University of California San Francisco
Helen Diller Family Comprehensive Cancer Center
Christine Miaskowski, RN, PhD, FAAN

Christine Miaskowski, RN, PhD, FAAN

Professor, Department of Physiological Nursing, UCSF
Sharon A. Lamb Endowed Chair, Physiological Nursing, UCSF

Cancer Center Program Memberships

Cancer Control

Research Summary

I am an internationally recognized expert in pain and symptom management research. A portion of my program of research focuses on the identification of phenotypic and genotypic characteristics that place patients at highest risk for the development of the most deleterious symptoms that occur as a result of cancer and its treatment. More recently, my work is focused on an evaluation of differences in the co-occurrence of multiple symptoms in younger versus older oncology patients.


Molloy College, Rockville Center, NY, BSN, 1974, Nursing
Adelphi University, Garden City, NY, MS, 1979, Nursing
St. Johns University, Jamaica, NY, MS, 1984, Biology
St. Johns University, Jamaica, NY, PhD, 1987, Physiology
University of California, San Francisco, Postdoc, 1988-90, Pain Management

Professional Experience

  • 1979-81
    Staff Development Instructor, Hospital of Albert Einstein College of Medicine Bronx, NY
  • 1981-85
    Clinical Nurse Specialist in Oncology; Oncology and Critical Care and Nurse Coordinator of the Pain Evaluation Group Hospital of Albert Einstein College of Medicine Bronx, NY
  • 1984-88
    Coordinator of the Certificate Program in Oncology Nursing, School of Nursing, Department of Continuing Education, Adelphi University, Garden City, NY
  • 1985-88
    Assistant Professor and Coordinator of the Oncology Master's Program, School of Nursing, Oncology Master's Program, Adelphi University, Garden City, NY
  • 1986-88
    Coordinator of Clinical Practice and Quality Assurance, Hospital of Albert Einstein College of Medicine, Bronx, NY
  • 1988-90
    Robert Wood Johnson Clinical Nurse Scholar, Department of Physiological Nursing, University of California, San Francisco, San Francisco, CA
  • 1990-96
    Associate Professor, Department of Physiological Nursing, University of California, San Francisco, San Francisco, CA
  • 1996-present
    Professor, Department of Physiological Nursing, University of California, San Francisco San Francisco, CA

Honors & Awards

  • 2000
    Distinguished Nurse Researcher, Oncology Nursing Society
  • 2000
    Helen Nahm Research Lecturer, School of Nursing, University of California, San Francisco
  • 2000
    Wilbert Fordyce Clinical Investigator Award, American Pain Society
  • 2002
    Distinguished Merit Award, International Society of Nurses in Cancer Care
  • 2005
    Distinguished Service Award, American Pain Society
  • 2006
    Distinguished Researcher Award, Western Institute of Nursing Research

Selected Publications

  1. Ng MSN, Wong CL, Ho EHS, Hui YH, Miaskowski C, So WKW. Burden of living with multiple concurrent symptoms in patients with end-stage renal disease. J Clin Nurs. 2020 Jul; 29(13-14):2589-2601.
    View on PubMed
  2. Ritchie CS, Garrett SB, Thompson N, Miaskowski C. Unintended Consequences of Opioid Regulations in Older Adults with Multiple Chronic Conditions. Gerontologist. 2020 Mar 29.
    View on PubMed
  3. Langford DJ, Morgan S, Cooper B, Paul S, Kober K, Wright F, Hammer MJ, Conley YP, Levine JD, Miaskowski C, Dunn LB. Association of personality profiles with coping and adjustment to cancer among patients undergoing chemotherapy. Psychooncology. 2020 Jun; 29(6):1060-1067.
    View on PubMed
  4. Thompson HJ, Santacroce SJ, Pickler RH, Allen JK, Armer JM, Bakken S, Bowles KH, Conley YP, Dunbar SA, Ellington L, Grey M, Heitkemper MM, Herr KA, Lake E, McCarthy AM, Melnyk B, Miaskowski CA, Moore SM, Naylor MD, Stone PW, Titler MG, Weiss SJ. Use of individual development plans for nurse scientist training. Nurs Outlook. 2020 May - Jun; 68(3):284-292.
    View on PubMed
  5. Ogle T, Alexander K, Miaskowski C, Yates P. Systematic review of the effectiveness of self-initiated interventions to decrease pain and sensory disturbances associated with peripheral neuropathy. J Cancer Surviv. 2020 Feb 20.
    View on PubMed
  6. Chan CWH, Miaskowski C, McCarthy A, Waye MMY, Yeo W, So WKW, Choi KC, Tsui SKW, Chan JYW. Tamoxifen-related endocrine symptoms in Chinese patients with breast cancer: Study protocol clinical trial (SPIRIT Compliant). Medicine (Baltimore). 2020 Feb; 99(8):e19083.
    View on PubMed
  7. Ng MSN, Miaskowski C, Cooper B, Hui YH, Ho EHS, Mo SKL, Wong SSH, Wong CL, So WKW. Distinct Symptom Experience Among Subgroups of Patients With ESRD Receiving Maintenance Dialysis. J Pain Symptom Manage. 2020 Jul; 60(1):70-79.e1.
    View on PubMed
  8. Wright F, Kober KM, Cooper BA, Paul SM, Conley YP, Hammer M, Levine JD, Miaskowski C. Higher levels of stress and different coping strategies are associated with greater morning and evening fatigue severity in oncology patients receiving chemotherapy. Support Care Cancer. 2020 Jan 20.
    View on PubMed
  9. Chan RJ, Cooper B, Koczwara B, Chan A, Tan CJ, Paul SM, Dunn LB, Conley YP, Kober KM, Levine JD, Miaskowski C. A longitudinal analysis of phenotypic and symptom characteristics associated with inter-individual variability in employment interference in patients with breast cancer. Support Care Cancer. 2020 Jan 18.
    View on PubMed
  10. Kohler C, Chang M, Allemann-Su YY, Vetter M, Jung M, Jung M, Conley Y, Paul S, Kober KM, Cooper BA, Smoot B, Levine JD, Miaskowski C, Katapodi MC. Changes in Attentional Function in Patients From Before Through 12 Months After Breast Cancer Surgery. J Pain Symptom Manage. 2020 Jun; 59(6):1172-1185.
    View on PubMed
  11. Van Blarigan EL, Kenfield SA, Chan JM, Van Loon K, Paciorek A, Zhang L, Chan H, Savoie MB, Bocobo AG, Liu VN, Wong LX, Laffan A, Atreya CE, Miaskowski C, Fukuoka Y, Meyerhardt JA, Venook AP. Feasibility and Acceptability of a Web-Based Dietary Intervention with Text Messages for Colorectal Cancer: A Randomized Pilot Trial. Cancer Epidemiol Biomarkers Prev. 2020 Apr; 29(4):752-760.
    View on PubMed
  12. Singh KP, Dhruva A, Flowers E, Paul SM, Hammer MJ, Wright F, Cartwright F, Conley YP, Melisko M, Levine JD, Miaskowski C, Kober KM. Alterations in Patterns of Gene Expression and Perturbed Pathways in the Gut-Brain Axis Are Associated With Chemotherapy-Induced Nausea. J Pain Symptom Manage. 2020 Jun; 59(6):1248-1259.e5.
    View on PubMed
  13. Kober KM, Lee MC, Olshen A, Conley YP, Sirota M, Keiser M, Hammer MJ, Abrams G, Schumacher M, Levine JD, Miaskowski C. Differential methylation and expression of genes in the hypoxia-inducible factor 1 signaling pathway are associated with paclitaxel-induced peripheral neuropathy in breast cancer survivors and with preclinical models of chemotherapy-induced neuropathic pain. Mol Pain. 2020 Jan-Dec; 16:1744806920936502.
    View on PubMed
  14. Miaskowski C, Blyth F, Nicosia F, Haan M, Keefe F, Smith A, Ritchie C. A Biopsychosocial Model of Chronic Pain for Older Adults. Pain Med. 2019 Dec 17.
    View on PubMed
  15. Langford DJ, Cooper B, Paul S, Humphreys J, Hammer MJ, Levine J, Conley YP, Wright F, Dunn LB, Miaskowski C. Distinct Stress Profiles Among Oncology Patients Undergoing Chemotherapy. J Pain Symptom Manage. 2020 03; 59(3):646-657.
    View on PubMed
  16. Schear S, Patel K, Deng LX, Miaskowski C, Maravilla I, Garrigues SK, Thompson N, Auerbach AD, Ritchie CS. Multimorbidity and Opioid Prescribing in Hospitalized Older Adults. J Palliat Med. 2020 Apr; 23(4):475-482.
    View on PubMed
  17. Singh K, Paul SM, Kober KM, Conley YP, Wright F, Levine JD, Joseph PV, Miaskowski C. Neuropsychological Symptoms and Intrusive Thoughts Are Associated With Worse Trajectories of Chemotherapy-Induced Nausea. J Pain Symptom Manage. 2020 03; 59(3):668-678.
    View on PubMed
  18. Von Ah D, Brown CG, Brown SJ, Bryant AL, Davies M, Dodd M, Ferrell B, Hammer M, Knobf MT, Knoop TJ, LoBiondo-Wood G, Mayer DK, Miaskowski C, Mitchell SA, Song L, Watkins Bruner D, Wesmiller S, Cooley ME. Research Agenda of the Oncology Nursing Society: 2019-2022. Oncol Nurs Forum. 2019 11 01; 46(6):654-669.
    View on PubMed
  19. Tejada M, Viele C, Kober KM, Cooper BA, Paul SM, Dunn LB, Hammer MJ, Wright F, Conley YP, Levine JD, Miaskowski C. Identification of subgroups of chemotherapy patients with distinct sleep disturbance profiles and associated co-occurring symptoms. Sleep. 2019 10 09; 42(10).
    View on PubMed
  20. Schumacher KL, Plano Clark VL, Rabow MW, Paul SM, Miaskowski C. The Experience of Complex Pain Dynamics in Oncology Outpatients: A Longitudinal Qualitative Analysis. Cancer Nurs. 2019 Sep 27.
    View on PubMed

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