Keywords
Last Name

Renda S. Wiener, MD

TitleAssistant Professor
InstitutionBoston University School of Medicine
DepartmentMedicine
DivisionPulmonary, Allergy, Sleep & Critical Care Medicine
Address72 E. Concord St Housman (R)
Boston MA 02118
Phone(617) 638-4860
ORCID ORCID Icon0000-0001-6413-4719
Other Positions
InstitutionBoston Medical Center

 Research Expertise & Professional Interests
The goal of my research is to improve how patients, families, and doctors understand, discuss, and make decisions about medical care. Based on my clinical work, I understand why doctors are eager for new strategies to improve patient outcomes. However, we have a tendency to adopt strategies when there is still limited knowledge of the benefits or possible harms. It is essential that we understand these effects before exposing our patients to the harms that may result from management.

Much of my ongoing work focuses on improving patient-centered care and decision-making for the hundreds of thousands of Americans diagnosed with a potentially malignant pulmonary nodule each year. I have received grant funding from the NIH and VA HSR&D to study the impact of the diagnosis of pulmonary nodules on patients’ lung cancer risk perception and health-related quality of life, physicians’ decision-making, and resource utilization in the healthcare system. I am a member of the writing committee for the pulmonary nodule management chapter of the American College of Chest Physician’s Lung Cancer Guidelines, 3rd edition.

I also have ongoing projects, many as collaborations with fellows in our department, to study outcomes and resource use among critically ill patients using large publicly available databases.

 Self-Described Keywords
  • critical care outcomes research
  • doctor-patient communication
  • health services research
  • lung cancer screening
  • medical decision-making
  • meta-analysis
  • pulmonary nodule management
 Publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
List All   |   Timeline
  1. Slatore CG, Horeweg N, Jett JR, Midthun DE, Powell CA, Wiener RS, Wisnivesky JP, Gould MK. An Official American Thoracic Society Research Statement: A Research Framework for Pulmonary Nodule Evaluation and Management. Am J Respir Crit Care Med. 2015 Aug 15; 192(4):500-14.
    View in: PubMed
  2. Mehta AB, Syeda SN, Bajpayee L, Cooke CR, Walkey AJ, Wiener RS. Trends in Tracheostomy for Mechanically Ventilated Patients in the United States, 1993-2012. Am J Respir Crit Care Med. 2015 Aug 15; 192(4):446-54.
    View in: PubMed
  3. Wiener RS. Low-dose computed tomography screening for lung cancer. Ann Intern Med. 2015 Mar 17; 162(6):460.
    View in: PubMed
  4. Simmons J, Gould MK, Woloshin S, Schwartz LM, Wiener RS. Attitudes about Low-Dose Computed Tomography Screening for Lung Cancer: A Survey of American Thoracic Society Clinicians. Am J Respir Crit Care Med. 2015 Feb 15; 191(4):483-6.
    View in: PubMed
  5. Mazzone P, Powell CA, Arenberg D, Bach P, Detterbeck F, Gould MK, Jaklitsch MT, Jett J, Naidich D, Vachani A, Wiener RS, Silvestri G. Components necessary for high-quality lung cancer screening: american college of chest physicians and american thoracic society policy statement. Chest. 2015 Feb 1; 147(2):295-303.
    View in: PubMed
  6. Slatore CG, Golden SE, Ganzini L, Wiener RS, Au DH. Distress and Patient-Centered Communication among Veterans with Incidental (Not Screen-Detected) Pulmonary Nodules. A Cohort Study. Ann Am Thorac Soc. 2015 Feb; 12(2):184-92.
    View in: PubMed
  7. Cooke CR, Wiener RS, Slatore CG. Response. Chest. 2015 Feb 1; 147(2):e57.
    View in: PubMed
  8. Slatore CG, Au DH, Press N, Wiener RS, Golden SE, Ganzini L. Decision making among Veterans with incidental pulmonary nodules: A qualitative analysis. Respir Med. 2015 Apr; 109(4):532-9.
    View in: PubMed
  9. Mehter HM, Wiener RS, Walkey AJ. "Do not resuscitate" decisions in acute respiratory distress syndrome. A secondary analysis of clinical trial data. Ann Am Thorac Soc. 2014 Dec; 11(10):1592-6.
    View in: PubMed
  10. Cooke CR, Feemster LC, Wiener RS, O''Neil ME, Slatore CG. Aggressiveness of intensive care use among patients with lung cancer in the Surveillance, Epidemiology, and End Results-Medicare registry. Chest. 2014 Oct; 146(4):916-23.
    View in: PubMed
  11. Wiener RS. Balancing the benefits and harms of low-dose computed tomography screening for lung cancer: Medicare''s options for coverage. Ann Intern Med. 2014 Sep 16; 161(6):445-6.
    View in: PubMed
  12. Walkey AJ, Wiener RS. Trends in infection source and mortality among patients with septic shock. Am J Respir Crit Care Med. 2014 Sep 15; 190(6):709-10.
    View in: PubMed
  13. Bradford MA, Lindenauer PK, Wiener RS, Walkey AJ. Do-not-resuscitate status and observational comparative effectiveness research in patients with septic shock*. Crit Care Med. 2014 Sep; 42(9):2042-7.
    View in: PubMed
  14. Wiener RS, Slatore CG. Real-world evidence about potential psychosocial harms of lung cancer screening. JAMA Intern Med. 2014 Aug; 174(8):1416.
    View in: PubMed
  15. Wiener RS, Gould MK, Slatore CG, Fincke BG, Schwartz LM, Woloshin S. Resource use and guideline concordance in evaluation of pulmonary nodules for cancer: too much and too little care. JAMA Intern Med. 2014 Jun; 174(6):871-80.
    View in: PubMed
  16. Wiener RS, Ouellette DR, Diamond E, Fan VS, Maurer JR, Mularski RA, Peters JI, Halpern SD. An official American Thoracic Society/American College of Chest Physicians policy statement: the Choosing Wisely top five list in adult pulmonary medicine. Chest. 2014 Jun; 145(6):1383-91.
    View in: PubMed
  17. Kahn JM, Gould MK, Krishnan JA, Wilson KC, Au DH, Cooke CR, Douglas IS, Feemster LC, Mularski RA, Slatore CG, Wiener RS. An official American Thoracic Society workshop report: developing performance measures from clinical practice guidelines. Ann Am Thorac Soc. 2014 May; 11(4):S186-95.
    View in: PubMed
  18. Walkey AJ, Wiener RS. Hospital case volume and outcomes among patients hospitalized with severe sepsis. Am J Respir Crit Care Med. 2014 Mar 1; 189(5):548-55.
    View in: PubMed
  19. Stevenson EK, Rubenstein AR, Radin GT, Wiener RS, Walkey AJ. Two decades of mortality trends among patients with severe sepsis: a comparative meta-analysis*. Crit Care Med. 2014 Mar; 42(3):625-31.
    View in: PubMed
  20. Tukey MH, Borzecki AM, Wiener RS. Validity of ICD-9-CM Codes for the Identification of Complications Related to Central Venous Catheterization. Am J Med Qual. 2015 Jan; 30(1):52-7.
    View in: PubMed
  21. Wiener RS, Slatore CG. Framing discussions about CT scan screening for lung cancer so that patients see the whole picture. Chest. 2013 Dec; 144(6):1749-50.
    View in: PubMed
  22. Tukey MH, Wiener RS. The impact of a medical procedure service on patient safety, procedure quality and resident training opportunities. J Gen Intern Med. 2014 Mar; 29(3):485-90.
    View in: PubMed
  23. Gould MK, Wiener RS. Response. Chest. 2013 Nov; 144(5):1742.
    View in: PubMed
  24. Wiener RS, Schwartz LM, Woloshin S. Authors' reply to Quantrill, Benger, Ripley and colleagues, Roach, Rogers, and Haldar and colleagues. BMJ. 2013; 347:f5131.
    View in: PubMed
  25. Slatore CG, Press N, Au DH, Curtis JR, Wiener RS, Ganzini L. What the heck is a "nodule"? A qualitative study of veterans with pulmonary nodules. Ann Am Thorac Soc. 2013 Aug; 10(4):330-5.
    View in: PubMed
  26. Tukey MH, Wiener RS. The current state of fellowship training in pulmonary artery catheter placement and data interpretation: a national survey of pulmonary and critical care fellowship program directors. J Crit Care. 2013 Oct; 28(5):857-61.
    View in: PubMed
  27. Wiener RS, Schwartz LM, Woloshin S. When a test is too good: how CT pulmonary angiograms find pulmonary emboli that do not need to be found. BMJ. 2013; 347:f3368.
    View in: PubMed
  28. Walkey AJ, Wiener RS, Lindenauer PK. Utilization patterns and outcomes associated with central venous catheter in septic shock: a population-based study. Crit Care Med. 2013 Jun; 41(6):1450-7.
    View in: PubMed
  29. Gould MK, Donington J, Lynch WR, Mazzone PJ, Midthun DE, Naidich DP, Wiener RS. Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May; 143(5 Suppl):e93S-120S.
    View in: PubMed
  30. Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA. What do you mean, a spot?: A qualitative analysis of patients' reactions to discussions with their physicians about pulmonary nodules. Chest. 2013 Mar; 143(3):672-7.
    View in: PubMed
  31. Walkey AJ, Wiener RS. Use of noninvasive ventilation in patients with acute respiratory failure, 2000-2009: a population-based study. Ann Am Thorac Soc. 2013 Feb; 10(1):10-7.
    View in: PubMed
  32. Lasser KE, Kenst KS, Quintiliani LM, Wiener RS, Murillo J, Pbert L, Xuan Z, Bowen DJ. Patient navigation to promote smoking cessation among low-income primary care patients: a pilot randomized controlled trial. J Ethn Subst Abuse. 2013; 12(4):374-90.
    View in: PubMed
  33. Wiener RS, Gould MK, Woloshin S, Schwartz LM, Clark JA. ''The thing is not knowing'': patients'' perspectives on surveillance of an indeterminate pulmonary nodule. Health Expect. 2015 Jun; 18(3):355-65.
    View in: PubMed
  34. McCannon JB, O'Donnell WJ, Thompson BT, El-Jawahri A, Chang Y, Ananian L, Bajwa EK, Currier PF, Parikh M, Temel JS, Cooper Z, Wiener RS, Volandes AE. Augmenting communication and decision making in the intensive care unit with a cardiopulmonary resuscitation video decision support tool: a temporal intervention study. J Palliat Med. 2012 Dec; 15(12):1382-7.
    View in: PubMed
  35. Tukey MH, Wiener RS. Population-based estimates of transbronchial lung biopsy utilization and complications. Respir Med. 2012 Nov; 106(11):1559-65.
    View in: PubMed
  36. Summer R, Wiener RS, Carroll D, Sager A. Physician perception of the impact of productivity measures on academic practice. Arch Intern Med. 2012 Jun 25; 172(12):967-9.
    View in: PubMed
  37. Slatore CG, Cecere LM, Letourneau JL, O'Neil ME, Duckart JP, Wiener RS, Farjah F, Cooke CR. Intensive care unit outcomes among patients with lung cancer in the surveillance, epidemiology, and end results-medicare registry. J Clin Oncol. 2012 May 10; 30(14):1686-91.
    View in: PubMed
  38. Walkey AJ, Wiener RS. Macrolide antibiotics and survival in patients with acute lung injury. Chest. 2012 May; 141(5):1153-9.
    View in: PubMed
  39. Walkey AJ, Wiener RS, Ghobrial JM, Curtis LH, Benjamin EJ. Incident stroke and mortality associated with new-onset atrial fibrillation in patients hospitalized with severe sepsis. JAMA. 2011 Nov 23; 306(20):2248-54.
    View in: PubMed
  40. Walkey AJ, Wiener RS. Risk factors for underuse of lung-protective ventilation in acute lung injury. J Crit Care. 2012 Jun; 27(3):323.e1-9.
    View in: PubMed
  41. Wiener RS, Schwartz LM, Woloshin S, Welch HG. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: an analysis of discharge records. Ann Intern Med. 2011 Aug 2; 155(3):137-44.
    View in: PubMed
  42. Walkey AJ, Wiener RS. Utilization patterns and patient outcomes associated with use of rescue therapies in acute lung injury. Crit Care Med. 2011 Jun; 39(6):1322-8.
    View in: PubMed
  43. Wiener RS, Schwartz LM, Woloshin S. Time trends in pulmonary embolism in the United States: evidence of overdiagnosis. Arch Intern Med. 2011 May 9; 171(9):831-7.
    View in: PubMed
  44. Walkey AJ, O'Donnell MR, Wiener RS. Linezolid vs glycopeptide antibiotics for the treatment of suspected methicillin-resistant Staphylococcus aureus nosocomial pneumonia: a meta-analysis of randomized controlled trials. Chest. 2011 May; 139(5):1148-55.
    View in: PubMed
  45. Wiener RS. Examining disparities in Acute Respiratory Distress Network trial enrollment: moving closer to evidence-based medicine. Crit Care Med. 2010 Jun; 38(6):1493-4.
    View in: PubMed
  46. Wiener RS, Wiener DC, Larson RJ. Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA. 2008 Aug 27; 300(8):933-44.
    View in: PubMed
  47. Wiener RS, Cao YX, Hinds A, Ramirez MI, Williams MC. Angiotensin converting enzyme 2 is primarily epithelial and is developmentally regulated in the mouse lung. J Cell Biochem. 2007 Aug 1; 101(5):1278-91.
    View in: PubMed
  48. Wiener RS, Welch HG. Trends in the use of the pulmonary artery catheter in the United States, 1993-2004. JAMA. 2007 Jul 25; 298(4):423-9.
    View in: PubMed
  49. Wiener RS, Della-Latta P, Schluger NW. Effect of nucleic acid amplification for Mycobacterium tuberculosis on clinical decision making in suspected extrapulmonary tuberculosis. Chest. 2005 Jul; 128(1):102-7.
    View in: PubMed
  50. Wiener R, Utiger RD, Lew R, Emerson CH. Age, sex, and serum thyrotropin concentrations in primary hypothyroidism. Acta Endocrinol (Copenh). 1991 Apr; 124(4):364-9.
    View in: PubMed
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