Patricia S. Bramati, MD
Department of Palliative, Rehabilitation and Integrative Medicine, Division of Cancer Medicine
Present Title & Affiliation
Primary Appointment
Assistant Professor, Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX
Dual/Joint/Adjunct Appointment
Assistant Professor, Department of Palliative Care, Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas
Education & Training
Degree-Granting Education
| 1992 | Universidad de Buenos Aires, Facultad de Medicina, Buenos Aires, AR, Medical Doctor |
| 1985 | Colegio Nicolas Avellaneda, Rojas, Buenos Aires, AR, Bachelor |
Postgraduate Training
| 2018-2019 | Hospice and Palliative Care Medicine Fellowship, The University of Texas UT Health, Houston, Texas |
| 2010-2010 | Learnee, 3rd Rock Ultrasound, LLC, Las Vegas, Nevada |
| 2009-2012 | Family Medicine Residency, Family Medicine, University of North Dakota, Bismarck, North Dakota |
| 2002-2005 | Postdoctoral Research Fellow, Mayo Clinic, Rochester, Minnesota |
| 2001-2002 | Postdoctoral Research Fellow, Mayo Clinic, Rochester, Minnesota |
| 2000-2001 | Research Trainee, Mayo Clinic, Rochester, Minnesota |
| 1998-1998 | Visiting Fellow, Oncology, H. Lee Moffitt Cancer Center & Research Institute at the University of South Florida, Tampa, Florida |
| 1997-1997 | Visiting Physician, Lung Chemotherapy, National Cancer Center, Tokyo |
| 1997-1997 | Visiting Physician, Clinical Oncology II, National Cancer Center, Japan International Cooperation Agency under the International Cooperation Programme of the Government of Japan, Tokyo |
| 1995-1995 | Care of the patient with advanced cancer, Palliative Care, Sir Michael Sobell House, Churchill Hospital, Oxford |
| 1993-1998 | Residency, Oncology, Instituto de Oncología “Angel H. Roffo”, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires |
Licenses & Certifications
| 2025 | Hospice and Palliative Medicine |
| 2024 | Basic Life Support (BLS) |
| 2023 | DEA |
| 2019 | Texas Medical License |
| 2012 | American Board of Family Medicine |
Experience & Service
Faculty Academic Appointments
Assistant Professor, The University of Texas Medical Branch at Galveston, Galveston, TX, 2019 - 2020
Clinical Assistant Professor, University of North Dakota, Grand Forks, ND, 2015 - 2018
Other Professional Positions
Attending, Palliative Medicine, The University of Texas Medical Branch at Galveston, Galveston, TX, 2019 - 2020
Attending, Family Medicine, CHI St. Alexius Health Medical Plaza-North, Mandan, ND, 2012 - 2018
Attending, Oncology, Instituto Argentino del Diagnostico y Tratamiento, Buenos Aires, 1998 - 1999
Extramural Institutional Committee Activities
Committee member, Credentials committee of the medical staff, The University of Texas MD Anderson Cancer Center, 2024 - Present
Committer member, Schedulling Committe, The University of Texas MD Anderson Cancer Center, 2024 - 2025
Committee Member, Research Steering Committee, The University of Texas MD Anderson Cancer Center, 2022 - Present
Committee Member, Interview Candidate Committee, The University of Texas MD Anderson Cancer Center, 2022 - Present
Committee Member, Utilization Review Committee, The University of Texas MD Anderson Cancer Center, 2022 - Present
Committee Member, Clinical Competency Committee, The University of Texas MD Anderson Cancer Center, 2020 - Present
Committee Member, Pain Task Force, The University of Texas MD Anderson Cancer Center, 2020 - Present
Honors & Awards
| 2025 - Present | Outstanding Author, Annals of Palliative Medicine |
| 2024 | 2024 Grasp (Guiding Researchers and Advocates to Scientific Partnerships) Advocate Choice Award, Guiding Researchers and Advocates to Scientific Partnerships |
| 2001 | 2001 Balfour Research Award Recipient, Mayo Clinic |
Professional Memberships
Selected Presentations & Talks
Local Presentations
- 2024. Discussing sexual dysfunction in palliative care patients. Invited. PIM grand rounds. Houston, Texas, US.
- 2023. Non invasive ventilation and high flow nasal canula at the end of life. PRIM grand rounds. Houston, Texas, US.
National Presentations
- 2024. Attitudes and beliefs regarding sexual dysfunction among patients with advanced cancer receiving palliative care. Poster. 2024 ASCO Annual Meeting. Chicago, Illinois, US.
- 2024. Frequency of gabapentinoids rotation to duloxetine in palliative care patients with cancer receiving concurrent opioids for cancer related pain. Poster. 2024 American College of Clinical Pharmacy (ACCP) Virtual Poster Symposium, US.
- 2023. Frequency of malnutrition and anorexia-cachexia syndrome in patients with advanced cancer evaluated in an outpatient supportive care clinic. ASCO Quality Care Symposium, US.
- 2022. Nausea/Constipation/Bowel obstruction. Invited. Updates in Hospice and Palliative Medicine and Intensive Physician Board Review Course. Houston, Texas, US.
- 2022. Reduction of Missed appointments after the implementation of telemedicine. Invited. 25th Supportive & Palliative Care Clinical and Research Symposium. Houston, Texas, US.
- 2022. Sexual dysfunction in palliative care patients. Invited. PRIM Grand Rounds. Houston, Texas, US.
- 2005. SDF-1/CXCL12 increases IL-10 production by TCR-stimulated human T lymphocytes. XXXV International Congress of Physiological Sciences. San Diego, California, US.
- 2004. Molecular Mechanisms Involved in Homing and Migration of B-Chronic Lymphocytic Leukemia (CLL) in Response to CXCR4 Stimulation and Downstream Activation of the PI3K Pathway. Poster. 46th Annual Meeting of the American Society of Hematology. San Diego, California, US.
- 2004. Molecular Mechanisms Involved in Homing and Migration of Plasma Cells in Response to CXCR4 Stimulation and Downstream Activation of the PI3K Pathway. Poster. 46th Annual Meeting of the American Society of Hematology,. San Diego, California, US.
- 2003. Basic investigations on the signaling pathways activated by the metastasis associated chemokine receptor, CXCR4, provides a rational for testing novel drugs in pancreatic cancer treatment. Poster. American Pancreatic Association Annual Meeting. Chicago, Illinois, US.
- 2001. Functional CXCR4 (SDF1-receptor) is expressed in ductular cells of the pancreas and induces motility of pancreatic tumoral cell lines: potential implication for metastasis. Poster. American Pancreatic Association Annual Meeting. Chicago, Illinois, US.
- 2001. CXCR4 Chemokine receptor is expressed in pancreatic tumor cell lines, and induces motility and mitogenic kinase activity. Conference. The Seventh Annual Balfour Surgical Research Symposium. Rochester, US.
- 2001. Functional CXCR4 chemokine receptors are expressed by ductular cells of the pancreas and induce motility of pancreatic tumoral cell lines: potential implication for metastasis. Invited. Mayo Research Forum. Rochester, New York, US.
International Presentations
- 2025. Body image distress associated with emotional distress but not cachexia in patients with advanced cancer. Poster. 18th International Conference of The Society on Sarcopenia, Cachexia and Wasting Disorders. Rome, IT.
- 2025. Body mass index but not percentage weight loss was associated with the race/ethnicity of patients with advanced lung cancer: a retrospective study. Poster. 18th International Conference of the Society on Sarcopenia, Cachexia, & Wasting Disorders. Rome, IT.
- 2025. El Cuidado al final de la vida (End of life care). Invited. 6th International Congress Palliative Care. Guatemala, GT.
- 2025. Hablemos de lo que no hablamos: la disfuncion sexual (Let's talk of what we do not talk about, sexual dysfunction). Invited. Focus Group Team Meeting. Bogota, CO.
- 2025. Impact of race/ethnicity on weight loss in palliative care patients with advanced lung cancer. Poster. 19th World Congress. Helsinki, FI.
- 2024. Discussing Sexual dysfunction in palliative care. Invited. Quito, EC.
- 2024. Frequency of malnutrition and anorexia-cachexia syndrome in patients with advance cancer evaluated in an outpatient supportive care clinic. Poster. MASCC/AFSOS/ISOO 2024 Annual Meeting. Lille, FR.
- 2024. Opioid prescription trends for cancer related pain in outpatient care during 2016-2021. Poster. MASCC/AFSOS/ISOO 2024 Annual Meeting. Lille, FR.
- 2024. Survival Outcomes of Advanced Cancer Patients Receiving High-Flow Oxygen in Acute Palliative & Supportive Care Unit (PSCU) at a Tertiary Cancer Center. Poster. MASCC/AFSOS/ISOO 2024 Annual Meeting. Lille, US.
- 2024. Pharmacologic and Non-Pharmacologic Management of Dyspnea in hospitalized cancer patients. Invited. Supportive Care program scientific meeting. Sao Paulo, BR.
- 2024. Pharmacologic and non-pharmacologic management of dyspnea in hospitalized cancer patients. Invited. Supportive Care Program Scientific Meeting. São Paulo, BR.
- 2023. Intimacy, sexuality, and suffering in patients living with an advanced illness. Invited. 5th International Congress of Palliative Care. Guatemala, GT.
- 2023. Disfunción sexual en pacientes paliativos. Cómo iniciamos la conversación? (Sexual dysfunction in palliative care patients. How do we start the conversation?). Invited. Ciudad de Guatemala, GT.
- 2022. Importancia de los cuidados paliativos y su integracion en unidades hospitalarias (Importance of palliative care and the integration in the hospital setting). Invited. Ciudad de Mexico, MX.
- 2022. Symptom burden in hematological patients and triggers for referral to palliative care access. Invited. HEMO 2022, Congresso Brasileiro de Hematologia, Hemoterapia, e Terapia Celular. São Paulo, BR.
- 2022. Emotional distress in Cancer patients. Invited. Project ECHO Palliative Care Africa II. Houston, US.
- 2021. Introduction to Palliative Care. Invited. VI Congresso Pan-Amazônico de Oncologia, BR.
- 1996. Risk assessment in cancer patients with febrile neutropenia. 9th International Symposia on Infections in the Immunocompromised Host. Assisi, IT.
- 1995. Linfoma primario óseo. Diagnósticos diferenciales, revisión de la literatura y descripción de tres pacientes (Bone primary lymphoma. Review of the literature and description of three patients). Poster. XI Jornadas Multidisciplinarias y I Jornadas Interhospitalarias de Oncología. Buenos Aires, AR.
- 1995. Experiencia sobre 125 pacientes neutropénicos febriles tratados en el Instituto de oncología "Angel H. Roffo," entre 1993 y 1995 (Experience about 125 febrile neutropenic patients treated at the Instituto de oncología "Angel H. Roffo," between 1993 and 1995). Poster. XII Congreso argentino de Oncología Clínica. Buenos Aires, AR.
Selected Publications
Peer-Reviewed Articles
- Bramati PS, Admane S, Troyer J, Huang Y, Bruera E, Dev R. Body mass index but not percentage weight loss was associated with the race/ethnicity of patients with advanced lung cancer: a cross-sectional study 15(1):6, 2026. e-Pub 2026. PMID: 41663276.
- Gilbey D, Bruera E, Bramati P. Not everything is delirium at the end of life: a case report. Ann Palliat Med 14:25-37, 2025. e-Pub 2025.
- Bramati, PS, Rojas Gómez, LP, Tam, AL, Bruera, E. Percutaneous Cecostomy for Symptom Control in a Patient With Malignant Bowel Obstruction. Annals of Internal Medicine Clinical Cases 4(9), 2025. e-Pub 2025.
- Amaram-Davila, JS, Vega, MF, Bramati, PS, Stewart, HA, Aceves, M, Dalal, S, Reddy, AS, Azhar, A, Reddy, SK, Bodurka, DC, George, MC, Aiss, MA, Bruera, E. From Emails to EMR. Cancers 17(17), 2025. e-Pub 2025. PMID: 40940972.
- Hui D, De La Rosa A, Tsai JS, Cheng SY, Del Fabbro E, Thomas Kuzhiyil AT, Rowe K, Azhar A, Nguyen T, Tang M, Yao CA, Huang HL, Peng JK, Hu WY, Admane S, Dev R, Chen M, Bramati P, Shete S, Bruera E. Proportional Sedation for Persistent Agitated Delirium in Palliative Care: A Randomized Clinical Trial. JAMA Oncol 11(9):1031-1043, 2025. e-Pub 2025. PMID: 40742738.
- Admane S, Bramati PS, Fellman B, Rizvi A, Kolenc E, Berly A, Rozman de Moraes A, Hui D, Haider A, Bruera E. Trends in Outpatient Opioid Prescriptions for Cancer Pain Between 2016 and 2021. JCO Oncol Pract 21(11):OP2400782, 2025. e-Pub 2025. PMID: 40138614.
- Bramati, PS, Admane, S, De Moraes, AR, Chen, M, Padilla, GJ, Erck, M, Stanton, P, Delgado Guay, MO, Bruera, E. Perspectives on Self-Reported Sexual Dysfunction by Palliative Care Patients with Cancer. Journal of palliative medicine 28(2):234-238, 2025. e-Pub 2025. PMID: 39648817.
- Bramati P. Perceptions Toward Naloxone Among Patients With Cancer Receiving Opioids. Journal of Pain and Symptom Management 68(6):e500-e507, 2024. e-Pub 2024. PMID: 39218123.
- Reddy A, González JB, Rizvi A, Nortje N, Dalal S, Haider A, Amaram-Davila JS, Bramati P, Chen M, Hui D, Bruera E. Impact of an Institution-Wide Goals of Care Program on the Timing of Referrals to Outpatient Palliative Care. J Pain Symptom Manage 66(6):e666-e671, 2023. e-Pub 2023. PMID: 37643654.
- Bramati PS, Aldana G, Bruera E. Premonition of Death. J Clin Oncol 41(33):5200-5201, 2023. e-Pub 2023. PMID: 37751565.
- Amaram-Davila J, Bramati P, Gammon L, Mallipeddi T, Jastrzemski O, Clark MD, Arthur J, Reddy A, Bruera E. Deficiencies with CAGE-AID questionnaire in identifying nonmedical opioid useâ€"report of two cases. Ann Palliat Med. e-Pub 2023. PMID: 37691336.
- Bramati P, Dai J, Urbauer DL, Bruera E. Attitudes of Palliative Care Specialists Toward Assessing Sexual Dysfunction in Patients With Cancer. J Pain Symptom Manage 66(2):e185-e188, 2023. e-Pub 2023. PMID: 37146890.
- Bramati PS, Swan A, Urbauer DL, Rozman De Moraes A, Bruera E. Evaluation of a Daily Nine-Item "Handbook for Self-Care at Work" for Palliative Care Clinicians. J Palliat Med 26(5):622-626, 2023. e-Pub 2023. PMID: 36318801.
- Bramati PS, Azhar A, Khan R, Tovbin M, Cooper A, Pangemanan I, Fellman B, Bruera E. High Flow Nasal Cannula in Patients With Cancer at the End of Life. J Pain Symptom Manage 65(4):e369-e373, 2023. e-Pub 2023. PMID: 36646330.
- Bramati PS, Cadavid A, Bansal A, Fellman B, Tanco K, Bruera E. Letter to the Editor: Prevalence of Self-Reported Cannabis Use among Patients at a Supportive Care Clinic in a Tertiary Cancer Center. J Palliat Med 25(8):1176-1178, 2022. e-Pub 2022. PMID: 35913476.
- Bramati PS, Amaram-Davila JS, Reddy AS, Bruera E. Reduction of Missed Palliative Care Appointments After the Implementation of Telemedicine. J Pain Symptom Manage 63(6):e777-e779, 2022. e-Pub 2022. PMID: 35151799.
- Bramati P, Hui D, Bruera E. Integrated Palliative and Oncology Care for Patients With Acute Myeloid Leukemia-Moving From Evidence to Practice. JAMA Oncol 7(6):943, 2021. e-Pub 2021. PMID: 33885730.
- Fagone P, Mazzon E, Cavalli E, Bramanti A, Petralia MC, Mangano K, Al-Abed Y, Bramati P, Nicoletti F. Contribution of the macrophage migration inhibitory factor superfamily of cytokines in the pathogenesis of preclinical and human multiple sclerosis: In silico and in vivo evidences. J Neuroimmunol 322:46-56, 2018. e-Pub 2018. PMID: 29935880.
- Bramati PS, Heinert LF, Narloch LB, Hostetter J, Finkielman JD. Animal-related motorcycle collisions in North Dakota. Wilderness Environ Med 23(1):65-9, 2012. e-Pub 2012. PMID: 22260868.
- Kumar A, Humphreys TD, Kremer KN, Bramati PS, Bradfield L, Edgar CE, Hedin KE. CXCR4 physically associates with the T cell receptor to signal in T cells. Immunity 25(2):213-24, 2006. e-Pub 2006. PMID: 16919488.
- Billadeau DD, Chatterjee S, Bramati P, Sreekumar R, Shah V, Hedin K, Urrutia R. Characterization of the CXCR4 signaling in pancreatic cancer cells. Int J Gastrointest Cancer 37(4):110-9, 2006. e-Pub 2006. PMID: 18175225.
- Caseres, V, Espinoza, L, Bramati, PS, Costantini, P, Gatica, G, Agusto, S, Dos Santos, R, Cuartero, V, Pujol, E, De Pascale, M, Santillan, D, Castillo, J, De Toma, V. Experiencia del instituto angel roffo sobre 125 pacientes neutropenicos febriles. Prensa Medica Argentina 83(2):197-200, 1996. e-Pub 1996.
- Bramati PS. Disnea en pacientes terminales. Uso de morfina vs. morfina más midazolam (Dyspnea in terminal patients. Use of morphine vs morphine and midazolam). Tumor, 1993. e-Pub 1993.
- Bramati PS. Incidencia de micosis en pacientes inmunodeprimidos. (Mycoses incidence in immunocompromised patients), 1992. e-Pub 1992.
- Amaram-Davila J, Bramati P. Implementing I-PASS Among Inpatient Palliative Care Clinicians at a Comprehensive Cancer Center-A Quality Improvement Initiative. Cancers (Basel) 1(17):2875.
- Dev R, Bramati P. Malnutrition risk and the psychological burden of anorexia and cachexia in patients with advanced cancer. JCSM Communications 8:e70001.
Review Articles
- Bramati P, Bruera E. Delirium in Palliative Care. Cancers (Basel) 13(23), 2021. e-Pub 2021. PMID: 34885002.
- Fernandez-Zapico ME, Bramati PS, Zakaria S, Kaczynski JA, Urrutia R. Fundamentals of transcription factors and their impact on pancreatic development and cancer. Pancreatology 3(4):276-83, 2003. e-Pub 2003. PMID: 12890989.
Editorials
- Bramati PS, Bruera E. The end of the second step of the World Health Organization analgesic ladder?. Ann Oncol 33(12):1212-1213, 2022. PMID: 36456102.
Abstracts
- Dev R, Bramati PS, Delgado Guay MO, Azhar A, Tang MJ, Tennison J, Becerra J, Hui D, Bruera E. Frequency of malnutrition and anorexia-cachexia syndrome in patients with advance cancer evaluated in an outpatient supportive care clinic. Support Care Cancer 32(Suppl 1):S434, 2024. e-Pub 2024.
- Bramati PS, Admane S, Chen M, Rozman de Moraes A, Padilla G, Erck M, Delgado Guay MO, Bruera E. Attitudes and beliefs regarding sexual dysfunction among patients with advanced cancer receiving palliative care. J Clin Oncol 42(Suppl 16):abstr 12054, 2024. e-Pub 2024.
- Admane S, Bramati PS, Fellman B, Kolenc E, Berly A, Rizvi A, Rozman De Moraes A, Narayanan S, Hui D, Haider A, Bruera E. Opioid prescription trends for cancer related pain in outpatient care during 2016-2021. Support Care Cancer 32(Suppl 1):S434, 2024. e-Pub 2024.
- Azhar A, Bramati PS, Fellman B, Cooper A, Pangemanan I, Tovbin M, Rozman De Moraes A, Bruera E, Dalal S. Survival outcomes of advanced cancer patients receiving high flow oxygen in acute palliative and supportive care unit (PSCU) at a tertiary cancer center. Support Care Cancer 32(Suppl 1):S434, 2024. e-Pub 2024.
- Dev R, Bramati PS, Delgado Guay MO, Azhar A, Tang MJ, Tennison J, Becerra J, Hui D, Bruera E. Frequency of malnutrition and anorexia-cachexia syndrome in patients with advanced cancer evaluated in an outpatient supportive care clinic. JCO Oncol Pract 19(Suppl 11):abstr 257, 2023. e-Pub 2023.
- Ghobrial IM, Ghobrial JM, Bramati P, Kimlinger T, Timm MM, Kumar A, Hedin KE, Witzig TE. Molecular Mechanisms Involved in Homing and Migration of Plasma Cells in Response to CXCR4 Stimulation and Downstream Activation of the PI3K Pathway. Blood 104(11):2188, 2004. e-Pub 2004.
- Ghobrial IM, Ghobrial JM, Bramati P, Timm MM, Kumar A, Witzig TE, Kay N, Hedin KE. Molecular Mechanisms Involved in Homing and Migration of B-Chronic Lymphocytic Leukemia (CLL) in Response to CXCR4 Stimulation and Downstream Activation of the PI3K Pathway. Blood 104(11):1909, 2004. e-Pub 2004.
- Billadeau DD, Bramati P, Hedin KE, Fernandez-Zapico ME, Martinez-Suarez HJ, Urrutia R. Basic investigations on the signaling pathways activated by the metastasis associated chemokine receptor, CXCR4, provides a rational for testing novel drugs in pancreatic cancer treatment. Pancreas 27(4):372, 2003. e-Pub 2003.
Book Chapters
- Bramati PS. Chemotherapy-Induced Nausea and Vomiting (CINV). In: The MD Anderson Supportive and Palliative Care Handbook. University of Texas MD Anderson Cancer Center, 51-6, 2023.
- Bramati P, Bruera E. Palliative Sedation for Intractable Dyspnea. In: Respiratory Symptoms. Oxford University Press, 135-44, 2023.
Letters to the Editor
- Clark, M, Bramati, PS, Singleton, G, Troyer, J, Alizadeh, P, Berly, A, Fellman, B, Hui, D, Bruera, E. Gabapentinoids Rotation to Duloxetine in Palliative Care Patients With Cancer Receiving Concurrent Opioids. Journal of Pain and Symptom Management 69: e97-e99, 2025.
- Bramati PS, Cadavid A, Bansal A, Fellman B, Tanco K, Bruera E. Letter to the Editor: Prevalence of Self-Reported Cannabis Use among Patients at a Supportive Care Clinic in a Tertiary Cancer Center. J Palliat Med 25: 1176-8, 2022.
Patient Reviews
CV information above last modified August 25, 2026