Faculty Profiles

Christine Ritchie, MD

3333 California Street
San Francisco, CA 94118

Christine Ritchie, MD, MSPH, FACP, FAAHPM, is the Harris Fishbon Distinguished Professor in Clinical Translational Research and Aging in the Division of Geriatrics, Department of Medicine at the University of California San Francisco (UCSF).

A graduate of Davidson College and the University of North Carolina at Chapel Hill School of Medicine, she completed her internal medicine residency, chief residency and geriatric fellowship at the University of Alabama at Birmingham (UAB). She is a board certified geriatrician and palliative care physician and has a long-standing experience in clinical care delivery models, medical home care and advanced illness research. She is a recipient of an NIA-funded Geriatric Academic Leadership Award in Advanced Illness and Multimorbidity. She is also an inaugural member of the NIH-funded national Palliative Care Research Cooperative. She is an Associate Editor for the Journal of Palliative Medicine, serves on the Editorial Board of the Journal of Gerontology: Medical Sciences and is on the Board of the American Academy of Hospice and Palliative Medicine. Dr. Ritchie serves on the Public Policy and Research Committees of the American Academy of Homecare Physicians, has built and directed integrated health care programs that included medical house calls and has previously created a highly successful medical registry for managing patients with advanced chronic obstructive pulmonary disease in two health care systems.

Dr. Ritchie's goal is to build a research program at UCSF at the interface of palliative care and geriatrics that seeks to improve quality of life and patient outcomes for those experiencing complex serious illnesses. Emphasis areas are in the area of chronic serious illness, multimorbidity, symptom burden and patient care complexity. She is currently studying the impact of symptom burden on health care utilization in individuals with multiple chronic conditions including cancer. She is also evaluating how patient-centered monitoring technology can be used to support patients and families with serious illness in their transition from the hospital to home.


Advanced illness, Implementation science, Multimorbidity, Symptom burden, Telemedicine

Related Web Sites

Recent Articles (166)

Ritchie CS, Houston TK, Richman JS, Sobko HJ, Berner ES, Taylor BB, Salanitro AH, Locher JL. The E-Coach technology-assisted care transition system: a pragmatic randomized trial. Transl Behav Med. 2016 Sep; 6(3):428-37.

Yao N, Ritchie C, Camacho F, Leff B. Geographic Concentration Of Home-Based Medical Care Providers. Health Aff (Millwood). 2016 Aug 1; 35(8):1404-9.

Bischel LE, Ritchie C, Kober KM, Paul SM, Cooper BA, Chen LM, Levine JD, Hammer M, Wright F, Miaskowski C. Age differences in fatigue, decrements in energy, and sleep disturbance in oncology patients receiving chemotherapy. Eur J Oncol Nurs. 2016 Aug; 23:115-23.

Shafir A, Garrigues SK, Schenker Y, Leff B, Neil J, Ritchie C. Homebound Patient and Caregiver Perceptions of Quality of Care in Home-Based Primary Care: A Qualitative Study. J Am Geriatr Soc. 2016 Aug; 64(8):1622-7.

Bayliss EA, McQuillan DB, Ellis JL, Maciejewski ML, Zeng C, Barton MB, Boyd CM, Fortin M, Ling SM, Tai-Seale M, Ralston JD, Ritchie CS, Zulman DM. Using Electronic Health Record Data to Measure Care Quality for Individuals with Multiple Chronic Medical Conditions. J Am Geriatr Soc. 2016 Sep; 64(9):1839-44.

Smith AK, Ritchie CS, Miao Y, Boscardin WJ, Wallhagen ML. Self-Reported Hearing in the Last 2 Years of Life in Older Adults. J Am Geriatr Soc. 2016 Jul; 64(7):1486-91.

Cenzer IS, Tang V, Boscardin WJ, Smith AK, Ritchie C, Wallhagen MI, Espaldon R, Covinsky KE. One-Year Mortality After Hip Fracture: Development and Validation of a Prognostic Index. J Am Geriatr Soc. 2016 Sep; 64(9):1863-8.

Fathi R, Sheehan OC, Garrigues SK, Saliba D, Leff B, Ritchie CS. Development of an Interdisciplinary Team Communication Framework and Quality Metrics for Home-Based Medical Care Practices. J Am Med Dir Assoc. 2016 Aug 1; 17(8):725-729.e10.

Smith AK, Ritchie CS, Wallhagen ML. Hearing Loss in Hospice and Palliative Care: A National Survey of Providers. J Pain Symptom Manage. 2016 Aug; 52(2):254-8.

Ritchie C, Andersen R, Eng J, Garrigues SK, Intinarelli G, Kao H, Kawahara S, Patel K, Sapiro L, Thibault A, Tunick E, Barnes DE. Implementation of an Interdisciplinary, Team-Based Complex Care Support Health Care Model at an Academic Medical Center: Impact on Health Care Utilization and Quality of Life. PLoS One. 2016; 11(2):e0148096.

Kamal AH, Bull J, Ritchie CS, Kutner JS, Hanson LC, Friedman F, Taylor DH. Adherence to Measuring What Matters Measures Using Point-of-Care Data Collection Across Diverse Clinical Settings. J Pain Symptom Manage. 2016 Mar; 51(3):497-503.

Wright AA, Keating NL, Ayanian JZ, Chrischilles EA, Kahn KL, Ritchie CS, Weeks JC, Earle CC, Landrum MB. Family Perspectives on Aggressive Cancer Care Near the End of Life. JAMA. 2016 Jan 19; 315(3):284-92.

Kutner JS, Ritchie CS, Abernethy AP. Selecting the Optimal Design for Drug Discontinuation Trials in a Setting of Advanced, Life-Limiting Illness-Reply. JAMA Intern Med. 2015 Oct 1; 175(10):1725.

Smith AK, Cenzer IS, John Boscardin W, Ritchie CS, Wallhagen ML, Covinsky KE. Increase in Disability Prevalence Before Hip Fracture. J Am Geriatr Soc. 2015 Oct; 63(10):2029-35.

Rabow MW, Dahlin C, Calton B, Bischoff K, Ritchie C. New Frontiers in Outpatient Palliative Care for Patients With Cancer. Cancer Control. 2015 Oct; 22(4):465-74.

Bakitas MA, Elk R, Astin M, Ceronsky L, Clifford KN, Dionne-Odom JN, Emanuel LL, Fink RM, Kvale E, Levkoff S, Ritchie C, Smith T. Systematic Review of Palliative Care in the Rural Setting. Cancer Control. 2015 Oct; 22(4):450-64.

McNeil MJ, Kamal AH, Kutner JS, Ritchie CS, Abernethy AP. The Burden of Polypharmacy in Patients Near the End of Life. J Pain Symptom Manage. 2016 Feb; 51(2):178-183.e2.

Nikolich-Žugich J, Goldman DP, Cohen PR, Cortese D, Fontana L, Kennedy BK, Mohler MJ, Olshansky SJ, Perls T, Perry D, Richardson A, Ritchie C, Wertheimer AM, Faragher RG, Fain MJ. Preparing for an Aging World: Engaging Biogerontologists, Geriatricians, and the Society. J Gerontol A Biol Sci Med Sci. 2016 Apr; 71(4):435-44.

Stephens C, Halifax E, Bui N, Lee SJ, Harrington C, Shim J, Ritchie C. Provider Perspectives on the Influence of Family on Nursing Home Resident Transfers to the Emergency Department: Crises at the End of Life. Curr Gerontol Geriatr Res. 2015; 2015:893062.

Ornstein KA, Leff B, Covinsky KE, Ritchie CS, Federman AD, Roberts L, Kelley AS, Siu AL, Szanton SL. Epidemiology of the Homebound Population in the United States. JAMA Intern Med. 2015 Jul; 175(7):1180-6.

Chang A, Ritchie C. Patient-Centered Models of Care: Closing the Gaps in Physician Readiness. J Gen Intern Med. 2015 Jul; 30(7):870-2.

Ritchie CS, Rabow MW. Fostering a Quality of Care Culture in Community-Based Palliative Care: What Will It Take? J Palliat Med. 2015 Jul; 18(7):568-9.

Leff B, Weston CM, Garrigues S, Patel K, Ritchie C. Home-based primary care practices in the United States: current state and quality improvement approaches. J Am Geriatr Soc. 2015 May; 63(5):963-9.

Kutner JS, Blatchford PJ, Taylor DH, Ritchie CS, Bull JH, Fairclough DL, Hanson LC, LeBlanc TW, Samsa GP, Wolf S, Aziz NM, Currow DC, Ferrell B, Wagner-Johnston N, Zafar SY, Cleary JF, Dev S, Goode PS, Kamal AH, Kassner C, Kvale EA, McCallum JG, Ogunseitan AB, Pantilat SZ, Portenoy RK, Prince-Paul M, Sloan JA, Swetz KM, Von Gunten CF, Abernethy AP. Safety and benefit of discontinuing statin therapy in the setting of advanced, life-limiting illness: a randomized clinical trial. JAMA Intern Med. 2015 May; 175(5):691-700.

Zulman DM, Pal Chee C, Wagner TH, Yoon J, Cohen DM, Holmes TH, Ritchie C, Asch SM. Multimorbidity and healthcare utilisation among high-cost patients in the US Veterans Affairs Health Care System. BMJ Open. 2015; 5(4):e007771.

Currow DC, Clark K, Kamal A, Collier A, Agar MR, Lovell MR, Phillips JL, Ritchie C. The Population Burden of Chronic Symptoms that Substantially Predate the Diagnosis of a Life-Limiting Illness. J Palliat Med. 2015 Jun; 18(6):480-5.

Leff B, Saliba D, Ritchie C. Home-based care: the authors reply. Health Aff (Millwood). 2015 Apr; 34(4):716.

Merlin JS, Westfall AO, Chamot E, Saag M, Walcott M, Ritchie C, Kertesz S. Quantitative Evaluation of an Instrument to Identify Chronic Pain in HIV-Infected Individuals. AIDS Res Hum Retroviruses. 2015 Jun; 31(6):623-7.

Kvale EA, Meneses K, Demark-Wahnefried W, Bakitas M, Ritchie C. Formative research in the development of a care transition intervention in breast cancer survivors. Eur J Oncol Nurs. 2015 Aug; 19(4):329-35.

Miaskowski C, Dunn L, Ritchie C, Paul SM, Cooper B, Aouizerat BE, Alexander K, Skerman H, Yates P. Latent Class Analysis Reveals Distinct Subgroups of Patients Based on Symptom Occurrence and Demographic and Clinical Characteristics. J Pain Symptom Manage. 2015 Jul; 50(1):28-37.

Leff B, Ritchie C. Quality-of-care standards missing for the vulnerable homebound. Mod Healthc. 2015 Jan 26; 45(4):25.

Yates P, Miaskowski C, Cataldo JK, Paul SM, Cooper BA, Alexander K, Aouizerat B, Dunn L, Ritchie C, McCarthy A, Skerman H. Differences in Composition of Symptom Clusters Between Older and Younger Oncology Patients. J Pain Symptom Manage. 2015 Jun; 49(6):1025-34.

Leff B, Carlson CM, Saliba D, Ritchie C. The invisible homebound: setting quality-of-care standards for home-based primary and palliative care. Health Aff (Millwood). 2015 Jan; 34(1):21-9.

Phillips J, Dal Grande E, Ritchie C, Abernethy AP, Currow DC. A population-based cross-sectional study that defined normative population data for the Life-Space Mobility Assessment-composite score. J Pain Symptom Manage. 2015 May; 49(5):885-93.

Lee SJ, Ritchie CS, Yaffe K, Stijacic Cenzer I, Barnes DE. A clinical index to predict progression from mild cognitive impairment to dementia due to Alzheimer's disease. PLoS One. 2014; 9(12):e113535.

Williams BA, Ahalt C, Stijacic-Cenzer I, Smith AK, Goldenson J, Ritchie CS. Pain behind bars: the epidemiology of pain in older jail inmates in a county jail. J Palliat Med. 2014 Dec; 17(12):1336-43.

Merlin JS, Walcott M, Ritchie C, Herbey I, Kertesz SG, Chamot E, Saag M, Turan JM. 'Two pains together': patient perspectives on psychological aspects of chronic pain while living with HIV. PLoS One. 2014; 9(11):e111765.

Steinman MA, Komaiko KD, Fung KZ, Ritchie CS. Use of opioids and other analgesics by older adults in the United States, 1999-2010. Pain Med. 2015 Feb; 16(2):319-27.

Sheppard KD, Ford CR, Sawyer P, Foley KT, Harada CN, Brown CJ, Ritchie CS. The interprofessional clinical experience: interprofessional education in the nursing home. J Interprof Care. 2015 Mar; 29(2):170-2.

Merlin JS, Turan JM, Herbey I, Westfall AO, Starrels JL, Kertesz SG, Saag MS, Ritchie CS. Aberrant drug-related behaviors: a qualitative analysis of medical record documentation in patients referred to an HIV/chronic pain clinic. Pain Med. 2014 Oct; 15(10):1724-33.

Mgbemena O, Westfall AO, Ritchie CS, Hicks J, Raper JL, Overton ET, Norton WE, Merlin JS. Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain. AIDS Care. 2015; 27(2):244-7.

Ford CR, Brown CJ, Sawyer P, Rothrock AG, Ritchie CS. Advancing geriatric education: development of an interprofessional program for health care faculty. Gerontol Geriatr Educ. 2015; 36(4):365-83.

Abernethy AP, Capell WH, Aziz NM, Ritchie C, Prince-Paul M, Bennett RE, Kutner JS. Ethical conduct of palliative care research: enhancing communication between investigators and institutional review boards. J Pain Symptom Manage. 2014 Dec; 48(6):1211-21.

Dhruva A, Aouizerat BE, Cooper B, Paul SM, Dodd M, West C, Wara W, Lee K, Dunn LB, Langford DJ, Merriman JD, Baggott C, Cataldo J, Ritchie C, Kober KM, Leutwyler H, Miaskowski C. Cytokine gene associations with self-report ratings of morning and evening fatigue in oncology patients and their family caregivers. Biol Res Nurs. 2015 Mar; 17(2):175-84.

Kelley AS, Langa KM, Smith AK, Cagle J, Ornstein K, Silveira MJ, Nicholas L, Covinsky KE, Ritchie CS. Leveraging the health and retirement study to advance palliative care research. J Palliat Med. 2014 May; 17(5):506-11.

Merlin JS, Walcott MM, Herbey I, Chamot E, Ritchie C, Saag MS, Kertesz S. Qualitative investigation of a Brief Chronic Pain Screening tool in HIV-infected patients. AIDS Patient Care STDS. 2014 Apr; 28(4):176-82.

Buys DR, Roth DL, Ritchie CS, Sawyer P, Allman RM, Funkhouser EM, Hovater M, Locher JL. Nutritional risk and body mass index predict hospitalization, nursing home admissions, and mortality in community-dwelling older adults: results from the UAB Study of Aging with 8.5 years of follow-up. J Gerontol A Biol Sci Med Sci. 2014 Sep; 69(9):1146-53.

Barnes DE, Cenzer IS, Yaffe K, Ritchie CS, Lee SJ. A point-based tool to predict conversion from mild cognitive impairment to probable Alzheimer's disease. Alzheimers Dement. 2014 Nov; 10(6):646-55.

Azuero CB, Harris GM, Allen RS, Williams BR, Kvale E, Ritchie CS. Team-based volunteerism with the seriously ill: a qualitative analysis from 10 volunteers' perspectives. J Soc Work End Life Palliat Care. 2014; 10(3):282-95.

Haas MC, Bodner EV, Brown CJ, Bryan D, Buys DR, Keita AD, Flagg LA, Goss A, Gower B, Hovater M, Hunter G, Ritchie CS, Roth DL, Wingo BC, Ard J, Locher JL. Calorie restriction in overweight seniors: response of older adults to a dieting study: the CROSSROADS randomized controlled clinical trial. J Nutr Gerontol Geriatr. 2014; 33(4):376-400.

Sadasivam RS, Luger TM, Coley HL, Taylor BB, Padir T, Ritchie CS, Houston TK. Robot-assisted home hazard assessment for fall prevention: a feasibility study. J Telemed Telecare. 2014 Jan; 20(1):3-10.

Merriman JD, Aouizerat BE, Cataldo JK, Dunn L, Cooper BA, West C, Paul SM, Baggott CR, Dhruva A, Kober K, Langford DJ, Leutwyler H, Ritchie CS, Abrams G, Dodd M, Elboim C, Hamolsky D, Melisko M, Miaskowski C. Association between an interleukin 1 receptor, type I promoter polymorphism and self-reported attentional function in women with breast cancer. Cytokine. 2014 Feb; 65(2):192-201.

Merlin JS, Westfall AO, Chamot E, Overton ET, Willig JH, Ritchie C, Saag MS, Mugavero MJ. Pain is independently associated with impaired physical function in HIV-infected patients. Pain Med. 2013 Dec; 14(12):1985-93.

Ritchie CS, Hearld KR, Gross A, Allman R, Sawyer P, Sheppard K, Salanitro A, Locher J, Brown CJ, Roth DL. Measuring symptoms in community-dwelling older adults: the psychometric properties of a brief symptom screen. Med Care. 2013 Oct; 51(10):949-55.

Molony E, Westfall AO, Perry BA, Tucker R, Ritchie C, Saag M, Mugavero M, Sullivan JC, Merlin JS. Low back pain and associated imaging findings among HIV-infected patients referred to an HIV/palliative care clinic. Pain Med. 2014 Mar; 15(3):418-24.

Ritchie CS. Symptom burden: in need of more attention and more evidence. JAMA Intern Med. 2013 Sep 9; 173(16):1541-2.

Locher JL, Vickers KS, Buys DR, Ellis A, Lawrence JC, Newton LE, Roth DL, Ritchie CS, Bales CW. A randomized controlled trial of a theoretically-based behavioral nutrition intervention for community elders: lessons learned from the Behavioral Nutrition Intervention for Community Elders Study. J Acad Nutr Diet. 2013 Dec; 113(12):1675-82.

Dhruva A, Aouizerat BE, Cooper B, Paul SM, Dodd M, West C, Wara W, Lee K, Dunn LB, Langford DJ, Merriman JD, Baggott C, Cataldo J, Ritchie C, Kober K, Leutwyler H, Miaskowski C. Differences in morning and evening fatigue in oncology patients and their family caregivers. Eur J Oncol Nurs. 2013 Dec; 17(6):841-8.

Sheppard KD, Sawyer P, Ritchie CS, Allman RM, Brown CJ. Life-space mobility predicts nursing home admission over 6 years. J Aging Health. 2013 Sep; 25(6):907-20.

Ritchie CS. Ushering in an era of community-based palliative care. J Palliat Med. 2013 Aug; 16(8):818-9.

Ritchie C, Dunn LB, Paul SM, Cooper BA, Skerman H, Merriman JD, Aouizerat B, Alexander K, Yates P, Cataldo J, Miaskowski C. Differences in the symptom experience of older oncology outpatients. J Pain Symptom Manage. 2014 Apr; 47(4):697-709.

LeBlanc TW, Kutner JS, Ritchie CS, Abernethy AP. Discontinuation of statins in routine care settings. Ann Intern Med. 2013 Jul 2; 159(1):74-5.

Ritchie CS, Zulman DM. Research priorities in geriatric palliative care: multimorbidity. J Palliat Med. 2013 Aug; 16(8):843-7.

Ford CR, Foley KT, Ritchie CS, Sheppard K, Sawyer P, Swanson M, Harada CN, Brown CJ. Creation of an interprofessional clinical experience for healthcare professions trainees in a nursing home setting. Med Teach. 2013 Jul; 35(7):544-8.

Bowling CB, Booth JN, Safford MM, Whitson HE, Ritchie CS, Wadley VG, Cushman M, Howard VJ, Allman RM, Muntner P. Nondisease-specific problems and all-cause mortality in the REasons for Geographic and Racial Differences in Stroke study. J Am Geriatr Soc. 2013 May; 61(5):739-46.

Merlin JS, Zinski A, Norton WE, Ritchie CS, Saag MS, Mugavero MJ, Treisman G, Hooten WM. A conceptual framework for understanding chronic pain in patients with HIV. Pain Pract. 2014 Mar; 14(3):207-16.

Perry BA, Westfall AO, Molony E, Tucker R, Ritchie C, Saag MS, Mugavero MJ, Merlin JS. Characteristics of an ambulatory palliative care clinic for HIV-infected patients. J Palliat Med. 2013 Aug; 16(8):934-7.

Merriman JD, Aouizerat BE, Langford DJ, Cooper BA, Baggott CR, Cataldo JK, Dhruva A, Dunn L, West C, Paul SM, Ritchie CS, Swift PS, Miaskowski C. Preliminary evidence of an association between an interleukin 6 promoter polymorphism and self-reported attentional function in oncology patients and their family caregivers. Biol Res Nurs. 2014 Apr; 16(2):152-9.

Boyd C, Ritchie C, McNabney M. Response to bernabeu-wittel and colleagues. J Am Geriatr Soc. 2013 Mar; 61(3):476-7.

Ritchie CS, Currow DC, Abernethy AP, Kutner JS. Multisite studies offer a solution to recruitment challenges in palliative care studies. J Palliat Med. 2013 Mar; 16(3):225.

Locher JL, Bonner JA, Carroll WR, Caudell JJ, Allison JJ, Kilgore ML, Ritchie CS, Tajeu GS, Yuan Y, Roth DL. Patterns of prophylactic gastrostomy tube placement in head and neck cancer patients: a consideration of the significance of social support and practice variation. Laryngoscope. 2013 Aug; 123(8):1918-25.

Cataldo JK, Paul S, Cooper B, Skerman H, Alexander K, Aouizerat B, Blackman V, Merriman J, Dunn L, Ritchie C, Yates P, Miaskowski C. Differences in the symptom experience of older versus younger oncology outpatients: a cross-sectional study. BMC Cancer. 2013; 13:6.

Kim DJ, Westfall AO, Chamot E, Willig AL, Mugavero MJ, Ritchie C, Burkholder GA, Crane HM, Raper JL, Saag MS, Willig JH. Multimorbidity patterns in HIV-infected patients: the role of obesity in chronic disease clustering. J Acquir Immune Defic Syndr. 2012 Dec 15; 61(5):600-5.

Sheppard KD, Brown CJ, Hearld KR, Roth DL, Sawyer P, Locher JL, Allman RM, Ritchie CS. Symptom burden predicts nursing home admissions among older adults. J Pain Symptom Manage. 2013 Oct; 46(4):591-7.

Kamal AH, Currow DC, Ritchie CS, Bull J, Abernethy AP. Community-based palliative care: the natural evolution for palliative care delivery in the U.S. J Pain Symptom Manage. 2013 Aug; 46(2):254-64.

Merlin JS, Westfall AO, Raper JL, Zinski A, Norton WE, Willig JH, Gross R, Ritchie CS, Saag MS, Mugavero MJ. Pain, mood, and substance abuse in HIV: implications for clinic visit utilization, antiretroviral therapy adherence, and virologic failure. J Acquir Immune Defic Syndr. 2012 Oct 1; 61(2):164-70.

Levy MH, Adolph MD, Back A, Block S, Codada SN, Dalal S, Deshields TL, Dexter E, Dy SM, Knight SJ, Misra S, Ritchie CS, Sauer TM, Smith T, Spiegel D, Sutton L, Taylor RM, Temel J, Thomas J, Tickoo R, Urba SG, Von Roenn JH, Weems JL, Weinstein SM, Freedman-Cass DA, Bergman MA. Palliative care. J Natl Compr Canc Netw. 2012 Oct 1; 10(10):1284-309.

Salanitro AH, Hovater M, Hearld KR, Roth DL, Sawyer P, Locher JL, Bodner E, Brown CJ, Allman RM, Ritchie CS. Symptom burden predicts hospitalization independent of comorbidity in community-dwelling older adults. J Am Geriatr Soc. 2012 Sep; 60(9):1632-7.

Ritchie C, Richman J, Sobko H, Bodner E, Phillips B, Houston T. The E-coach transition support computer telephony implementation study: protocol of a randomized trial. Contemp Clin Trials. 2012 Nov; 33(6):1172-9.

Martin MY, Sanders S, Griffin JM, Oster RA, Ritchie C, Phelan SM, Atienza AA, Kahn K, van Ryn M. Racial variation in the cancer caregiving experience: a multisite study of colorectal and lung cancer caregivers. Cancer Nurs. 2012 Jul-Aug; 35(4):249-56.

Ritchie C, Dann L, Ford P. Shared learning for oral health therapy and dental students: enhanced understanding of roles and responsibilities through interprofessional education. Eur J Dent Educ. 2013 Feb; 17(1):e56-63.

Magnuson JS, Durst J, Rosenthal EL, Carroll WR, Ritchie CS, Kilgore ML, Locher JL. Increased likelihood of long-term gastrostomy tube dependence in head and neck cancer survivors without partners. Head Neck. 2013 Mar; 35(3):420-5.

Salanitro AH, Ritchie CS, Hovater M, Roth DL, Sawyer P, Locher JL, Bodner E, Brown CJ, Allman RM. Inflammatory biomarkers as predictors of hospitalization and death in community-dwelling older adults. Arch Gerontol Geriatr. 2012 May-Jun; 54(3):e387-91.

Ritchie CS, Kvale E, Fisch MJ. Multimorbidity: an issue of growing importance for oncologists. J Oncol Pract. 2011 Nov; 7(6):371-4.

Ritchie CS, Roth DL, Allman RM. Living with an aging parent: "It was a beautiful invitation". JAMA. 2011 Aug 17; 306(7):746-53.

Kamal AH, Currow DC, Ritchie C, Bull J, Wheeler JL, Abernethy AP. The value of data collection within a palliative care program. Curr Oncol Rep. 2011 Aug; 13(4):308-15.

Joshipura KJ, Andriankaja MO, Hu FB, Ritchie CS. Relative utility of 1-h Oral Glucose Tolerance Test as a measure of abnormal glucose homeostasis. Diabetes Res Clin Pract. 2011 Aug; 93(2):268-75.

Chittenden EH, Ritchie CS. Work-life balancing: challenges and strategies. J Palliat Med. 2011 Jul; 14(7):870-4.

Locher JL, Bonner JA, Carroll WR, Caudell JJ, Kilgore ML, Ritchie CS, Roth DL, Tajeu GS, Yuan Y, Allison JJ. Gastrostomy tube placement and use in patients with head and neck cancer. Head Neck. 2012 Mar; 34(3):422-8.

Locher JL, Bonner JA, Carroll WR, Caudell JJ, Keith JN, Kilgore ML, Ritchie CS, Roth DL, Tajeu GS, Allison JJ. Prophylactic percutaneous endoscopic gastrostomy tube placement in treatment of head and neck cancer: a comprehensive review and call for evidence-based medicine. JPEN J Parenter Enteral Nutr. 2011 May; 35(3):365-74.

Jenkins TM, Chapman KL, Ritchie CS, Arnett DK, McGwin G, Cofield SS, Maetz HM. Hospice use in Alabama, 2002-2005. J Pain Symptom Manage. 2011 Feb; 41(2):374-82.

Locher JL, Bales CW, Ellis AC, Lawrence JC, Newton L, Ritchie CS, Roth DL, Buys DL, Vickers KS. A theoretically based Behavioral Nutrition Intervention for Community Elders at high risk: the B-NICE randomized controlled clinical trial. J Nutr Gerontol Geriatr. 2011; 30(4):384-402.

Abernethy AP, Aziz NM, Basch E, Bull J, Cleeland CS, Currow DC, Fairclough D, Hanson L, Hauser J, Ko D, Lloyd L, Morrison RS, Otis-Green S, Pantilat S, Portenoy RK, Ritchie C, Rocker G, Wheeler JL, Zafar SY, Kutner JS. A strategy to advance the evidence base in palliative medicine: formation of a palliative care research cooperative group. J Palliat Med. 2010 Dec; 13(12):1407-13.

De Sousa M, Smith D, Corcoran A, Bailey FA, Furman C, Ritchie C, Rosenfeld K, Shreve S, Casarett D. Families' perceptions of inpatient and home hospice care at end-of-life. Arch Intern Med. 2010 Nov 8; 170(20):1856-7.

Yang Y, Brown CJ, Burgio KL, Kilgore ML, Ritchie CS, Roth DL, West DS, Locher JL. Undernutrition at baseline and health services utilization and mortality over a 1-year period in older adults receiving Medicare home health services. J Am Med Dir Assoc. 2011 May; 12(4):287-94.

Locher JL, Robinson CO, Bailey FA, Carroll WR, Heimburger DC, Saif MW, Tajeu G, Ritchie CS. Disruptions in the organization of meal preparation and consumption among older cancer patients and their family caregivers. Psychooncology. 2010 Sep; 19(9):967-74.

Ritchie CS, Ceronsky L, Coté TR, Herr S, Pantilat SZ, Smith TJ, Yosick L. Palliative care programs: the challenges of growth. J Palliat Med. 2010 Sep; 13(9):1065-70.

Jenkins TM, Chapman KL, Ritchie CS, Arnett DK, McGwin G, Cofield SS, Maetz HM. Barriers to hospice care in Alabama: provider-based perceptions. Am J Hosp Palliat Care. 2011 May; 28(3):153-60.

Kvale E, Ekundayo OJ, Zhang Y, Akhter S, Aban I, Love TE, Ritchie C, Ahmed A. History of cancer and mortality in community-dwelling older adults. Cancer Epidemiol. 2011 Feb; 35(1):30-6.

Lu H, Trancik E, Bailey FA, Ritchie C, Rosenfeld K, Shreve S, Furman C, Smith D, Wolff C, Casarett D. Families' perceptions of end-of-life care in Veterans Affairs versus non-Veterans Affairs facilities. J Palliat Med. 2010 Aug; 13(8):991-6.

Sun Y, Roth DL, Ritchie CS, Burgio KL, Locher JL. Reliability and predictive validity of energy intake measures from the 24-hour dietary recalls of homebound older adults. J Am Diet Assoc. 2010 May; 110(5):773-8.

Bruera E, Billings JA, Lupu D, Ritchie CS. AAHPM position paper: requirements for the successful development of academic palliative care programs. J Pain Symptom Manage. 2010 Apr; 39(4):743-55.

Alici Y, Smith D, Lu HL, Bailey A, Shreve S, Rosenfeld K, Ritchie C, Casarett DJ. Families' perceptions of veterans' distress due to post-traumatic stress disorder-related symptoms at the end of life. J Pain Symptom Manage. 2010 Mar; 39(3):507-14.

Ahmed AA, Hays CI, Liu B, Aban IB, Sims RV, Aronow WS, Ritchie CS, Ahmed A. Predictors of in-hospital mortality among hospitalized nursing home residents: an analysis of the National Hospital Discharge Surveys 2005-2006. J Am Med Dir Assoc. 2010 Jan; 11(1):52-8.

Tilden LB, Williams BR, Tucker RO, MacLennan PA, Ritchie CS. Surgeons' attitudes and practices in the utilization of palliative and supportive care services for patients with a sudden advanced illness. J Palliat Med. 2009 Nov; 12(11):1037-42.

Locher JL, Ritchie CS, Roth DL, Sen B, Vickers KS, Vailas LI. Food choice among homebound older adults: motivations and perceived barriers. J Nutr Health Aging. 2009 Oct; 13(8):659-64.

Joshipura K, Zevallos JC, Ritchie CS. Strength of evidence relating periodontal disease and atherosclerotic disease. Compend Contin Educ Dent. 2009 Sep; 30(7):430-9.

Locher JL, Robinson CO, Bailey FA, Carroll WR, Heimburger DC, Magnuson JS, Saif MW, Ritchie CS. The contribution of social factors to undereating in older adults with cancer. J Support Oncol. 2009 Sep-Oct; 7(5):168-73.

Kvale EA, Clay OJ, Ross-Meadows LA, McGee JS, Edwards JD, Unverzagt FW, Ritchie CS, Ball KK. Cognitive speed of processing and functional declines in older cancer survivors: an analysis of data from the ACTIVE trial. Eur J Cancer Care (Engl). 2010 Jan 1; 19(1):110-7.

Herman AD, Johnson TM, Ritchie CS, Parmelee PA. Pain management interventions in the nursing home: a structured review of the literature. J Am Geriatr Soc. 2009 Jul; 57(7):1258-67.

Ritchie C, Ekundayo OJ, Muchimba M, Campbell RC, Frank SJ, Liu B, Aban IB, Ahmed A. Effects of diabetes mellitus in patients with heart failure and chronic kidney disease: a propensity-matched study of multimorbidity in chronic heart failure. Int J Cardiol. 2009 May 29; 134(3):330-5.

Ritchie CS. Mechanistic links between type 2 diabetes and periodontitis. J Dent. 2009 Aug; 37(8):S578-9.

Levy MH, Back A, Benedetti C, Billings JA, Block S, Boston B, Bruera E, Dy S, Eberle C, Foley KM, Karver SB, Knight SJ, Misra S, Ritchie CS, Spiegel D, Sutton L, Urba S, Von Roenn JH, Weinstein SM. NCCN clinical practice guidelines in oncology: palliative care. J Natl Compr Canc Netw. 2009 Apr; 7(4):436-73.

Brown CJ, Roth DL, Allman RM, Sawyer P, Ritchie CS, Roseman JM. Trajectories of life-space mobility after hospitalization. Ann Intern Med. 2009 Mar 17; 150(6):372-8.

Kilgore ML, Grabowski DC, Morrisey MA, Ritchie CS, Yun H, Locher JL. The effects of the Balanced Budget Act of 1997 on home health and hospice in older adult cancer patients. Med Care. 2009 Mar; 47(3):279-85.

Ekundayo OJ, Muchimba M, Aban IB, Ritchie C, Campbell RC, Ahmed A. Multimorbidity due to diabetes mellitus and chronic kidney disease and outcomes in chronic heart failure. Am J Cardiol. 2009 Jan 1; 103(1):88-92.

Ritchie CS, Wieland D. Advanced illness care in older adults: many lessons yet to be learned. J Gerontol A Biol Sci Med Sci. 2008 Sep; 63(9):949-50.

Boyd CM, Ritchie CS, Tipton EF, Studenski SA, Wieland D. From Bedside to Bench: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Comorbidity and Multiple Morbidity in Older Adults. Aging Clin Exp Res. 2008 Jun; 20(3):181-8.

Locher JL, Ritchie CS, Robinson CO, Roth DL, Smith West D, Burgio KL. A multidimensional approach to understanding under-eating in homebound older adults: the importance of social factors. Gerontologist. 2008 Apr; 48(2):223-34.

Casarett D, Pickard A, Bailey FA, Ritchie C, Furman C, Rosenfeld K, Shreve S, Chen Z, Shea JA. Do palliative consultations improve patient outcomes? J Am Geriatr Soc. 2008 Apr; 56(4):593-9.

Ritchie CS, Locher JL, Roth DL, McVie T, Sawyer P, Allman R. Unintentional weight loss predicts decline in activities of daily living function and life-space mobility over 4 years among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2008 Jan; 63(1):67-75.

Casarett D, Pickard A, Bailey FA, Ritchie CS, Furman CD, Rosenfeld K, Shreve S, Shea J. A nationwide VA palliative care quality measure: the family assessment of treatment at the end of life. J Palliat Med. 2008 Jan-Feb; 11(1):68-75.

Locher JL, Roth DL, Ritchie CS, Cox K, Sawyer P, Bodner EV, Allman RM. Body mass index, weight loss, and mortality in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2007 Dec; 62(12):1389-92.

Casarett D, Pickard A, Amos Bailey F, Ritchie C, Furman C, Rosenfeld K, Shreve S, Shea JA. Important aspects of end-of-life care among veterans: implications for measurement and quality improvement. J Pain Symptom Manage. 2008 Feb; 35(2):115-25.

Ritchie CS, Wilcox CM, Kvale E. Ethical and medicolegal issues related to percutaneous endoscopic gastrostomy placement. Gastrointest Endosc Clin N Am. 2007 Oct; 17(4):805-15.

Makhija SK, Gilbert GH, Litaker MS, Allman RM, Sawyer P, Locher JL, Ritchie CS. Association between aspects of oral health-related quality of life and body mass index in community-dwelling older adults. J Am Geriatr Soc. 2007 Nov; 55(11):1808-16.

Ritchie C. Health care quality and multimorbidity: the jury is still out. Med Care. 2007 Jun; 45(6):477-9.

Ahmed A, Aban IB, Vaccarino V, Lloyd-Jones DM, Goff DC, Zhao J, Love TE, Ritchie C, Ovalle F, Gambassi G, Dell'Italia LJ. A propensity-matched study of the effect of diabetes on the natural history of heart failure: variations by sex and age. Heart. 2007 Dec; 93(12):1584-90.

Ritchie CS, Wieland GD. Improving end-of-life care for older adults: an international challenge. J Gerontol A Biol Sci Med Sci. 2007 Apr; 62(4):393-4.

Downing M, Lau F, Lesperance M, Karlson N, Shaw J, Kuziemsky C, Bernard S, Hanson L, Olajide L, Head B, Ritchie C, Harrold J, Casarett D. Meta-analysis of survival prediction with Palliative Performance Scale. J Palliat Care. 2007; 23(4):245-52; discussion 252-4.

Enwonwu CO, Ritchie CS. Nutrition and inflammatory markers. J Am Dent Assoc. 2007 Jan; 138(1):70-3.

Ritchie CS. Obesity and periodontal disease. Periodontol 2000. 2007; 44:154-63.

Sawyer P, Bodner EV, Ritchie CS, Allman RM. Pain and pain medication use in community-dwelling older adults. Am J Geriatr Pharmacother. 2006 Dec; 4(4):316-24.

Pfeifer MP, Ritchie C, Scharfenberger J, Keeney C, Hermann C, Berwick M, Head B. The Caring Connections Project: Providing palliative care to Medicaid patients with advanced cancer. Lippincotts Case Manag. 2006 Nov-Dec; 11(6):318-26.

Makhija SK, Gilbert GH, Boykin MJ, Litaker MS, Allman RM, Baker PS, Locher JL, Ritchie CS. The relationship between sociodemographic factors and oral health-related quality of life in dentate and edentulous community-dwelling older adults. J Am Geriatr Soc. 2006 Nov; 54(11):1701-12.

Higgins TS, Ritchie CS, Stetson BA, Burke JD, Looney SW. An examination of the moderating effect of treatment with anti-depressants on the association of heart disease with depression in males with type 2 diabetes attending a Veterans Affairs Medical Center. Diabetes Res Clin Pract. 2007 Feb; 75(2):220-8.

Locher JL, Kilgore ML, Morrisey MA, Ritchie CS. Patterns and predictors of home health and hospice use by older adults with cancer. J Am Geriatr Soc. 2006 Aug; 54(8):1206-11.

Furman CD, Head B, Lazor B, Casper B, Ritchie CS. Evaluation of an educational intervention to encourage advance directive discussions between medicine residents and patients. J Palliat Med. 2006 Aug; 9(4):964-7.

Locher JL, Bronstein J, Robinson CO, Williams C, Ritchie CS. Ethical issues involving research conducted with homebound older adults. Gerontologist. 2006 Apr; 46(2):160-4.

McClave SA, Ritchie CS. The role of endoscopically placed feeding or decompression tubes. Gastroenterol Clin North Am. 2006 Mar; 35(1):83-100.

Locher JL, Robinson CO, Roth DL, Ritchie CS, Burgio KL. The effect of the presence of others on caloric intake in homebound older adults. J Gerontol A Biol Sci Med Sci. 2005 Nov; 60(11):1475-8.

Head B, Ritchie CS, Smoot TM. Prognostication in hospice care: can the palliative performance scale help? J Palliat Med. 2005 Jun; 8(3):492-502.

Ritchie CS, Gohmann SF, McKinney WP. Does use of CAM for specific health problems increase with reduced access to care? J Med Syst. 2005 Apr; 29(2):143-53.

Ritchie C, Trost SG, Brown W, Armit C. Reliability and validity of physical fitness field tests for adults aged 55 to 70 years. J Sci Med Sport. 2005 Mar; 8(1):61-70.

Locher JL, Ritchie CS, Roth DL, Baker PS, Bodner EV, Allman RM. Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Soc Sci Med. 2005 Feb; 60(4):747-61.

Joshipura KJ, Ritchie C. Can the relation between tooth loss and chronic disease be explained by socio-economic status? Eur J Epidemiol. 2005; 20(3):203-4.

Head B, Ritchie CS, Scharfenberger J, Keeney C, Hermann C, Pfeifer M. Kentucky's palliative care report card. J Ky Med Assoc. 2004 Feb; 102(2):57-65.

Head B, Ritchie C. Researching end-of-life care: challenges, strategies, and opportunities. Home Healthc Nurse. 2004 Jan; 22(1):37-44.

Tanwani LK, Furman CD, Ritchie CS. Diagnostic challenges in Creutzfeldt-Jakob disease: case report. South Med J. 2003 Aug; 96(8):832-5.

Ritchie CS, Kinane DF. Nutrition, inflammation, and periodontal disease. Nutrition. 2003 May; 19(5):475-6.

Ritchie CS. Oral health, taste, and olfaction. Clin Geriatr Med. 2002 Nov; 18(4):709-17.

Ritchie CS, McClave SA. Part II. Common nutritional issues in older adults. Dis Mon. 2002 Nov; 48(11):713-24.

Ritchie C, Wieland D, Tully C, Rowe J, Sims R, Bodner E. Coordination and advocacy for rural elders (CARE): a model of rural case management with veterans. Gerontologist. 2002 Jun; 42(3):399-405.

Ritchie CS, Stetson BA, Bass PF, Adams KJ. Talking to patients about aerobic exercise for disease prevention: an educational exercise for medical students. Nutr Clin Care. 2002 May-Jun; 5(3):103-14.

Bales CW, Ritchie CS. Sarcopenia, weight loss, and nutritional frailty in the elderly. Annu Rev Nutr. 2002; 22:309-23.

Ritchie CS, Joshipura K, Hung HC, Douglass CW. Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes. Crit Rev Oral Biol Med. 2002; 13(3):291-300.

Millen BE, Silliman RA, Cantey-Kiser J, Copenhafer DL, Ewart CV, Ritchie CS, Quatromoni PA, Kirkland JL, Chipkin SR, Fearon NA, Lund ME, Garcia PI, Barry PP. Nutritional risk in an urban homebound older population. The nutrition and healthy aging project. J Nutr Health Aging. 2001; 5(4):269-77.

Ritchie CS, Joshipura K, Silliman RA, Miller B, Douglas CW. Oral health problems and significant weight loss among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2000 Jul; 55(7):M366-71.

McClave SA, Ritchie CS. Artificial nutrition in pancreatic disease: what lessons have we learned from the literature? Clin Nutr. 2000 Feb; 19(1):1-6.

Joshipura K, Ritchie C, Douglass C. Strength of evidence linking oral conditions and systemic disease. Compend Contin Educ Dent Suppl. 2000; (30):12-23; quiz 65.

Ritchie CS, Dennis CS. Research challenges to recruitment and retention in a study of homebound older adults: lessons learned from the nutritional and dental screening program. Care Manag J. 1999; 1(1):55-61.

Sullivan GM, Boling PA, Ritchie C, Levine S. Curriculum recommendations for resident training in home care. J Am Geriatr Soc. 1998 Jul; 46(7):910-2.

Ritchie CS, Burgio KL, Locher JL, Cornwell A, Thomas D, Hardin M, Redden D. Nutritional status of urban homebound older adults. Am J Clin Nutr. 1997 Oct; 66(4):815-8.

Thomas DR, Ritchie CS. Preoperative assessment of older adults. J Am Geriatr Soc. 1995 Jul; 43(7):811-21.

Fernandes-Costa FJ, Marshall J, Ritchie C, van Tonder SV, Dunn DS, Jenkins T, Metz J. Transition from a hunter-gatherer to a settled lifestyle in the !Kung San: effect on iron, folate, and vitamin B12 nutrition. Am J Clin Nutr. 1984 Dec; 40(6):1295-303.

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