2023
Design and methods of a randomized trial testing "Advancing care for COPD in people living with HIV by implementing evidence-based management through proactive E-consults (ACHIEVE)"
Ives J, Bagchi S, Soo S, Barrow C, Akgün K, Erlandson K, Goetz M, Griffith M, Gross R, Hulgan T, Moanna A, Soo Hoo G, Weintrob A, Wongtrakool C, Adams S, Sayre G, Helfrich C, Au D, Crothers K. Design and methods of a randomized trial testing "Advancing care for COPD in people living with HIV by implementing evidence-based management through proactive E-consults (ACHIEVE)". Contemporary Clinical Trials 2023, 132: 107303. PMID: 37481201, PMCID: PMC10528346, DOI: 10.1016/j.cct.2023.107303.Peer-Reviewed Original ResearchMeSH KeywordsChronic DiseaseComorbidityHIV InfectionsHumansPulmonary Disease, Chronic ObstructiveVeteransConceptsChronic obstructive pulmonary diseaseE-consultsEvidence-based managementElectronic health recordsCOPD managementVeterans Affairs Medical CenterCommon comorbid diseasesObstructive pulmonary diseaseChronic disease comorbiditiesEvidence-based careEvidence-based recommendationsComorbid diseasesPulmonary diseaseHIV populationInappropriate therapyBlood InstituteNational HeartACHIEVE trialMedical CenterClinical providersDisease comorbiditiesHIVPWHTrial testingCareValidation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs
Feder S, Zhan Y, Abel E, Smith D, Ersek M, Fried T, Redeker N, Akgün K. Validation of Electronic Health Record-Based Algorithms to Identify Specialist Palliative Care Within the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2023, 66: e475-e483. PMID: 37364737, PMCID: PMC10527602, DOI: 10.1016/j.jpainsymman.2023.06.023.Peer-Reviewed Original ResearchConceptsSpecialist palliative careInpatient encountersCurrent Procedural TerminologyPalliative careICD-9/ICDICD-9/10 codesCohort of peopleVeterans Affairs facilitiesStop codeNegative predictive valueElectronic health recordsChart reviewHeart failureAdministrative databasesSpecific clinicPredictive valueICD codesProcedural TerminologyVeterans AffairsOutpatientsHealth recordsAdministrative dataReference standardCareConsultationAdvance directive screening among veterans with incident heart failure: Comparisons among people aging with and without HIV
Walenczyk K, Cavanagh C, Skanderson M, Feder S, Soliman A, Justice A, Burg M, Akgün K. Advance directive screening among veterans with incident heart failure: Comparisons among people aging with and without HIV. Heart & Lung 2023, 61: 1-7. PMID: 37023581, PMCID: PMC10524135, DOI: 10.1016/j.hrtlng.2023.03.018.Peer-Reviewed Original ResearchConceptsIncident heart failureVeterans Aging Cohort StudyHeart failureAD screeningDisease severityCox proportional hazards regressionIncident HF diagnosisAging Cohort StudyProportional hazards regressionGreater disease severityAdvance directive completionAssociation of ADFuture quality improvementCare contactsCohort studyHF diagnosisHIV statusScreening ratesHazards regressionPoor prognosisDiagnosis codesCardiology subspecialtiesHaenszel testHealthcare encountersPWH
2019
Racial Differences in Change in Physical Functioning in Older Male Veterans with HIV
McKellar MS, Kuchibhatla MN, Oursler KAK, Crystal S, Akgün K, Crothers K, Gibert CL, Nieves-Lugo K, Womack J, Tate J, Fillenbaum GG. Racial Differences in Change in Physical Functioning in Older Male Veterans with HIV. AIDS Research And Human Retroviruses 2019, 35: 1034-1043. PMID: 30963773, PMCID: PMC6862951, DOI: 10.1089/aid.2018.0296.Peer-Reviewed Original ResearchConceptsPCS scoresPhysical functioningWhite HIVHIV statusMale veteransHealth behaviorsSF-12 physical component summary scorePhysical component summary scoreLower body mass indexHealth conditionsBetter PCS scoresPoorer PCS scoreHIV-negative menLower PCS scoresComponent summary scoresBody mass indexViral load countOlder male veteransChronic health conditionsLack of exerciseBetter health behaviorsWhite male veteransAssociation of demographicGeneral U.S. populationLow socioeconomic status
2015
Comparing clinical outcomes in HIV‐infected and uninfected older men hospitalized with community‐acquired pneumonia
Barakat LA, Juthani-Mehta M, Allore H, Trentalange M, Tate J, Rimland D, Pisani M, Akgün KM, Goetz MB, Butt AA, Rodriguez-Barradas M, Duggal M, Crothers K, Justice AC, Quagliarello VJ. Comparing clinical outcomes in HIV‐infected and uninfected older men hospitalized with community‐acquired pneumonia. HIV Medicine 2015, 16: 421-430. PMID: 25959543, PMCID: PMC5015437, DOI: 10.1111/hiv.12244.Peer-Reviewed Original ResearchConceptsCommunity-acquired pneumoniaVeterans Aging Cohort StudyVACS IndexCAP outcomesAntiretroviral therapyOlder adultsHigher VACS indexDays of dischargeAging Cohort StudyUninfected participantsCohort studyMean LOSHIV infectionLonger LOSClinical outcomesUnadjusted analysesUninfected groupMultivariable modelEligibility criteriaHIVMale veteransMortality rateART useMortalityOutcomes