Nancy Keating is an American physician who works at the Brigham and Women's Hospital and is a professor at Harvard Medical School. Her research considers the factors that influence quality care for people suffering from cancer.

Nancy Lynn Keating
Born
Alma materVirginia Tech
University of Chicago Pritzker School of Medicine
Harvard T.H. Chan School of Public Health
Brigham and Women's Hospital
Scientific career
InstitutionsBrigham and Women's Hospital
Harvard Medical School

Early life and education

edit

Keating grew up in Maryland. She attended Fallston High School.[1] Keating was an undergraduate student at Virginia Tech, where she majored in biochemistry.[2] She was a medical student at the University of Chicago Pritzker School of Medicine[3] and completed her internships and residency at the Brigham and Women's Hospital.[4] She was a medical clinical fellow at the Harvard Medical School.[3] Alongside her fellowship in health care policy, Keating was a student in the Harvard T.H. Chan School of Public Health where she earned a Master's in public health and specialized in clinical effectiveness.[3]

Research and career

edit

Keating was appointed to the faculty at the Harvard Medical School in 1998.[citation needed] She was awarded the Society of General Internal Medicine Outstanding Junior Investigator Award in 2005,[5] and promoted to Professor in 2014. Her research considers healthcare equity and improving access to quality cancer care.[3][6][7]

Keating is a member of the National Cancer Institute Cancer Care Outcomes Research and Surveillance (canCORS) consortium. CanCORS examines the treatment pathways and outcomes of patients with colorectal cancer. She analyzed the quality of cancer care for people in the Veterans Health Administration.[8] She considered how geography, ethnicity and age impacted veteran health outcomes. She showed that cancer-related imaging was lower in the Veterans Health Administration than in the fee-for-service Medicare.[9] She also showed that Black veterans were considerably less likely to receive surgery for early stage lung cancer or appropriate radiotherapy than their white counterparts.[10][11]

Keating is interested in end-of-life care for people who experience advanced cancer.[12] She showed that variations in the intensity of end-of-life treatment have less to do with patients' wishes than they do with treatment availability and a physician's discomfort in speaking about end-of-life choices.[12] Keating is committed to oncologists providing appropriate and correct information to people with cancer. She has shown that very few people with fatal cancers have an accurate understanding of their illness, with almost half not every talking to their parents about their life expectancy.[13] She has examined variations in the cost and quality of cancer care across Massachusetts.[6]

Keating is evaluating the Oncology Care Model of the Centers for Medicare & Medicaid Services.[14][15] The Oncology Care Model provides a new approach to delivering oncology services, using new financial incentives and appropriate levels of care across the United States.[16]

Awards and honors

edit

Selected publications

edit
  • Nancy L Keating; A James O'Malley; Matthew R Smith (1 September 2006). "Diabetes and cardiovascular disease during androgen deprivation therapy for prostate cancer". Journal of Clinical Oncology. 24 (27): 4448–4456. doi:10.1200/JCO.2006.06.2497. ISSN 0732-183X. PMID 16983113. Wikidata Q80285083.
  • Jane C Weeks; Paul J Catalano; Angel Cronin; Matthew D Finkelman; Jennifer W Mack; Nancy L Keating; Deborah Schrag (25 October 2012). "Patients' expectations about effects of chemotherapy for advanced cancer". The New England Journal of Medicine. 367 (17): 1616–25. doi:10.1056/NEJMOA1204410. ISSN 0028-4793. PMC 3613151. PMID 23094723. Wikidata Q24597282.
  • Jim C Hu; Xiangmei Gu; Stuart R Lipsitz; Michael J Barry; Anthony V D'Amico; Aaron C Weinberg; Nancy L Keating (1 October 2009). "Comparative effectiveness of minimally invasive vs open radical prostatectomy". JAMA. 302 (14): 1557–1564. doi:10.1001/JAMA.2009.1451. ISSN 0098-7484. PMID 19826025. Wikidata Q42636571.

Personal life

edit

Keating was married in 2003.[2]

References

edit
  1. ^ "FHS Class of 85". www.geocities.ws. Retrieved 2022-01-06.
  2. ^ a b "WEDDINGS/CELEBRATIONS; Nancy Keating, Brian Kinney". The New York Times. 2003-07-27. ISSN 0362-4331. Retrieved 2022-01-06.
  3. ^ a b c d e f g "Nancy L. Keating". hcp.hms.harvard.edu. Retrieved 2022-01-06.
  4. ^ "Nancy Lynn Keating, MD - Brigham and Women's Hospital". physiciandirectory.brighamandwomens.org. Retrieved 2022-01-06.
  5. ^ "Alumni". Harvard Medical Scho. Retrieved 2022-01-06.
  6. ^ a b "Quality Questions". www.cancertodaymag.org. Retrieved 2022-01-06.
  7. ^ "Nancy L. Keating, MD, MPH - DF/HCC". www.dfhcc.harvard.edu. Retrieved 2022-01-06.
  8. ^ a b "The American Society for Clinical Investigation". Retrieved 2022-01-06.
  9. ^ McWilliams, J. Michael; Dalton, Jesse B.; Landrum, Mary Beth; Frakt, Austin B.; Pizer, Steven D.; Keating, Nancy L. (2014-12-02). "Geographic variation in cancer-related imaging: Veterans Affairs health care system versus Medicare". Annals of Internal Medicine. 161 (11): 794–802. doi:10.7326/M14-0650. ISSN 1539-3704. PMC 4251705. PMID 25437407.
  10. ^ Samuel, Cleo A.; Landrum, Mary Beth; McNeil, Barbara J.; Bozeman, Samuel R.; Williams, Christina D.; Keating, Nancy L. (Sep 2014). "Racial disparities in cancer care in the Veterans Affairs health care system and the role of site of care". American Journal of Public Health. 104 (Suppl 4): S562–571. doi:10.2105/AJPH.2014.302079. ISSN 1541-0048. PMC 4151900. PMID 25100422.
  11. ^ Stirling, Rob G. (2014-12-01). "Clinical Quality Registries: Engaging Effectiveness Data for Quality Improvement". American Journal of Public Health. 104 (12): e10. doi:10.2105/AJPH.2014.302319. ISSN 0090-0036. PMC 4232116. PMID 25320882.
  12. ^ a b "Physicians' beliefs may override cancer patients' wishes for end-of-life care, study finds". STAT. 2018-07-09. Retrieved 2022-01-06.
  13. ^ Szabo, Liz (2017-06-12). "'How Long Have I Got, Doc?' Why Many Cancer Patients Don't Have Answers". Kaiser Health News. Retrieved 2022-01-06.
  14. ^ Zheng, Qing; Christian, Thomas; McClellan, Sean; Glass, Roberta; Keating, Nancy; Brooks, Gabriel; Hassol, Andrea (2021). "Impact of the Oncology Care Model on End-of-Life Care". Health Services Research. 56 (S2): 18. doi:10.1111/1475-6773.13742. ISSN 1475-6773. PMC 8441259.
  15. ^ Brooks, Gabriel A.; Jhatakia, Shalini; Tripp, Amanda; Landrum, Mary Beth; Christian, Thomas J.; Newes-Adeyi, Gabriella; Cafardi, Susannah; Hassol, Andrea; Simon, Carol; Keating, Nancy L. (2019-10-01). "Early Findings From the Oncology Care Model Evaluation". Journal of Oncology Practice. 15 (10): e888–e896. doi:10.1200/JOP.19.00265. ISSN 1554-7477. PMID 31393807. S2CID 199508135.
  16. ^ Keating, Nancy L.; Jhatakia, Shalini; Brooks, Gabriel A.; Tripp, Amanda S.; Cintina, Inna; Landrum, Mary Beth; Zheng, Qing; Christian, Thomas J.; Glass, Roberta; Hsu, Van Doren; Kummet, Colleen M. (2021-11-09). "Association of Participation in the Oncology Care Model With Medicare Payments, Utilization, Care Delivery, and Quality Outcomes". JAMA. 326 (18): 1829–1839. doi:10.1001/jama.2021.17642. ISSN 1538-3598. PMC 8579232. PMID 34751709.
  17. ^ a b "Excellence in Mentoring Awards Past Recipients". The Office for Diversity Inclusion and Community Partnership at Harvard Medical School. Retrieved 2022-01-06.
  18. ^ "Paying It Forward". hms.harvard.edu. Retrieved 2022-01-06.
  19. ^ "Nancy Keating Elected to Association of American Physicians". hcp.hms.harvard.edu. 14 March 2017. Retrieved 2022-01-06.
  20. ^ "Health Affairs In 2018: Editor's Picks | Health Affairs Forefront". www.healthaffairs.org. 2019. doi:10.1377/forefront.20190110.783396. Retrieved 2022-01-06.