home Reimbursement Rates on Successful Discharge of SNF Residents to Community. H Xu, O Intrator 2018 Annual Research Meeting, 2018.
Found on Publication Page

In 2017

Medication adherence mediates the association between type d personality and high HbA1c level in Chinese patients with type 2 diabetes mellitus: a six month follow up study. X Li, M Gao, S Zhang, H Xu, H Zhou, X Wang, Z Qu, J Guo, W Zhang, ... Journal of Diabetes Research 2017 (1), 7589184, 2017.
Found on Publication Page

Measuring endotracheal tube depth by bedside ultrasound in adult patients in an intensive care unit: a pilot study. F Dong, C Zhu, H Xu, J Wang, Y Zhu, Q Fan, J Huang, W Lei Ultrasound in Medicine & Biology 43 (6), 1163-1170, 2017.
Found on Publication Page

The emotional toll of caregiving for older patients with advanced cancer: Baseline data from a multicenter geriatric assessment (GA) intervention study in UR NCORP. SG Mohile, H Xu, BE Canin, S Plumb, M Wells, MA Flannery, M Hoerger, ... The ASCO 2017 Annual Meeting, 2017.
Found on Publication Page

Modeling of quality of life in older adults with advanced cancer: Data from a URCC NCORP multisite trial. MA Flannery, E Culakova, H Xu, KP Loh, CS Kamen, M Wells, J Geer, ... Journal of Clinical Oncology 35 (31_suppl), 218-218, 2017.
Found on Publication Page

Job Burnout Is Associated with Worse Doctor-Patient Relationship Among the Village Doctors in Rural China. W Zhang, H Xu, Y Wang, S Zhang, Z Qu, D Tian Academy Health 2017 Annual Research Meeting, 2017.
Found on Publication Page

Hospital at Home: Information on Indirect and Implementation Costs Is Needed to Design Payment Methods. H Xu, O Intrator, S Cai, A Siu, K Massey, K Shay Academy Health 2017 Annual Research Meeting, 2017.
Found on Publication Page

Does Universal Health Coverage Imply Equitable Access to Inpatient Care Among Older Adults in China: Evidence from the China Health and Retirement Longitudinal Study. H Xu, W Zhang, D Tian Academy Health 2017 Annual Research Meeting, 2017.
Found on Publication Page

Turnover Intention to County Hospitals and Village Clinics among Health Professionals in Township Health Centers in China: A Cross-Sectional Survey. H Xu, W Zhang, S Zhang, Z Qu, D Tian Academy Health Annual Research Meeting 2017, 2017.
Found on Publication Page

In 2016

Type D personality predicts poor medication adherence in Chinese patients with type 2 diabetes mellitus: a six-month follow-up study. X Li, S Zhang, H Xu, X Tang, H Zhou, J Yuan, X Wang, Z Qu, F Wang, ... PloS one 11 (2), e0146892, 2016.
Found on Publication Page

In 2015

Prevalence and influencing factors of co-morbid depression in patients with type 2 diabetes mellitus: a General Hospital based study. W Zhang, H Xu, S Zhao, S Yin, X Wang, J Guo, S Zhang, H Zhou, F Wang, ... Diabetology & metabolic syndrome 7, 1-9, 2015.
Found on Publication Page

How China's new health reform influences village doctors' income structure: evidence from a qualitative study in six counties in China. S Zhang, W Zhang, H Zhou, H Xu, Z Qu, M Guo, F Wang, Y Zhong, L Gu, ... Human resources for health 13, 1-11, 2015.
Found on Publication Page

Prevalence and influence factors of suicidal ideation among females and males in Northwestern urban China: a population-based epidemiological study. H Xu, W Zhang, X Wang, J Yuan, X Tang, Y Yin, S Zhang, H Zhou, Z Qu, ... BMC public health 15, 1-13, 2015.
Found on Publication Page

In 2014

Experiences of stigma and discrimination among caregivers of persons with schizophrenia in China: a field survey. Y Yin, W Zhang, Z Hu, F Jia, Y Li, H Xu, S Zhao, J Guo, D Tian, Z Qu PloS one 9 (9), e108527, 2014.
Found on Publication Page

Aging village doctors in five counties in rural China: situation and implications. H Xu, W Zhang, L Gu, Z Qu, Z Sa, X Zhang, D Tian Human resources for health 12, 1-12, 2014.
Found on Publication Page

Pathways to psychiatric care of patients from rural regions: a general-hospital-based study. X Li, W Zhang, Y Lin, X Zhang, Z Qu, X Wang, Y Zhang, H Xu, S Zhao, Y Li, ... International Journal of Social Psychiatry 60 (3), 280-289, 2014.
Found on Publication Page

In 2013

Pathways to psychiatric care in urban north China: a general hospital based study. W Zhang, X Li, Y Lin, X Zhang, Z Qu, X Wang, H Xu, A Jiao, M Guo, ... International journal of mental health systems 7, 1-14, 2013.
Found on Publication Page

Longitudinal study of rural health workforce in five counties in China: research design and baseline description. H Xu, W Zhang, X Zhang, Z Qu, X Wang, Z Sa, Y Li, S Zhao, X Qi, D Tian Human resources for health 11, 1-9, 2013.
Found on Publication Page

Unspecified

. Evaluation of geriatric assessment and management on the toxic effects of cancer treatment (GAP70 ): a cluster-randomised study. SG Mohile, MR Mohamed, H Xu, E Culakova, KP Loh, A Magnuson Lancet 398, 1894, 1904.
Found on Publication Page

Phase II Study of Low-Dose Ibuprofen for Cognitive Problems in Patients with Cancer URCC16092 NCT#: NCT03186638. L Peppone, GR Morrow, T Ahles, S Mohile, JL Berenberg, HMU NCORP, ... .
Found on Publication Page

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Gary Miller

Emory University & EUSHC

Jessica Abrams

Emory University & EUSHC

Haerim Lee

Emory University & EUSHC

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