Faculty ProfilesChristine Ritchie, MD
Professor in Residence
3333 Calif. St,Laurel Heights
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.
Recent Articles (108)
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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, 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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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, 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.
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.
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.
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.