Syed Yousuf Zafar, MD

Associate Professor of Medicine
Associate Professor in the Sanford School of Public Policy
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

Chino, F, Peppercorn, JM, Rushing, C, Samsa, G, Nicolla, J, Altomare, I, and Zafar, SY. ""Going for Broke": Out-of-Pocket Costs, Financial Distress, and Patient-Reported Willingness to Pay and Sacrifice in Cancer Care." International journal of radiation oncology, biology, physics 96, no. 2S (October 2016): S135-S136.

PMID
27675612
Full Text

Nipp, RD, Zullig, LL, Samsa, G, Peppercorn, JM, Schrag, D, Taylor, DH, Abernethy, AP, and Zafar, SY. "Identifying cancer patients who alter care or lifestyle due to treatment-related financial distress." Psycho Oncology 25, no. 6 (June 2016): 719-725.

PMID
26149817
Full Text

Hochman, MJ, Wolf, S, Zafar, SY, Portman, D, Bull, J, and Kamal, AH. "Comparing Unmet Needs to Optimize Quality: Characterizing Inpatient and Outpatient Palliative Care Populations." Journal of Pain and Symptom Management 51, no. 6 (June 2016): 1033-1039.e3.

PMID
27046299
Full Text

Lathan, CS, Cronin, A, Tucker-Seeley, R, Zafar, SY, Ayanian, JZ, and Schrag, D. "Association of Financial Strain With Symptom Burden and Quality of Life for Patients With Lung or Colorectal Cancer." Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology 34, no. 15 (May 2016): 1732-1740.

PMID
26926678
Full Text

Zafar, SY. "Financial Toxicity of Cancer Care: It's Time to Intervene." JNCI Journal of the National Cancer Institute 108, no. 5 (May 2016).

PMID
26657334
Full Text

Altomare, I, Irwin, B, Zafar, SY, Houck, K, Maloney, B, Greenup, R, and Peppercorn, J. "Physician Experience and Attitudes Toward Addressing the Cost of Cancer Care." Journal of Oncology Practice 12, no. 3 (March 2016): e281-248.

PMID
26883407
Full Text

Zafar, SY. "Abstract IA09: Intervening on the financial toxicity of cancer care." March 2016.

Full Text

Roe, MT, Cyr, DD, Eckart, D, Schulte, PJ, Morse, MA, Blackwell, KL, Ready, NE, Zafar, SY, Beaven, AW, Strickler, JH, Onken, JE, Winters, KJ, Houterloot, L, Zamoryakhin, D, Wiviott, SD, White, HD, Prabhakaran, D, Fox, KAA, Armstrong, PW, Ohman, EM, and TRILOGY ACS Investigators, . "Ascertainment, classification, and impact of neoplasm detection during prolonged treatment with dual antiplatelet therapy with prasugrel vs. clopidogrel following acute coronary syndrome." European Heart Journal 37, no. 4 (January 2016): 412-422.

PMID
26637834
Full Text

Kircher, SM, Meeker, CR, Nimeiri, H, Geynisman, DM, Zafar, SY, Shankaran, V, de Souza, J, and Wong, Y-N. "The Parity Paradigm: Can Legislation Help Reduce the Cost Burden of Oral Anticancer Medications?." Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research 19, no. 1 (January 2016): 88-98.

PMID
26797241
Full Text

Deming, D, Uboha, N, Zafar, SY, Rosenberg, S, Bassetti, M, Glasgow, S, Borden, EC, and Lubner, S. "Adjuvant Chemotherapy for Stage II Rectal Cancer." Seminars in oncology 42, no. 6 (December 2015): e99-107. (Review)

PMID
26615141
Full Text

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