Rebecca Sudore, MD

Professor in Residence

OVERVIEW:
Dr. Rebecca Sudore is a geriatrician, palliative medicine physician, implementation scientist, and clinician investigator. She also directs the Innovation and Implementation Center in Aging & Palliative Care and the Vulnerable Aging Research Core of the NIA-funded Pepper Center.

RESEARCH ACTIVITIES:
Dr. Sudore has dedicated her research career to making medical information easier for patients and their families to understand. Specifically, she conducts research to improve advance care planning (ACP) and medical decision-making for culturally and ethnically diverse older adults. To this end, she has designed, tested, and disseminated innovative, person-centered tools, including an online care planning program (PREPAREforYourCare.org) in English and Spanish; the PREPARE easy-to-read, values-based advance directives (available for all US states in several languages); and the PREPARE for THEIR Care caregiver program. She is also dedicated to mentoring the next generation of geriatrics and palliative care researchers.

CLINICAL ACTIVITIES:
For over two decades, Dr. Sudore provided primary care to vulnerable, older Veterans in the Geriatrics clinic at the San Francisco VA Medical Center. She also continues to attend on the inpatient Palliative Care Service at the San Francisco VA where she provides supportive care to people with serious illnesses and their families and supervises and instructs trainees.

Education
Certificate in Implementation Science, 2013 - CTSI, University of California, San Francisco
Advance Training in Clinical Research, 2004 - School of Medicine, University of California, San Francisco
Geriatrics Clinical Fellowship, 2003 - School of Medicine, University of California, San Francisco
Residency, 2002 - School of Medicine, University of California, San Francisco
M.D., 1999 - School of Medicine, University of California, San Francisco
Honors and Awards
  • Academic Senate Distinction In Mentoring Award, UCSF, 2024
  • Excellence in Scientific Research in Palliative Care, American Academy of Hospice and Palliative Care, 2020
  • Induction into the American Society for Clinical Investigation, ASCI, 2016
  • Outstanding Scientific Achievement for Clinical Investigation, American Geriatrics Society, 2015
  • Junior Investigator of the Year, Society of General Internal Medicine, 2012
  • Physician Faculty Scholar, RWJ, 2009-2012
  • Junior Investigator of the Year, American Geriatrics Society, 2009
Websites
Publications
  1. Suen AO, Sullivan DR, Iyer A, Smirnova N, Singer JP, Sudore RL, Kotwal A. Supplemental Oxygen Use and High Intensity End-of-Life Healthcare Utilization in Older Adults with COPD. Annals of the American Thoracic Society 2026. PMID: 42503174


  2. Brown C, Ford T, Hernandez R, Aksan N, Brooke E, Pignone M, Muir AJ, Sudore RL. Evidence-Based Frameworks Increase Engagement in Serious Illness Communication Conversations for Patients With Cirrhosis. The American journal of hospice & palliative care 2026. PMID: 42283195


  3. Nouri S, Lyles CR, Zapata C, Martinez R, Gonzalez J, Le V, Wang Y, Quinn M, Huang C, Perez-Vaughan C, Pantilat SZ, Ritchie CS, Sudore RL. "We Talk About Everything": Experiences with Digital Health Communication in Palliative Care. Journal of palliative medicine 2026. PMID: 42099245


  4. Welton L, Sudore RL, Botsford C, O'Brien S, Carmichael JC, Melton GB, Wick E. Surgical Advance Care Planning: Initial Validation of Patient Portal Messages for a Multisite Randomized Controlled Trial. Joint Commission journal on quality and patient safety 2026. PMID: 42082386


  5. Crowley F, Belin S, Wang T, Applebaum A, Ferrell B, Flowers R, Sudore R, White D, Crowley-Makota M, Hammes B, Arnold R, Schenker Y. Advance Care Planning Impact on Caregivers and End-of-life Care in Advanced Cancer. Journal of the National Cancer Institute 2025. PMID: 41233979


  6. Nouri S, Pantilat SZ, Ritchie CS, Shi Y, O'Riordan D, Boscardin J, Lyles CR, Sudore RL. Impact of Virtual vs. In-person Palliative Care on Symptom Burden: A Multisite Cohort Study. Journal of pain and symptom management 2026. PMID: 41905726


  7. Ma JE, Piscitello G, Schell J, Lyons K, Arnold RM, Eckert E, Kross EK, Gibbs LM, Gonzales MJ, Kantor M, Moore N, Nouri S, Rabow MW, Schenker Y, Sudore RL, Unger D, Walling AM, Wenger N, White PH, Casarett D. Core Elements of Goals of Care Initiatives Across Eight Health Systems. Journal of pain and symptom management 2026. PMID: 41548727


  8. Piscitello G, Ma JE, Shah N, Schenker Y, Eckert E, Odom DC, Nouri S, Rabow MW, Sudore RL, Gonzales MJ, Kross EK, Merel SE, Arnold RM, Casarett D, Schell J. Differences in Goals of Care and Advance Care Planning Note Templates. Journal of pain and symptom management 2026. PMID: 41512974


  9. Patel AA, Walling AM, Sudore RL, Tseng CH, Hays RD, Rahimi M, Gibbs L, Wenger NS. Advance Directive Completion Among Community-Dwelling Adults with Decompensated Cirrhosis. Digestive diseases and sciences 2025. PMID: 41455037


  10. Uwamahoro P, Girukubonye I, Bigirimana JB, Shyirambere C, Van Loon K, Sudore RL, Sanders JJ, Cubaka VK, DeBoer RJ. Correction: Setting the stage for communication skills training in Rwandan cancer care: a qualitative study of local priorities and key contextual factors. BMC palliative care 2025. PMID: 41372995


  11. Walling AM, Sudore RL, Gibbs L, Rahimi M, Hays RD, Tseng CH, Patel K, Santos K, Sanz Vidorreta FJ, Chau AJ, Antonio Lopez JC, Anand J, Marshall GR, DePaolis-Dickey A, Buen KI, Bell DS, Ritchie CS, Gonzalez V, Wenger NS. Interventions to Improve Advance Care Planning Documentation in the Electronic Health Record : A Cluster Randomized Trial. Annals of internal medicine 2025. PMID: 41285010


  12. Randa SN, Nouri S, Walling AM, Patel K, Cheng MKW, Ritchie CS, Li B, Vanegas G, Cardoso E, Sudore RL. Errors in Electronic Health Record Advance Care Planning Documentation: It's a Patient Safety Issue. Journal of palliative medicine 2025. PMID: 41269761


  13. Nouri S, Davila C, Chan SH, Feltz B, Gosline A, Sudore RL, Ritchie CS. Advance Care Planning Motivators Among Adults With Serious Illness. JAMA network open 2025. PMID: 41186945


  14. DeBoer RJ, Uwamahoro P, Ndoli DA, Rugengamanzi E, Mulindabigwi A, Bigirimana JB, Musafiri T, Slater SE, Van Loon K, Sudore RL, Anderson WG, Sanders JJ, Cubaka VK. Adaptation of a serious illness communication training intervention for the Rwandan context. Journal of pain and symptom management 2025. PMID: 41135916


  15. Uwamahoro P, Girukubonye I, Bigirimana JB, Shyirambere C, Van Loon K, Sudore RL, Sanders JJ, Cubaka VK, DeBoer RJ. Setting the stage for communication skills training in Rwandan cancer care: a qualitative study of local priorities and key contextual factors. BMC palliative care 2025. PMID: 41029628


  16. Farro SA, Juarez-Colunga E, Patel C, Bettcher BM, Haynes CA, Huebschmann AG, Nowels D, Tietbohl CK, Shi J, Ritger C, Shanbhag P, Resman K, Sudore RL, Lum HD. Engaging English- and Spanish-speaking older adults with and without possible cognitive impairment in advance care planning group visits: protocol for the ENgaging in Advance Care Planning Talks (ENACT) randomized controlled trial. Trials 2025. PMID: 40999430


  17. Wang Y, Sudore RL, Zapata C, Martinez R, Gonzalez J, Le V, Quinn M, Huang C, Perez-Vaughan C, Pantilat SZ, Lyles CR, Ritchie CS, Nouri S. Telehealth Care for People With Serious Illnesses and Preferred Languages Other Than English. JAMA network open 2025. PMID: 40900593


  18. Shah MP, Wenger NS, Glaspy J, Hays RD, Sudore RL, Rahimi M, Gibbs L, Anand S, Tseng CH, Walling AM. Patient-reported discordance between care goals and treatment intent in advanced cancer. Cancer 2025. PMID: 40851410


  19. Rak KJ, Indralingam R, Richardson A, Dhole N, Belin S, Cadavid MCL, Zhou Y, Booth G, Hammes B, Ferrell B, White DB, Arnold RM, Sudore RL, Crowley-Matoka M, Schenker Y. Factors influencing engagement with patient-directed and facilitated advance care planning interventions for patients with advanced cancer. Cancer 2025. PMID: 40772524


  20. D'Ambruoso SF, Walling AM, Wenger NS, Sudore RL, Gibbs L, Rahimi M, Hays RD. Associations of Patient Experience With Doctor-Patient Communication and Patient-Reported Physical and Mental Health in Seriously Ill Adults. Journal of Patient Experience 2025. PMID: 40823338


  21. Yamarik RL, Cacciata M, Chen JLT, Ballard-Hernandez J, Gupta P, Pirverdian A, Tonthat S, Fernandez J, Sudore RL. Feasibility of Nurse-Facilitated Advance Care Planning Among Older Veterans in a Dialysis Unit and an Oncology Infusion Center. Military medicine 2024. PMID: 39212935


  22. Shi B, Fang MC, Sudore RL, Lyndon A, Bongiovanni T, Harrison JD. Resident Physician Experiences of Discharging Hospitalized Older Adults to Skilled Nursing Facilities. Journal of the American Geriatrics Society 2025. PMID: 40576754


  23. Lum H, Farro S, Juarez-Colunga E, Patel C, Bettcher B, Haynes C, Huebschmann A, Nowels D, Tietbohl C, Shi J, Ritger C, Shanbhag P, Resman K, Sudore R. Engaging English- and Spanish-speaking older adults with and without possible cognitive impairment in advance care planning group visits: Protocol for the ENgaging in Advance Care Planning Talks (ENACT) Randomized Controlled Trial. Research square 2025. PMID: 40585266


  24. Ouchi K, Block SD, Rentz DM, Berry DL, Oelschlager H, Shiozawa Y, Rossmassler S, Berger AL, Hasdianda MA, Wang W, Boyer E, Sudore RL, Tulsky JA, Schonberg MA. Serious Illness Conversations in the Emergency Department for Older Adults With Advanced Illnesses: A Randomized Clinical Trial. JAMA network open 2025. PMID: 40531532


  25. Harrison JD, Fang MC, Sudore RL, Auerbach AD, Bongiovanni T, Lyndon A. 'They Were Talking to Each Other but Not to Me': Examining the Drivers of Patients' Poor Experiences During the Transition From the Hospital to Skilled Nursing Facility. Health expectations : an international journal of public participation in health care and health policy 2025. PMID: 40296382


  26. Haimovich AD, Numata K, Wolozin J, Foroohar Z, Ottanelli C, Burke RC, Kross EK, Sudore RL, Shapiro NI, Schonberg MA, Ouchi K. Advance Care Planning Engagement of Older Adults in the Emergency Department. The American journal of hospice & palliative care 2025. PMID: 40271984


  27. Lee AK, Mejia JJ, Ferguson C, Li BH, Grant RW, Sudore RL. Expanded care planning paradigm for older adults with type 2 diabetes: Rationale, design, and protocol of the PREPARE for Your Diabetes Care randomized trial. Contemporary clinical trials 2025. PMID: 40222399


  28. DeBoer RJ, Wabl CA, Mushi BP, Uwamahoro P, Athanas R, Ndoli DA, Rugengamanzi E, Ngoma M, Tuyishime H, Mtei D, Nsabimana N, Van Loon K, Sanders JJ, Sudore RL, Cubaka VK. A scoping review of clinical communication in cancer care in Africa. The oncologist 2025. PMID: 40212023


  29. Schenker Y, Belin SC, Wang T, Sudore RL, Hammes B, Arnold RM, Flowers R, Chiu E, Hall J, Dudley-Morrissey Y, Ferrell B, Crowley-Matoka M, Brufsky A, Chu E, Gorantla V, Mehta D, Thomas R, Yee M, White D. Facilitated Versus Patient-Directed Advance Care Planning Among Patients With Advanced Cancer: A Randomized Clinical Trial. JCO oncology practice 2025. PMID: 40106743


  30. Davila C, Nouri S, Chan SH, Feltz B, Gosline A, Arenas Z, Kavanagh J, Paladino J, Dow LA, Jackson VA, Sudore R, Ritchie CS, Lindenberger E. Perceptions of Patient-Clinician Communication Among Adults With and Without Serious Illness. JAMA network open 2025. PMID: 40063024


  31. van der Steen JT, Van den Block L, Nakanishi M, Harrison Dening K, Parker D, Larkin P, Giulio PD, In der Schmitten J, Sudore RL, Mimica N, Holmerova I, Martins Pereira S, Korfage IJ, European Association for Palliative Care (EAPC). Optimizing Advance Care Planning in Dementia: Recommendations From a 33-Country Delphi Study. Journal of pain and symptom management 2025. PMID: 40032035


  32. Li L, Li BH, Ferguson C, Powell J, Volow AM, Santoyo-Olsson J, Harris HA, Kinderman A, Levenberg P, Long J, Smith A, Torke AM, Barnes DE, Sudore RL. Preparing Surrogates for Decision-Making: Development and Pilot Testing of PREPARE For THEIR Care. Journal of pain and symptom management 2025. PMID: 39788302


  33. Nouri S, Pantilat SZ, Ritchie CS, Lyles CR, Shi Y, O'Riordan D, Boscardin J, Sudore RL. Quality of Virtual versus In-Person Outpatient Palliative Care: Disparities by Language and Race. Journal of pain and symptom management 2025. PMID: 39756664


  34. Suen AO, Iyer AS, Cenzer I, Singer JP, Smith A, Sudore RL, Kotwal A. Social Isolation and Mortality in Adults With Chronic Obstructive Pulmonary Disease. JAMA internal medicine 2024. PMID: 39495506


  35. Hashimoto T, Putman RK, Massaro AF, Shiozawa Y, McGough K, McCabe KK, Linden JA, Wang W, Liu SW, Kennedy M, Neville TH, Kruser JM, Sudore RL, Schonberg MA, Tulsky JA, Ouchi K. Study protocol for a randomized controlled trial: Integrating the 'Time-limited Trial' in the emergency department. PloS one 2024. PMID: 39715103


  36. Walling AM, Wenger NS, Chau AJ, Reihm J, Gibbs L, Rahimi M, Hays RD, Sudore RL. Standard HIPAA Authorization Forms Decreased Response Rates for a Multi-site Pragmatic Trial. Journal of general internal medicine 2024. PMID: 39438380


  37. van der Steen JT, de Wit EJ, Visser M, Nakanishi M, Van den Block L, Korfage IJ, In der Schmitten J, Sudore RL. How international experts would define advance care planning: a content analysis. Annals of palliative medicine 2024. PMID: 39308165


  38. Brown C, Khan S, Parekh TM, Muir AJ, Sudore RL. Barriers and Strategies to Effective Serious Illness Communication for Patients with End-Stage Liver Disease in the Intensive Care Setting. Journal of intensive care medicine 2024. PMID: 39247992


  39. McMahan RD, Sudore RL. Making advance care planning easier for adults with kidney disease and their clinicians. Nature reviews. Nephrology 2024. PMID: 39090389


  40. Suen AO, Bischoff K, Iyer AS, Radhakrishnan K, Fenton C, Singer JP, Sudore RL, Kotwal A, Farrand E. Differences in Healthcare and Palliative Care Utilization at the End of Life: a Comparison Study Between Lung Cancer, COPD, and IPF. Chest 2024. PMID: 39186972


  41. Ferguson CM, Gilissen J, Scheerens C, Volow A, Powell J, Shi Y, McMahan R, Barnes D, Sudore RL. Action plans increase advance care planning documentation and engagement among English and Spanish-speaking older adults. Journal of the American Geriatrics Society 2024. PMID: 39126153


  42. Bekelman DB, Giannitrapani K, Linn KA, Langner P, Sudore RL, Rabin B, Lorenz KA, Foglia MB, Glickman A, Pawlikowski S, Sloan M, Gamboa RC, McCaa MD, Hines A, Walling AM. Increasing goals of care conversations in primary care: Study protocol for a cluster randomized, pragmatic, sequential multiple assignment randomized trial. Contemporary clinical trials 2024. PMID: 39074531


  43. Growdon ME, Hunt LJ, Miller MJ, Halim M, Karliner LS, Gonzales R, Sudore RL, Steinman MA, Harrison KL. eConsultation for Deprescribing Among Older Adults: Clinician Perspectives on Implementation Barriers and Facilitators. Journal of general internal medicine 2024. PMID: 38941059


  44. Colley A, Valderrama A, Tang V, Pierce L, Sudore RL, Wick EC. Health Care Navigators for Perioperative Advance Care Planning. JAMA network open 2024. PMID: 38888926


  45. Barnes DE, Jiang F, Benjamin C, Lee JA, Sudore RL, Mehling WE, Chesney MA, Chao LL, Nicosia FM. Livestream, group movement program for people living with cognitive impairment and care partners: A randomized clinical trial. Alzheimer's & dementia (New York, N. Y.) 2024. PMID: 38698931


  46. Jain S, Gan S, Nguyen OK, Sudore RL, Steinman MA, Covinsky K, Makam AN. Survival, Function, and Cognition After Hospitalization in Long-Term Acute Care Hospitals. JAMA network open 2024. PMID: 38805226


  47. Chau AJ, Hays R, Walling AM, Gibbs L, Rahimi M, Sudore RL, Wenger NS, UC Health Care Planning Study Investigators. Assessing Representativeness of Seriously Ill Patient Survey Responders in a Pragmatic Clinical Trial. Ethnicity & disease 2024. PMID: 38845734


  48. Nakanishi M, Martins Pereira S, Van den Block L, Parker D, Harrison-Dening K, Di Giulio P, In der Schmitten J, Larkin PJ, Mimica N, Sudore RL, Holmerová I, Korfage IJ, van der Steen JT, European Association for Palliative Care. Future policy and research for advance care planning in dementia: consensus recommendations from an international Delphi panel of the European Association for Palliative Care. The lancet. Healthy longevity 2024. PMID: 38608695


  49. Tietbohl CK, Ritger C, Jordan S, Shanbhag P, Sudore RL, Lum HD. A Mixed-Methods Comparison of Interventions to Increase Advance Care Planning. Journal of the American Board of Family Medicine : JABFM 2024. PMID: 38740474


  50. Umberfield EE, Fields MC, Lenko R, Morgan TP, Adair ES, Fromme EK, Lum HD, Moss AH, Wenger NS, Sudore RL, Hickman SE. An Integrative Review of the State of POLST Science: What Do We Know and Where Do We Go? Journal of the American Medical Directors Association 2024. PMID: 38395413


  51. Colley A, Broering J, Lee K, Lin JA, Pierce L, Finlayson E, Sudore RL, Wick EC. "It Gives Me Peace of Mind So I Can Focus on Healing": Views on Advance Care Planning for Older Surgical Patients. Journal of palliative medicine 2024. PMID: 38386513


  52. Li L, Barnes DE, Nouri S, Shi Y, Volow AM, Feuz M, Li BH, Sudore RL. Surrogate decision-makers from historically marginalized populations have lower levels of preparedness for care planning. Journal of the American Geriatrics Society 2024. PMID: 38193805


  53. McMahan RD, Hickman SE, Sudore RL. What Clinicians and Researchers Should Know About the Evolving Field of Advance Care Planning: a Narrative Review. Journal of general internal medicine 2024. PMID: 38169025


  54. Sheshadri A, Elia JR, Garcia G, Abrams G, Adey DB, Lai JC, Sudore RL. Barriers and Facilitators to Exercise in Older Adults Awaiting Kidney Transplantation and Their Care Partners. Kidney Medicine 2023. PMID: 38419789


  55. Suen AO, Iyer AS, Cenzer I, Farrand E, White DB, Singer J, Sudore R, Kotwal A. National Prevalence of Social Isolation and Loneliness in Adults with Chronic Obstructive Pulmonary Disease. Annals of the American Thoracic Society 2023. PMID: 37463307


  56. Shaw NM, Breyer BN, Walter LC, Sudore RL, Suskind AM, Baussan C, Quanstrom K, Allen IE, Cooperberg MR, Dohan D, Hampson LA. How older men live with stress urinary incontinence: Patient experience and navigation to treatment. Neurourology and Urodynamics 2023. PMID: 38014566


  57. van der Steen JT, Nakanishi M, Van den Block L, Di Giulio P, Gonella S, In der Schmitten J, Sudore RL, Harrison Dening K, Parker D, Mimica N, Holmerova I, Larkin P, Martins Pereira S, Rietjens JAC, Korfage IJ, European Association for Palliative Care (EAPC). Consensus definition of advance care planning in dementia: A 33-country Delphi study. Alzheimer's & dementia : the journal of the Alzheimer's Association 2023. PMID: 37985444


  58. Ouchi K, Prachanukool T, Aaronson EL, Lakin JR, Higuchi M, Liu SW, Kennedy M, Revette AC, Chary AN, Kaithamattam J, Lee B, Neville TH, Hasdianda MA, Sudore R, Schonberg MA, Tulsky JA, Block SD. The differences in code status conversation approaches reported by emergency medicine and palliative care clinicians: a mixed method study. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2023. PMID: 37814372


  59. Lin JA, Colley A, Pierce L, Finlayson E, Sudore RL, WIck EC. Clinician Review of Advanced Care Planning for Older Surgical Patients Requiring Intensive Care. Joint Commission journal on quality and patient safety 2023. PMID: 37926671


  60. Nicosia FM, Lee JA, Chesney MA, Benjamin C, Lee AN, Mehling W, Sudore RL, Barnes DE. Adaptation of an In-Person Mind-Body Movement Program for People with Cognitive Impairment or Dementia and Care Partners for Online Delivery: Feasibility, Satisfaction and Participant-Reported Outcomes. Global advances in integrative medicine and health 2023. PMID: 37745819


  61. Nouri S, Li L, Huang C, Chung A, Stokes SC, Pan S, Wong EC, Newman J, Woo JW, Cheng J, Tan CH, Wertz M, Wood-Hughes E, Quinn M, Pantilat SZ, Lyles CR, Ritchie CS, Sudore RL. "At the End I Have a Say": Engaging the Chinese Community in Advance Care Planning. Journal of pain and symptom management 2023. PMID: 37536524


  62. Mindo-Panusis D, Sudore RL, Cenzer I, Smith AK, Kotwal AA. Disparities in advance care planning among older US immigrants. Journal of the American Geriatrics Society 2023. PMID: 37431769


  63. Gelfman LP, Barnes DE, Goldstein N, Volow AM, Shi Y, Li B, Sudore RL. Quality and Satisfaction With Advance Care Planning Conversations Among English- and Spanish-Speaking Older Adults. Journal of palliative medicine 2023. PMID: 37335910


  64. Colley A, Lin J, Pierce L, Johnson C, Bongiovanni T, Finlayson E, Sudore R, Wick EC. Experiences with targeting inpatient advance care planning for emergency general surgery patients: A resident-led quality improvement project. Surgery 2023. PMID: 37183132


  65. Sudore RL, Walling AM, Gibbs L, Rahimi M, Wenger NS, UC Health Care Planning Study Team. Implementation Challenges for a Multi-site Advance Care Planning Pragmatic Trial: Lessons Learned. Journal of pain and symptom management 2023. PMID: 37098388


  66. Hays RD, Walling AM, Sudore RL, Chau A, Wenger NS. Support for Use of Consumer Assessment of Healthcare Providers and Systems Communication Items Among Seriously Ill Patients. Journal of palliative medicine 2023. PMID: 37093298


  67. Hampson LA, Shaw N, Breyer BN, Walter LC, Sudore RL, Cooperberg MR, Baussan C, Quanstrom K, Elaine Allen I, Dohan D. Patient-Identified Treatment Attributes among Older Men with Stress Urinary Incontinence: A Qualitative Look at What Matters to Patients Making Treatment Decisions. Urology 2023. PMID: 37076021


  68. Shaw NM, Nik-Ahd F, Jones C, Breyer BN, Walter LC, Sudore R, Cooperberg MR, Baussan C, Quanstrom K, Allen IE, Hampson LA. Patient decision-making for surgical treatment of post-prostatectomy stress urinary incontinence: a mixed-methods exploratory pilot study. Translational andrology and urology 2023. PMID: 37305624


  69. De Panfilis L, Veronese S, Perin M, Cascioli M, Farinotti M, Kruger P, Zagarella RM, Curtis JR, Sudore RL, Nielsen EL, Engelberg RA, Giordano A, Solari A, ConCure-SM project. Italian cross-cultural adaptation of the Quality of Communication questionnaire and the 4-item advance care planning engagement questionnaire. PloS one 2023. PMID: 36952509


  70. Hickman SE, Sudore RL, Torke AM, Tang Q, Bakoyannis G, Heim Smith N, Myers AL, Hammes BJ. POLST recall, concordance, and decision quality outcomes among nursing home residents and surrogate decision-makers. Journal of the American Geriatrics Society 2023. PMID: 36929327


  71. Pajka SE, Kushel M, Handley MA, Olsen P, Li B, Enriquez C, Kaplan L, Sudore RL. Using behavioral theory to adapt advance care planning for homeless-experienced older adults in permanent supportive housing. Journal of the American Geriatrics Society 2023. PMID: 36928791


  72. Nouri S, Quinn M, Doyle BN, McKissack M, Johnson N, Wertz M, Tan C, Pantilat SZ, Lyles CR, Ritchie CS, Sudore RL. "We've Got to Bring Information to Where People Are Comfortable": Community-Based Advance Care Planning with the Black Community. Journal of general internal medicine 2023. PMID: 36894819


  73. van der Smissen D, van Leeuwen M, Sudore RL, Koffman J, Heyland DK, van der Heide A, Rietjens JAC, Korfage IJ. Newspaper coverage of advance care planning during the COVID-19 pandemic: Content analysis. Death studies 2023. PMID: 36892315


  74. Hickman SE, Lum HD, Walling AM, Savoy A, Sudore RL. The care planning umbrella: The evolution of advance care planning. Journal of the American Geriatrics Society 2023. PMID: 36840690


  75. Medrano FJ, Fernandez AJ, Sudore RL, Kirkpatrick JN, Benda NC, Creber RM, Goyal P, Beavers C, Maurer MS, Rich MW, Alexander KP, Krishnaswami A, Geriatric Cardiology and Cardiovascular Team Councils of the American College of Cardiology. LIMITED ENGLISH PROFICIENCY IN OLDER ADULTS REFERRED TO THE CARDIOVASCULAR TEAM. The American journal of medicine 2023. PMID: 36822259


  76. Johnson CL, Colley A, Pierce L, Lin JA, Bongiovanni T, Roman S, Sudore RL, Wick E. Disparities in advance care planning rates persist among emergency general surgery patients: Current state and recommendations for improvement. The journal of trauma and acute care surgery 2023. PMID: 37218039


  77. Chau AJ, Sudore RL, Hays RD, Tseng CH, Walling AM, Rahimi M, Gibbs L, Patel K, Sanz Vidorreta FJ, Wenger NS. Telephone Outreach Enhances Recruitment of Underrepresented Seriously Ill Patients for an Advance Care Planning Pragmatic Trial. Journal of general internal medicine 2023. PMID: 36717432


  78. Nouri S, Tan CH, Rangel M, Wertz M, Sanchez A, Alvarado A, Arreola E, Quinn M, Pantilat SZ, Lyles CR, Ritchie CS, Sudore RL. "Advocating for what we need": A CBPR approach to advance care planning in the Latinx older adult community. Journal of the American Geriatrics Society 2023. PMID: 36651685


  79. Ouchi K, Lee RS, Block SD, Aaronson EL, Hasdianda MA, Wang W, Rossmassler S, Palan Lopez R, Berry D, Sudore R, Schonberg MA, Tulsky JA. An emergency department nurse led intervention to facilitate serious illness conversations among seriously ill older adults: A feasibility study. Palliative medicine 2022. PMID: 36380515


  80. Skolarus LE, Brown DL, Reynolds E, Shi Y, Volow AM, Burke JF, Sudore RL. Advance Care Planning Engagement May Increase Among Stroke Survivors: Results From the PREPARE for Your Care Trial. Stroke 2022. PMID: 36254707


  81. Rennels CF, Barnes DE, Volow A, Shi Y, Li B, Sudore RL. PREPARE for your care and easy-to-read advance directives increase real-time goal concordant care. Journal of the American Geriatrics Society 2022. PMID: 36214201


  82. Prachanukool T, Block SD, Berry D, Lee RS, Rossmassler S, Hasdianda MA, Wang W, Sudore R, Schonberg MA, Tulsky JA, Ouchi K. Emergency department-based, nurse-initiated, serious illness conversation intervention for older adults: a protocol for a randomized controlled trial. Trials 2022. PMID: 36210436


  83. Colley A, Lin JA, Pierce L, Finlayson E, Sudore RL, Wick E. Missed Opportunities and Health Disparities for Advance Care Planning Before Elective Surgery in Older Adults. JAMA surgery 2022. PMID: 36001323


  84. Heim Smith NL, Sudore RL, Myers AL, Hammes BJ, Hickman SE. Reasons for Discordance Between Life-Sustaining Treatment Preferences and Medical Orders in Nursing Facilities Without POLST. The American journal of hospice & palliative care 2022. PMID: 36154692


  85. Harrison JD, Sudore RL, Auerbach AD, Shah S, Oreper S, Wheeler MM, Fang MC. Automated telephone follow-up programs after hospital discharge: Do older adults engage with these programs? Journal of the American Geriatrics Society 2022. PMID: 35767470


  86. Greene M, Shi Y, Boscardin J, Sudore R, Gandhi M, Covinsky K. Geriatric conditions and healthcare utilisation in older adults living with HIV. 2022. PMID: 35511728


  87. Periyakoil VS, Gunten CFV, Arnold R, Hickman S, Morrison S, Sudore R. Caught in a Loop with Advance Care Planning and Advance Directives: How to Move Forward? 2022. PMID: 35230896


  88. Skolarus LE, Robles MC, Mansour M, Sudore RL, Reynolds EL, Burke JF, Corches CL, Brown DL. Low Engagement of Advance Care Planning Among Patients Who Had a Stroke or Transient Ischemic Attack. 2022. PMID: 35229620


  89. Sudore RL, Hickman SE, Walling AM. Controversies About Advance Care Planning. 2022. PMID: 35166807


  90. Bakke BM, Feuz MA, McMahan RD, Barnes DE, Li B, Volow AM, Powell J, Sudore RL. Surrogate Decision Makers Need Better Preparation for Their Role: Advice from Experienced Surrogates. 2022. PMID: 35076297


  91. Hampson LA, Suskind AM, Breyer BN, Cooperberg MR, Sudore RL, Keyhani S, Allen IE, Walter LC. Predictors of Regret Among Older Men After Stress Urinary Incontinence Treatment Decisions. 2021. PMID: 34854756


  92. Nouri S, Street RL, Barnes DE, Shi Y, Volow AM, Li B, Alexander SC, Sudore RL. Empowering patients with the PREPARE advance care planning program results in reciprocal clinician communication. 2021. PMID: 34758115


  93. Kotwal AA, Barnes DE, Volow AM, Li BH, Boscardin WJ, Sudore RL. Engaging Diverse Older Adults With Cognitive Impairment and Caregivers in Advance Care Planning: A Pilot Study of the Interactive PREPARE Website. Alzheimer disease and associated disorders 2021. PMID: 34310443


  94. Oh A, Allison TA, Mahoney K, Thompson N, Ritchie CS, Sudore RL, Harrison KL. Front-Line Hospice Staff Perceptions of Barriers and Opportunities to Discussing Advance Care Planning With Hospice Patients and Their Families. Journal of the American Medical Directors Association 2021. PMID: 34391713


  95. Dionne-Odom JN, Wells RD, Guastaferro K, Azuero A, Hendricks BA, Currie ER, Bechthold A, Dosse C, Taylor R, Reed RD, Harrell ER, Gazaway S, Engler S, McKie P, Williams GR, Sudore R, Rini C, Rosenberg AR, Bakitas MA. An Early Palliative Care Telehealth Coaching Intervention to Enhance Advanced Cancer Family Caregivers' Decision Support Skills: The CASCADE Pilot Factorial Trial. 2021. PMID: 34343621


  96. Scheerens C, Gilissen J, Volow AM, Powell JL, Ferguson CM, Farrell D, Li B, Berry C, Sudore RL. Developing eHealth tools for diverse older adults: Lessons learned from the PREPARE for Your Care Program. 2021. PMID: 34081773


  97. Ahluwalia SC, Bandini JI, Coulourides Kogan A, Bekelman DB, Olsen B, Phillips J, Sudore RL. Impact of group visits for older patients with heart failure on advance care planning outcomes: Preliminary data. 2021. PMID: 34077563


  98. Nouri SS, Barnes DE, Shi Y, Volow AM, Shirsat N, Kinderman AL, Harris HA, Sudore RL. The PREPARE for Your Care program increases advance care planning engagement among diverse older adults with cancer. 2021. PMID: 34076892


  99. Phung LH, Barnes DE, Volow AM, Li BH, Shirsat NR, Sudore RL. English and Spanish-speaking vulnerable older adults report many barriers to advance care planning. 2021. PMID: 34061370


  100. Hampson LA, Suskind AM, Breyer BN, Lai L, Cooperberg MR, Sudore RL, Keyhani S, Allen IE, Walter LC. Understanding the Health Characteristics and Treatment Choices of Older Men with Stress Urinary Incontinence. Urology 2021. PMID: 34004214


  101. Sheshadri A, Kittiskulnam P, Delgado C, Sudore RL, Lai JC, Johansen KL. Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention. American journal of nephrology 2021. PMID: 33979802


  102. Sumarsono N, Sudore RL, Smith AK, Pantilat SZ, Anderson WG, Makam AN. Availability of Palliative Care in Long-Term Acute Care Hospitals. Journal of the American Medical Directors Association 2021. PMID: 33965406


  103. Hickman SE, Torke AM, Sachs GA, Sudore RL, Tang Q, Bakoyannis G, Heim Smith N, Myers AL, Hammes BJ. Factors associated with concordance between POLST orders and current treatment preferences. 2021. PMID: 33760241


  104. Hickman SE, Torke AM, Heim Smith N, Myers AL, Sudore RL, Hammes BJ, Sachs GA. Reasons for discordance and concordance between POLST orders and current treatment preferences. 2021. PMID: 33760226


  105. Skolarus LE, Brown DL, Corches CL, Reynolds E, Bailey S, Mansour M, Robles MC, Rice T, Springer MV, Burke JF, Sudore RL. Extending Advance Care Planning to Black Americans in the Community: A Pilot Study of the PREPARE Program. 2021. PMID: 33647422


  106. Bandini JI, Kogan AC, Olsen B, Phillips J, Sudore RL, Bekelman DB, Ahluwalia SC. Feasibility of Group Visits for Advance Care Planning Among Patients with Heart Failure and Their Caregivers. 2021. PMID: 33452095


  107. Nouri S, Lyles CR, Rubinsky AD, Patel K, Desai R, Fields J, DeRouen MC, Volow A, Bibbins-Domingo K, Sudore RL. Evaluation of Neighborhood Socioeconomic Characteristics and Advance Care Planning Among Older Adults. JAMA network open 2020. PMID: 33301019


  108. Wells RD, Guastaferro K, Azuero A, Rini C, Hendricks BA, Dosse C, Taylor R, Williams GR, Engler S, Smith C, Sudore R, Rosenberg AR, Bakitas MA, Dionne-Odom JN. Applying the Multiphase Optimization Strategy for the Development of Optimized Interventions in Palliative Care. 2020. PMID: 33253787


  109. Dressler G, Garrett SB, Hunt LJ, Thompson N, Mahoney K, Sudore RL, Ritchie CS, Harrison KL. "It's Case by Case, and It's a Struggle": A Qualitative Study of Hospice Practices, Perspectives, and Ethical Dilemmas When Caring for Hospice Enrollees with Full-Code Status or Intensive Treatment Preferences. Journal of palliative medicine 2020. PMID: 33237830


  110. Hickman SE, Torke AM, Sachs GA, Sudore RL, Tang Q, Bakoyannis G, Smith NH, Myers AL, Hammes BJ. Do Life-sustaining Treatment Orders Match Patient and Surrogate Preferences? The Role of POLST. 2020. PMID: 33111241


  111. Hunt LJ, Garrett SB, Dressler G, Sudore R, Ritchie CS, Harrison KL. Goals of care conversations don't fit in a box': Hospice Staff Experiences and Perceptions of Advance Care Planning Quality Measurement. Journal of pain and symptom management 2020. PMID: 33096214


  112. Gelfman LP, Sudore RL, Mather H, McKendrick K, Hutchinson MD, Lampert RJ, Lipman HI, Matlock DD, Swetz KM, Pinney SP, Morrison RS, Goldstein NE. Prognostic Awareness and Goals of Care Discussions Among Patients With Advanced Heart Failure. Circulation. Heart failure 2020. PMID: 32873058


  113. Nouri SS, Ritchie C, Volow A, Li B, McSpadden S, Dearman K, Kotwal A, Sudore RL. A Toolkit for Community-Based, Medicaid-Funded Case Managers to Introduce Advance Care Planning to Frail, Older Adults: A Pilot Study. Journal of palliative medicine 2020. PMID: 32865472


  114. McMahan RD, Barnes DE, Ritchie CS, Jin C, Shi Y, David D, Walker EJ, Tang VL, Sudore RL. Anxious, Depressed, and Planning for the Future: Advance Care Planning in Diverse Older Adults. Journal of the American Geriatrics Society 2020. PMID: 32783199


  115. Sheshadri A, Kittiskulnam P, Delgado C, Sudore R, Lai JC, Johansen KL. Association of motivations and barriers with participation and performance in a pedometer-based intervention. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association 2020. PMID: 32437568


  116. Resick JM, Arnold RM, Sudore RL, Farrell D, Belin S, Althouse AD, Ferrell B, Hammes BJ, Chu E, White DB, Rak KJ, Schenker Y. Patient-centered and efficacious advance care planning in cancer: Protocol and key design considerations for the PEACe-compare trial. Contemporary clinical trials 2020. PMID: 32739493


  117. Lum HD, Dukes J, Daddato AE, Juarez-Colunga E, Shanbhag P, Kutner JS, Levy CR, Sudore RL. Effectiveness of Advance Care Planning Group Visits Among Older Adults in Primary Care. Journal of the American Geriatrics Society 2020. PMID: 32726475


  118. Wang CW, Lebsack A, Sudore RL, Lai JC. Low Rates of Advance Care Planning (ACP) Discussions Despite Readiness to Engage in ACP Among Liver Transplant Candidates. Digestive diseases and sciences 2020. PMID: 32500286


  119. Pajka SE, Hasdianda MA, George N, Sudore R, Schonberg MA, Bernstein E, Tulsky JA, Block SD, Ouchi K. Feasibility of a Brief Intervention to Facilitate Advance Care Planning Conversations for Patients with Life-Limiting Illness in the Emergency Department. Journal of palliative medicine 2020. PMID: 32471321


  120. Nouri S, Ritchie C, Chen P, Volow A, Li B, Tellez I, Sudore RL. Supporting In-Home Caregivers in Symptom Assessment of Frail Older Adults with Serious Illness: A Pilot Study. Journal of palliative medicine 2020. PMID: 32456540


  121. Pope TM, Bennett J, Carson SS, Cederquist L, Cohen AB, DeMartino ES, Godfrey DM, Goodman-Crews P, Kapp MB, Lo B, Magnus DC, Reinke LF, Shirley JL, Siegel MD, Stapleton RD, Sudore RL, Tarzian AJ, Thornton JD, Wicclair MR, Widera EW, White DB. Making Medical Treatment Decisions for Unrepresented Patients in the ICU. An Official American Thoracic Society/American Geriatrics Society Policy Statement. American journal of respiratory and critical care medicine 2020. PMID: 32412853


  122. Block BL, Smith AK, Sudore RL. During COVID-19, Outpatient Advance Care Planning is Imperative: We need All Hands on Deck. Journal of the American Geriatrics Society 2020. PMID: 32359075


  123. Kata A, Cenzer I, Sudore RL, Covinsky KE, Tang VL. Advance Care Planning Prior to Death in Older Adults with Hip Fracture. Journal of general internal medicine 2020. PMID: 32367390


  124. Block BL, Jeon SY, Sudore RL, Matthay MA, Boscardin WJ, Smith AK. Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life. JAMA internal medicine 2020. PMID: 32119031


  125. Hooper S, Sabatino CP, Sudore RL. Improving Medical-Legal Advance Care Planning. Journal of pain and symptom management 2020. PMID: 32240757


  126. Kaplan LM, Sudore RL, Cuervo IA, Bainto D, Olsen P, Kushel M. Barriers and Solutions to Advance Care Planning among Homeless-Experienced Older Adults. Journal of palliative medicine 2020. PMID: 32182155


  127. Freytag J, Street RL, Barnes DE, Shi Y, Volow AM, Shim JK, Alexander SC, Sudore RL. Empowering Older Adults to Discuss Advance Care Planning During Clinical Visits: The PREPARE Randomized Trial. Journal of the American Geriatrics Society 2020. PMID: 32157684


  128. Harrison KL, Allison TA, Garrett SB, Thompson N, Sudore RL, Ritchie CS. Hospice Staff Perspectives on Caring for People with Dementia: A Multisite, Multistakeholder Study. Journal of palliative medicine 2020. PMID: 32130076


  129. Howard M, Robinson CA, McKenzie M, Fyles G, Sudore RL, Andersen E, Arora N, Barwich D, Bernard C, Elston D, Heyland R, Klein D, McFee E, Mroz L, Slaven M, Tan A, Heyland DK. Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings. Annals of family medicine 2020. PMID: 32152014


  130. Glaser J, Nouri S, Fernandez A, Sudore RL, Schillinger D, Klein-Fedyshin M, Schenker Y. Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review. Medical decision making : an international journal of the Society for Medical Decision Making 2020. PMID: 31948345


  131. Udelsman B, Moseley ET, Sudore RL, Keating NL, Lindvall C. Deep Natural Language Processing Identifies Variation in Care Preference Documentation. Journal of pain and symptom management 2020. PMID: 31926970


  132. Nicosia FM, Spar MJ, Stebbins M, Sudore RL, Ritchie CS, Lee KP, Rodondi K, Steinman MA. What Is a Medication-Related Problem? A Qualitative Study of Older Adults and Primary Care Clinicians. Journal of general internal medicine 2019. PMID: 31677102


  133. Suen LW, Leyde S, Min K, Volow A, Rabow M, Sudore RL. Thinking Outside the Visit: Primary Care Patient Perspectives on Helpful Advance Care Planning Methods. Journal of general internal medicine 2019. PMID: 31654349


  134. Feuz MA, Odierna DH, Katen M, Volow A, McMahan RD, Ritchie CS, McSpadden S, Dearman K, Sudore RL. Leveraging In-Home Supportive Services Programs to Engage People in Advance Care Planning: Input from Staff, Providers, and Client Stakeholders. Journal of palliative medicine 2019. PMID: 31596644


  135. Shi Y, Barnes DE, Boscardin J, You JJ, Heyland DK, Volow AM, Howard M, Sudore RL. Brief English and Spanish Survey Detects Change in Response to Advance Care Planning Interventions. Journal of pain and symptom management 2019. PMID: 31539605


  136. Ouchi K, Strout T, Haydar S, Baker O, Wang W, Bernacki R, Sudore R, Schuur JD, Schonberg MA, Block SD, Tulsky JA. Association of Emergency Clinicians' Assessment of Mortality Risk With Actual 1-Month Mortality Among Older Adults Admitted to the Hospital. JAMA network open 2019. PMID: 31517962


  137. Walling AM, Sudore RL, Bell D, Tseng CH, Ritchie C, Hays RD, Gibbs L, Rahimi M, Sanz J, Wenger NS. Population-Based Pragmatic Trial of Advance Care Planning in Primary Care in the University of California Health System. Journal of palliative medicine 2019. PMID: 31486723


  138. Nouri SS, Barnes DE, Volow AM, McMahan RD, Kushel M, Jin C, Boscardin J, Sudore RL. Health Literacy Matters More Than Experience for Advance Care Planning Knowledge Among Older Adults. Journal of the American Geriatrics Society 2019. PMID: 31424575


  139. Kata A, Dutt M, Sudore RL, Finlayson E, Broering JM, Tang VL. What Matters? The Valued Life Activities of Older Adults Undergoing Elective Surgery. Journal of the American Geriatrics Society 2019. PMID: 31400227


  140. Hickman SE, Torke AM, Sachs GA, Sudore RL, Myers AL, Tang Q, Bakoyannis G, Hammes BJ. A Tool to Assess Patient and Surrogate Knowledge about the POLST (Physician Orders for Life-Sustaining Treatment) Program. Journal of pain and symptom management 2019. PMID: 30853552


  141. Tang VL, Dillon EC, Yang Y, Tai-Seale M, Boscardin J, Kata A, Sudore RL. Advance Care Planning in Older Adults With Multiple Chronic Conditions Undergoing High-Risk Surgery. JAMA surgery 2018. PMID: 30516794


  142. Ouchi K, George N, Schuur JD, Aaronson EL, Lindvall C, Bernstein E, Sudore RL, Schonberg MA, Block SD, Tulsky JA. Goals-of-Care Conversations for Older Adults With Serious Illness in the Emergency Department: Challenges and Opportunities. Annals of emergency medicine 2019. PMID: 30770207


  143. You JJ, Allatt P, Howard M, Robinson CA, Simon J, Sudore R, Tan A, Bernard C, Swinton M, Jiang X, Klein D, McKenzie M, Fyles G, Heyland DK. Short Graphic Values History Tool for decision making during serious illness. BMJ supportive & palliative care 2019. PMID: 30733208


  144. Van Scoy LJ, Day AG, Howard M, Sudore RL, Heyland DK. Adaptation and Preliminary Validation of the Advance Care Planning Engagement Survey for Surrogate Decision Makers. Journal of pain and symptom management 2019. PMID: 30684633


  145. Pooler JA, Hartline-Grafton H, DeBor M, Sudore RL, Seligman HK. Food Insecurity: A Key Social Determinant of Health for Older Adults. Journal of the American Geriatrics Society 2018. PMID: 30586154


  146. David D, McMahan RD, Sudore RL. Living Wills: One Part of the Advance Care Planning Puzzle. Journal of the American Geriatrics Society 2018. PMID: 30508299


  147. Sudore RL, Schillinger D, Katen MT, Shi Y, Boscardin WJ, Osua S, Barnes DE. Engaging Diverse English- and Spanish-Speaking Older Adults in Advance Care Planning: The PREPARE Randomized Clinical Trial. JAMA internal medicine 2018. PMID: 30383086


  148. Tang V, Zhao S, Boscardin J, Sudore R, Covinsky K, Walter LC, Esserman L, Mukhtar R, Finlayson E. Functional Status and Survival After Breast Cancer Surgery in Nursing Home Residents. JAMA surgery 2018. PMID: 30167636


  149. Ouchi K, George N, Revette AC, Hasdianda MA, Fellion L, Reust A, Powell LH, Sudore R, Schuur JD, Schonberg MA, Bernstein E, Tulsky JA, Block SD. Empower Seriously Ill Older Adults to Formulate Their Goals for Medical Care in the Emergency Department. Journal of palliative medicine 2018. PMID: 30418094


  150. Moré JM, Lang-Brown S, Romo RD, Lee SJ, Sudore R, Smith AK. "Planting the Seed": Perceived Benefits of and Strategies for Discussing Long-Term Prognosis with Older Adults. Journal of the American Geriatrics Society 2018. PMID: 30347432


  151. Ekaireb R, Ahalt C, Sudore R, Metzger L, Williams B. "We Take Care of Patients, but We Don't Advocate for Them": Advance Care Planning in Prison or Jail. Journal of the American Geriatrics Society 2018. PMID: 30300941


  152. Kata A, Sudore R, Finlayson E, Broering JM, Ngo S, Tang VL. Increasing Advance Care Planning Using a Surgical Optimization Program for Older Adults. Journal of the American Geriatrics Society 2018. PMID: 30289968


  153. Pollom E, Sborov K, Soltys SG, Asch SM, Sudore R, Aslakson RA. Advance care planning needs in patients with glioblastoma undergoing radiotherapy. Journal of pain and symptom management 2018. PMID: 30201484


  154. David D, Barnes DE, McMahan RD, Shi Y, Katen MT, Sudore RL. Patient Activation: A Key Component of Successful Advance Care Planning. Journal of palliative medicine 2018. PMID: 30129808


  155. O'Hare AM, Richards C, Szarka J, McFarland LV, Showalter W, Vig EK, Sudore RL, Crowley ST, Trivedi R, Taylor JS. Emotional Impact of Illness and Care on Patients with Advanced Kidney Disease. Clinical journal of the American Society of Nephrology : CJASN 2018. PMID: 29954826


  156. Petrillo LA, McMahan RD, Tang V, Dohan D, Sudore RL. Older Adult and Surrogate Perspectives on Serious, Difficult, and Important Medical Decisions. Journal of the American Geriatrics Society 2018. PMID: 29972594


  157. Lum HD, Barnes DE, Katen MT, Shi Y, Boscardin J, Sudore RL. Improving A Full Range of Advance Care Planning Behavior Change and Action Domains: the PREPARE Randomized Trial. Journal of pain and symptom management 2018. PMID: 29940209


  158. Odierna DH, Katen MT, Feuz MA, McMahan RD, Ritchie CS, McSpadden S, Burns M, Volow AM, Sudore RL. Symptom Assessment Solutions for In-Home Supportive Services and Diverse Older Adults: A Roadmap for Change. Journal of palliative medicine 2018. PMID: 29851360


  159. Sudore RL, Cuervo IA, Tieu L, Guzman D, Kaplan LM, Kushel M. Advance Care Planning for Older Homeless-Experienced Adults: Results from the Health Outcomes of People Experiencing Homelessness in Older Middle Age Study. Journal of the American Geriatrics Society 2018. PMID: 29741765


  160. Hickman SE, Sudore RL, Sachs GA, Torke AM, Myers AL, Tang Q, Bakoyannis G, Hammes BJ. Use of the Physician Orders for Scope of Treatment Program in Indiana Nursing Homes. Journal of the American Geriatrics Society 2018. PMID: 29566429


  161. Ouchi K, Jambaulikar GD, Hohmann S, George NR, Aaronson EL, Sudore R, Schonberg MA, Tulsky JA, Schuur JD, Pallin DJ. Prognosis After Emergency Department Intubation to Inform Shared Decision-Making. Journal of the American Geriatrics Society 2018. PMID: 29542117


  162. Zapata C, Lum HD, Wistar E, Horton C, Sudore RL. Feasibility of a Video-Based Advance Care Planning Website to Facilitate Group Visits among Diverse Adults from a Safety-Net Health System. Journal of palliative medicine 2018. PMID: 29461918


  163. Bischoff K, O'Riordan DL, Marks AK, Sudore R, Pantilat SZ. Care Planning for Inpatients Referred for Palliative Care Consultation. Volume 178 of Issue 1. JAMA internal medicine 2018. PMID: 29159371


  164. Givens JL, Sudore RL, Marshall GA, Dufour AB, Kopits I, Mitchell SL. Advance Care Planning in Community-Dwelling Patients With Dementia. Volume 55 of Issue 4. Journal of pain and symptom management 2017. PMID: 29247754


  165. Quartuccio M, Simonsick EM, Langan S, Harris T, Sudore RL, Thorpe R, Rosano C, Hill-Briggs F, Golden S, Kalyani RR. The relationship of health literacy to diabetes status differs by sex in older adults. Volume 32 of Issue 4. Journal of diabetes and its complications 2017. PMID: 29198996


  166. Walker E, McMahan R, Barnes D, Katen M, Lamas D, Sudore R. Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety. Volume 55 of Issue 2. Journal of pain and symptom management 2017. PMID: 28943360


  167. Cresswell MA, Robinson CA, Fyles G, Bottorff JL, Sudore R. Evaluation of an advance care planning web-based resource: applicability for cancer treatment patients. Volume 26 of Issue 3. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2017. PMID: 28929291


  168. Wong TW, Lang-Brown S, Romo RD, Au-Yeung A, Lee SJ, Moran PJ, Karlawish J, Sudore R, Clayton J, Smith AK. Prognosis Communication in Late-Life Disability: A Mixed Methods Study. Volume 65 of Issue 11. Journal of the American Geriatrics Society 2017. PMID: 28905358


  169. Ahalt C, Sudore R, Bolano M, Metzger L, Darby AM, Williams B. "Teach-to-Goal" to Better Assess Informed Consent Comprehension among Incarcerated Clinical Research Participants. Volume 19 of Issue 9. AMA journal of ethics 2017. PMID: 28905727


  170. Tulsky JA, Beach MC, Butow PN, Hickman SE, Mack JW, Morrison RS, Street RL, Sudore RL, White DB, Pollak KI. A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness. Volume 177 of Issue 9. JAMA internal medicine 2017. PMID: 28672373


  171. Rietjens JAC, Sudore RL, Connolly M, van Delden JJ, Drickamer MA, Droger M, van der Heide A, Heyland DK, Houttekier D, Janssen DJA, Orsi L, Payne S, Seymour J, Jox RJ, Korfage IJ. Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. Volume 18 of Issue 9. The Lancet. Oncology 2017. PMID: 28884703


  172. Sudore RL, Heyland DK, Lum HD, Rietjens JAC, Korfage IJ, Ritchie CS, Hanson LC, Meier DE, Pantilat SZ, Lorenz K, Howard M, Green MJ, Simon JE, Feuz MA, You JJ. Outcomes That Define Successful Advance Care Planning: A Delphi Panel Consensus. Volume 55 of Issue 2. Journal of pain and symptom management 2017. PMID: 28865870


  173. Sudore RL, Boscardin J, Feuz MA, McMahan RD, Katen MT, Barnes DE. Effect of the PREPARE Website vs an Easy-to-Read Advance Directive on Advance Care Planning Documentation and Engagement Among Veterans: A Randomized Clinical Trial. Volume 177 of Issue 8. JAMA internal medicine 2017. PMID: 28520838


  174. Lum HD, Sudore RL, Matlock DD, Juarez-Colunga E, Jones J, Nowels M, Schwartz RS, Kutner JS, Levy CR. A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care. Volume 30 of Issue 4. Journal of the American Board of Family Medicine : JABFM 2017. PMID: 28720629


  175. Barnato AE, Moore R, Moore CG, Kohatsu ND, Sudore RL. Financial Incentives to Increase Advance Care Planning Among Medicaid Beneficiaries: Lessons Learned From Two Pragmatic Randomized Trials. Volume 54 of Issue 1. Journal of pain and symptom management 2017. PMID: 28450218


  176. Bekelman DB, Johnson-Koenke R, Ahluwalia SC, Walling AM, Peterson J, Sudore RL. Development and Feasibility of a Structured Goals of Care Communication Guide. Volume 20 of Issue 9. Journal of palliative medicine 2017. PMID: 28422561


  177. O'Hare AM, Szarka J, McFarland LV, Vig EK, Sudore RL, Crowley S, Reinke LF, Trivedi R, Taylor JS. "Maybe They Don't Even Know That I Exist": Challenges Faced by Family Members and Friends of Patients with Advanced Kidney Disease. Volume 12 of Issue 6. Clinical journal of the American Society of Nephrology : CJASN 2017. PMID: 28356337


  178. Sudore RL, Lum HD, You JJ, Hanson LC, Meier DE, Pantilat SZ, Matlock DD, Rietjens JAC, Korfage IJ, Ritchie CS, Kutner JS, Teno JM, Thomas J, McMahan RD, Heyland DK. Defining Advance Care Planning for Adults: A Consensus Definition From a Multidisciplinary Delphi Panel. Volume 53 of Issue 5. Journal of pain and symptom management 2017. PMID: 28062339


  179. Sudore RL, Heyland DK, Barnes DE, Howard M, Fassbender K, Robinson CA, Boscardin J, You JJ. Measuring Advance Care Planning: Optimizing the Advance Care Planning Engagement Survey. Volume 53 of Issue 4. Journal of pain and symptom management 2016. PMID: 28042072


  180. Harrison KL, Adrion ER, Ritchie CS, Sudore RL, Smith AK. Low Completion and Disparities in Advance Care Planning Activities Among Older Medicare Beneficiaries. Volume 176 of Issue 12. JAMA internal medicine 2016. PMID: 27802496


  181. Hickman SE, Hammes BJ, Torke AM, Sudore RL, Sachs GA. The Quality of Physician Orders for Life-Sustaining Treatment Decisions: A Pilot Study. Volume 20 of Issue 2. Journal of palliative medicine 2016. PMID: 27802064


  182. Ouchi K, Knabben V, Rivera-Reyes L, Ganta N, Gelfman LP, Sudore R, Hwang U. Preparing Older Adults with Serious Illness to Formulate Their Goals for Medical Care in the Emergency Department. Journal of palliative medicine 2016. PMID: 27797638


  183. Tang VL, Sudore R, Cenzer IS, Boscardin WJ, Smith A, Ritchie C, Wallhagen M, Finlayson E, Petrillo L, Covinsky K. Rates of Recovery to Pre-Fracture Function in Older Persons with Hip Fracture: an Observational Study. Volume 32 of Issue 2. Journal of general internal medicine 2016. PMID: 27605004


  184. Arnett K, Sudore RL, Nowels D, Feng CX, Levy CR, Lum HD. Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings. Volume 34 of Issue 10. The American journal of hospice & palliative care 2016. PMID: 27599724


  185. Sudore RL, Barnes DE, Le GM, Ramos R, Osua SJ, Richardson SA, Boscardin J, Schillinger D. Improving advance care planning for English-speaking and Spanish-speaking older adults: study protocol for the PREPARE randomised controlled trial. Volume 6 of Issue 7. BMJ open 2016. PMID: 27401363


  186. Howard M, Bonham AJ, Heyland DK, Sudore R, Fassbender K, Robinson CA, McKenzie M, Elston D, You JJ. Measuring engagement in advance care planning: a cross-sectional multicentre feasibility study. Volume 6 of Issue 6. BMJ open 2016. PMID: 27338877


  187. Lakin JR, Isaacs E, Sullivan E, Harris HA, McMahan RD, Sudore RL. Emergency Physicians' Experience with Advance Care Planning Documentation in the Electronic Medical Record: Useful, Needed, and Elusive. Volume 19 of Issue 6. Journal of palliative medicine 2016. PMID: 27203483


  188. Tang VL, Shi Y, Fung K, Tan J, Espaldon R, Sudore R, Wong ML, Walter LC. Clinician Factors Associated With Prostate-Specific Antigen Screening in Older Veterans With Limited Life Expectancy. Volume 176 of Issue 5. JAMA internal medicine 2016. PMID: 27042937


  189. O'Hare AM, Szarka J, McFarland LV, Taylor JS, Sudore RL, Trivedi R, Reinke LF, Vig EK. Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway? Volume 11 of Issue 5. Clinical journal of the American Society of Nephrology : CJASN 2016. PMID: 27084877


  190. Lum HD, Jones J, Matlock DD, Glasgow RE, Lobo I, Levy CR, Schwartz RS, Sudore RL, Kutner JS. Advance Care Planning Meets Group Medical Visits: The Feasibility of Promoting Conversations. Volume 14 of Issue 2. Annals of family medicine 2016. PMID: 26951587


  191. Lum HD, Sudore RL. Advance Care Planning and Goals of Care Communication in Older Adults with Cardiovascular Disease and Multi-Morbidity. Volume 32 of Issue 2. Clinics in geriatric medicine 2016. PMID: 27113144


  192. Sudore R, Le GM, McMahan R, McMahon R, Feuz M, Katen M, Barnes DE. The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial. Volume 16. Trials 2015. PMID: 26654250


  193. Chiu C, Feuz MA, McMahan RD, Miao Y, Sudore RL. "Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults. Volume 51 of Issue 1. Journal of pain and symptom management 2015. PMID: 26342727


  194. Poelke G, Ventura MI, Byers AL, Yaffe K, Sudore R, Barnes DE. Leisure activities and depressive symptoms in older adults with cognitive complaints. Volume 28 of Issue 1. International psychogeriatrics 2015. PMID: 26299193


  195. Austin CA, Mohottige D, Sudore RL, Smith AK, Hanson LC. Tools to Promote Shared Decision Making in Serious Illness: A Systematic Review. Volume 175 of Issue 7. JAMA internal medicine 2015. PMID: 25985438


  196. Karter AJ, Laiteerapong N, Chin MH, Moffet HH, Parker MM, Sudore R, Adams AS, Schillinger D, Adler NS, Whitmer RA, Piette JD, Huang ES. Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study. Volume 27 of Issue 5. Journal of aging and health 2015. PMID: 25659747


  197. Lum HD, Sudore RL, Bekelman DB. Advance care planning in the elderly. Volume 99 of Issue 2. The Medical clinics of North America 2014. PMID: 25700590


  198. Jones J, Nowels CT, Sudore R, Ahluwalia S, Bekelman DB. The future as a series of transitions: qualitative study of heart failure patients and their informal caregivers. Volume 30 of Issue 2. Journal of general internal medicine 2014. PMID: 25385209


  199. Greysen SR, Chin Garcia C, Sudore RL, Cenzer IS, Covinsky KE. Functional impairment and Internet use among older adults: implications for meaningful use of patient portals. Volume 174 of Issue 7. JAMA internal medicine 2014. PMID: 24839165


  200. Sudore RL, Casarett D, Smith D, Richardson DM, Ersek M. Family involvement at the end-of-life and receipt of quality care. Volume 48 of Issue 6. Journal of pain and symptom management 2014. PMID: 24793077


  201. McMahan RD, Sudore R. Authors' Reply to Swetz et al. Volume 47 of Issue 3. Journal of pain and symptom management 2014. PMID: 24508005


  202. Su CT, McMahan RD, Williams BA, Sharma RK, Sudore RL. Family matters: effects of birth order, culture, and family dynamics on surrogate decision-making. Volume 62 of Issue 1. Journal of the American Geriatrics Society 2014. PMID: 24383459


  203. Sudore RL, Stewart AL, Knight SJ, McMahan RD, Feuz M, Miao Y, Barnes DE. Development and validation of a questionnaire to detect behavior change in multiple advance care planning behaviors. Volume 8 of Issue 9. PloS one 2013. PMID: 24039772


  204. Sudore RL, Knight SJ, McMahan RD, Feuz M, Farrell D, Miao Y, Barnes DE. A novel website to prepare diverse older adults for decision making and advance care planning: a pilot study. Volume 47 of Issue 4. Journal of pain and symptom management 2013. PMID: 23972574


  205. Smith AK, Lo B, Sudore R. When previously expressed wishes conflict with best interests. Volume 173 of Issue 13. JAMA internal medicine 2013. PMID: 23712743


  206. Waite KR, Federman AD, McCarthy DM, Sudore R, Curtis LM, Baker DW, Wilson EA, Hasnain-Wynia R, Wolf MS, Paasche-Orlow MK. Literacy and race as risk factors for low rates of advance directives in older adults. Volume 61 of Issue 3. Journal of the American Geriatrics Society 2013. PMID: 23379361


  207. Bischoff KE, Sudore R, Miao Y, Boscardin WJ, Smith AK. Advance care planning and the quality of end-of-life care in older adults. Volume 61 of Issue 2. Journal of the American Geriatrics Society 2013. PMID: 23350921


  208. McMahan RD, Knight SJ, Fried TR, Sudore RL. Advance care planning beyond advance directives: perspectives from patients and surrogates. Volume 46 of Issue 3. Journal of pain and symptom management 2012. PMID: 23200188


  209. Sudore RL, Karter AJ, Huang ES, Moffet HH, Laiteerapong N, Schenker Y, Adams A, Whitmer RA, Liu JY, Miao Y, John PM, Schillinger D. Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging study. Volume 27 of Issue 12. Journal of general internal medicine 2012. PMID: 22854982


  210. Steinman MA, Sudore RL, Peterson CA, Harlow JB, Fried TR. Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines. Volume 10 of Issue 3. The American journal of geriatric pharmacotherapy 2012. PMID: 22579695


  211. Vig EK, Sudore RL, Berg KM, Fromme EK, Arnold RM. Responding to surrogate requests that seem inconsistent with a patient's living will. Volume 42 of Issue 5. Journal of pain and symptom management 2011. PMID: 22045374


  212. Laiteerapong N, Karter AJ, Liu JY, Moffet HH, Sudore R, Schillinger D, John PM, Huang ES. Correlates of quality of life in older adults with diabetes: the diabetes & aging study. Volume 34 of Issue 8. Diabetes care 2011. PMID: 21636795


  213. Williams BA, Sudore RL, Greifinger R, Morrison RS. Balancing punishment and compassion for seriously ill prisoners. Volume 155 of Issue 2. Annals of internal medicine 2011. PMID: 21628351


  214. Sudore RL, Covinsky KE. Respecting elders by respecting their paid caregivers. Volume 26 of Issue 5. Journal of general internal medicine 2011. PMID: 21424164


  215. Widera E, Steenpass V, Marson D, Sudore R. Finances in the older patient with cognitive impairment: "He didn't want me to take over". Volume 305 of Issue 7. JAMA 2011. PMID: 21325186


  216. Castillo LS, Williams BA, Hooper SM, Sabatino CP, Weithorn LA, Sudore RL. Lost in translation: the unintended consequences of advance directive law on clinical care. Volume 154 of Issue 2. Annals of internal medicine 2011. PMID: 21242368


  217. Sarkar U, Schillinger D, López A, Sudore R. Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations. Volume 26 of Issue 3. Journal of general internal medicine 2010. PMID: 21057882


  218. Sudore RL, Fried TR. Redefining the "planning" in advance care planning: preparing for end-of-life decision making. Volume 153 of Issue 4. Annals of internal medicine 2010. PMID: 20713793


  219. Kernisan LP, Sudore RL, Knight SJ. Information-seeking at a caregiving website: a qualitative analysis. Volume 12 of Issue 3. Journal of medical Internet research 2010. PMID: 20675292


  220. Sudore RL, Villars P, Carey EC. Sitting with you in your suffering: lessons about intractable pain at the end of life. Volume 13 of Issue 6. Journal of palliative medicine 2010. PMID: 20509794


  221. Schenker Y, Fernandez A, Sudore R, Schillinger D. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review. Volume 31 of Issue 1. Medical decision making : an international journal of the Society for Medical Decision Making 2010. PMID: 20357225


  222. Sudore RL, Schillinger D, Knight SJ, Fried TR. Uncertainty about advance care planning treatment preferences among diverse older adults. Volume 15 Suppl 2. Journal of health communication 2010. PMID: 20845201


  223. Sudore RL. A piece of my mind. Can we agree to disagree? Volume 302 of Issue 15. JAMA 2009. PMID: 19843890


  224. Sudore RL, Landefeld CS, Pérez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D. Unraveling the relationship between literacy, language proficiency, and patient-physician communication. Volume 75 of Issue 3. Patient education and counseling 2009. PMID: 19442478


  225. Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE. Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers. Volume 57 of Issue 6. Journal of the American Geriatrics Society 2009. PMID: 19473456


  226. Smith AK, Sudore RL, Pérez-Stable EJ. Palliative care for Latino patients and their families: whenever we prayed, she wept. Volume 301 of Issue 10. JAMA 2009. PMID: 19278947


  227. Schickedanz AD, Schillinger D, Landefeld CS, Knight SJ, Williams BA, Sudore RL. A clinical framework for improving the advance care planning process: start with patients' self-identified barriers. Volume 57 of Issue 1. Journal of the American Geriatrics Society 2009. PMID: 19170789


  228. Sudore RL, Schillinger D. Interventions to Improve Care for Patients with Limited Health Literacy. Volume 16 of Issue 1. Journal of clinical outcomes management : JCOM 2009. PMID: 20046798


  229. Sudore RL, Landefeld CS, Pantilat SZ, Noyes KM, Schillinger D. Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story. Volume 23 of Issue 11. Journal of general internal medicine 2008. PMID: 18716849


  230. Sudore RL, Schickedanz AD, Landefeld CS, Williams BA, Lindquist K, Pantilat SZ, Schillinger D. Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults. Volume 56 of Issue 6. Journal of the American Geriatrics Society 2008. PMID: 18410324


  231. Williams BA, Lindquist K, Sudore RL, Covinsky KE, Walter LC. Screening mammography in older women. Effect of wealth and prognosis. Volume 168 of Issue 5. Archives of internal medicine 2008. PMID: 18332298


  232. Sudore RL, Landefeld CS, Barnes DE, Lindquist K, Williams BA, Brody R, Schillinger D. An advance directive redesigned to meet the literacy level of most adults: a randomized trial. Volume 69 of Issue 1-3. Patient education and counseling 2007. PMID: 17942272


  233. Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Simonsick EM, Newman AB, Rosano C, Rooks R, Rubin SM, Ayonayon HN, Schillinger D. Limited literacy and mortality in the elderly: the health, aging, and body composition study. Volume 21 of Issue 8. Journal of general internal medicine 2006. PMID: 16881938


  234. Sudore RL, Landefeld CS, Williams BA, Barnes DE, Lindquist K, Schillinger D. Use of a modified informed consent process among vulnerable patients: a descriptive study. Volume 21 of Issue 8. Journal of general internal medicine 2006. PMID: 16881949


  235. Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield S, Rosano C, Rooks RN, Rubin SM, Ayonayon HN, Yaffe K. Limited literacy in older people and disparities in health and healthcare access. Volume 54 of Issue 5. Journal of the American Geriatrics Society 2006. PMID: 16696742


  236. Williams BA, Lindquist K, Sudore RL, Strupp HM, Willmott DJ, Walter LC. Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners. Volume 54 of Issue 4. Journal of the American Geriatrics Society 2006. PMID: 16686886