Member of
- American Geriatrics Society committee member
- Journal of General Internal Medicine Editors Deputy Editor
- National Quality Forum committee member
- Society of General Internal Medicine committee member
- Contact Info
Nancy Schoenborn, MD, MHS
Positions
- Associate Professor, Johns Hopkins University
Location
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Baltimore, MD
I'm a geriatrician practicing in the primary care setting and a health services researcher interested in patient-centered care in older adults. Specifically my research focuses on decision-making and communication about preventive care decisions in older adults that take into account their health status, life expectancy, and preferences. I'm interested in how to decide when it's appropriate to de-implement preventive care such as cancer screening in older adults with limited life expectancy and how to communicate such recommendations.
Clinical Disciplines
GEMSSTAR awardee
- Affiliation
- Publications
- Research
- Other
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Affiliation
Has Collaborator
- Cynthia Boyd, MD, MPH Person
- Mara Schonberg, MD, MPH Person
- Alexander Smith, MD, MS, MPH Person
- Thomas Cudjoe, MD, MPH Person
Publications
Selected Publications
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article
- Older women's perspectives on the ethics of persuasion in doctor-patient communication.. Journal of the American Geriatrics Society. 2024
- Exploring Different Contexts of Statin Deprescribing: A Vignette-Based Experiment with Older Adults Across Four Countries.. Journal of general internal medicine. 39:1773-1776. 2024
- Development and Evaluation of Messages for Reducing Overscreening of Breast Cancer in Older Women.. Medical care. 62:296-304. 2024
- Artificial Intelligence and Technology Collaboratories: Innovating aging research and Alzheimer's care.. Alzheimer's & dementia : the journal of the Alzheimer's Association. 20:3074-3079. 2024
- Evaluating ChatGPT's Accuracy in Providing Screening Mammography Recommendations among Older Women: Artificial Intelligence and Cancer Communication.. Research square. 2024
- Resilient Adaptation Strategies: Unveiling Older Adults' Coping Dynamics Amidst the COVID-19 Pandemic.. Journal of gerontological nursing. 49:32-39. 2023
- Benefits and Harms of Mammography Screening in 75 + Women to Inform Shared Decision-making: a Simulation Modeling Study.. Journal of general internal medicine. 39:428-439. 2023
- A National Survey of Physicians' Views on the Importance and Implementation of Deintensifying Diabetes Medications.. Journal of general internal medicine. 39:992-1001. 2023
- Knowledge and attitudes of patient safety attendants in managing hospitalized older adults with delirium and dementia.. Journal of the American Geriatrics Society. 72:616-619. 2023
- Variation in Receipt of Cancer Screening and Immunizations by 10-year Life Expectancy among U.S. Adults aged 65 or Older in 2019.. Journal of general internal medicine. 39:440-449. 2023
- A National Physician Survey of Deintensifying Diabetes Medications for Older Adults With Type 2 Diabetes.. Diabetes care. 46:1164-1168. 2023
- When should electronic medical records reminders for cancer screening stop?-Results from a national physician survey.. Journal of the American Geriatrics Society. 71:2878-2885. 2023
- Different Types of Patient Health Information Associated With Physician Decision-making Regarding Cancer Screening Cessation for Older Adults.. JAMA network open. 6:-. 2023
- Reducing Overuse by Healthcare Systems: A Positive Deviance Analysis.. Journal of general internal medicine. 38:2519-2526. 2023
- Clinician and patient perspectives on screening mammography among women age 75 and older: A pilot study of a novel decision aid.. PEC innovation. 2023
- Older adult preferences regarding benefits and harms of statin and aspirin therapy for cardiovascular primary prevention.. American journal of preventive cardiology. -. 2023
- Physician Decision-Making About Surveillance in Older Adults With Prior Adenomas: Results From a National Survey.. The American journal of gastroenterology. 118:523-530. 2023
- Breast and prostate cancer screening rates by cognitive status in US older adults.. Journal of the American Geriatrics Society. 71:1558-1565. 2023
- Harm and Medication-Type Impact Agreement with Hypothetical Deprescribing Recommendations: a Vignette-Based Experiment with Older Adults Across Four Countries.. Journal of general internal medicine. 38:1439-1448. 2022
- Physician Attitudes About Using Life Expectancy to Inform Cancer Screening Cessation in Older Adults-Results From a National Survey.. JAMA internal medicine. 182:1229-1231. 2022
- A Qualitative Study of Perspectives of Older Adults on Deintensifying Diabetes Medications.. Journal of general internal medicine. 38:1008-1015. 2022
- Willingness to Stop Screening Mammograms Among Older Women in the United States: Results From a National Survey.. Journal of general internal medicine. 38:1091-1093. 2022
- Association between willingness to deprescribe and health outcome priorities among U.S. older adults: Results of a national survey.. Journal of the American Geriatrics Society. 70:2895-2904. 2022
- Is Colorectal Cancer Screening Absolutely Beneficial for Older Adults?. JAMA oncology. 7:-. 2021
- Discontinuing Cancer Screening for Older Adults: a Comparison of Clinician Decision-Making for Breast, Colorectal, and Prostate Cancer Screenings.. Journal of general internal medicine. 37:1122-1128. 2021
- Life expectancy estimates based on comorbidities and frailty to inform preventive care.. Journal of the American Geriatrics Society. 70:99-109. 2021
- Impact of the COVID-19 pandemic on cancer screening attitudes, intentions, and behaviors in older adults.. Journal of the American Geriatrics Society. 70:67-69. 2021
- Association Between Receipt of Cancer Screening and All-Cause Mortality in Older Adults.. JAMA network open. 4:-. 2021
- Innovative Strategies to Facilitate Patient-Centered Research in Multiple Chronic Conditions.. Journal of clinical medicine. 10. 2021
- Assessment of Patient-Preferred Language to Achieve Goal-Aligned Deprescribing in Older Adults.. JAMA network open. 4:-. 2021
- Primary care clinicians' perceptions of colorectal cancer screening tests for older adults.. Preventive medicine reports. -. 2021
- Developing a sensor-based mobile application for in-home frailty assessment: a qualitative study.. BMC geriatrics. 21:-. 2021
- Evaluation of Time to Benefit of Statins for the Primary Prevention of Cardiovascular Events in Adults Aged 50 to 75 Years: A Meta-analysis.. JAMA internal medicine. 181:179-185. 2021
- Association between Breast Cancer Screening Intention and Behavior in the Context of Screening Cessation in Older Women.. Medical decision making : an international journal of the Society for Medical Decision Making. 41:240-244. 2021
- A Novel Curriculum on Using Life Expectancy to Inform Cancer Screening in Older Adults.. Journal of the American Geriatrics Society. 69:524-529. 2021
- Using an Agent-based Model to Examine Deimplementation of Breast Cancer Screening.. Medical care. 59:e1-e8. 2021
- Assessment of Clinician Decision-making on Cancer Screening Cessation in Older Adults With Limited Life Expectancy.. JAMA network open. 3:-. 2020
- Clinician Perspectives on Overscreening for Cancer in Older Adults With Limited Life Expectancy.. Journal of the American Geriatrics Society. 68:1462-1468. 2020
- Perceptions, Barriers, and Experiences With Successful Aging Before and After Kidney Transplantation: A Focus Group Study.. Transplantation. 104:603-612. 2020
- Primary Care Clinician Decision-Making Around Surveillance Colonoscopies in Older Adults with Prior Adenomas.. Journal of the American Board of Family Medicine : JABFM. 33:796-798. 2020
- Racial Disparities Vary by Patient Life Expectancy in Screening for Breast, Prostate, and Colorectal Cancers.. Journal of general internal medicine. 35:3389-3391. 2019
- Patient Perceptions of Diabetes Guideline Frameworks for Individualizing Glycemic Targets.. JAMA internal medicine. 179:1642-1649. 2019
- Examining Generalizability of Older Adults' Preferences for Discussing Cessation of Screening Colonoscopies in Older Adults with Low Health Literacy.. Journal of general internal medicine. 34:2512-2519. 2019
- Approaches to Risk Assessment Among Older Patients With Diabetes.. Current diabetes reports. 19:-. 2019
- How Do Older Adults Consider Age, Life Expectancy, Quality of Life, and Physician Recommendations When Making Cancer Screening Decisions? Results from a National Survey Using a Discrete Choice Experiment.. Medical decision making : an international journal of the Society for Medical Decision Making. 39:621-631. 2019
- Communicating About Stopping Cancer Screening: Comparing Clinicians' and Older Adults' Perspectives.. The Gerontologist. 59:S67-S76. 2019
- Who Orders Screening Mammograms in Older Women with Limited Life Expectancy?. Journal of general internal medicine. 34:2720-2722. 2019
- Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity.. Journal of the American Geriatrics Society. 67:665-673. 2019
- Demographic, health, and attitudinal factors predictive of cancer screening decisions in older adults.. Preventive medicine reports. 244-248. 2019
- Influence of Age, Health, and Function on Cancer Screening in Older Adults with Limited Life Expectancy.. Journal of general internal medicine. 34:110-117. 2018
- Older Adults' Preferences for Discussing Long-Term Life Expectancy: Results From a National Survey.. Annals of family medicine. 16:530-537. 2018
- Words Matter.. Journal of general internal medicine. 33:1607-1609. 2018
- Preferred Clinician Communication About Stopping Cancer Screening Among Older US Adults: Results From a National Survey.. JAMA oncology. 4:1126-1128. 2018
- Incorporating Coexisting Chronic Illness into Decisions about Patient Selection for Lung Cancer Screening. An Official American Thoracic Society Research Statement.. American journal of respiratory and critical care medicine. 198:e3-e13. 2018
- Older adults' perceptions and informational needs regarding frailty.. BMC geriatrics. 18:-. 2018
- The Use of Figurative Language to Describe Frailty in Older Adults.. The Journal of frailty & aging. 7:127-133. 2018
- Individualized Approach to Cancer Screening in Older Adults.. Clinics in geriatric medicine. 34:11-23. 2017
- Older Adults' Views and Communication Preferences About Cancer Screening Cessation.. JAMA internal medicine. 177:1121-1128. 2017
- Use of Geriatric Assessment Tools in Selecting Therapies in Women Aged ≥70 Years With Hormone Receptor-Positive Early-Stage Breast Cancer: Preliminary Experience With a Quality Improvement Initiative.. International journal of radiation oncology, biology, physics. 98:884-890. 2017
- Older Adults' Preferences for When and How to Discuss Life Expectancy in Primary Care.. Journal of the American Board of Family Medicine : JABFM. 30:813-815. 2017
- Adjuvant radiation use in older women with early-stage breast cancer at Johns Hopkins.. Breast cancer research and treatment. 160:291-296. 2016
- Discussion Strategies That Primary Care Clinicians Use When Stopping Cancer Screening in Older Adults.. Journal of the American Geriatrics Society. 64:e221-e223. 2016
- Primary Care Practitioners' Views on Incorporating Long-term Prognosis in the Care of Older Adults.. JAMA internal medicine. 176:671-8. 2016
- Comparing Prognostic Tools for Cancer Screening: Considerations for Clinical Practice and Performance Assessment.. Journal of the American Geriatrics Society. 64:1032-8. 2016
- Prognosis communication with older patients with multimorbidity: Assessment after an educational intervention.. Gerontology & geriatrics education. 38:471-481. 2016
- Incorporating prognosis in the care of older adults with multimorbidity: description and evaluation of a novel curriculum.. BMC medical education. -. 2015
- Current Practices and Opportunities in a Resident Clinic Regarding the Care of Older Adults with Multimorbidity.. Journal of the American Geriatrics Society. 63:1645-51. 2015
- A memorial service to provide reflection on patient death during residency.. Journal of graduate medical education. 5:686-8. 2013
- Getting out of silos: an innovative transitional care curriculum for internal medicine residents through experiential interdisciplinary learning.. Journal of graduate medical education. 5:681-5. 2013
- Clinician roles and responsibilities during care transitions of older adults.. Journal of the American Geriatrics Society. 61:231-6. 2013
Research
Principal Investigator on
- Pilot Core (Aging Focus): Technology Development and Refinement 2021 - 2026
- Stakeholder Engagement Core 2021 - 2026
- Messaging Strategies to Reduce Breast Cancer Over-Screening in Older Women 2021 - 2025
- Improving cancer screening in older adults with limited life expectancy 2018 - 2024
- Understanding Older Adults' Perspectives on How to Incorporate Life Expectancy in Cancer Screening 2015 - 2018