2024
Gender disparities in utilization of statins for low density lipoprotein management across the spectrum of atherosclerotic cardiovascular disease: Insights from the houston methodist cardiovascular disease learning health system registry
Shahid I, Satish P, Gullapelli R, Nicholas J, Javed Z, Avenatti E, Bose B, Mahajan S, Roy T, Sharma G, Rodriguez F, Andrieni J, Jones S, Al-Kindi S, Cainzos-Achirica M, Nasir K. Gender disparities in utilization of statins for low density lipoprotein management across the spectrum of atherosclerotic cardiovascular disease: Insights from the houston methodist cardiovascular disease learning health system registry. American Journal Of Preventive Cardiology 2024, 19: 100722. PMID: 39281350, PMCID: PMC11402022, DOI: 10.1016/j.ajpc.2024.100722.Peer-Reviewed Original ResearchHigh-intensity statinsRacial/ethnic subgroupsSystem registryStatin utilizationLDL-CHigh-intensity statin useGender disparitiesSocioeconomic risk factorsLDL-C managementUS healthcare systemMultivariate logistic regression analysisLDL-C goalsLDL-C <Utilization of statinsAtherosclerotic cardiovascular diseaseLogistic regression analysisSocioeconomic subgroupsHealthcare systemStatin uptakeStatin useAdult patientsLipid managementLipoprotein managementStatinsSignificant gender disparity
2023
National Trends in Racial and Ethnic Disparities in Use of Recommended Therapies in Adults with Atherosclerotic Cardiovascular Disease, 1999-2020
Lu Y, Liu Y, Dhingra L, Caraballo C, Mahajan S, Massey D, Spatz E, Sharma R, Rodriguez F, Watson K, Masoudi F, Krumholz H. National Trends in Racial and Ethnic Disparities in Use of Recommended Therapies in Adults with Atherosclerotic Cardiovascular Disease, 1999-2020. JAMA Network Open 2023, 6: e2345964. PMID: 38039001, PMCID: PMC10692850, DOI: 10.1001/jamanetworkopen.2023.45964.Peer-Reviewed Original ResearchConceptsAtherosclerotic cardiovascular diseaseHistory of ASCVDCross-sectional studyLifestyle modificationPharmacological medicationsOptimal careCurrent careUS adultsEthnic differencesWhite individualsGuideline-recommended therapiesTotal cholesterol controlNon-Hispanic white individualsNutrition Examination SurveyLatino individualsQuality of careSelf-reported raceStatin useRecommended TherapiesSecondary preventionCholesterol controlOptimal regimensSmoking cessationEligible participantsExamination Survey
2021
Delayed medical care due to transportation barriers among adults with atherosclerotic cardiovascular disease
Acquah I, Hagan K, Valero-Elizondo J, Javed Z, Butt SA, Mahajan S, Taha MB, Hyder AA, Mossialos E, Cainzos-Achirica M, Nasir K. Delayed medical care due to transportation barriers among adults with atherosclerotic cardiovascular disease. American Heart Journal 2021, 245: 60-69. PMID: 34902312, DOI: 10.1016/j.ahj.2021.11.019.Peer-Reviewed Original ResearchConceptsAtherosclerotic cardiovascular diseaseTransportation barriersCardiovascular diseaseMedical careSociodemographic characteristicsNon-Hispanic black adultsNational Health Interview SurveyHealth Interview SurveySelf-reported prevalenceUse of telehealthMedicaid insuranceU.S. patientsHigher oddsProvision of transportationMobile clinicsPatientsBlack adultsLogistic regressionYoung adultsInterview SurveyCareYoung individualsAdultsVulnerable groupsDiseaseScope and Social Determinants of Food Insecurity Among Adults With Atherosclerotic Cardiovascular Disease in the United States
Mahajan S, Grandhi GR, Valero‐Elizondo J, Mszar R, Khera R, Acquah I, Yahya T, Virani SS, Blankstein R, Blaha MJ, Cainzos‐Achirica M, Nasir K. Scope and Social Determinants of Food Insecurity Among Adults With Atherosclerotic Cardiovascular Disease in the United States. Journal Of The American Heart Association 2021, 10: e020028. PMID: 34387089, PMCID: PMC8475063, DOI: 10.1161/jaha.120.020028.Peer-Reviewed Original ResearchConceptsHigh-risk characteristicsUS adultsNational Health Interview Survey dataHealth Interview Survey dataAtherosclerotic cardiovascular diseaseCoronary heart diseaseSelf-reported diagnosisNon-Hispanic blacksInterview Survey dataFood Security Survey ModuleCardiovascular disease resultsLow family incomeAdult Food Security Survey ModuleFood insecurityHeart diseaseASCVDCardiovascular diseasePocket healthcare expenditureHigher oddsSociodemographic determinantsDisease resultsStudy participantsSocial determinantsHealthcare expendituresSociodemographic subgroups
2020
Association of cardiovascular risk profile with healthcare expenditure and resource utilization in chronic obstructive pulmonary disease, with and without atherosclerotic cardiovascular disease
Jafar Z, Valero-Elizondo J, Saeed GJ, Acquah I, Yahya T, Mahajan S, Mszar R, Khan SU, Caínzos-Achirica M, Nasir K. Association of cardiovascular risk profile with healthcare expenditure and resource utilization in chronic obstructive pulmonary disease, with and without atherosclerotic cardiovascular disease. American Journal Of Preventive Cardiology 2020, 3: 100084. PMID: 34327464, PMCID: PMC8315593, DOI: 10.1016/j.ajpc.2020.100084.Peer-Reviewed Original ResearchChronic obstructive pulmonary diseaseAtherosclerotic cardiovascular diseasePresence of ASCVDObstructive pulmonary diseaseCRF profileCOPD patientsPulmonary diseaseHealthcare expendituresCardiovascular diseaseAbsence of ASCVDMedical Expenditure Panel Survey databaseCardiovascular risk factor profileCardiovascular risk profileHigh-risk patientsRisk factor profileCause of morbidityLower healthcare expendituresNew healthcare delivery modelsPotential healthcare savingsHealthcare delivery modelsASCVD statusPoorer CRFHealthcare utilizationPrescription medicationsImproved outcomes
2018
Gender Differences in Patient‐Reported Outcomes Among Adults With Atherosclerotic Cardiovascular Disease
Okunrintemi V, Valero‐Elizondo J, Patrick B, Salami J, Tibuakuu M, Ahmad S, Ogunmoroti O, Mahajan S, Khan SU, Gulati M, Nasir K, Michos ED. Gender Differences in Patient‐Reported Outcomes Among Adults With Atherosclerotic Cardiovascular Disease. Journal Of The American Heart Association 2018, 7: e010498. PMID: 30561253, PMCID: PMC6405598, DOI: 10.1161/jaha.118.010498.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAtherosclerosisCross-Sectional StudiesFemaleHealth CommunicationHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHealthcare DisparitiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionPhysician-Patient RelationsPlatelet Aggregation InhibitorsQuality of LifeRetrospective StudiesRisk FactorsSex FactorsUnited StatesYoung AdultConceptsHealth-related qualityBackground Atherosclerotic cardiovascular diseaseLower health-related qualityAtherosclerotic cardiovascular diseasePatient experienceCardiovascular diseaseHealth outcomesPoor patient-provider communicationImportant public health implicationsSelf-reported patient experienceNinth Revision codesPatient-centered outcomesPatient-reported outcomesPatient-provider communicationThird of deathsPoor perceptionPoor patient experiencePositive patient experiencePublic health implicationsMedical Expenditure PanelPerception of healthGender-specific differencesRepresentative US sampleGender differencesASCVD patients