Literature Review

BMI at diagnosis and pre-diagnosis weight loss as predictors of stage and survival in hepatocellular carcinomaJournal of Clinical Oncology; by Tatiana Ermi, Daniel Kiser, Gai Elhanan, Harry Menon, Joseph Grzymski, Katharine Thomas; 1/26Body mass index (BMI) is a recognized risk factor for hepatocellular carcinoma (HCC), but its relationship to stage at diagnosis, survival, and the “obesity paradox” remains uncertain. Obesity at the time of HCC diagnosis, but not years earlier, was associated with earlier stage and improved survival, while pre-diagnosis weight loss predicted worse outcomes, particularly within the first months after diagnosis. These findings may contribute to the “obesity paradox” discussion in cancer outcomes, in which obesity appears to increase cancer risk overall but paradoxically appears to offer survival protection after diagnosis. Additionally, further studies are needed to investigate this relationship. If validated, consideration should be made as to whether BMI at diagnosis could play a role in both prognostic discussions and risk stratification in HCC.

Palliative care physician explains living and dying with ALS Forbes; by Adaira Landry, MD, MEd; 2/26/26 Actor Eric Dane’s recent death from amyotrophic lateral sclerosis (ALS) has drawn national attention. ... Beyond the headlines lies a deeper and more urgent discussion: what life—and death—look like for patients living with ALS. To better understand both the clinical and scientific landscape, I spoke with Dr. Maria “Marissa” Mapa, an internal medicine and palliative care physician who treats patients with ALS, and Dr. Melanie Leitner, chief scientific officer of the ALS Investment Fund, about current and future research directions.

The burden of the eldest daughter MedPage Today's KevinMD.com; podcast by Jessie Mahone, MD; 10/15/25 Were you the one who always held it together? The responsible one? The one who made sure everyone else was OK, sometimes at the cost of your own well-being? For most eldest daughters, this role is inevitable. We don’t choose it. We are handed it, early and often, because we are so “capable.” We accept this role and excel at it. That’s what most eldest daughters do with whatever is handed to us. Recently, my podcast cohost, another female physician, and I realized we had so many shared “eldest daughter” experiences. 

How compliance technology can improve day-to-day operations BusinessABC; by Peyman Khosravani; 2/25/26 ... Compliance technology, compliance software, or regtech, is the use of software and technology to help companies adhere to regulatory, legal, and internal requirements, and the automation of monitoring, reporting, and auditing of compliance. ...

Awards and Recognitions: February 2026

Friends of Hospice starts life longings bucket list program WSYR-TV, Syracuse, NY; by Iris St. Meran; 2/26/26 Losing a friend or loved one is never easy. That’s why organizations like Friends of Hospice in Oswego County are important. They provide non-medical support and have a new initiative to help those facing a life limiting diagnosis fulfill bucket list requests. Elena Twiss, the executive director shared more about the Life Longings program. It is designed to support individuals facing a life-limiting diagnosis by fulfilling “bucket list” requests, making comfort improvements, or helping with milestone celebrations. To learn more about life longings and the other resources friends of hospice provides visit FriendsOfHospice.org.

2025 Facts and Figures Report now available to Alliance members The National Alliance for Care at Home; Alexandria, VA and Washington, DC; Press Release; 3/3/26 The National Alliance for Care at Home (the Alliance) published the 2025 edition of Facts and Figures, an annual report on key data points related to the delivery of hospice care, including information on patient characteristics, location and level of care, Medicare hospice spending, hospice provider characteristics, and quality of care. Facts and Figures – the leading resource for hospice providers and others interested in understanding the work of the community – has been published annually for over two decades. The findings in this report reflect patients who received care in 2024, provided by hospices certified by the Centers for Medicare & Medicaid Services (CMS) and reimbursed under the Medicare Hospice Benefit. ... The full 2025 Facts and Figures report is available for Alliance members online. The Executive Summary is available to the public.  Editor's Note: Pair this national data with the The Alliance and the Research Institute for Home Care release 2025 Hospice Chartbook that we posted on 2/20/26. The RIHC Hospice Chartbook mainly provides state views with some national treands, whereas this Facts and Figures report is mainly a national view with time trends.

An exploratory analysis of advance care planning typologies in a sample of midlife and older adult sexual minority menJournal of Gerontological Social Work; by Daniel Siconolfi, Emma G. Thomas, Sabina A. Haberlen, M. Reuel Friedman, Deanna Ware, Steven Meanley, Mark Brennan-Ing, James E. Egan, Robert Bolan, Valentina Stosor, Michael Plankey; 1/26Advance care planning (ACP) allows individuals to specify preferences for care and surrogate decision makers that may be needed during a serious illness or at the end of life. Cisgender sexual minority men (SMM) are an overlooked population in most ACP research. Pre-Contemplators and/or Contemplators generally reported less socially supportive relationships, greater loneliness, less optimism, and less resilience than Formal Preparers and Full Preparers. Full Preparers had the highest level of AIDS-related bereavement. To maximize self-determination and preference concordant care, future ACP research and direct practice with SMM should be cognizant of underlying constellations of planning behaviors and psychosocial factors that may act as barriers or facilitators to planning.

Be where you are: Leadership, caregiving, and the courage to pause with Carla Davis | part one Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Carla Davis; 2/25/26 In this powerful episode on Hospice leadership and healthcare leadership development, Carla Davis, Executive in Residence at Cressey & Company, shares what she learned after taking an intentional executive sabbatical to care for her mother. This conversation explores the intersection of caregiver resilience, leadership and burnout, and rediscovering identity beyond professional titles. 

New nonprofit helps Summit families facing terminal illnesses Summit Daily; by Summit Daily Staff; 2/24/26 The newly launched nonprofit Lean on Us aims to provide support services for individuals and families in Summit County dealing with terminal illness. A news release from the nonprofit stated it will provide physical, social, emotional and financial support, complementing the work of existing nonprofits, healthcare providers and caregivers in the county. Lean on Us’ nonmedical assistance will include companionship, caregiver respite, transportation, meal support, emergency financial assistance, accommodations, resource coordination and help with day-to-day tasks.

‘It’s a collaborative effort’: Northern Light Medical Transport paramedics providing hospice supportWABI-5, Bangor, ME; by Alyssa Thurlow; 2/19/26 ... Paramedics can help patients across Maine with a variety of needs, but some are embracing a slower-paced role, focused on assisting those who are at the end of life. “Patients have access to care 24/7, and part of that coverage for after-hours is now coming through the community paramedicine program,” said hospice educator Allie Rohrer, RN. ... “It’s not with lights and sirens. It’s very low key. It’s driving there in a car, and then it’s talking through the issues,” said paramedic Ed Moreshead. ... Northern Light’s community paramedics are contracted with Northern Light Home Care & Hospice. Families in need of assistance call the triage number, and a hospice nurse and on-call physician can respond if needed.

‘I just wanted them not to suffer’: Should terminally ill Ohioans be able to decide when it’s time to die? The Plain Dealer, Cleveland, OH; by Mary Frances McGowna; 2/22/26 In a growing number of states, terminally ill patients now have a legal option that would have been unthinkable to many Americans a generation ago: a doctor’s prescription that allows them to end their own life. The question is one of the most personal in modern health policy: Should a mentally competent, terminally ill person be allowed — with state approval and medical oversight — to choose the timing of their death? ... The debate is accelerating — and it’s reaching closer to Ohio. cleveland.com and The Plain Dealer will publish a continuing series involving the multitude of issues involving end-of-life decisions, including hospice care, the costs of care for the terminally ill, ethics, legal issues and more. If you’ve experienced these issues in your family and are willing to discuss your experiences and thoughts, please email Mary Frances McGowan at mmcgowan@cleveland.com.

The Alliance and the Research Institute for Home Care release 2025 Hospice Chartbook National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 2/19/26 The National Alliance for Care at Home (the Alliance) and The Research Institute for Home Care (the Institute) are excited to announce the release of the 2025 Hospice Chartbook. Highlighting the vital role that hospice plays in caring for an aging demographic, the Chartbook provides a look at the patients being served in hospice, who they are demographically and clinically, and more.  Now in its second year, the 2025 Hospice Chartbook, co-sponsored by the Alliance, provides an overview of national patient and workforce data with an emphasis on state-specific information and trends, including key data on hospice patients and providers, Medicare spending on hospice, and more.