Featured Publications
The impact of novel coronavirus COVID‐19 on noncommunicable disease patients and health systems: a review
Chang A, Cullen M, Harrington R, Barry M. The impact of novel coronavirus COVID‐19 on noncommunicable disease patients and health systems: a review. Journal Of Internal Medicine 2020, 289: 450-462. PMID: 33020988, PMCID: PMC7675448, DOI: 10.1111/joim.13184.Peer-Reviewed Original ResearchConceptsHealth system factorsNoncommunicable disease patientsNoncommunicable diseasesHealth systemLevels of health systemsSystemic factorsCare of patientsDisease-specific factorsPublic health measuresCare providersNCD patientsDisproportionate burdenHealth measuresCOVID-19Society statementEndocrine disordersPatientsCareLong-term effectsDisease patientsHealthDiseasePandemic disruptionCoronavirus diseaseProviders
2024
Outcomes and care quality metrics for people living with rheumatic heart disease and atrial fibrillation in Uganda
Opara C, Lan R, Rwebembera J, Okello E, Watkins D, Chang A, Longenecker C. Outcomes and care quality metrics for people living with rheumatic heart disease and atrial fibrillation in Uganda. Heart Rhythm O2 2024, 5: 201-208. PMID: 38690140, PMCID: PMC11056452, DOI: 10.1016/j.hroo.2024.02.002.Peer-Reviewed Original ResearchRheumatic heart diseaseCare retentionAtrial fibrillationFactors associated with retentionCare quality metricsNearest health centerNew York Heart Association functional class III/IVComplications of rheumatic heart diseaseLower-resource settingsHeart diseaseFunctional class III/IVMultivariate logistic regressionMedian follow-upCare metricsHealth centersPrescription ratesCareConcurrent AFAnticoagulant prescriptionLogistic regressionClass III/IVAF participantsMedian ageAtrial flutterCharacterize demographics
2023
What We Lost in the Fire: Endemic Tropical Heart Diseases in the Time of COVID-19.
Chang A, Zühlke L, Ribeiro A, Barry M, Okello E, Longenecker C. What We Lost in the Fire: Endemic Tropical Heart Diseases in the Time of COVID-19. American Journal Of Tropical Medicine And Hygiene 2023, 108: 462-464. PMID: 36746666, PMCID: PMC9978545, DOI: 10.4269/ajtmh.22-0514.Peer-Reviewed Original ResearchConceptsHeart diseaseMiddle-income countriesGlobal health equityCOVID-19 pandemicHealth equityHealth disparitiesHealthcare providersCare systemMalaria control initiativesRheumatic heart diseaseGroup of disordersControl statusCOVID-19Time of COVID-19Control initiativesFunding increasesEndomyocardial fibrosisSubstantial mortalityDiseaseEndemic illnessOutcomesChagas diseasePeopleCareHealthcare
2021
Abstract 11913: Mortality Along the Rheumatic Heart Disease Cascade of Care in Uganda
Chang A, Barry M, Bendavid E, Watkins D, Beaton A, Lwabi P, Ssinabulya I, Longenecker C, Okello E. Abstract 11913: Mortality Along the Rheumatic Heart Disease Cascade of Care in Uganda. Circulation 2021, 144: a11913-a11913. DOI: 10.1161/circ.144.suppl_1.11913.Peer-Reviewed Original ResearchClinical rheumatic heart diseaseRheumatic heart diseasePublic health response to HIVMortality riskCare of HIV patientsMiddle-income countriesMortality of peopleCox proportional hazards modelsCare modelRetrospective cohort studyClinical careParticipant dataResponse to HIVCareAssess mortalityCohort studyHazard ratioAdherent subjectsEpidemiological evidenceSub-Saharan AfricaHeart failure historyKaplan-Meier curvesReference groupHazards modelMortality benefit
2019
Interventions to Reduce Ethnic and Racial Disparities in Dyslipidemia Management
Chang A, Abou-Arraj N, Rodriguez F. Interventions to Reduce Ethnic and Racial Disparities in Dyslipidemia Management. Current Treatment Options In Cardiovascular Medicine 2019, 21: 24. PMID: 31065884, DOI: 10.1007/s11936-019-0725-4.Peer-Reviewed Original ResearchPhase of careAssociated with disparitiesRisk factor modificationControl of dyslipidemiaEthnic minority groupsMultidisciplinary treatment teamImproving clinical endpointsRacial/ethnic disparitiesScreening practicesDyslipidemia diagnosisTreatment cascadeRacial disparitiesPatient awarenessFactor modificationTreatment teamTargeted risk assessmentReduce inequalitiesMinority groupsNative American populationsDisparitiesInterventionCardiovascular riskAmerican populationCareCardiovascular outcomes