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Paul W. Walker, M.D.,CCFP

Present Title & Affiliation

Primary Appointment

Associate Professor, Department of Palliative Care and Rehabilitation Medicine, Division of Cancer Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, TX

Office Address

The University of Texas MD Anderson Cancer Center
1400 Pressler
Unit Number: 1414
Houston, TX 77030
Room Number: FCT5.6042
Phone: 713-745-0227
Fax: 713-792-6092
Email: pwwalker@mdanderson.org

Education & Training

Degree-Granting Education

1983 University of Alberta, Edmonton, Canada, MD, Medicine
1981 University of Alberta, Edmonton, Alberta, Canada, BS, Medicine

Postgraduate Training

7/1984-6/1985 Second Year Pre-Licensure Program/General Practitioner Anaesthesia Program, University of Alberta, Edmonton, Canada
7/1983-6/1984 Rotating Internship, Charles Camsell General Hospital, Edmonton, Canada

Selected Publications

Peer-Reviewed Original Research Articles

1. Yennurajalingam S, Dev R, Walker PW, Reddy SK, Bruera E. Challenges Associated with Spinal Opioid Therapy for Pain in Patients with Advanced Cancer: A Report of Three Cases. Journal of Pain and Symptom Management 39(5):930-935, 5/2010. PMID: 20471553.
2. Reddy S, Hui D, el Osta B, de la Cruz M, Walker P, Palmer L, Bruera. The Effect of Oral Methadone on the QTc Interval in Advanced Cancer Patients: A Prospective Pilot Study. Journal of Palliative Medicine 13(1):33-38, 1/2010. PMID: 19824814.
3. Walker P, Palla S, Lian-Pei B, Kaur G, Zhang K, Hanohano J, Munsell M, Bruera E. Switching from Methadone to a Different Opioid: What is the equianalgesic dose ratio? Journal of Palliative Medicine 11(8):1103-1108, 2008. PMID: 18980450.
4. Del Fabbro D, Reddy SG, Walker P and Bruera E. Palliative Sedation: When the Family and Consulting Service See No Alternative. Journal of Palliative Medicine 10(2):488-492, 2007.
5. Walker P, Neuhauser MN, Tam VH, Willey JS, Palmer JL, Bruera E, Prince RA. Subcutaneous administration of cefepime. Journal of Pain and Symptom Management 30(2):170-4, 8/2005. PMID: 16125032.
6. Strasser F, Walker P, Bruera E. When both pain and suffering hurt. Journal of Palliative Care 21(2):69-79, 2005. PMID: 16114805.
7. Elsayem A, Swint K, Fisch MJ, Palmer JL, Reddy S, Walker P, Zhukovsky D, Knight P, Bruera E. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. Journal of Clinical Oncology 22(10):2008-14, 5/2004. PMID: 15143094.
8. Roemer-Becuwe C, Vigano A, Romano F, Neumann C, Hanson J, Quan HK, Walker P. Safety of subcutaneous clodronate and efficacy in hypercalcemia of malignancy: a novel route of administration. Journal of Pain and Symptom Management 26(3):843-8, 9/2003. PMID: 12967733.
9. Walker PW, Klein D, Kasza L. High dose methadone and ventricular arrhythmias: a report of three cases. Pain 103(3):321-4, 6/2003. PMID: 12791438.
10. Walker P, Nordell C, Cace, Neumann CM, Bruera E. Impact of the Edmonton Labeled Visual Information System on physician recall of metastatic cancer patient histories. a randomized controlled trial. Journal of Pain and Symptom Management 21(1):4-11, 2001. PMID: 11223309.
11. Walker P. The Use of Bisphosphonates in Palliative Care. European Journal of Palliative Care 2000(7):2, 2000.
12. Gagnon B, Bielech M, Watanabe S, Walker P, Hanson J, Bruera E. The use of intermittent subcutaneous injections of oxycodone for opioid rotation in patients with cancer pain. Supportive Care in Cancer 7(4):265-70, 7/1999. PMID: 10423053.
13. Lawlor PG, Watanabe S, Walker P, Bruera E. Re: Memorial Delirium Assessment Scale and commentary. Journal of Pain and Symptom Management 15(2):73-5, 2/1998. PMID: 9494304.
14. Walker, P, Watanabe S, Bruera E. Baclofen, A treatment for Chronic Hiccup. Journal of Pain and Symptom Management 16(2):125-132, 1998. PMID: 9737104.
15. Pereira J, Mancini I, Walker P. The role of bisphosphonates in malignant bone pain: a review. Journal of Palliative Care 14(2):25-36, 1998. PMID: 9686493.
16. Walker P, Watanabe S, Lawlor P, Hanson J, Pereira J, Bruera E. Subcutaneous clodronate: a study evaluating efficacy in hypercalcemia of malignancy and local toxicity. Annals of Oncology 8(9):915-6, 9/1997. PMID: 9358945.
17. Lawlor P, Walker P, Bruera E, Mitchell S. Severe opioid toxicity and somatization of psychosocial distress in a cancer patient with a background of chemical dependence. Journal of Pain and Symptom Management 13(6):356-61, 6/1997. PMID: 9204657.

Abstracts

1. Hui D, Kilgore K, Nguyen L, Hall S, Fajardo J, Cox-Miller T, Urbauer D, Fellman B, Rhondali W, Kang JH, Kim SH,Del Fabbro E, Zhukovksy D, Reddy S, Elsayem A, Dalal S, Walker P, Dev R, Yennu S, Bruera E. Predictors of in-hospital mortality in advanced cancer patients admitted to an acute palliative care unit (APCU): A prospective study. 2011 Multinational Association of Supportive Care in Cancer 19(Supplement 2:461):S221, 6/2011.
2. Kim SH, Hui D, Kilgore K,Nguyen L, Hall S,Fajardo J, Cox-Miller, Rhondali Wi, Kang JH, Palla SL, Del Fabbro E, Zhukovsky DS, Reddy S,Elsayem AF, Dalal S, Walker P, Dev R, Yennu S, Reddy A, Bruera E. The accuracy of clinical prediction of survival (CPS) for advanced cancer patients: The role of profession and probability question. 2011 Multinational Association of Supportive Care in Cancer 19(Supplement 2:445):S215, 6/2011.
3. Elsayem A, Fadul N, Walker P, Cox-Miller T, Bruera E. The Acute Model of Palliative Care Unit in a Comprehensive Cancer Center,Six Years of Success. Supportive Care in Cancer 16(6):707, 6/2008.
4. Walker P, Bruera E, Pei B, Kaur G, Zhang K, Jeanine H, Curry E, Palla S, Mansell M. Switching from methadone to a different opioid: What is the equianalagesic dose ratio?. Journal of Clinical Oncology 24(18S (June 20 Supplement):8617), 6/2006.
5. Walker P, Neuhauser M, Tam VH, Willey J, Bruera E, Palmer J L, Prince RA. Subcutaneous administration of cefepime: An Option when the IV Route is Problematic. Journal of Clinical Oncology(16S):8197, Supplement, 6/2005.
6. See, HT, Walker PW, Palmer JL, Basen-Engquist K, Elsayem A, DeGracia L, Sun CC, Bodurka DC, Kavanagh JJ. Palliative Care Index for Ovarian Cancer. International Gynecologic Cancer Society 14(Supplement 1):152, 10/2004.
7. Elsayem A, Swint K, Roach P, Walker P, Bruera E. Palliative care inpatient service (PCIS) in a comprehensive cancer center: clinical and financial outcomes. Journal of Clinical Oncology 22:522, 2003.
8. Fisch MJ, Palmer JL, Zhukovsky DS, Walker PW, Bruera E. Screening for depressive symptoms in cancer outpatients: association between a numerical rating scale (NRS) and a two-question screening survey (TQSS). Proc Am Soc Clin Oncol 21:375 (#1499), 2002.

Book Chapters

1. Walker P. Anxiety and Depression. In: Oxford American Handbook of Hospice and Palliative Medicine. Ed(s) S Yennu, E Bruera. Oxford University Press: Oxford, 2011.
2. Walker, Paul. Hypercalcemia. In: The M.D. Anderson Symptom Control and Palliative Care Handbook, 4th. Ed(s) Eduardo Bruera. The University of Texas Health Science Center: Houston, 2011.
3. Walker P. Other Symptoms Including Xerostomia, Hiccups, Pruritus, Pressure Ulcers/Wound Care, Lymphedema, and Myoclonus. In: Oxford American Handbook of Palliative Medicine. Ed(s) S Yennu, E Bruera. Oxford University Press: Oxford, 2011.
4. Gomez SP, Walker PW. Integrating Cancer Pain Management into Hospice Practice and Institution-Based Palliative Care Programs. In: Cancer Pain: Assessment & Management, 2nd. Ed(s) E Bruera, R Portenoy. Hodder Arnold: Oxford, 535-554, 2009.
5. Walker P. Hypercalcemia : Cancer-related syndromes. In: Palliative Medicine in Cancer. Ed(s) TD Walsh. Elsevier Inc: Philadelphia, 2008.
6. Walker, P, Bruera E. Anorexia-Cachexia Syndrome. In: Palliative Medicine: A Case-based Manual. Ed(s) N Macdonald, D Oneschuk, N Hagen, D Doyle. Oxford University Press: Oxford, 75-87, 2005.
7. Walker, P, Bruera E. Fatigue. In: Palliative Medicine. A Case-Based Manual. Ed(s) N Macdonald, D Oneschuk, N Hagen, D Doyle. Oxford University Press: Oxford, 89-95, 2005.
8. Elsayem A, Driver L, Fisch M, Sivesind D, Walker P, Bruera E. Other Problems in Patients with Cancer. In: Palliative Care in the Developing World. IAHPC Press, 125, 2004.
9. Walker P. Pressure Ulcers. In: Palliative Care in Neurology. Ed(s) R Voltz, JL Bernat, GD Borasio. Oxford University Press: Oxford, 294-306, 2004.
10. Walker P, Bruera E. L'asthénie. In: Manuel de medecine palliative. Ed(s) Neil MacDonald. IRCM: Montreal, 37-43, 2003.
11. Walker P, Bruera E. Le syndrome d'anorexie-cachexia. In: Manuel de Medecine Palliative : Etude de Cas. Ed(s) Neil MacDonald. IRCM: Montreal, 1-18, 2003.
12. Walker P. Hiccup. In: Gastrointestinal Symptoms in the Advanced Cancer Patient. Ed(s) C Ripamonti, E Bruera. Oxford University Press, 115-126, 2002.
13. Walker P. Hydration. In: The M.D. Anderson Symptom Control and Palliative Care Handbook, 2nd. Ed(s) A Elsayem, L Driver, E Bruera. The University of Texas-Houston Health Science Center: Houston, 79-83, 2002.
14. Walker P. Update on Pressure Ulcers. In: Principles & Practice of Supportive Oncology. 6. Lippincott Williams & Wilkins: New York, 1-11, 2000.
15. Bruera, E, Walker P, Lawlor P. Opioids in Cancer Pain. In: Opioids in Pain Control: Basic and Clinical Aspects. 16. Ed(s) C Stein. Cambridge University Press: New York, 309, 1999.
16. Walker, P, Bruera E. Anorexia Cachexia Syndrome. In: Canadian Palliative Care Manual, Palliative Medicine: A Case-Based Manual. Oxford University Press: Oxford, 1-14, 1998.
17. Walker P, Schleinich MA, Bruera E. Asthenia. In: Canadian Palliative Care Manual, Palliative Medicine: A Case-Based Manual. Ed(s) MacDonald N, Dudgeon D, Doyle D, Hanks GWC. Oxford University Press: Oxford, 29-33, 1998.
18. Walker P. The Pathophysiology and Management of Pressure Ulcers. In: Topics in Palliative Care. 3. Ed(s) R Portenoy, E Bruera. Oxford University Press: Oxford, 253-270, 1998.

Books (edited and written)

1. Walker P, Bruera E (eds). Hematology Oncology/Clinics of North America, Palliative Care Medicine. Series Ed(s) 3. 16. Harcourt Publications, 2002.

Letters to the Editor

1. Walker P, Bruera E. Managing High Dose Sufentanil in a Suffering Patient. Journal of Pain and Symptom Management 36(1):e1-4, 2008.
2. Doyle J, Walker P, Bruera E. Nebulized Scopolamine. Journal of Pain and Symptom Management 19(5):327-328, 2000.
3. Walker P. CPR for patients in a persistent vegetative state? Canadian Medical Association Journal 1(159):19-20, 1998.
4. Walker P, Watanabe S, Lawlor P, Bruera E. Subcutaneous Clodronate. The Lancet 348(9023):345-346, 1996.
5. Walker, P, Watanabe S, Taube A. The Edmonton Staging System. Journal of Pain and Symptom Management 12(5):269, 1996.

Last updated: 7/1/2013