Rebecca Sudore, MD
Professor
Medicine
School of Medicine

Dr. Rebecca Sudore is a geriatrician, palliative medicine physician, and clinician investigator. She also directs the Innovation and Implementation Center in Aging & Palliative Care (I-CAP) and the Vulnerable Populations Aging Research Core of the NIA-funded Pepper Center.

Dr. Sudore 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, patient centered tools including an easy-to-read advance directive for all US states in several languages and an interactive, ACP website called PREPARE for Your Care (www.PREPAREforYourCare.org) in English and Spanish.

Dr. Sudore has dedicated her research program to making medical information easier for patients and their families to understand. She published the first prospective study demonstrating the effect of limited literacy on mortality in the elderly, and has shown that older adults with limited literacy have greater difficulty making medical decisions for informed consent and advance care planning. She has also designed and tested an informed consent process for patients with limited literacy and an advance directive that is both literacy and culturally appropriate. Both interventions have been shown to benefit patients - particularly those with literacy and/or language barriers.

Although the easy-to-read advance directives have been translated and widely disseminated, her further research demonstrated that advance directives alone are not enough -- patients and families need better preparation for communication and decision making. She published a study in the Annals of Internal Medicine calling for a shift in advance care planning from DNR/DNI checklists to preparing patients and their loved ones for medical decision making. Her current research program is focused on designing and testing interactive, web-based interventions (PREPAREforYourCare.org) to prepare patients and their surrogate decision makers to communicate their wishes and make informed medical decisions.

CLINICAL ACTIVITIES: From 2002 to 2023 Rebecca provided primary care to vulnerable, older Veterans in the Geriatrics clinic at the San Francisco VA Medical Center. At that time, and now, she also attends on the inpatient Palliative Care Service at the San Francisco VA.

• 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 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 …
• "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 Colley A, Broering J, Lee K, Lin JA, Pierce L, Finlayson E, Sudore RL, Wick EC
• 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 Umberfield EE, Fields MC, Lenko R, Morgan TP, Adair ES, Fromme EK, Lum HD, Moss AH, Wenger NS, Sudore RL, Hickman SE
• Surrogate decision-makers from historically marginalized populations have lower levels of preparedness for care planning.
  Journal of the American Geriatrics Society 2024 Li L, Barnes DE, Nouri S, Shi Y, Volow AM, Feuz M, Li BH, 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 McMahan RD, Hickman SE, Sudore RL
• Barriers and Facilitators to Exercise in Older Adults Awaiting Kidney Transplantation and Their Care Partners.
  Kidney medicine 2023 Sheshadri A, Elia JR, Garcia G, Abrams G, Adey DB, Lai JC, Sudore RL
• National Prevalence of Social Isolation and Loneliness in Adults with Chronic Obstructive Pulmonary Disease.
  Annals of the American Thoracic Society 2023 Suen AO, Iyer AS, Cenzer I, Farrand E, White DB, Singer J, Sudore R, Kotwal A
• How older men live with stress urinary incontinence: Patient experience and navigation to treatment.
  Neurourology and urodynamics 2023 Shaw NM, Breyer BN, Walter LC, Sudore RL, Suskind AM, Baussan C, Quanstrom K, Allen IE, Cooperberg MR, Dohan D, Hampson LA
• Consensus definition of advance care planning in dementia: A 33-country Delphi study.
  Alzheimer's & dementia : the journal of the Alzheimer's Association 2023 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, …
• 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 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
• Clinician Review of Advanced Care Planning for Older Surgical Patients Requiring Intensive Care.
  Joint Commission journal on quality and patient safety 2023 Lin JA, Colley A, Pierce L, Finlayson E, Sudore RL, Wick EC
• 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 Nicosia FM, Lee JA, Chesney MA, Benjamin C, Lee AN, Mehling W, Sudore RL, Barnes DE
• "At the End I Have a Say": Engaging the Chinese Community in Advance Care Planning.
  Journal of pain and symptom management 2023 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
• Disparities in advance care planning among older US immigrants.
  Journal of the American Geriatrics Society 2023 Mindo-Panusis D, Sudore RL, Cenzer I, Smith AK, Kotwal AA
• Quality and Satisfaction With Advance Care Planning Conversations Among English- and Spanish-Speaking Older Adults.
  Journal of palliative medicine 2023 Gelfman LP, Barnes DE, Goldstein N, Volow AM, Shi Y, Li B, Sudore RL
• Experiences with targeting inpatient advance care planning for emergency general surgery patients: A resident-led quality improvement project.
  Surgery 2023 Colley A, Lin J, Pierce L, Johnson C, Bongiovanni T, Finlayson E, Sudore R, Wick EC
• Implementation Challenges for a Multisite Advance Care Planning Pragmatic Trial: Lessons Learned.
  Journal of pain and symptom management 2023 Sudore RL, Walling AM, Gibbs L, Rahimi M, Wenger NS, UC Health Care Planning Study Team
• Support for Use of Consumer Assessment of Healthcare Providers and Systems Communication Items Among Seriously Ill Patients.
  Journal of palliative medicine 2023 Hays RD, Walling AM, Sudore RL, Chau A, Wenger NS
• Patient-identified Treatment Attributes Among Older Men With Stress Urinary Incontinence: A Qualitative Look at What Matters to Patients Making Treatment Decisions.
  Urology 2023 Hampson LA, Shaw NM, Breyer BN, Walter LC, Sudore RL, Cooperberg MR, Baussan C, Quanstrom K, Elaine Allen I, Dohan D
• Patient decision-making for surgical treatment of post-prostatectomy stress urinary incontinence: a mixed-methods exploratory pilot study.
  Translational andrology and urology 2023 Shaw NM, Nik-Ahd F, Jones C, Breyer BN, Walter LC, Sudore R, Cooperberg MR, Baussan C, Quanstrom K, Allen IE, Hampson LA
• Italian cross-cultural adaptation of the Quality of Communication questionnaire and the 4-item advance care planning engagement questionnaire.
  PloS one 2023 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
• POLST recall, concordance, and decision quality outcomes among nursing home residents and surrogate decision-makers.
  Journal of the American Geriatrics Society 2023 Hickman SE, Sudore RL, Torke AM, Tang Q, Bakoyannis G, Heim Smith N, Myers AL, Hammes BJ
• Using behavioral theory to adapt advance care planning for homeless-experienced older adults in permanent supportive housing.
  Journal of the American Geriatrics Society 2023 Pajka SE, Kushel M, Handley MA, Olsen P, Li B, Enriquez C, Kaplan L, 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 Nouri S, Quinn M, Doyle BN, McKissack M, Johnson N, Wertz M, Tan C, Pantilat SZ, Lyles CR, Ritchie CS, Sudore RL
• Newspaper coverage of advance care planning during the COVID-19 pandemic: Content analysis.
  Death studies 2023 van der Smissen D, van Leeuwen M, Sudore RL, Koffman J, Heyland DK, van der Heide A, Rietjens JAC, Korfage IJ
• The care planning umbrella: The evolution of advance care planning.
  Journal of the American Geriatrics Society 2023 Hickman SE, Lum HD, Walling AM, Savoy A, Sudore RL
• Limited English Proficiency in Older Adults Referred to the Cardiovascular Team.
  The American journal of medicine 2023 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…
• 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 Johnson CL, Colley A, Pierce L, Lin JA, Bongiovanni T, Roman S, Sudore RL, Wick E
• Telephone Outreach Enhances Recruitment of Underrepresented Seriously Ill Patients for an Advance Care Planning Pragmatic Trial.
  Journal of general internal medicine 2023 Chau AJ, Sudore RL, Hays RD, Tseng CH, Walling AM, Rahimi M, Gibbs L, Patel K, Sanz Vidorreta FJ, Wenger NS
• "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 Nouri S, Tan CH, Rangel M, Wertz M, Sanchez A, Alvarado A, Arreola E, Quinn M, Pantilat SZ, Lyles CR, Ritchie CS, Sudore RL
• An emergency department nurse led intervention to facilitate serious illness conversations among seriously ill older adults: A feasibility study.
  Palliative medicine 2022 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
• Advance Care Planning Engagement May Increase Among Stroke Survivors: Results From the PREPARE for Your Care Trial.
  Stroke 2022 Skolarus LE, Brown DL, Reynolds E, Shi Y, Volow AM, Burke JF, 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 Rennels CF, Barnes DE, Volow A, Shi Y, Li B, Sudore RL
• Emergency department-based, nurse-initiated, serious illness conversation intervention for older adults: a protocol for a randomized controlled trial.
  Trials 2022 Prachanukool T, Block SD, Berry D, Lee RS, Rossmassler S, Hasdianda MA, Wang W, Sudore R, Schonberg MA, Tulsky JA, Ouchi K
• Missed Opportunities and Health Disparities for Advance Care Planning Before Elective Surgery in Older Adults.
  JAMA surgery 2022 Colley A, Lin JA, Pierce L, Finlayson E, Sudore RL, Wick E
• Reasons for Discordance Between Life-Sustaining Treatment Preferences and Medical Orders in Nursing Facilities Without POLST.
  The American journal of hospice & palliative care 2022 Heim Smith NL, Sudore RL, Myers AL, Hammes BJ, Hickman SE
• Automated telephone follow-up programs after hospital discharge: Do older adults engage with these programs?
  Journal of the American Geriatrics Society 2022 Harrison JD, Sudore RL, Auerbach AD, Shah S, Oreper S, Wheeler MM, Fang MC
• Geriatric conditions and healthcare utilisation in older adults living with HIV.
  Age and ageing 2022 Greene M, Shi Y, Boscardin J, Sudore R, Gandhi M, Covinsky K
• Caught in a Loop with Advance Care Planning and Advance Directives: How to Move Forward?
  Journal of palliative medicine 2022 Periyakoil VS, Gunten CFV, Arnold R, Hickman S, Morrison S, Sudore R
• Low Engagement of Advance Care Planning Among Patients Who Had a Stroke or Transient Ischemic Attack.
  Journal of the American Heart Association 2022 Skolarus LE, Robles MC, Mansour M, Sudore RL, Reynolds EL, Burke JF, Corches CL, Brown DL
• Controversies About Advance Care Planning.
  JAMA 2022 Sudore RL, Hickman SE, Walling AM
• Surrogate Decision Makers Need Better Preparation for Their Role: Advice from Experienced Surrogates.
  Journal of palliative medicine 2022 Bakke BM, Feuz MA, McMahan RD, Barnes DE, Li B, Volow AM, Powell J, Sudore RL
• Predictors of Regret among Older Men after Stress Urinary Incontinence Treatment Decisions.
  The Journal of urology 2021 Hampson LA, Suskind AM, Breyer BN, Cooperberg MR, Sudore RL, Keyhani S, Allen IE, Walter LC
• Empowering patients with the PREPARE advance care planning program results in reciprocal clinician communication.
  Journal of the American Geriatrics Society 2021 Nouri S, Street RL, Barnes DE, Shi Y, Volow AM, Li B, Alexander SC, 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 Kotwal AA, Barnes DE, Volow AM, Li BH, Boscardin WJ, Sudore RL
• Measuring advance care planning behavior in Dutch adults: translation, cultural adaptation and validation of the Advance Care Planning Engagement Survey.
  BMC medical research methodology 2021 van der Smissen D, van der Heide A, Sudore RL, Rietjens JAC, Korfage IJ
• 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 Oh A, Allison TA, Mahoney K, Thompson N, Ritchie CS, Sudore RL, Harrison KL
• An Early Palliative Care Telehealth Coaching Intervention to Enhance Advanced Cancer Family Caregivers' Decision Support Skills: The CASCADE Pilot Factorial Trial.
  Journal of pain and symptom management 2021 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 …
• Developing eHealth tools for diverse older adults: Lessons learned from the PREPARE for Your Care Program.
  Journal of the American Geriatrics Society 2021 Scheerens C, Gilissen J, Volow AM, Powell JL, Ferguson CM, Farrell D, Li B, Berry C, Sudore RL
• Impact of group visits for older patients with heart failure on advance care planning outcomes: Preliminary data.
  Journal of the American Geriatrics Society 2021 Ahluwalia SC, Bandini JI, Coulourides Kogan A, Bekelman DB, Olsen B, Phillips J, Sudore RL
• The PREPARE for Your Care program increases advance care planning engagement among diverse older adults with cancer.
  Cancer 2021 Nouri SS, Barnes DE, Shi Y, Volow AM, Shirsat N, Kinderman AL, Harris HA, Sudore RL
• English and Spanish-speaking vulnerable older adults report many barriers to advance care planning.
  Journal of the American Geriatrics Society 2021 Phung LH, Barnes DE, Volow AM, Li BH, Shirsat NR, Sudore RL
• Understanding the Health Characteristics and Treatment Choices of Older Men with Stress Urinary Incontinence.
  Urology 2021 Hampson LA, Suskind AM, Breyer BN, Lai L, Cooperberg MR, Sudore RL, Keyhani S, Allen IE, Walter LC
• Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention.
  American journal of nephrology 2021 Sheshadri A, Kittiskulnam P, Delgado C, Sudore RL, Lai JC, Johansen KL
• Availability of Palliative Care in Long-Term Acute Care Hospitals.
  Journal of the American Medical Directors Association 2021 Sumarsono N, Sudore RL, Smith AK, Pantilat SZ, Anderson WG, Makam AN
• Factors associated with concordance between POLST orders and current treatment preferences.
  Journal of the American Geriatrics Society 2021 Hickman SE, Torke AM, Sachs GA, Sudore RL, Tang Q, Bakoyannis G, Heim Smith N, Myers AL, Hammes BJ
• Reasons for discordance and concordance between POLST orders and current treatment preferences.
  Journal of the American Geriatrics Society 2021 Hickman SE, Torke AM, Heim Smith N, Myers AL, Sudore RL, Hammes BJ, Sachs GA
• Extending Advance Care Planning to Black Americans in the Community: A Pilot Study of the PREPARE Program.
  Journal of pain and symptom management 2021 Skolarus LE, Brown DL, Corches CL, Reynolds E, Bailey S, Mansour M, Robles MC, Rice T, Springer MV, Burke JF, Sudore RL
• Feasibility of Group Visits for Advance Care Planning Among Patients with Heart Failure and Their Caregivers.
  Journal of the American Board of Family Medicine : JABFM 2021 Bandini JI, Kogan AC, Olsen B, Phillips J, Sudore RL, Bekelman DB, Ahluwalia SC
• Evaluation of Neighborhood Socioeconomic Characteristics and Advance Care Planning Among Older Adults.
  JAMA network open 2020 Nouri S, Lyles CR, Rubinsky AD, Patel K, Desai R, Fields J, DeRouen MC, Volow A, Bibbins-Domingo K, Sudore RL
• Applying the Multiphase Optimization Strategy for the Development of Optimized Interventions in Palliative Care.
  Journal of pain and symptom management 2020 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
• "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 Dressler G, Garrett SB, Hunt LJ, Thompson N, Mahoney K, Sudore RL, Ritchie CS, Harrison KL
• Do Life-sustaining Treatment Orders Match Patient and Surrogate Preferences? The Role of POLST.
  Journal of general internal medicine 2020 Hickman SE, Torke AM, Sachs GA, Sudore RL, Tang Q, Bakoyannis G, Smith NH, Myers AL, Hammes BJ
• "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 Hunt LJ, Garrett SB, Dressler G, Sudore R, Ritchie CS, Harrison KL
• Prognostic Awareness and Goals of Care Discussions Among Patients With Advanced Heart Failure.
  Circulation. Heart failure 2020 Gelfman LP, Sudore RL, Mather H, McKendrick K, Hutchinson MD, Lampert RJ, Lipman HI, Matlock DD, Swetz KM, Pinney SP, Morrison RS, Goldstein NE
• 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 Nouri SS, Ritchie C, Volow A, Li B, McSpadden S, Dearman K, Kotwal A, Sudore RL
• Anxious, Depressed, and Planning for the Future: Advance Care Planning in Diverse Older Adults.
  Journal of the American Geriatrics Society 2020 McMahan RD, Barnes DE, Ritchie CS, Jin C, Shi Y, David D, Walker EJ, Tang VL, Sudore RL
• 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 Sheshadri A, Kittiskulnam P, Delgado C, Sudore R, Lai JC, Johansen KL
• Patient-centered and efficacious advance care planning in cancer: Protocol and key design considerations for the PEACe-compare trial.
  Contemporary clinical trials 2020 Resick JM, Arnold RM, Sudore RL, Farrell D, Belin S, Althouse AD, Ferrell B, Hammes BJ, Chu E, White DB, Rak KJ, Schenker Y
• Effectiveness of Advance Care Planning Group Visits Among Older Adults in Primary Care.
  Journal of the American Geriatrics Society 2020 Lum HD, Dukes J, Daddato AE, Juarez-Colunga E, Shanbhag P, Kutner JS, Levy CR, Sudore RL
• Low Rates of Advance Care Planning (ACP) Discussions Despite Readiness to Engage in ACP Among Liver Transplant Candidates.
  Digestive diseases and sciences 2020 Wang CW, Lebsack A, Sudore RL, Lai JC
• 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 Pajka SE, Hasdianda MA, George N, Sudore R, Schonberg MA, Bernstein E, Tulsky JA, Block SD, Ouchi K
• Supporting In-Home Caregivers in Symptom Assessment of Frail Older Adults with Serious Illness: A Pilot Study.
  Journal of palliative medicine 2020 Nouri S, Ritchie C, Chen P, Volow A, Li B, Tellez I, Sudore RL
• 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 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, …
• During COVID-19, Outpatient Advance Care Planning Is Imperative: We Need All Hands on Deck.
  Journal of the American Geriatrics Society 2020 Block BL, Smith AK, Sudore RL
• Advance Care Planning Prior to Death in Older Adults with Hip Fracture.
  Journal of general internal medicine 2020 Kata A, Cenzer I, Sudore RL, Covinsky KE, Tang VL
• Patterns and Trends in Advance Care Planning Among Older Adults Who Received Intensive Care at the End of Life.
  JAMA internal medicine 2020 Block BL, Jeon SY, Sudore RL, Matthay MA, Boscardin WJ, Smith AK
• Improving Medical-Legal Advance Care Planning.
  Journal of pain and symptom management 2020 Hooper S, Sabatino CP, Sudore RL
• Barriers and Solutions to Advance Care Planning among Homeless-Experienced Older Adults.
  Journal of palliative medicine 2020 Kaplan LM, Sudore RL, Arellano Cuervo I, Bainto D, Olsen P, Kushel M
• Hospice Staff Perspectives on Caring for People with Dementia: A Multisite, Multistakeholder Study.
  Journal of palliative medicine 2020 Harrison KL, Allison TA, Garrett SB, Thompson N, Sudore RL, Ritchie CS
• Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings.
  Annals of family medicine 2020 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
• 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 Glaser J, Nouri S, Fernandez A, Sudore RL, Schillinger D, Klein-Fedyshin M, Schenker Y
• Deep Natural Language Processing Identifies Variation in Care Preference Documentation.
  Journal of pain and symptom management 2020 Udelsman BV, Moseley ET, Sudore RL, Keating NL, Lindvall C
• What Is a Medication-Related Problem? A Qualitative Study of Older Adults and Primary Care Clinicians.
  Journal of general internal medicine 2019 Nicosia FM, Spar MJ, Stebbins M, Sudore RL, Ritchie CS, Lee KP, Rodondi K, Steinman MA
• Thinking Outside the Visit: Primary Care Patient Perspectives on Helpful Advance Care Planning Methods.
  Journal of general internal medicine 2019 Suen LW, Leyde S, Min K, Volow A, Rabow M, 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 Feuz MA, Odierna DH, Katen M, Volow A, McMahan RD, Ritchie CS, McSpadden S, Dearman K, Sudore RL
• Association of Emergency Clinicians' Assessment of Mortality Risk With Actual 1-Month Mortality Among Older Adults Admitted to the Hospital.
  JAMA network open 2019 Ouchi K, Strout T, Haydar S, Baker O, Wang W, Bernacki R, Sudore R, Schuur JD, Schonberg MA, Block SD, Tulsky JA
• Population-Based Pragmatic Trial of Advance Care Planning in Primary Care in the University of California Health System.
  Journal of palliative medicine 2019 Walling AM, Sudore RL, Bell D, Tseng CH, Ritchie C, Hays RD, Gibbs L, Rahimi M, Sanz J, Wenger NS
• Health Literacy Matters More Than Experience for Advance Care Planning Knowledge Among Older Adults.
  Journal of the American Geriatrics Society 2019 Nouri SS, Barnes DE, Volow AM, McMahan RD, Kushel M, Jin C, Boscardin J, Sudore RL
• What Matters? The Valued Life Activities of Older Adults Undergoing Elective Surgery.
  Journal of the American Geriatrics Society 2019 Kata A, Dutt M, Sudore RL, Finlayson E, Broering JM, Tang VL
• 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 Hickman SE, Torke AM, Sachs GA, Sudore RL, Myers AL, Tang Q, Bakoyannis G, Hammes BJ
• Advance Care Planning in Older Adults With Multiple Chronic Conditions Undergoing High-Risk Surgery.
  JAMA surgery 2019 Tang VL, Dillon EC, Yang Y, Tai-Seale M, Boscardin J, Kata A, Sudore RL
• Goals-of-Care Conversations for Older Adults With Serious Illness in the Emergency Department: Challenges and Opportunities.
  Annals of emergency medicine 2019 Ouchi K, George N, Schuur JD, Aaronson EL, Lindvall C, Bernstein E, Sudore RL, Schonberg MA, Block SD, Tulsky JA
• Short Graphic Values History Tool for decision making during serious illness.
  BMJ supportive & palliative care 2019 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
• Adaptation and Preliminary Validation of the Advance Care Planning Engagement Survey for Surrogate Decision Makers.
  Journal of pain and symptom management 2019 Van Scoy LJ, Day AG, Howard M, Sudore R, Heyland DK
• Food Insecurity: A Key Social Determinant of Health for Older Adults.
  Journal of the American Geriatrics Society 2018 Pooler JA, Hartline-Grafton H, DeBor M, Sudore RL, Seligman HK
• Living Wills: One Part of the Advance Care Planning Puzzle.
  Journal of the American Geriatrics Society 2018 David D, McMahan RD, Sudore RL
• Functional Status and Survival After Breast Cancer Surgery in Nursing Home Residents.
  JAMA surgery 2018 Tang V, Zhao S, Boscardin J, Sudore R, Covinsky K, Walter LC, Esserman L, Mukhtar R, Finlayson E
• Empower Seriously Ill Older Adults to Formulate Their Goals for Medical Care in the Emergency Department.
  Journal of palliative medicine 2018 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
• "Planting the Seed": Perceived Benefits of and Strategies for Discussing Long-Term Prognosis with Older Adults.
  Journal of the American Geriatrics Society 2018 Moré JM, Lang-Brown S, Romo RD, Lee SJ, Sudore R, Smith AK
• "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 Ekaireb R, Ahalt C, Sudore R, Metzger L, Williams B
• Increasing Advance Care Planning Using a Surgical Optimization Program for Older Adults.
  Journal of the American Geriatrics Society 2018 Kata A, Sudore R, Finlayson E, Broering JM, Ngo S, Tang VL
• Advance Care Planning Needs in Patients With Glioblastoma Undergoing Radiotherapy.
  Journal of pain and symptom management 2018 Pollom EL, Sborov KD, Soltys SG, Asch SM, Sudore RL, Aslakson RA
• Patient Activation: A Key Component of Successful Advance Care Planning.
  Journal of palliative medicine 2018 David D, Barnes DE, McMahan RD, Shi Y, Katen MT, Sudore RL
• Emotional Impact of Illness and Care on Patients with Advanced Kidney Disease.
  Clinical journal of the American Society of Nephrology : CJASN 2018 O'Hare AM, Richards C, Szarka J, McFarland LV, Showalter W, Vig EK, Sudore RL, Crowley ST, Trivedi R, Taylor JS
• Older Adult and Surrogate Perspectives on Serious, Difficult, and Important Medical Decisions.
  Journal of the American Geriatrics Society 2018 Petrillo LA, McMahan RD, Tang V, Dohan D, 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 Lum HD, Barnes DE, Katen MT, Shi Y, Boscardin J, Sudore RL
• Symptom Assessment Solutions for In-Home Supportive Services and Diverse Older Adults: A Roadmap for Change.
  Journal of palliative medicine 2018 Odierna DH, Katen MT, Feuz MA, McMahan RD, Ritchie CS, McSpadden S, Burns M, Volow AM, Sudore RL
• 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 Sudore RL, Cuervo IA, Tieu L, Guzman D, Kaplan LM, Kushel M
• Use of the Physician Orders for Scope of Treatment Program in Indiana Nursing Homes.
  Journal of the American Geriatrics Society 2018 Hickman SE, Sudore RL, Sachs GA, Torke AM, Myers AL, Tang Q, Bakoyannis G, Hammes BJ
• Prognosis After Emergency Department Intubation to Inform Shared Decision-Making.
  Journal of the American Geriatrics Society 2018 Ouchi K, Jambaulikar GD, Hohmann S, George NR, Aaronson EL, Sudore R, Schonberg MA, Tulsky JA, Schuur JD, Pallin DJ
• 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 Zapata C, Lum HD, Wistar E, Horton C, Sudore RL
• Care Planning for Inpatients Referred for Palliative Care Consultation.
  JAMA internal medicine 2018 Bischoff K, O'Riordan DL, Marks AK, Sudore R, Pantilat SZ
• Advance Care Planning in Community-Dwelling Patients With Dementia.
  Journal of pain and symptom management 2017 Givens JL, Sudore RL, Marshall GA, Dufour AB, Kopits I, Mitchell SL
• The relationship of health literacy to diabetes status differs by sex in older adults.
  Journal of diabetes and its complications 2017 Quartuccio M, Simonsick EM, Langan S, Harris T, Sudore RL, Thorpe R, Rosano C, Hill-Briggs F, Golden S, Kalyani RR
• Advance Care Planning Documentation Practices and Accessibility in the Electronic Health Record: Implications for Patient Safety.
  Journal of pain and symptom management 2017 Walker E, McMahan R, Barnes D, Katen M, Lamas D, Sudore R
• Evaluation of an advance care planning web-based resource: applicability for cancer treatment patients.
  Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 2017 Cresswell MA, Robinson CA, Fyles G, Bottorff JL, Sudore R
• Prognosis Communication in Late-Life Disability: A Mixed Methods Study.
  Journal of the American Geriatrics Society 2017 Wong TW, Lang-Brown S, Romo RD, Au-Yeung A, Lee SJ, Moran PJ, Karlawish J, Sudore R, Clayton J, Smith AK
• "Teach-to-Goal" to Better Assess Informed Consent Comprehension among Incarcerated Clinical Research Participants.
  AMA journal of ethics 2017 Ahalt C, Sudore R, Bolano M, Metzger L, Darby AM, Williams B
• A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness.
  JAMA internal medicine 2017 Tulsky JA, Beach MC, Butow PN, Hickman SE, Mack JW, Morrison RS, Street RL, Sudore RL, White DB, Pollak KI
• Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care.
  The Lancet. Oncology 2017 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, European Association…
• A Group Visit Initiative Improves Advance Care Planning Documentation among Older Adults in Primary Care.
  Journal of the American Board of Family Medicine : JABFM 2017 Lum HD, Sudore RL, Matlock DD, Juarez-Colunga E, Jones J, Nowels M, Schwartz RS, Kutner JS, Levy CR
• Financial Incentives to Increase Advance Care Planning Among Medicaid Beneficiaries: Lessons Learned From Two Pragmatic Randomized Trials.
  Journal of pain and symptom management 2017 Barnato AE, Moore R, Moore CG, Kohatsu ND, Sudore RL
• Development and Feasibility of a Structured Goals of Care Communication Guide.
  Journal of palliative medicine 2017 Bekelman DB, Johnson-Koenke R, Ahluwalia SC, Walling AM, Peterson J, Sudore RL
• "Maybe They Don't Even Know That I Exist": Challenges Faced by Family Members and Friends of Patients with Advanced Kidney Disease.
  Clinical journal of the American Society of Nephrology : CJASN 2017 O'Hare AM, Szarka J, McFarland LV, Vig EK, Sudore RL, Crowley S, Reinke LF, Trivedi R, Taylor JS
• Measuring Advance Care Planning: Optimizing the Advance Care Planning Engagement Survey.
  Journal of pain and symptom management 2016 Sudore RL, Heyland DK, Barnes DE, Howard M, Fassbender K, Robinson CA, Boscardin J, You JJ
• Low Completion and Disparities in Advance Care Planning Activities Among Older Medicare Beneficiaries.
  JAMA internal medicine 2016 Harrison KL, Adrion ER, Ritchie CS, Sudore RL, Smith AK
• The Quality of Physician Orders for Life-Sustaining Treatment Decisions: A Pilot Study.
  Journal of palliative medicine 2016 Hickman SE, Hammes BJ, Torke AM, Sudore RL, Sachs GA
• Preparing Older Adults with Serious Illness to Formulate Their Goals for Medical Care in the Emergency Department.
  Journal of palliative medicine 2016 Ouchi K, Knabben V, Rivera-Reyes L, Ganta N, Gelfman LP, Sudore R, Hwang U
• Rates of Recovery to Pre-Fracture Function in Older Persons with Hip Fracture: an Observational Study.
  Journal of general internal medicine 2016 Tang VL, Sudore R, Cenzer IS, Boscardin WJ, Smith A, Ritchie C, Wallhagen M, Finlayson E, Petrillo L, Covinsky K
• Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings.
  The American journal of hospice & palliative care 2016 Arnett K, Sudore RL, Nowels D, Feng CX, Levy CR, Lum HD
• Improving advance care planning for English-speaking and Spanish-speaking older adults: study protocol for the PREPARE randomised controlled trial.
  BMJ open 2016 Sudore RL, Barnes DE, Le GM, Ramos R, Osua SJ, Richardson SA, Boscardin J, Schillinger D
• Measuring engagement in advance care planning: a cross-sectional multicentre feasibility study.
  BMJ open 2016 Howard M, Bonham AJ, Heyland DK, Sudore R, Fassbender K, Robinson CA, McKenzie M, Elston D, You JJ
• Emergency Physicians' Experience with Advance Care Planning Documentation in the Electronic Medical Record: Useful, Needed, and Elusive.
  Journal of palliative medicine 2016 Lakin JR, Isaacs E, Sullivan E, Harris HA, McMahan RD, Sudore RL
• Clinician Factors Associated With Prostate-Specific Antigen Screening in Older Veterans With Limited Life Expectancy.
  JAMA internal medicine 2016 Tang VL, Shi Y, Fung K, Tan J, Espaldon R, Sudore R, Wong ML, Walter LC
• Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?
  Clinical journal of the American Society of Nephrology : CJASN 2016 O'Hare AM, Szarka J, McFarland LV, Taylor JS, Sudore RL, Trivedi R, Reinke LF, Vig EK
• Advance Care Planning Meets Group Medical Visits: The Feasibility of Promoting Conversations.
  Annals of family medicine 2016 Lum HD, Jones J, Matlock DD, Glasgow RE, Lobo I, Levy CR, Schwartz RS, Sudore RL, Kutner JS
• Advance Care Planning and Goals of Care Communication in Older Adults with Cardiovascular Disease and Multi-Morbidity.
  Clinics in geriatric medicine 2016 Lum HD, Sudore RL
• Erratum to: 'The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial'.
  Trials 2016 Sudore R, Le GM, McMahan 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.
  Trials 2015 Sudore R, Le GM, McMahan R, McMahon R, Feuz M, Katen M, Barnes DE
• "Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults.
  Journal of pain and symptom management 2015 Chiu C, Feuz MA, McMahan RD, Miao Y, Sudore RL
• Leisure activities and depressive symptoms in older adults with cognitive complaints.
  International psychogeriatrics 2015 Poelke G, Ventura MI, Byers AL, Yaffe K, Sudore R, Barnes DE
• Tools to Promote Shared Decision Making in Serious Illness: A Systematic Review.
  JAMA internal medicine 2015 Austin CA, Mohottige D, Sudore RL, Smith AK, Hanson LC
• Ethnic Differences in Geriatric Conditions and Diabetes Complications Among Older, Insured Adults With Diabetes: The Diabetes and Aging Study.
  Journal of aging and health 2015 Karter AJ, Laiteerapong N, Chin MH, Moffet HH, Parker MM, Sudore R, Adams AS, Schillinger D, Adler NS, Whitmer RA, Piette JD, Huang ES
• Advance care planning in the elderly.
  The Medical clinics of North America 2014 Lum HD, Sudore RL, Bekelman DB
• The future as a series of transitions: qualitative study of heart failure patients and their informal caregivers.
  Journal of general internal medicine 2014 Jones J, Nowels CT, Sudore R, Ahluwalia S, Bekelman DB
• Functional impairment and Internet use among older adults: implications for meaningful use of patient portals.
  JAMA internal medicine 2014 Greysen SR, Chin Garcia C, Sudore RL, Cenzer IS, Covinsky KE
• Family involvement at the end-of-life and receipt of quality care.
  Journal of pain and symptom management 2014 Sudore RL, Casarett D, Smith D, Richardson DM, Ersek M
• Authors' Reply to Swetz et al.
  Journal of pain and symptom management 2014 McMahan RD, Sudore R
• Family matters: effects of birth order, culture, and family dynamics on surrogate decision-making.
  Journal of the American Geriatrics Society 2014 Su CT, McMahan RD, Williams BA, Sharma RK, Sudore RL
• Development and validation of a questionnaire to detect behavior change in multiple advance care planning behaviors.
  PloS one 2013 Sudore RL, Stewart AL, Knight SJ, McMahan RD, Feuz M, Miao Y, Barnes DE
• A novel website to prepare diverse older adults for decision making and advance care planning: a pilot study.
  Journal of pain and symptom management 2013 Sudore RL, Knight SJ, McMahan RD, Feuz M, Farrell D, Miao Y, Barnes DE
• When previously expressed wishes conflict with best interests.
  JAMA internal medicine 2013 Smith AK, Lo B, Sudore R
• Disregard of patients' preferences is a medical error: comment on "Failure to engage hospitalized elderly patients and their families in advance care planning".
  JAMA internal medicine 2013 Allison TA, Sudore RL
• Literacy and race as risk factors for low rates of advance directives in older adults.
  Journal of the American Geriatrics Society 2013 Waite KR, Federman AD, McCarthy DM, Sudore R, Curtis LM, Baker DW, Wilson EA, Hasnain-Wynia R, Wolf MS, Paasche-Orlow MK
• Advance care planning and the quality of end-of-life care in older adults.
  Journal of the American Geriatrics Society 2013 Bischoff KE, Sudore R, Miao Y, Boscardin WJ, Smith AK
• Advance care planning beyond advance directives: perspectives from patients and surrogates.
  Journal of pain and symptom management 2012 McMahan RD, Knight SJ, Fried TR, Sudore RL
• Symptom burden of adults with type 2 diabetes across the disease course: diabetes & aging study.
  Journal of general internal medicine 2012 Sudore RL, Karter AJ, Huang ES, Moffet HH, Laiteerapong N, Schenker Y, Adams A, Whitmer RA, Liu JY, Miao Y, John PM, Schillinger D
• Influence of patient age and comorbid burden on clinician attitudes toward heart failure guidelines.
  The American journal of geriatric pharmacotherapy 2012 Steinman MA, Sudore RL, Peterson CA, Harlow JB, Fried TR
• Responding to surrogate requests that seem inconsistent with a patient's living will.
  Journal of pain and symptom management 2011 Vig EK, Sudore RL, Berg KM, Fromme EK, Arnold RM
• Correlates of quality of life in older adults with diabetes: the diabetes & aging study.
  Diabetes care 2011 Laiteerapong N, Karter AJ, Liu JY, Moffet HH, Sudore R, Schillinger D, John PM, Huang ES
• Balancing punishment and compassion for seriously ill prisoners.
  Annals of internal medicine 2011 Williams BA, Sudore RL, Greifinger R, Morrison RS
• Respecting elders by respecting their paid caregivers.
  Journal of general internal medicine 2011 Sudore RL, Covinsky KE
• Finances in the older patient with cognitive impairment: "He didn't want me to take over".
  JAMA 2011 Widera E, Steenpass V, Marson D, Sudore R
• Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations.
  Journal of general internal medicine 2010 Sarkar U, Schillinger D, López A, Sudore R
• Information-seeking at a caregiving website: a qualitative analysis.
  Journal of medical Internet research 2010 Kernisan LP, Sudore RL, Knight SJ
• Sitting with you in your suffering: lessons about intractable pain at the end of life.
  Journal of palliative medicine 2010 Sudore RL, Villars P, Carey EC
• Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review.
  Medical decision making : an international journal of the Society for Medical Decision Making 2010 Schenker Y, Fernandez A, Sudore R, Schillinger D
• Uncertainty about advance care planning treatment preferences among diverse older adults.
  Journal of health communication 2010 Sudore RL, Schillinger D, Knight SJ, Fried TR
• Unraveling the relationship between literacy, language proficiency, and patient-physician communication.
  Patient education and counseling 2009 Sudore RL, Landefeld CS, Pérez-Stable EJ, Bibbins-Domingo K, Williams BA, Schillinger D
• Functional limitations, socioeconomic status, and all-cause mortality in moderate alcohol drinkers.
  Journal of the American Geriatrics Society 2009 Lee SJ, Sudore RL, Williams BA, Lindquist K, Chen HL, Covinsky KE
• Palliative care for Latino patients and their families: whenever we prayed, she wept.
  JAMA 2009 Smith AK, Sudore RL, Pérez-Stable EJ
• A clinical framework for improving the advance care planning process: start with patients' self-identified barriers.
  Journal of the American Geriatrics Society 2009 Schickedanz AD, Schillinger D, Landefeld CS, Knight SJ, Williams BA, Sudore RL
• Interventions to Improve Care for Patients with Limited Health Literacy.
  Journal of clinical outcomes management : JCOM 2009 Sudore RL, Schillinger D
• Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story.
  Journal of general internal medicine 2008 Sudore RL, Landefeld CS, Pantilat SZ, Noyes KM, Schillinger D
• Engagement in multiple steps of the advance care planning process: a descriptive study of diverse older adults.
  Journal of the American Geriatrics Society 2008 Sudore RL, Schickedanz AD, Landefeld CS, Williams BA, Lindquist K, Pantilat SZ, Schillinger D
• Screening mammography in older women. Effect of wealth and prognosis.
  Archives of internal medicine 2008 Williams BA, Lindquist K, Sudore RL, Covinsky KE, Walter LC
• Limited literacy and mortality in the elderly: the health, aging, and body composition study.
  Journal of general internal medicine 2006 Sudore RL, Yaffe K, Satterfield S, Harris TB, Mehta KM, Simonsick EM, Newman AB, Rosano C, Rooks R, Rubin SM, Ayonayon HN, Schillinger D
• Use of a modified informed consent process among vulnerable patients: a descriptive study.
  Journal of general internal medicine 2006 Sudore RL, Landefeld CS, Williams BA, Barnes DE, Lindquist K, Schillinger D
• Limited literacy in older people and disparities in health and healthcare access.
  Journal of the American Geriatrics Society 2006 Sudore RL, Mehta KM, Simonsick EM, Harris TB, Newman AB, Satterfield S, Rosano C, Rooks RN, Rubin SM, Ayonayon HN, Yaffe K
• Being old and doing time: functional impairment and adverse experiences of geriatric female prisoners.
  Journal of the American Geriatrics Society 2006 Williams BA, Lindquist K, Sudore RL, Strupp HM, Willmott DJ, Walter LC