Jean L. Freeman, Ph.D
Professor, Department of Internal Medicine, Division of Geriatric Medicine
Jean L. Freeman, Ph.D.
Grace Bucksch Gnitzinger Distinguished Professor in Aging Departments of Internal Medicine (Geriatrics) and Preventive Medicine & Community Health (Epidemiology & Biostatistics).
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-0460
|Degree/Training Completed||Year||Name & Location|
|Ph.D.||1984||Yale University, New Haven, CT|
|M.Phil||1980||Yale University, New Haven, CT|
|Operation Research||1972||University of North Carolina, Chapel Hill, NC|
|M.A.||1971||Boston University, Boston, Mass.|
|B.A.||1969||Mount Holyoke College, South Hadley, Mass|
Publications: ARTICLES IN PEER REVIEWED JOURNALS:
Shahinian VB, Kuo YF, Freeman JL, Goodwin JS. "Risk of the Androgen Deprivation Syndrome" in men receiving androgen deprivation for prostate cancer. Archives of Internal Medicine 166(4):465-471, 2006.
Shahinian V, Kuo Y-f, Freeman J, Goodwin J. Determinants of androgen deprivation for prostate cancer: role of the urologist. Journal of the National Cancer Institute 98(12): 839-845, 2006.
Caban ME, Freeman JL, Zhang DD, Jansen C, Ostir G, Hatch S, Goodwin JS. The relationship between depressive symptoms and shoulder mobility among older women: assessment at one year after breast cancer diagnosis. Clinical Rehabilitation 20: 513-522, 2006.
Al Snih S, Markides KS, Ray LA, Freeman JL, Ostir GV, Goodwin JS. Predictors of healthcare utilization among older Mexican Americans. Ethnicity & Disease 2006; 16: 640-646.
Reyes-Ortiz CA, Freeman J, Pelaez M, Markides KS, Goodwin JS. Mammography use among older women of seven Latin American and the Caribbean cities. Preventive Medicine 42:375-380, 2006.
Luo R, Giordano SH, Freeman JL, Zhang D, Goodwin JS. Referral to medical oncology: A crucial step in the treatment of older patients with Stage II colon cancer. The Oncologist 11:1025-1033, 2006.
Riall TS, Nealon WH, Goodwin JS, Zhang DD, Kuo YF, Townsend CM, Freeman JL. Pancreatic cancer in the general population: Improvements in survival over the last decade. Journal of Gastrointestinal Surgery 10(9):1212-1224, 2006.
Giordano SH, Duan Z, Kuo YF, Hortobagyi GN, Freeman J, Goodwin JS. Impact of a scientific presentation on community treatment patterns for primary breast cancer. Journal of the National Cancer Institute 98(6):382-388, 2006.
Reyes-Ortiz CA, Goodwin JS, Freeman JL, Kuo YF. Socioeconomic status and survival in older patients with melanoma. Journal of the American Geriatrics Society 54:1758-1764, 2006.
Tan A, Freeman DH, Goodwin JS, Freeman JL. Variation in false-positive rates of mammography reading among 1067 radiologists: a population based assessment. Breast Cancer Research and Treatment 100:309-318, 2006.
Giordano SH, Lee A, Kuo Y-F, Freeman J, Goodwin JS. Late gastrointestinal toxicity after radiation for prostate cancer. Cancer 107(2):423-432, 2006.
Luo R, Giordano SH, Zhang DD, Freeman JL, Goodwin JS. The role of the surgeon in whether patients with node positive colon cancer see a medical oncologist. Cancer 109(5):975-982, 2007.
Riall TS, Stager VM, Nealon WH, Townsend CM, Kuo Y-f, Goodwin JS, Freeman JL. Incidence of additional primary cancers in patients with IPMNs and Pancreatic adenocarcinoma. Journal of the American College of Surgeons. 204(5): 764-773, 2007.
Lemus, FC, Freeman DH, Bajaj M, Freeman JL. Uncontrolled diabetes in southeast Texas communities: use of hospital discharge data to assess a Healthy People 2010 goal. Texas Public Health Association Journal 58(4):7-11, 2007.
Wilkinson GS, Kuo YF, Freeman JL, Goodwin JS. Intravenous bisphosphonate therapy and inflammatory conditions or surgery of the jaw: A population based analysis. Journal of the National Cancer Institute 99(13):1016-1024, 2007.
Mahnken JD, Freeman JL, DiNuzzo AR, Freeman JL. Mammography Use Among Older Mexican-American Women: Correcting for Over-Reports of Breast Cancer Women & Health 45(3): 53-64, 2007.
Reyes-Ortiz CA, Kuo YF, Freeman JL, Goodwin JS. Influence of marital status on stage at diagnosis and survival of older persons with melanoma. Journal of Gerontology: Medical Sciences 62:892-898, 2007.
Tan A, Freeman DF, Freeman JL. Evaluating health care performance: Strengths and limitations of multilevel analysis. Biometrical Journal 49(5):707-718, 2007.
Shahinian VB, Kuo YF, Freeman JL, Orihuela E. Goodwin JS. Characteristics of urologists predict the use of androgen deprivation therapy for prostate cancer. Journal of Clinical Oncology 25(34):5359-5365, 2007.
Riall TS, Eschbach KA, Townsend CM, Nealon WH, Freeman JL, Goodwin JS. Trends and disparities in regionalization of pancreatic resection. Journal of Gastrointestinal Surgery 11(10): 1242-1251, 2007
Caban ME, Mahnken JD, Kuo Y-f, Freeman JL. Mammography use may partially mediate disparities in tumor size at diagnosis in women with Social Security Disabilities. Women & Health 46(4):1-17, 2007.
Sharma G, Freeman J, Zhang D, Goodwin J. Trends in end of life ICU use among patients with advanced lung cancer. Chest 133(10):72-78, 2008.
Wang J, Kuo Y, Freeman JL, Markowitz AB, Goodwin JS. Temporal trends and predictors of community use of perioperative chemotherapy in elderly patients with resected non-small cell lung cancer, 1992-2002. Cancer 112(2):382-390, 2008.
Wang J, Kuo Y, Freeman J, Goodwin JS. Increasing access to medical oncology consultation in older patients with stage II-IIA non-small cell lung cancer. Medical Oncology 25(2):125-132, 2008.
Giordano SH, Kuo Y-F, Duan Z, Hortobyagi GN, Freeman JL, Goodwin JS. Limits of observational data in determining outcomes from cancer therapy. Cancer 112(11): 2456-2466, 2008.
Wang F, Uretsky BF, Freeman JL, Zhang DD, Gordano SH, Goodwin JS. Survival advantage in Medicare patients receiving drug-eluting stents compared with bare metal stents: real or artifactual. Cath Cardio Interv 71(5): 644-645. 2008.
Raji MA. Kuo Y-F, Freeman JL, Goodwin JS. Effect of a dementia diagnosis on survival of older patients after a diagnosis of breast, colon or prostate cancer: implications for cancer care. Archives of Internal Medicine 168(18):2033-2040, 2008.
Mahnken JD, Chan W, Freeman DH, Freeman JL. Reducing the Effects of Lead-Time Bias, Length Bias and Over-Detection in Evaluating Screening Mammography: A Censored Bivariate Data Approach. Statistical Methods in Medical Research 17(6): 643-663, 2008.
Riall TS, Nealon WH, Goodwin JS, Townsend CM Jr., Freeman JL. Outcomes following pancreatic resection: variability among high-volume providers. Surgery 144(2): 133-140, 2008
Wisnoski NC, Townsend CM Jr, Nealon WH, Freeman JL, Riall TS. 672 patients with acinar cell carcinoma of the pancreas: a population-based comparison to pancreatic adenocarcinoma. Surgery 144(2): 141-148, 2008.
Sharma G, Freeman J, Zhang D, Goodwin JS. Continuity of Care and ICU Utilization During End of Life. Archives of Internal Medicine 169(1): 81-86, 2009.
Kuo YF, Sharma G, Freeman JL, Goodwin JS. Growth in the care of older patients by hospitalists in the United States. New England Journal of Medicine 360(11):1102-1112, 2009.
Lemus FC, Tan A, Eschbach K, Freeman D, Freeman J, Goodwin J. Correlates of bacterial pneumonia hospitalizations in elders, Texas border. Journal of Immigrant and Minority Health, published online March 18, 2009.
Sharma G, Goodwin J, Freeman J, Kuo YF, Zhang D, Fletcher K. Continuity of outpatient and inpatient care by primary care physicians for hospitalized older adults. JAMA 301:1671-1680, 2009.
Lackan N, Stimpson J, Freeman J, Goodwin J, Eschbach K. Ethnic differences in in-hospital place of death among older adults in California: effects of individual and contextual characteristics and medical resources supply. Medical Care 47(2): 138-145, 2009.
Reddy D, Townsend CM, Kuo Y-f, Freeman JL, Goodwin JS, Riall TS. Readmission after Pancreatectomy for Pancreatic Cancer in Medicare Patients. Journal of Gastrointestinal Surgery 13(11):1963-1975, 2009.
Raji MA, Tamboello LP, Kuo YF, Ju H, freeman JL, Zhang DD, Giordano SH, Goodwin JS. Risk of subsequent dementia diagnoses does not vary by type of adjuvant chemotherapy in older women with breast cancer. Medical Oncology 26(4): 452-459, 2009
Riall TS, Townsend CM, Kuo YF, Freeman JL, Goodwin JS. Dissecting racial disparities in the treatment of patients with locoregional pancreatic cancer: A two-step process. Cancer 116(4): 930-939, 2010.
Sharma G, Kuo YF, Freeman JL, Zhang DD, Goodwin JS. Co-management of hospitalized surgical patients by medicine physicians in the United States. Archives of Internal Medicine 170(4): 363-368, 2010.
Howrey B, Goodwin JS, Eschbach K, Freeman J. Lower stroke mortality among Hispanics: an exploration of potential methodological confounders. Medical Care 48(6): 534-539, 2010.
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Order set
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medications
- Parenteral Opioids
- Sepsis, Adult ICU
- 111 - Stroke Alert
- 112 - Stroke Activation
- 300086 - Stroke Floor Admission
- 3000000001 - Stroke Critical care without tPA
- 300088 Stroke - Transfer from Critical care to floor
- 3004002 - Stroke Discharge
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.