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Tracy Anne Balboni, MD, MPH


Radiation Oncology

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Physician

  • Senior Physician
  • Associate Professor in Radiation Oncology, Harvard Medical School

Centers/Programs

Clinical Interests

  • Palliative medicine
  • Spine Oncology
  • Spirituality and Medicine

Contact Information

  • Appointments617-525-6687
  • Office Phone Number617-525-6687
  • Fax617-394-2668

Board Certification:

  • Hospice and Palliative Medicine, 2012
  • Radiation Oncology, 2008

Fellowship:

  • Harvard Radiation Oncology Program

Residency:

  • Harvard Radiation Oncology Program

Medical School:

  • Harvard Medical School

Research

Spirituality and Medicine, Spine Oncology, and Palliative Medicine

My primary research interests are in palliative care, including the psychosocial aspects of advanced cancer and radiotherapy for palliation. Within the psychosocial aspects of advanced cancer, I have a particular focus on the role of religion and spirituality in the experience of cancer. This includes the impact of religion/spirituality on coping and end-of-life medical care and the impact of spiritual care in the medical setting on patient end-of-life outcomes. My research also includes improving radiotherapy for palliation, such as studying applications of new radiotherapy technologies to palliation, and involvement in clinical research in the Dana-Farber Cancer Institute Head and Neck Oncology Research Group.

The Cost-Effectiveness of Surgical Intervention for Spinal Metastases: A Model-Based Evaluation. J Bone Joint Surg Am. 2021 Jul 21.
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Religious Service Attendance and Implications for Clinical Care, Community Participation and Public Health. Am J Epidemiol. 2021 May 11.
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Prospective comparison of the accuracy of the New England Spinal Metastasis Score (NESMS) to legacy scoring systems in prognosticating outcomes following treatment of spinal metastases. Spine J. 2021 Mar 16.
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Assessing Religious Commitment in a Multicultural Inpatient Setting: A Psychometric Evaluation of the 10-item Belief into Action Scale. J Relig Health. 2021 Mar 12.
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Characteristics and Predictors of Radiographic Local Failure in Patients With Spinal Metastases Treated With Palliative Conventional Radiation Therapy. Adv Radiat Oncol. 2021 May-Jun; 6(3):100665.
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Patient-Provider Communication, Decision-Making, and Psychosocial Burdens in Palliative Radiotherapy: A Qualitative Study on Patients' Perspectives. J Pain Symptom Manage. 2021 Feb 05.
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Clinician Experiences in Treatment Decision-Making for Patients with Spinal Metastases: A Qualitative Study. J Bone Joint Surg Am. 2021 Jan 06; 103(1):e1.
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Patterns of Specialty Palliative Care Utilization Among Patients Receiving Palliative Radiation Therapy. J Pain Symptom Manage. 2021 Aug; 62(2):242-251.
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Quantitative-qualitative analyses of patient-reported pain response after palliative radiation therapy. Support Care Cancer. 2021 Jul; 29(7):3707-3714.
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ASTRO Editorial: The Multidisciplinary Management of Metastatic Disease of the Femur: Toward Optimizing Outcomes. Pract Radiat Oncol. 2021 Mar-Apr; 11(2):89-91.
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Rapid Access Palliative Radiotherapy Programmes. Clin Oncol (R Coll Radiol). 2020 11; 32(11):704-712.
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Characteristics of Patients and Treatment Recommendations from a Multidisciplinary Spinal Tumor Program. Palliat Med Rep. 2020; 1(1):143-148.
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A Roadmap for conducting psychosocial research in epidemiological studies: perspectives of cohort study principal investigators. BMJ Open. 2020 07 28; 10(7):e037235.
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Building towards common psychosocial measures in U.S. cohort studies: principal investigators' views regarding the role of religiosity and spirituality in human health. BMC Public Health. 2020 Jun 22; 20(1):973.
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Spiritual Care, Pain Reduction, and Preferred Place of Death Among Advanced Cancer Patients in Soweto, South Africa. J Pain Symptom Manage. 2020 07; 60(1):37-47.
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Patient experiences of decision-making in the treatment of spinal metastases: a qualitative study. Spine J. 2020 06; 20(6):905-914.
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Treatment of oropharyngeal squamous cell carcinoma with IMRT: patterns of failure after concurrent chemoradiotherapy and sequential therapy. Ann Oncol. 2012 Sep; 23(9):2391-2398.
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Design of the prospective observational study of spinal metastasis treatment (POST). Spine J. 2020 04; 20(4):572-579.
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Non-operative management of spinal metastases: A prognostic model for failure. Clin Neurol Neurosurg. 2020 01; 188:105574.
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"If it weren't for my faith": spirituality in advanced cancer. Ann Palliat Med. 2019 Nov; 8(5):758-762.
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"My doctor says the cancer is worse, but I believe in miracles"-When religious belief in miracles diminishes the impact of news of cancer progression on change in prognostic understanding. Cancer. 2020 02 15; 126(4):832-839.
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Ethical issues in patients referred for palliative radiation therapy. Ann Palliat Med. 2019 07; 8(3):231-239.
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At the intersection of palliative care and radiation oncology. Ann Palliat Med. 2019 Jul; 8(3):218-220.
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Hospice and Anticancer Therapy-Shifting From an Either/or to a Both/and Treatment Model. JAMA Oncol. 2019 06 01; 5(6):786-787.
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Palliative Radiation Therapy for Vertebral Metastases and Metastatic Cord Compression in Patients Treated With Anti-PD-1 Therapy. Front Oncol. 2019; 9:199.
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A scale to assess religious beliefs in end-of-life medical care. Cancer. 2019 05 01; 125(9):1527-1535.
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Global palliative radiotherapy: a framework to improve access in resource-constrained settings. Ann Palliat Med. 2019 Jul; 8(3):274-284.
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Interprofessional spiritual care in oncology: a literature review. ESMO Open. 2019; 4(1):e000465.
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Religious and Spiritual Coping and Risk of Incident Hypertension in the Black Women's Health Study. Ann Behav Med. 2018 11 12; 52(12):989-998.
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Assessment and Management of Patients With Metastatic Spinal Cord Compression: A Multidisciplinary Review. J Clin Oncol. 2019 01 01; 37(1):61-71.
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The Impact of Radiation Therapy on Lymphocyte Count and Survival in Metastatic Cancer Patients Receiving PD-1 Immune Checkpoint Inhibitors. Int J Radiat Oncol Biol Phys. 2019 01 01; 103(1):142-151.
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Training Community Clergy in Serious Illness: Balancing Faith and Medicine. J Relig Health. 2018 Aug; 57(4):1413-1427.
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The Spiritual Event of Serious Illness. J Pain Symptom Manage. 2018 11; 56(5):816-822.
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Supportive Care in Lung Cancer: Improving Value in the Era of Modern Therapies. Am Soc Clin Oncol Educ Book. 2018 May 23; 38:716-725.
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Patterns of symptom control and palliative care-focused original research articles in the International Journal of Radiation Oncology *Biology* Physics and the Radiotherapy and Oncology Journal, 2005-2014. Ann Palliat Med. 2018 Apr; 7(2):249-255.
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Assessing the utility of the spinal instability neoplastic score (SINS) to predict fracture after conventional radiation therapy (RT) for spinal metastases. Pract Radiat Oncol. 2018 Sep - Oct; 8(5):e285-e294.
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Palliative Radiation Therapy for Recurrent Ovarian Cancer: Efficacy and Predictors of Clinical Response. Int J Gynecol Cancer. 2018 01; 28(1):43-50.
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Spiritual Care in Medicine-Reply. JAMA. 2017 12 26; 318(24):2496.
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Impact of a clinical pathway tool on appropriate palliative radiation therapy for bone metastases. Pract Radiat Oncol. 2018 Jul - Aug; 8(4):266-274.
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Impact of a dedicated palliative radiation oncology service on the use of single fraction and hypofractionated radiation therapy among patients with bone metastases. Ann Palliat Med. 2018 Apr; 7(2):186-191.
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Assessing the utility of a prognostication model to predict 1-year mortality in patients undergoing radiation therapy for spinal metastases. Spine J. 2018 06; 18(6):935-940.
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Clinical outcomes and toxicity following palliative radiotherapy for childhood cancers. Pediatr Blood Cancer. 2018 Jan; 65(1).
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The Views of Clergy Regarding Ethical Controversies in Care at the End of Life. J Pain Symptom Manage. 2018 01; 55(1):65-74.e9.
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Update on Spinal Cord Compression for the Palliative Care Clinician. J Pain Symptom Manage. 2017 09; 54(3):394-399.
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Health and Spirituality. JAMA. 2017 Aug 08; 318(6):519-520.
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State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions. J Pain Symptom Manage. 2017 09; 54(3):441-453.
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State of the Science of Spirituality and Palliative Care Research Part I: Definitions, Measurement, and Outcomes. J Pain Symptom Manage. 2017 09; 54(3):428-440.
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State of the Science of Spirituality and Palliative Care Research: Research Landscape and Future Directions. J Pain Symptom Manage. 2017 09; 54(3):426-427.
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Radiation and PD-1 inhibition: Favorable outcomes after brain-directed radiation. Radiother Oncol. 2017 07; 124(1):98-103.
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Burden of palliative care issues encountered by radiation oncologists caring for patients with advanced cancer. Pract Radiat Oncol. 2017 Nov - Dec; 7(6):e517-e524.
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Seeking and Accepting: U.S. Clergy Theological and Moral Perspectives Informing Decision Making at the End of Life. J Palliat Med. 2017 10; 20(10):1059-1067.
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Radiation oncology resident palliative education. Pract Radiat Oncol. 2017 Nov - Dec; 7(6):e439-e448.
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Multicenter Evaluation of the Tolerability of Combined Treatment With PD-1 and CTLA-4 Immune Checkpoint Inhibitors and Palliative Radiation Therapy. Int J Radiat Oncol Biol Phys. 2017 06 01; 98(2):344-351.
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U.S. Clergy Religious Values and Relationships to End-of-Life Discussions and Care. J Pain Symptom Manage. 2017 06; 53(6):999-1009.
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Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update. J Clin Oncol. 2017 Jan; 35(1):96-112.
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Attitudes of radiation oncologists toward palliative and supportive care in the United States: Report on National Membership Survey by the American Society for Radiation Oncology (ASTRO). J Clin Oncol. 2016 Oct 09; 34(26_suppl):105.
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Acute pain management in radiation oncology: Quality of care and the impact of an integrated palliative oncology service. J Clin Oncol. 2016 Oct 09; 34(26_suppl):195.
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Patterns of symptom control and palliative care-focused original research articles in major radiation oncology journals. J Clin Oncol. 2016 Oct 09; 34(26_suppl):216.
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Development and implementation of a clinical pathway for radiation of bone metastases on a palliative radiation oncology service. J Clin Oncol. 2016 Oct 09; 34(26_suppl):170.
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Developing a Medical School Curriculum for Psychological, Moral, and Spiritual Wellness: Student and Faculty Perspectives. J Pain Symptom Manage. 2016 11; 52(5):727-736.
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Attitudes of radiation oncologists toward palliative and supportive care in the United States: Report on national membership survey by the American Society for Radiation Oncology (ASTRO). Pract Radiat Oncol. 2017 Mar - Apr; 7(2):113-119.
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Palliative radiation therapy for bone metastases: Update of an ASTRO Evidence-Based Guideline. Pract Radiat Oncol. 2017 Jan - Feb; 7(1):4-12.
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Student and Faculty Reflections of the Hidden Curriculum. Am J Hosp Palliat Care. 2017 Feb; 34(1):57-63.
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Palliative Radiation Oncology: Moving Beyond the Single Fraction. Int J Radiat Oncol Biol Phys. 2016 Jan 01; 94(1):48-50.
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How Community Clergy Provide Spiritual Care: Toward a Conceptual Framework for Clergy End-of-Life Education. J Pain Symptom Manage. 2016 Apr; 51(4):673-681.
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Developing a conceptual framework of optimal spiritual care: Clergy perspectives. J Clin Oncol. 2015 Oct 10; 33(29_suppl):234.
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Clergy religious beliefs and ICU utilization at the end of life. J Clin Oncol. 2015 Oct 10; 33(29_suppl):223.
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Religion, Spirituality, and the Intensive Care Unit: The Sound of Silence. JAMA Intern Med. 2015 Oct; 175(10):1669-70.
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Evaluation of initial setup accuracy and intrafraction motion for spine stereotactic body radiation therapy using stereotactic body frames. Pract Radiat Oncol. 2016 Jan-Feb; 6(1):e17-24.
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Clergy Views on a Good Versus a Poor Death: Ministry to the Terminally Ill. J Palliat Med. 2015 Dec; 18(12):1000-7.
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Rapid access palliative radiation therapy programs: an efficient model of care. Future Oncol. 2015; 11(17):2417-26.
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A review of the trials which examine early integration of outpatient and home palliative care for patients with serious illnesses. Ann Palliat Med. 2015 Jul; 4(3):99-121.
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Adverse Outcomes After Palliative Radiation Therapy for Uncomplicated Spine Metastases: Role of Spinal Instability and Single-Fraction Radiation Therapy. Int J Radiat Oncol Biol Phys. 2015 Oct 01; 93(2):373-81.
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A systematic evaluation of abscopal responses following radiotherapy in patients with metastatic melanoma treated with ipilimumab. Oncoimmunology. 2015 Nov; 4(11):e1046028.
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Religion, Spirituality, and the Hidden Curriculum: Medical Student and Faculty Reflections. J Pain Symptom Manage. 2015 Oct; 50(4):507-15.
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Transcending differences to study the transcendent: an exploratory study of researchers' and chaplains' reflections on interdisciplinary spiritual care research collaboration. BMC Palliat Care. 2015 Apr 18; 14:12.
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Teaching health care providers to provide spiritual care: a pilot study. J Palliat Med. 2015 May; 18(5):408-14.
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Postoperative radiation therapy for osseous metastasis: Outcomes and predictors of local failure. Pract Radiat Oncol. 2015 Sep-Oct; 5(5):e531-e536.
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The Supportive and Palliative Radiation Oncology Service: A Dedicated Model for Palliative Radiation Oncology Care. J Adv Pract Oncol. 2015 Mar-Apr; 6(2):135-40.
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Whose role? Oncology practitioners' perceptions of their role in providing spiritual care to advanced cancer patients. Support Care Cancer. 2015 Sep; 23(9):2543-50.
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Quality of Life and Cost of Care at the End of Life: The Role of Advance Directives. J Pain Symptom Manage. 2015 May; 49(5):828-35.
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Palliative care issues encountered by radiation oncologists caring for advanced cancer patients. J Clin Oncol. 2014 Nov; 32(31_suppl):14.
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Examining Forms of Spiritual Care Provided in the Advanced Cancer Setting. Am J Hosp Palliat Care. 2015 Nov; 32(7):750-7.
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Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer. Psychooncology. 2014 Aug; 23(8):936-45.
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Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manage. 2014 Sep; 48(3):400-10.
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Supportive and palliative radiation oncology service: impact of a dedicated service on palliative cancer care. Pract Radiat Oncol. 2014 Jul-Aug; 4(4):247-53.
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How radiation oncologists evaluate and incorporate life expectancy estimates into the treatment of palliative cancer patients: a survey-based study. Int J Radiat Oncol Biol Phys. 2013 Nov 01; 87(3):471-8.
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Predicting life expectancy in patients with metastatic cancer receiving palliative radiotherapy: the TEACHH model. Cancer. 2014 Jan 01; 120(1):134-41.
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Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Intern Med. 2013 Jun 24; 173(12):1109-17.
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Predicting life expectancy in patients with advanced incurable cancer: a review. J Support Oncol. 2013 Jun; 11(2):68-74.
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Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses, and physicians and the role of training. J Clin Oncol. 2013 Feb 01; 31(4):461-7.
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SU-E-T-401: Evaluation of Initial Setup Accuracy and Intra-Fraction Motion for Spine SBRT Using Stereotactic Body Frames. Med Phys. 2012 Jun; 39(6Part16):3796.
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Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with advanced illness. Curr Opin Support Palliat Care. 2012 Jun; 6(2):269-74.
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Addressing spirituality within the care of patients at the end of life: perspectives of patients with advanced cancer, oncologists, and oncology nurses. J Clin Oncol. 2012 Jul 10; 30(20):2538-44.
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Treatment of oropharyngeal squamous cell carcinoma with IMRT: patterns of failure after concurrent chemoradiotherapy and sequential therapy. Ann Oncol. 2012 Sep; 23(9):2391-2398.
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Barriers to the implementation of surveillance for stage I testicular seminoma. Int J Radiat Oncol Biol Phys. 2012 Oct 01; 84(2):383-9.
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American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol. 2012 Mar 10; 30(8):880-7.
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The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol. 2012 Mar-Apr; 10(2):81-7.
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The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings. J Palliat Med. 2011 Sep; 14(9):1022-8.
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What leads to better quality of life at the end of life? J Clin Oncol. 2011 May 20; 29(15_suppl):9040.
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Support of cancer patients' spiritual needs and associations with medical care costs at the end of life. Cancer. 2011 Dec 01; 117(23):5383-91.
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Treatment of oral cavity squamous cell carcinoma with adjuvant or definitive intensity-modulated radiation therapy. Int J Radiat Oncol Biol Phys. 2011 Nov 15; 81(4):e215-22.
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Religious coping and behavioral disengagement: opposing influences on advance care planning and receipt of intensive care near death. Psychooncology. 2012 Jul; 21(7):714-23.
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"It depends": viewpoints of patients, physicians, and nurses on patient-practitioner prayer in the setting of advanced cancer. J Pain Symptom Manage. 2011 May; 41(5):836-47.
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Support of Cancer Patients' Spiritual Needs and Associations with Medical Care Costs at the End of Life (419-C). J Pain Symptom Manage. 2011 Jan; 41(1):243-4.
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The interface between oncology and palliative care: identifying opportunities for oncology palliative care collaboration in palliative care consultation (401). J Pain Symptom Manage. 2011 Jan; 41(1):219.
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Efficacy and toxicity of chemoradiotherapy using intensity-modulated radiotherapy for unknown primary of head and neck. Int J Radiat Oncol Biol Phys. 2011 Aug 01; 80(5):1405-11.
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Salivary gland tumors treated with adjuvant intensity-modulated radiotherapy with or without concurrent chemotherapy. Int J Radiat Oncol Biol Phys. 2012 Jan 01; 82(1):308-14.
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Efficacy and toxicity of reirradiation using intensity-modulated radiotherapy for recurrent or second primary head and neck cancer. Cancer. 2010 Oct 15; 116(20):4761-8.
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Influence of patients' preferences and treatment site on cancer patients' end-of-life care. Cancer. 2010 Oct 01; 116(19):4656-63.
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Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers' mental health. J Clin Oncol. 2010 Oct 10; 28(29):4457-64.
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Incidence and treatment patterns in hospitalizations for malignant spinal cord compression in the United States, 1998-2006. Int J Radiat Oncol Biol Phys. 2011 Jul 01; 80(3):824-31.
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The influence of age on the likelihood of receiving end-of-life care consistent with patient treatment preferences. J Palliat Med. 2010 Jun; 13(6):719-26.
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"If God wanted me yesterday, I wouldn't be here today": religious and spiritual themes in patients' experiences of advanced cancer. J Palliat Med. 2010 May; 13(5):581-8.
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Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death. J Clin Oncol. 2010 Jan 20; 28(3):445-52.
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Racial differences in predictors of intensive end-of-life care in patients with advanced cancer. J Clin Oncol. 2009 Nov 20; 27(33):5559-64.
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Phase I study of C-TPF in patients with locally advanced squamous cell carcinoma of the head and neck. J Clin Oncol. 2009 Sep 20; 27(27):4448-53.
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Personalized end-of-life care: Associations between patient preferences and treatment intensity near death. J Clin Oncol. 2009 May 20; 27(15_suppl):6516.
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Spiritual support of patients with advanced illness and associations with end-of-life care and quality of death. J Clin Oncol. 2009 May 20; 27(15_suppl):9514.
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Coping with cancer: Associations between coping methods and use of intensive life-prolonging care near death. J Clin Oncol. 2009 May 20; 27(15_suppl):9575.
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Predictors of aggressive end-of-life care among Hispanic and white advanced cancer patients. J Clin Oncol. 2009 May 20; 27(15_suppl):9538.
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Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. JAMA. 2009 Mar 18; 301(11):1140-7.
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Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008 Oct 08; 300(14):1665-73.
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Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgment, religiousness, and treatment preferences. J Clin Oncol. 2008 Sep 01; 26(25):4131-7.
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Peace, Equanimity, and Acceptance in the Cancer Experience (PEACE): validation of a scale to assess acceptance and struggle with terminal illness. Cancer. 2008 Jun; 112(11):2509-17.
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Needs and perceptions of spiritual care among advanced cancer patients. J Clin Oncol. 2008 May 20; 26(15_suppl):9560.
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Understanding the role of ethnic status in Intensive Care Unit (ICU) deaths among advanced cancer patients. J Clin Oncol. 2008 May 20; 26(15_suppl):6506.
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Cetuximab added to docetaxel, cisplatin, 5-fluorouracil Induction chemotherapy (C-TPF) in patients with newly diagnosed locally advanced head and neck cancer: A phase I study. J Clin Oncol. 2008 May 20; 26(15_suppl):6001.
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Understanding the role of ethnic status in Intensive Care Unit (ICU) deaths among advanced cancer patients. Journal of Clinical Oncology. 2008; in press.

Needs and perceptions of spiritual care among advanced cancer patients. Journal of Clinical Oncology. 2008; in press..

Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007 Feb 10; 25(5):555-60.
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Academic career selection and retention in radiation oncology: the Joint Center for Radiation Therapy experience. Int J Radiat Oncol Biol Phys. 2007 May 01; 68(1):183-6.
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Shielding of the hip prosthesis during radiation therapy for heterotopic ossification is associated with increased failure of prophylaxis. Int J Radiat Oncol Biol Phys. 2007 Apr 01; 67(5):1499-505.
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Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of Clinical Oncology. 2007; 25(5):555-560.

The Rebirth of the Clinic: An Introduction to Spirituality in Health Care [Book Review]. Journal of Palliative Medicine. 2007.

Heterotopic ossification: Pathophysiology, clinical features, and the role of radiotherapy for prophylaxis. Int J Radiat Oncol Biol Phys. 2006 Aug 01; 65(5):1289-99.
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It Was Sunday. The Soul of A Doctor: Harvard Medical Students Face Life and Death. 2006.

Heterotopic ossficication: Pathophysiology, clinical features, and the role of radiotherapy for prophylaxis. International Journal of Radiation Oncology Biology Physics. 2006; 65(5):1289-99.

Shielding of the acetabulum during radition therapy for heterotopic ossification is associated with increased failure of prophylaxis. International Journal of Radiation Oncology, Biology, Physics. 2006; 66(3):S510-511.

Radiation Therapy for the Prevention of Heterotopic Ossification (HO) in Patients Undergoing Joint Surgery: Timing of Radiation Therapy and Risk Factors for Failure of Prophylaxis. International Journal of Radiation Oncology, Biology Physics. 2005; 63(Supplement 1):S431.

Resident resource corner. It was Sunday. Curr Surg. 2002 Jan-Feb; 59(1):84-5.
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It Was Sunday. Current Surgery. 2002; 59(1):84-85.

Comparison of effect of intensive lipid lowering with atorvastatin to less intensive lowering with lovastatin on C-reactive protein in patients with stable angina pectoris and inducible myocardial ischemia. American Journal of Cardiology. 2002; 89(10):1205-1207.

Low density lipoprotein reduction is associated with C-reactive protein decline in patients with stable coronary disease: The vascular basis study. Journal of the American College of Cardiology. 2001; 37(2):A257.

A Dying Art. Current Surgery. 2001; 58(5):496-497.

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