Syed Yousuf Zafar, MD

Associate Professor of Medicine
Associate Professor in the Sanford School of Public Policy
Associate Professor in Population Health Sciences
Affiliate, Duke Global Health Institute
Member of the Duke Cancer Institute
Member in the Duke Clinical Research Institute
Campus mail Duke Box 3505, Durham, NC 27710
Phone (919) 684-8111
Email address yousuf.zafar@duke.edu

Dr. Zafar is a health services researcher with a focus in improving care delivery for patients with advanced cancer. He has obtained advanced training in health services research and has participated in single-institution, multi-institution and national studies focusing on access to care, cost of care, and comparative effectiveness of care delivery between health systems. His primary area of interest is in the cost of cancer care. He has conducted institutional and national studies on how treatment-related costs impact cancer patients' experience. His current work in this arena is focused on patient preferences regarding cost-related communication and decision-making.

A second field of interest is palliative care. Dr. Zafar has collaborated with national and international palliative care leaders to improve the design and delivery of palliative care in cancer clinical trials. Methodologically, this work has centered around systematic literature reviews, iterative surveys, and prospective clinical trials.

Dr. Zafar is a member of the American Society of Clinical Oncology’s Health Disparities and Clinical Practice Guideline Committees. He is a member of the Alliance for Clinical Trials in Oncology's Health Disparities and Health Outcomes Committees. Dr. Zafar's work has been funded by the American Cancer Society, the HealthWell Foundation, the Duke Cancer Prevention and Control Program, the Duke Clinical Research Institute, and the CALGB Foundation.

In Their Words

Education and Training

  • Fellow in Hematology-Oncology, Medicine, Duke University, 2005 - 2008
  • Resident, Medicine, University of Cincinnati, 2002 - 2005
  • M.D., University of Toledo, 2002

Publications

Moss, HA, Havrilesky, LJ, Zafar, SY, Suneja, G, and Chino, J. "Trends in Insurance Status Among Patients Diagnosed With Cancer Before and After Implementation of the Affordable Care Act." Journal of Oncology Practice 14, no. 2 (February 2018): e92-e102.

PMID
29436303
Full Text

Williams, GR. "Geriatric Assessment: Precision Medicine for Older Adults With Cancer." Journal of Oncology Practice 14, no. 2 (February 2018): 97-98.

Full Text

Sitlinger, AP, and Zafar, SY. "With Colorectal Cancer Treatment, Physical Toxicity Is Not the Only Concern." Diseases of the Colon and Rectum 61, no. 1 (January 2018): 4-5.

PMID
29219913
Full Text

Sloan, C, and Zafar, SY. "Ask Early and Ask Often: How Discussing Costs Could Save Your Patient's Life." North Carolina medical journal 79, no. 1 (January 2018): 39-42.

PMID
29439103
Full Text

Langer, SL, Romano, JM, Todd, M, Strauman, TJ, Keefe, FJ, Syrjala, KL, Bricker, JB, Ghosh, N, Burns, JW, Bolger, N, Puleo, BK, Gralow, JR, Shankaran, V, Westbrook, K, Zafar, SY, and Porter, LS. "Links Between Communication and Relationship Satisfaction Among Patients With Cancer and Their Spouses: Results of a Fourteen-Day Smartphone-Based Ecological Momentary Assessment Study." Frontiers in Psychology 9 (January 2018): 1843-null.

PMID
30364167
Full Text

Sitlinger, A, Sachdev, R, Anderson, D, and Zafar, SY. "Insurance Design and Out-of-Pocket (OOP) Costs: a Comparison of Oral and Intravenous (IV) Treatment Plans for Chronic Lymphocytic Leukemia (CLL) in the Era of the Affordable Care Act (ACA)." 59th Annual Meeting of the American-Society-of-Hematology (ASH). Atlanta, GA. December 9, 2017 - December 12, 2017.: AMER SOC HEMATOLOGY, December 7, 2017.

Scholars@Duke

Coronado, DYS, Hahn, T, Albelda, R, Khera, N, Odejide, OO, Soiffer, RJ, Zafar, SY, and Abel, GA. "Financial Burden and Patient-Reported Outcomes after Hematopoietic Cell Transplantation: Impact of Pre-Treatment Awareness of Transplant-Associated Costs." 59th Annual Meeting of the American-Society-of-Hematology (ASH). Atlanta, GA. December 9, 2017 - December 12, 2017.: AMER SOC HEMATOLOGY, December 7, 2017.

Scholars@Duke

Chino, F, Peppercorn, JM, Rushing, C, Kamal, AH, Altomare, I, Samsa, G, and Zafar, SY. "Out-of-Pocket Costs, Financial Distress, and Underinsurance in Cancer Care." Jama Oncology 3, no. 11 (November 2017): 1582-1584.

PMID
28796862
Full Text

Hunter, WG, Zafar, SY, Hesson, A, Davis, JK, Kirby, C, Barnett, JA, and Ubel, PA. "Discussing Health Care Expenses in the Oncology Clinic: Analysis of Cost Conversations in Outpatient Encounters." Journal of Oncology Practice 13, no. 11 (November 2017): e944-e956.

PMID
28834684
Full Text

Porter, LS, Keefe, FJ, Baucom, DH, Olsen, M, Zafar, SY, and Uronis, H. "A randomized pilot trial of a videoconference couples communication intervention for advanced GI cancer." Psycho Oncology 26, no. 7 (July 2017): 1027-1035.

PMID
28691761
Full Text

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