Diwakar D. Balachandran, M.D.
Department of Pulmonary Medicine, Division of Internal Medicine
About Dr. Diwakar D. Balachandran
Balachandran
Present Title & Affiliation
Primary Appointment
Professor, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX
Dual/Joint/Adjunct Appointment
Professor, Pulmonary Medicine, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas
Education & Training
Degree-Granting Education
| 2024 | Kellogg School of Management, Northwestern University, Evanston, IL, US, MBA |
| 1995 | Northwestern University Medical School, Chicago, Illinois, US, MD |
| 1991 | Northwestern University, Evanston, Illinois, US, Economics, BA |
Postgraduate Training
| 2020-2021 | Executive Masters in Business Administration, JL Kellogg Graduate School of Management, Miami, Florida |
| 2012-2013 | Graduate Certificate in Health Care Management, Jesse H. Jones Graduate School of Business - Rice University, Houston, Texas |
| 2008-2009 | Faculty Leadership Academy, The University of Texas MD Anderson Cancer Center, Houston, Texas |
| 2008-2009 | Clinical Safety and Effectiveness Educational Program, The University of Texas MD Anderson Cancer Center, Houston, Texas |
| 2001-2002 | Clinical Fellowship, Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts |
| 1998-2001 | Clinical Fellowship, Pulmonary and Critical Care Medicine, University of Chicago Hospitals and Clinics, Chicago, Illinois |
| 1996-1998 | Clinical Residency, Internal Medicine, Beth Israel Deaconess Medical Center West Campus, Boston, Massachusetts |
| 1995-1996 | Clinical Internship, Internal Medicine, Beth Israel Deaconess Medical Center West Campus, Boston, Massachusetts |
Licenses & Certifications
| 2008 | Certification, Sleep Medicine, American Board of Internal Medicine |
| 2003 | Diplomate, Critical Care Medicine, American Board of Internal Medicine |
| 2003 | Diplomate, American Board of Sleep Medicine |
| 2001 | Diplomate, Pulmonary Medicine, American Board of Internal Medicine |
| 1998 | Diplomate, American Board of Internal Medicine |
Experience & Service
Faculty Academic Appointments
Associate Professor, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2010 - 2017
Assistant Professor, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2005 - 2010
Assistant Professor, Critical Care Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2005 - 2010
Assistant Professor, Internal Medicine, Baylor College of Medicine, Houston, TX, 2002 - 2005
Instructor, Internal Medicine, Harvard Medical School, Boston, MA, 2001 - 2002
Administrative Appointments/Responsibilities
Patient Safety and Quality Officer, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2024 - Present
Member of DoIM Grand Rounds Committee, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2020 - Present
Faculty Senator, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2020 - 2022
Medical Director, Sleep Center, MD Anderson, The University of Texas MD Anderson Cancer Center, Houston, Texas, 2006 - Present
Medical Director, Internal Medicine Center - Mays Clinic, The University of Texas MD Anderson Cancer Center, Houston, TX, 2006 - 2012
Associate Medical Director, Diagnostic Sleep Lab, Methodist Hospital, Houston, TX, 2003 - 2005
Medical Director, Sleep Center, Harris County Hospital District, Baylor College of Medicine, Department of Internal Medicine, Houston, TX, 2002 - 2005
Intramural Institutional Committee Activities
Committee Member, Restful Hospital Environment Workgroup, The University of Texas MD Anderson Cancer Center, 2026 - Present
Member, Quarterly QI meetings, The University of Texas MD Anderson Cancer Center, 2024 - Present
Extramural Institutional Committee Activities
Member, Pharmacy and Therapeutics Committee, The University of Texas MD Anderson Cancer Center, 2024 - Present
Member, PRS Budget and Finance Committee Divisional Representative for Internal Medicine, The University of Texas MD Anderson Cancer Center, 2023 - Present
Member, DoIM Grand Rounds Committee, Departmental Representative, Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, 2022 - Present
Member, Sedation and Procedures Committee, The University of Texas MD Anderson Cancer Center, 2015 - 2017
Member, Clinical and Research Informatics Committee, The University of Texas MD Anderson Cancer Center, 2007 - 2011
Honors & Awards
| 2004 - 2024 | Fellow, The American College of Chest Physicians |
| 2003 - 2024 | Fellow, American Academy of Sleep Medicine |
Professional Memberships
Selected Presentations & Talks
Regional Presentations
- 2019. Sleep in Cancer. Invited. Michael E. DeBakey Veterans Medical Center Sleep Symposium. Houston, TX, US.
National Presentations
- 2026. “Sleep and Cancer". Invited. Sleep Medicine Conference. Boston, MA, US.
- 2025. Sleep Medicine Network Session. Invited. CHEST. Chicago, Illinois, US.
- 2025. Sleep Medicine Year in Review 2: Nonrespiratory Sleep Medicine. Invited. CHEST. Chicago, Illinois, US.
- 2025. RLS, Hypersomnia, and Insomnia: Challenging Cases of Medication Choice. Invited. CHEST. Chicago, Illinois, US.
- 2024. Sleep in traditional Native American practices. Invited. CHEST. Boston, Massachusetts, US.
- 2024. Circadian rhythms for the chest clinician. Invited. CHEST. Boston, Massachusetts, US.
- 2024. Sleep in hospitalized patients. Invited. CHEST. Boston, Massachusetts, US.
- 2023. Sleep and traditional Hawaiian medical practice. Invited. CHEST. Honolulu, Hawaii, US.
- 2023. Update in hypersomnia and narcolepsy. Invited. CHEST. Honolulu, Hawaii, US.
- 2023. Obstructive sleep apnea phenotypes. Invited. CHEST. Honolulu, Hawaii, US.
- 2022. Poongkunran C, Jaumally BA, Knox AS, Pacheco GN, Balachandran DD, Bashoura L, Faiz SA. Sleep disorders in breast cancer patients on hormonal therapy based on polysomnographic data. ATS 2022, US.
- 2021. A Comprehensive Yet Surprisingly Concise Review of Coding for the Pulmonary, Critical Care and Sleep Clinician. CHEST. Virtual, US.
- 2021. Disparities in Sleep Medicine in Persons with Disabilities. Invited. CHEST. Virtual.
- 2021. Disparities in Sleep Medicine in Persons with Disabilities. CHEST. Virtual, US.
- 2020. Circadian Rhythms for the Chest Clinician: It's About Time. Invited. CHEST. Virtual.
- 2019. Causes of Sleep Disturbance in the ICU. CHEST. New Orleans, LA, US.
- 2019. Sleep in the ICU. Invited. CHEST. New Orleans, LA, US.
- 2019. Sleep in Cancer. Michael E. DeBakey Veterans Medical Center Sleep Symposium. Houston, TX, US.
- 2018. Sleep in Pediatrics. CHEST. San Antonio, TX, US.
- 2018. Sleep in Cancer. CHEST. San Antonio, TX, US.
- 2018. Circadian Rhythms in Cancer. Invited. CHEST. San Antonio, TX, US.
- 2018. Circadian Rhythms, Chronobiology and Cancer. Invited. CHEST. Hilton Head, SC, US.
- 2009. Lara Bashoura MD, Diwakar Balachandran MD, Brenda K Aaron-Remmert BS, RPSGT4. Saadia A Faiz MD. Sleep Disorders in Patients with Breast Cancer Based on Polysomnographic Data. Invited. 32nd Annual San Antonio Breast Cancer Symposium. San Antonio, Texas, US.
- 2009. Sleep and Cancer Related Fatigue. Invited. CHEST. San Diego, CA, US.
- 2009. Faiz S, Balachandran D, Aaron-Remmert B, Bashoura L. Significant Sleep Disordered Breathing in Patients With Head and Neck Cancers and Radiation, Oral Presentation. Invited. CHEST. San Diego, CA, US.
- 2004. Sleep in the ICU. Invited. CHEST. Seattle, WA, US.
- 2003. Sleep in Women. Invited. CHEST. Orlando, FL, US.
- 2002. Human Host Response During Chronic Partial Sleep Deprivation. Invited. Association of Professional Sleep Societies 16th Annual Meeting. Seattle, WA, US.
- 2000. CD43-Deficiency Leads to Increased TH2-Type Airway Inflammation But Not Increased TH1-Type Autoimmunity. Invited. American Thoracic Society International Conference 2000. Toronto, CA.
- 1999. FAS Dependent Mechanisms Regulate Survival of Murine Bronchial Alveolar Lavage Eosinophils. Invited. American Thoracic Society International Conference 1999. San Diego, CA, US.
International Presentations
- 2018. Circadian Rhythms in Cancer. Invited. San Antonio, US.
- 2018. Symptoms Cluster of Sleep Disturbance, Cancer Related Fatigue, and Depression, Multinational Association of Supportive Care in Cancer. International Society of Oral Oncology Annual Meeting on Supportive Care in Cancer. Vienna, AT.
- 2018. E-Poster Presentations: Rehabilitation. Invited. Vienna, AT.
- 2018. Plenary Session: Dyspnea: Novel Strategies for Evaluation and Treatment. Invited. Vienna, AT.
- 2018. Circadian Rhythms, Chronobiology and Cancer. Southern Sleep Society 40th Annual Meeting "Sleep Medicine 2018: Four Decades Later". Hilton Head, US.
- 2017. Workshop on Fatigue, Sleep, and Circadian Rhythms. Invited. Washington, US.
- 2016. Balachandran D. Sleep Diagnostics, Multinational Association of Supportive Care in Cancer. Adelaide, AU.
- 2016. Balachandran D. Pharmacotherapy of Insomnia. Multinational Association of Supportive Care in Cancer. Adelaide, AU.
- 2016. Workshop on Sleep, Fatigue, and Drowsiness in Cancer Patients. Invited. Adelaide, AU.
- 2015. Balachandran D, Manzullo E. Sleep Disturbance Contributes to CRF in Cancer Patients with Active Disease, Multinational Association of Supportive Care in Cancer. Copenhagen, US.
- 2015. Sleep Disturbance Contributes to CRF in Cancer Patients with Active Disease. Invited. Copenhagen, DK.
- 2013. French K, Balachandran D, Andrabi T, Goravanchi F, Rebello E, Kee S, Kowalski A. Does the Higher Risk of Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) Predict an Increased Length of Stay in the PACU in Patients with Bladder Cancer Undergoing Cystoscopy?. Scottsdale, US.
- 2012. Holmes H, Manzullo E, Balachandran D, Escalante C, Kallen M. The Paradox of Symptom Burden in Older Patients with cancer-related fatigue. Multinational Association of Supportive Care in Cancer. New York, US.
Formal Peers
- 2020. Sleep and Cancer. Visiting. Maywood, IL, US.
- 2016. Sleep and Cancer. Invited. Houston, TX, US.
- 2013. Continuous Positive Airway Pressure for Sleep Disordered Breathing. Invited. Houston, TX, US.
- 2013. Peri-Operative Complications of Obstructive Sleep Apnea. Invited. Houston, TX, US.
- 2013. Sleep Apnea. Invited, IN.
- 2013. Sleep Apnea. Invited, IN.
- 2010. Cancer Related Fatigue and Sleep. Invited. Albuquerque, NM, US.
Grant & Contract Support
| Date: | 2013 - 2017 |
| Title: | Computer-based symptom intervention for underserved patients with cancer |
| Funding Source: | American Cancer Society (ACS) |
| Role: | Co-I |
| ID: | 266374 |
| Date: | 2007 - 2009 |
| Title: | Pilot Study on the Effect of Parathyroidectomy on Sleep |
| Funding Source: | IRG Clinical Grant The University of Texas M. D. Anderson Cancer Center |
| Role: | Co-I |
| Date: | 2005 - 2007 |
| Title: | The Effect of Parathyroidectomy on Sleep, Cognition, and Function in the Elderly |
| Funding Source: | 2005 Dennis Jahnigen Career Development Award |
| Role: | Co-I |
Selected Publications
Peer-Reviewed Articles
- Bashour, S, Khan, A, Balachandran, D, Ost, D, Eapen, GA, Casal, RF, Adachi, R, Bassett Jr, R, Pasyar, S, Bashoura, L, Vaquero, L, Ordonez, E, Zaveri, JS, Faiz, S, Sheshadri, A, DePew, ZS, Grosu, HB. Using actigraphy to evaluate physical activity in patients with pleural effusion. Journal of Thoracic Disease 18(2), 2026. e-Pub 2026. PMID: 41816437.
- Wu, IH, McNeill, LH, Knutson, KL, Li, Y, Balachandran, D, Jones-Webb, R, Lutsey, PL, Erikson, D, Bista, S, Price, R, Anyanso, V, Smith, T, Miller, RM. Study protocol for Project SHINE (Sleep Health INitiative for Equity). Contemporary Clinical Trials Communications 48, 2025. e-Pub 2025. PMID: 41635713.
- Wu PhD IH, PhD LM, MPH, PhD KK, PhD YL, Diwakar Balachandran MD, PhD RJ, Lutsey PhD PL, PhD DE, PhD SB, Rachel Price MA, PhD VA, Taylor Smith BA, ThD RM. Study protocol for Project SHINE (Sleep Health INitiative for Equity): A community-based pilot RCT to promote sleep and physical activity among Black/African American adults. Contemp Clin Trials Commun, 2025. e-Pub 2025. PMID: 41635713.
- Mir M, Soto F, Amezcua Gomez PA, Rio Arroyo RD, Suresh A, Su A, Gan Q, Stewart J, Adachi R, Balachandran DD, Bashoura L, Casal RF, Dickey BF, Eapen GA, Evans SE, Grosu H, Jimenez CA, Lin J, Ost DE, Sabath BF, Shannon VR, Naing A, Gao J, Wu J. Bronchoalveolar lavage cell percentages as diagnostic markers of immune checkpoint inhibitor pneumonitis. Frontiers in Medicine Volume 12(Article 1582714):12, 2025. e-Pub 2025.
- Mir, M, Soto, F, Gomez, PA, Arroyo, RR, Suresh, A, Su, A, Gan, Q, Stewart, J, Adachi, R, Balachandran, D, Bashoura, L, Casal, RF, Dickey, BF, Eapen, GA, Evans, S, Grosu, HB, Jimenez, C, Lin, J, Ost, D, Sabath, BF, Shannon, VR, Naing, A, Gao, J, Wu, J, Suresh, K, Faiz, S, Altan, M, Sheshadri, A. Bronchoalveolar lavage cell percentages as diagnostic markers of immune checkpoint inhibitor pneumonitis. Frontiers in Medicine 12, 2025. e-Pub 2025. PMID: 40529125.
- Jaumally, BA, Balachandran, D, Salem, AM, Bashoura, L, Faiz, S. Central sleep apnea (CSA) in a treated brainstem chordoma. Sleep Medicine: X 8, 2024. e-Pub 2024. PMID: 39974506.
- Shojaee, S, Pannu, JK, Yarmus, L, Fantin, A, MacRosty, C, Bassett Jr, R, Debiane, LG, DePew, ZS, Faiz, S, Jimenez, C, Avasarala, SK, Vakil, E, DeMaio, A, Bashoura, L, Keshava, K, Ferguson, T, Adachi, R, Eapen, GA, Ost, D, Bashour, S, Khan, A, Shannon, VR, Sheshadri, A, Casal, RF, Evans, S, Pew, K, Castaldo, N, Balachandran, D, Patruno, V, Lentz, RJ, Pai, C, Maldonado, F, Roller, L, Ma, J, Zaveri, JS, Los, J, Vaquero, L, Ordonez, E, Yermakhanova, G, Akulian, J, Burks, C, Almario, RR, Sauve, M, Pettee, J, Noor, L, Arain, MH, Grosu, HB. Gravity- vs Wall Suction-Driven Large-Volume Thoracentesis. Chest 166(6):1573-1582, 2024. e-Pub 2024. PMID: 39029784.
- Faiz SA, Knox AS, Fellman B, Jaumally BA, Pacheco G, Das A, Mathew R, Murthy R, Litton JK, Balachandran DD, Bashoura L. Sleep disturbances based on patient reported outcomes in patients with breast cancer. Sleep Breath 28(6):2491-2500, 2024. e-Pub 2024. PMID: 39225722.
- Franklin A, John TM, Khawaja F, Jiang Y, Yepez E, Ahuja J, Faiz SA, Bashoura L, Sheshadri A, Shannon VR, Balachandran DD, McConn K, Effort Team DDFCOD, Mulanovich VE, Bhatti M, Chemaly RF. Utility of Bronchoalveolar Lavage for the Diagnosis and Management of COVID-19 in Patients With Cancer. J Infect Dis 228(11):1549-1558, 2023. e-Pub 2023. PMID: 37983000.
- Noh S, Bertini C, Mira-Avendano I, Kaous M, Patel B, Faiz SA, Shannon VR, Balachandran DD, Bashoura L, Adachi R, Evans SE, Dickey B, Wu C, Shroff GS, Manzano JG, Granwehr B, Holloway S, Dickson K, Mohammed A, Muthu M, Song H, Team D, Chung C, Wu J, Lee L, Jiang Y, Khawaja F, Sheshadri A. Interstitial lung abnormalities after hospitalization for COVID-19 in patients with cancer: A prospective cohort study. Cancer Med 12(17):17753-17765, 2023. e-Pub 2023. PMID: 37592894.
- Liao Y, Robertson MC, O'Connor SG, Naya CH, Balachandran DD, Dunton GF. Exploring the Effects of Perceived Stress on the Within-Person Relationships Between Daily Activity Levels and Sleep in Women: An Ecological Momentary Assessment Study. Int J Behav Med 30(4):578-583, 2023. e-Pub 2023. PMID: 36161390.
- Balachandran DD, Bashoura L, Sheshadri A, Manzullo E, Faiz SA. The Impact of Immunotherapy on Sleep and Circadian Rhythms in Patients with Cancer. Front Oncol 13:1295267, 2023. e-Pub 2023. PMID: 38090501.
- Wu IHC, Balachandran DD, Faiz SA, Bashoura L, Escalante CP, Manzullo EF. Characteristics of Cancer-Related Fatigue and Concomitant Sleep Disturbance in Cancer Patients. J Pain Symptom Manage 63(1):e1-e8, 2022. e-Pub 2022. PMID: 34348178.
- Vira P, Samuel SR, Rai Pv S, Saxena PP, Amaravadi SK, Ravishankar N, Balachandran DD. Feasibility and Efficacy of Inspiratory Muscle Training in Patients with Head and Neck Cancer receiving Concurrent Chemoradiotherapy. Asian Pac J Cancer Prev 22(12):3817-3822, 2021. e-Pub 2021. PMID: 34967560.
- Sheshadri A, Keus L, Blanco D, Lei X, Kellner C, Shannon VR, Balachandran DD, Jimenez CA, Bashoura L, Faiz SA. Pulmonary Function Testing in Patients with Tracheostomies: Feasibility and Technical Considerations. Lung 199(3):307-310, 2021. e-Pub 2021. PMID: 33779802.
- Liao Y, Robertson MC, Winne A, Wu IHC, Le TA, Balachandran DD, Basen-Engquist KM. Investigating the within-person relationships between activity levels and sleep duration using Fitbit data. Transl Behav Med 11(2):619-624, 2021. e-Pub 2021. PMID: 32667039.
- Wu IH, Heredia N, Dong Q, McNeill LH, Balachandran DD, Lu Q, Chang S. Sleep duration and type 2 diabetes risk: A prospective study in a population-based Mexican American cohort. Sleep Health 7(2):168-176, 2021. e-Pub 2021. PMID: 33582048.
- Kim ST, Sheshadri A, Shannon V, Kontoyiannis DP, Kantarjian H, Garcia-Manero G, Ravandi F, Im JS, Boddu P, Bashoura L, Balachandran DD, Evans SE, Faiz S, Ruiz Vazquez W, Divenko M, Mathur R, Tippen SP, Gumbs C, Neelapu SS, Naing A, Wang L, Diab A, Futreal A, Nurieva R, Daver N. Distinct Immunophenotypes of T Cells in Bronchoalveolar Lavage Fluid From Leukemia Patients With Immune Checkpoint Inhibitors-Related Pulmonary Complications. Front Immunol 11:590494, 2021. e-Pub 2021. PMID: 33552049.
- Yennurajalingam S, Carmack C, Balachandran D, Eng C, Lim B, Delgado M, Guzman Gutierrez D, Raznahan M, Park M, Hess KR, Williams JL, Lu Z, Ochoa J, Bruera E. Sleep disturbance in patients with cancer: a feasibility study of multimodal therapy. BMJ Support Palliat Care 11(2):170-179, 2021. e-Pub 2021. PMID: 31924662.
- Sagar AES, Landaeta MF, Adrianza AM, Aldana GL, Pozo L, Armas-Villalba A, Toquica CC, Larson AJ, Vial MR, Grosu HB, Ost DE, Eapen GA, Sheshadri A, Morice RC, Shannon VR, Bashoura L, Balachandran DD, Almeida FA, Uzbeck MH, Casal RF, Faiz SA, Jimenez CA. Complications following symptom limited thoracentesis using suction. Eur Respir J 56(5), 2020. e-Pub 2020. PMID: 32499336.
- Lai KA, Sheshadri A, Adrianza AM, Etchegaray M, Balachandran DD, Bashoura L, Shannon VR, Faiz S. Role of Infliximab in Immune Checkpoint Inhibitor Induced Pneumonitis. Journal of Immunotherapy and Precision Oncology 3(4):172-174, 2020. e-Pub 2020.
- Bailey M, Eapen G, Ost D, Casal RF, Jimenez C, Datar S, Molina S, Bashoura L, Faiz SA, Balachandran DD, Shannon VR, Sheshadri A, Grosu HB. Routine Microbiologic Studies of Pleural Fluid Specimens in Cancer Patients. Am J Med 133(2):240-244, 2020. e-Pub 2020. PMID: 31401163.
- Lai, KA, Sheshadri, A, Adrianza, AM, Etchegaray, M, Balachandran, D, Bashoura, L, Shannon, VR, Faiz, S. Role of infliximab in immune checkpoint inhibitor-induced pneumonitis. Journal of Immunotherapy and Precision Oncology 3(4):172-174, 2020. e-Pub 2020. PMID: 35665375.
- Grosu HB, Lu W, Ost DE, Vial MR, Hernandez M, Ghosh N, Noor L, Hasan AM, Bashoura L, Faiz S, Balachandran D, Casal R, Eapen G, Shannon V, Sheshadri A, Tang X, Rahman N, Wistuba II. Pleural Fluid Cytokine Levels at Baseline and Over Time are Associated With Time to IPC Removal: An Exploratory Study. J Bronchology Interv Pulmonol 27(1):4-13, 2020. e-Pub 2020. PMID: 31373905.
- Jaumally BA, Das A, Cassell NC, Pachecho GN, Majid R, Bashoura L, Balachandran DD, Faiz SA. Excessive daytime sleepiness in cancer patients. Sleep Breath 25(2):1063-1067, 2020. e-Pub 2020. PMID: 32939599.
- Faiz SA, Jimenez CA, Fellman BM, Huk T, Jazbeh S, Haque SA, Morice RC, Grosu HB, Balachandran DD, Shannon VR, Eapen GA, Bashoura L. Incidence of Bleeding Complications With Flexible Bronchoscopy in Cancer Patients With Thrombocytopenia. J Bronchology Interv Pulmonol 26(4):280-286, 2019. e-Pub 2019. PMID: 30973520.
- Singaraj SG, Mahanty B, Balachandran D, Padmaprabha A. Adsorption and desorption of chromium with humic acid coated iron oxide nanoparticles. Environ Sci Pollut Res Int 26(29):30044-30054, 2019. e-Pub 2019. PMID: 31410837.
- Charalambous A, Berger AM, Matthews E, Balachandran DD, Papastavrou E, Palesh O. Cancer-related fatigue and sleep deficiency in cancer care continuum: concepts, assessment, clusters, and management. Support Care Cancer 27(7):2747-2753, 2019. e-Pub 2019. PMID: 30903367.
- Wu IHC, Nguyen N, Balachandran DD, Lu Q, McNeill LH. Sleep and Obesity: The Mediating Role of Health Behaviors among African Americans. Sleep Health 5(2):193-200, 2019. e-Pub 2019. PMID: 30928121.
- Jaggi S, Balachandran DD, Bashoura L, Faiz SA. Severe sleep disordered breathing in head and neck cancer survivor. Postgrad Med J 95(1120):110-111, 2019. e-Pub 2019. PMID: 30425134.
- Hui D, Kilgore K, Frisbee-Hume S, Park M, Liu D, Balachandran DD, Bruera E. Effect of Prophylactic Fentanyl Buccal Tablet on Episodic Exertional Dyspnea: A Pilot Double-Blind Randomized Controlled Trial. J Pain Symptom Manage 54(6):798-805, 2017. e-Pub 2017. PMID: 28803087.
- Balachandran DB, Faiz SA, Bashoura L, Manzullo E. Cancer-related fatigue presenting with excessive daytime sleepiness. Sage Open Medical Case Reports, 2017. e-Pub 2017. PMID: 29318018.
- Sudhakaran S, Bashoura L, Stewart J, Balachandran DD, Faiz SA. Pulmonary Cryptococcus Presenting as a Solitary Pulmonary Nodule. Am J Respir Crit Care Med 196(9):1217-1218, 2017. e-Pub 2017. PMID: 28892401.
- Faiz SA, Pathania P, Song J, Li L, Balachandran DD, Ost DE, Morice RC, Shannon VR, Bashoura L, Eapen GA, Jimenez CA. Indwelling Pleural Catheters for Patients with Hematologic Malignancies: A 14-Year, Single-Center Experience. Ann Am Thorac Soc 14(6):976-985, 2017. e-Pub 2017. PMID: 28326798.
- Vakil E, Faiz SA, Iliescu C, Balachandran DD, Ong P, Debiane LG, Mehran R. Managing Post Pneumonectomy Tension Hydrothorax. The Proceduralist: Ann Am Thorac Soc 14(6):1031-1035, 2017. e-Pub 2017. PMID: 28570153.
- Faiz SA, Balachandran DD, Bashoura L, Shannon VR. Pulmonary radiation recall induced by gemcitabine. Am J Respir Crit Care Med 194(7):909-910, 2016. e-Pub 2016. PMID: 27420135.
- Balachandran D, Faiz SA, Hernandez M, Kowalski A, Bashoura L, Goravanchi F, Cherian S, Rebello E, Kee S, and French K. Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire. Anesthesiology Research and Practice, 2016. e-Pub 2016.
- Yennurajalingam S, Tayjasanant S, Balachandran D, Padhye NS, Williams JL, Liu DD, Frisbee-Hume S, Bruera E. Association between daytime activity, fatigue, sleep, anxiety, depression, and symptom burden in advanced cancer patients: A preliminary report. J Palliat Med 19(8):849-56, 2016. e-Pub 2016. PMID: 27148765.
- Faiz SA, Bashoura L, Kodali L, Hessel AC, Evans SE, Balachandran DD. Sleep-disordered breathing as a delayed complication of iatrogenic vocal cord trauma. Sleep Med 22:1-3, 2016. e-Pub 2016. PMID: 27544828.
- Gutierrez C, Pravinkumar E, Balachandran D, Schneider V. Fatal hemorrhagic pneumonia: Don't forget Stenotrophomonas maltophilia. Respir Med Case Rep 19:12-4, 2016. e-Pub 2016. PMID: 27358764.
- Balachandran, D, Faiz, S, Hernandez, M, Kowalski, AM, Bashoura, L, Goravanchi, F, Cherian, SV, Rebello, E, Kee, SS, French, KE. Length of Stay in Ambulatory Surgical Oncology Patients at High Risk for Sleep Apnea as Predicted by STOP-BANG Questionnaire. Anesthesiology Research and Practice 2016, 2016. e-Pub 2016. PMID: 27610133.
- Yennurajalingam S, Balachandran D, Pedraza Cardozo SL, Berg EA, Chisholm GB, Reddy A, DeLa Cruz V, Williams JL, Bruera E. Patient-reported sleep disturbance in advanced cancer: frequency, predictors and screening performance of the Edmonton Symptom Assessment System sleep item. BMJ Support Palliat Care, 2015. e-Pub 2015. PMID: 26475092.
- Morgan CK, Bashoura L, Balachandran D, Faiz SA. Spontaneous Hemothorax. Ann Am Thorac Soc 12(10):1578 - 1582, 2015. e-Pub 2015. PMID: 26448354.
- Faiz SA, Balachandran D, Hessel A, Lei X, Beadle B, William W, Bashoura L. Sleep Related Breathing Disorders in Patients with Tumors in the Head and Neck Region. The Oncologist(19):1-7, 2014. e-Pub 2014. PMID: 25273079.
- Ost DE, Jimenez CA, Lei X, Cantor SB, Grosu HB, Lazarus DR, Faiz SA, Bashoura L, Shannon VR, Balachandran D, Noor L, Hashmi YB, Casal RF, Morice RC, Eapen GA. Quality-adjusted Survival Following Treatment of Malignant Pleural Effusions with Indwelling Pleural Catheters. Chest 145(6):1347-56, 2014. e-Pub 2014. PMID: 24480929.
- Blevins DP, Dadu R, Hu M, Baik C, Balachandran D, Ross W, Gunn B, Cabanillas ME. Aerodigestive fistula formation as a rare side effect of antiangiogenic tyrosine kinase inhibitor therapy for thyroid cancer. Thyroid 24(5):918-22, 2014. e-Pub 2014. PMID: 24635127.
- Perrier ND, Balachandran D, Wefel JS, Jimenez C, Busaidy N, Morris GS, Dong W, Jackson E, Weaver S, Gantela S, Evans DB, Grubbs EG, Lee JE. Prospective, randomized, controlled trial of parathyroidectomy versus observation in patients with "asymptomatic" primary hyperparathyroidism. Surgery 146(6):1116-22, 2009. e-Pub 2009. PMID: 19879613.
- Cannon JL, Collins A, Mody PD, Balachandran D, Henriksen KJ, Smith CE, Tong J, Clay BS, Miller SD, Sperling AI. CD43 Regulates Th2 Differentiation and Inflammation. J Immunol 180(11):7385-93, 2008. e-Pub 2008. PMID: 18490738.
- Tong J, Bandulwala HS, Clay BS, Anders RA, Shilling RA, Balachandran DD, Chen B, Weinstock JV, Solway J, Hamann KJ, Sperling AI. Fas-positive T cells regulate the resolution of airway inflammation in a murine model of asthma. J Exp Med 203(5):1173-84, 2006. e-Pub 2006. PMID: 16618792.
- Mansharamani N, Balachandran D, Delaney D, Zibrak JD, Silvestri RC, Koziel H. Lung Abscess in Adults: Clinical Comparison of Immunocompromised to Non-Immunocompromised Patients. Respir Med 96(3):178-85, 2002. e-Pub 2002. PMID: 11905552.
- Mansharamani NG, Balachandran D, Vernovsky I, Garland R, Koziel H. Peripheral CD4+T-Lymphocyte Counts During Pneumocystis Carinii Pneumonia in Immunocompromised Patients Without HIV Infection. Chest 118(3):712-20, 2000. e-Pub 2000. PMID: 10988193.
Invited Articles
- Balachandran D, Knox A, Murphy V. When You Have Cancer and You Can't Sleep. Coping with Cancer Magazine 32(2):18-19, 2018. e-Pub 2018.
- BalachandranDD, Bashoura L, Faiz SA. Sleep-Related Breathing Disorders and Cancer. Curr Pulmonol Rep, 2017. e-Pub 2017.
- Balachandran D, Faiz, SA, Bashoura L, Manzullo E. Cancer-Related Fatigue and Sleep Disorders. Sleep Medicine Clinics, 2013. e-Pub 2013.
- Rathi K, Rose M, Balachandran D. Positive Airway Pressure Devices in Sleep Related Breathing Disorder. Current Respiratory Medicine Review 3(4):254-7, 2007. e-Pub 2007.
- Balachandran D, Adachi R, Marom EM. Invited Commentary: Pulmonary Embolism. RadioGraphics 26(1):39-40, 2006. e-Pub 2006.
Review Articles
- Bhyravabhotla K, Gaskey G, Walder JR, Balachandran DD, Cherian SV, Zafar B, Bashoura L, Sheshadri A, Faiz SA. Intrathoracic manifestations of hematologic malignancies: a narrative review. Ann Transl Med 13(6):81, 2025. e-Pub 2025. PMID: 41502434.
- Balachandran DD, Miller MA, Faiz SA, Yennurajalingam S, Innominato PF. Evaluation and Management of Sleep and Circadian Rhythm Disturbance in Cancer. Curr Treat Options Oncol 22(9):81, 2021. e-Pub 2021. PMID: 34213651.
- Davis MP, Behm B, Balachandran D. Looking both ways before crossing the street: Assessing the benefits and risk of opioids in treating patients at risk of sleep -disordered breathing for pain and dyspnea. J Opioid Manag 13(3):183-196, 2017. e-Pub 2017. PMID: 28829519.
- Balachandran, D, Faiz, S, Bashoura, L, Manzullo, EF. Cancer-related fatigue and sleep disorders. Sleep Medicine Clinics 8(2):229-234, 2013. e-Pub 2013.
Professional Educational Materials
- Vihjani P, Kazzaz F, Faiz S, Balachandran D. Dyspnea. In: Hospice and Palliative Medicine and Supportive Care Flashcards. Oxford University Press, 2018.
- Weiss S, Bassetti C, MacFarlane J, Scammell T, Matheson J, Rosenberg R, Lammers G, Lim A, Overeem S, Murray B, Gert van Dijk J, Singh R, Mahakian C, Doghramji K, Mignot E, Balachandran D, Baumann C, Niroumand M. Case Book of Sleep Medicine. American Academy of Sleep Medicine, 2008.
Other Articles
- Mir, M, Soto, F, Gomez, PA, Arroyo, RR, Suresh, A, Su, A, Gan, Q, Stewart, J, Adachi, R, Balachandran, D, Bashoura, L, Casal, RF, Dickey, BF, Eapen, GA, Evans, S, Grosu, HB, Jimenez, C, Lin, J, Ost, D, Sabath, BF, Shannon, VR, Naing, A, Gao, J, Wu, J, Suresh, K, Faiz, S, Altan, M, Sheshadri, A Correction. Frontiers in Medicine 12, 2025. PMID: 40641984.
Abstracts
- Xiang Y. Han, Christopher J. Bowman, Micah M. Bhatti, Balachandran DD. Two Cases of Legionnaires’ Disease Due to Legionella cardiaca. ASM Case Reports, 2024. e-Pub 2024.
- Knox AS, Balachandran DD, Pacheco G, Arain MH, Murphy VC, Bashoura L, Faiz SA. Sleep Disturbance in Metastatic Breast Cancer Patients. MASCC/ISOO 2019 Annual Meeting, 2019. e-Pub 2019.
- de Lumban T, Balachandran DD, Pacheco G, Faruki A, Sargsyan L, Bashoura L, Faiz S. Sleep Disturbances in Thyroid Malignancies. American Thoracic Society, 2019. e-Pub 2019.
- Kaous M, Balachandran DD, Pacheco G, Knox AS, Bashoura L, Faiz SA. Sleep Disorders in Metastatic Lung Cance. American Thoracic Society, 2019. e-Pub 2019.
- Larson AJ, MacKenney KL, Jimenez CA, Ariza-Heredia E, Knox A, Murphy V, Balachandran D, Ost DE, Immanivong N, Shannon VR, Grosu HB, Eapen G, Faiz SA, Bashoura L. Pneumococcal Vaccination in a Cancer Center. ATS, 2016. e-Pub 2016.
- Potter AS, Faiz S, Lopez-Mattei JC, Bashoura L, Balachandran. Sleep Disordered Breathing in Multiple Myeloma Patients. CHEST, 2016. e-Pub 2016.
- Knox A, Balachandran D, Murphy VC, Bashoura L, Faiz SA. Sleep Disorders in Breast Cancer Patients Based on Polysomnographic Data. ATS, 2016. e-Pub 2016.
- Yennu S, Tayjasanant S, Balachandran D, Padhye NS, Williams JL, Liu DD, Bruera, E. Association between Daytime activity, Sleep and Symptom burden in Advanced Cancer Patients: A Preliminary report. ASCO, 2015. e-Pub 2015.
- Manzullo E, Balachandran D. Daytime sleepiness contributes to cancer-related fatigue in breast cancer survivors: a case report. Supportive Care Cancer (2015) 23 (suppl1):s88, 2015. e-Pub 2015.
- Balachandran D, Escalante C, Faiz SA, Bashoura L, Fellman B, Lam T, Manzullo E. Sleep Disturbance contributes to CRF in cancer patients with active disease. Supportive Care Cancer (2015) 23 (Suppl 1): S203, 2015. e-Pub 2015.
- Bruera E, Yennu S, Balachandran D, Padhye NS, Williams JL, Frisbee-Hume S. Actigraphy Findings and Cancer-Related Fatigue (CRF) in Advanced Cancer Patients Treated with Methylphenidate (MP) and Nursing Telephone Intervention (NTI). ASCO, 2013. e-Pub 2013.
- Balachandran D, Manzullo E, Holmes H, Bashoura L, Faiz S, Escalante C, Kallen M. Sleep Architecture in Patients with Cancer Related Fatigue (CRF). Supportive Care in Cancer, 2012. e-Pub 2012.
- Faiz S, Balachandan D, Tallajavhula S. Sleep Disorders in Patients with Hematological Malignancies,. Chest, 2012. e-Pub 2012.
- Holmes H, Manzullo E, Balachandran D, Escalante C, Kallen M. The paradox of symptom burden in older patients with cancer-related fatigue (CRF). Supportive Care in Cancer, 2012. e-Pub 2012.
- Manzullo E, Balachandran D, Holmes H, Bashoura L, Faiz S, Escalante C, Kallen M. Age effects on sleep architecture in patients with cancer-related fatigue (CRF). Supportive Care in Cancer, 2012. e-Pub 2012.
- Faiz S, Balachandran D, Aaron-Remmert B, Murphy V, Pachecho N, Mahoney S, Keus L, Patel P, Bashoura L. Sleep Disorders in Prostate Cancer. Chest, 2011. e-Pub 2011.
- Faiz S, Balachandran D, Bashoura L. Sleep Disorders in Lung Cancer Patients. Sleep, 2010. e-Pub 2010.
- Lara Bashoura MD, Diwakar Balachandran MD, Brenda K Aaron-Remmert BS, RPSGT Saadia A Faiz MD. Sleep Disorders in Patients with Breast Cancer Based on Polysomnographic Data. San Antonio Breast Cancer Symposium, 2009. e-Pub 2009.
- Faiz S, Balachandran D, Aaron-Remmert B, Bashoura L. Significant Sleep Disordered Breathing in Patients With Head and Neck Cancers and Radiation. Chest, 2009. e-Pub 2009.
- Balachandran D, Bashoura L, Faiz S, Aaron-Remmert B, Kallen M, Valdres R, Lam T, Escalante C, Manzullo E. Sleep Disorders in Patients With Cancer-Related Fatigue. Chest, 2009. e-Pub 2009.
- Balachandran D, Bashoura L, Gantella S, Aaron-Remmert B, Thompson N, Bekele N, Faiz S, Hirshkowitz M, Perrier N. Effects of Parathyroidectomy on Sleep. Sleep 31:A295, 2008. e-Pub 2008.
- Halayko AK, Camoretti-Mercado B, Forsythe S, Patel N, Balachandran D, Fu Y, Solway J. Hypertrophy of Contractile Myocytes Induced by Retinoic Acid in Cultured Serum-Deprived Canine Tracheal Smooth Muscle Cells, 1998. e-Pub 1998.
Book Chapters
- Poongkunran, C, Balachandran, D, Bashoura, L, Faiz, S. Sleep Disturbances in Hematopoietic Stem Cell Transplantation, 301-310, 2023.
- Pedraza SL, Balachandran D, Yennurajalingam S. Sleep Disorders. In: Textbook of Palliative Medicine. 2nd. Hodder Education, 2015.
- Cherian SV, Balachandran D. Lung Neoplasms. In: ATS Review for the Pulmonary Boards. 1st Ed. American Thoracic Society, 515-564, 2014.
- Faiz S, Bashoura L, Balachandran D. Sleep and Cancer. In: Cancer Rehabilitation, 2012.
- Balachandran D. Sleep and the immune system: Implications for health and mortality. In: Sleep and Safety. Bentham Science Publishers LTD, 52-59, 2011.
- Shannon VR, Eapen GA, Jimenez CA, Grosu HB, Morice RC, Bashoura L, Evans SE, Adachi R, Kroll M, Faiz SA, Balachandran DD, Pravinkumar SE, Dickey BF. Respiratory Complications, Sleep in Cancer. In: Cancer Medicine. BC Decker.
- Poongkunran C, Balachandran DD, Bashoura L, Faiz SA. Sleep Disturbances in Hematopoietic Stem Cell Transplantation. In: Pulmonary and Critical Care Considerations of Hematopoietic Stem Cell Transplantation. Springer Nature.
- Vihjani P, Kazzaz F, Faiz SA, Balachandran DD. Dyspnea. In: Hospice and Palliative Medicine and Supportive Care. Oxford University Press.
Patient Reviews
CV information above last modified August 26, 2026