Featured Publications
Identifying Medicare beneficiaries with dementia
Moura LMVR, Festa N, Price M, Volya M, Benson NM, Zafar S, Weiss M, Blacker D, Normand S, Newhouse JP, Hsu J. Identifying Medicare beneficiaries with dementia. Journal Of The American Geriatrics Society 2021, 69: 2240-2251. PMID: 33901296, PMCID: PMC8373730, DOI: 10.1111/jgs.17183.Peer-Reviewed Original ResearchConceptsClaims-based definitionEligible populationElectronic health recordsAccountable care organizationsMedical recordsDiagnostic codesMedicare beneficiariesReference standardICD-10 diagnostic codesICD-9 definitionRetrospective observational studyIndividual-level linkageService Medicare beneficiariesPatients' medical recordsClaims-based diagnosesClinical reference standardNon-Hispanic whitesPretest likelihoodDementia statusObservational studyInternational ClassificationAverage ageDementia diagnosisStandardized reviewDementiaComparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement
Shi S, Festa N, Afilalo J, Popma JJ, Khabbaz KR, Laham RJ, Guibone K, Kim DH. Comparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement. BMC Geriatrics 2020, 20: 38. PMID: 32013890, PMCID: PMC6998298, DOI: 10.1186/s12877-020-1440-4.Peer-Reviewed Original ResearchConceptsAortic valve replacementTranscatheter aortic valve replacementFrailty indexLee indexPoor outcomeValve replacementSAVR cohortTAVR cohortC-statisticFunctional declineSevere symptomsDeficit-accumulation frailty indexSingle academic medical centerProspective cohort studyHighest c-statisticAcademic medical centerBackgroundCurrent guidelinesSAVR patientsTAVR patientsCohort studyGeriatric assessmentOverall cohortPrognostic scoreMedical CenterCohort
2021
Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons
Gill TM, Zang EX, Murphy TE, Leo-Summers L, Gahbauer EA, Festa N, Falvey JR, Han L. Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons. JAMA Internal Medicine 2021, 181: 1297-1304. PMID: 34424276, PMCID: PMC8383163, DOI: 10.1001/jamainternmed.2021.4260.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedFemaleFunctional StatusHealthy Life ExpectancyHousing QualityHumansIndependent LivingLongitudinal StudiesMaleMental HealthNeighborhood CharacteristicsPrognosisPsychosocial FunctioningQuality of LifeSocial Determinants of HealthSocioeconomic FactorsUnited StatesConceptsProspective longitudinal cohort studyCommunity-living older personsAge 70 yearsActive life expectancyLongitudinal cohort studyOlder personsCohort studyPrognostic factorsLife expectancyArea deprivation index scoreCommunity-living personsPrecipitating Events ProjectDeprivation index scoreDisabled life expectancyAge 90 yearsArea Deprivation IndexPublic health initiativesPublic health interventionsNeighborhood disadvantageGreater percentageResource-poor environmentsIndividual-level socioeconomic characteristicsMean ageMAIN OUTCOMEDaily living
2020
Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness
Giannitrapani KF, Walling AM, Garcia A, Foglia M, Lowery JS, Lo N, Bekelman D, Brown-Johnson C, Haverfield M, Festa N, Shreve ST, Gale RC, Lehmann LS, Lorenz KA. Pilot of the Life-Sustaining Treatment Decisions Initiative Among Veterans With Serious Illness. American Journal Of Hospice And Palliative Medicine® 2020, 38: 68-76. PMID: 32383388, DOI: 10.1177/1049909120923595.Peer-Reviewed Original ResearchConceptsIll patientsDecision-making capacityLife-Sustaining Treatment Decisions InitiativeLST decisionsLarge integrated health care systemIntegrated health care systemProspective observational studyRisk of hospitalizationGoals of careFamilies/caregiversQuality of lifeDecisions InitiativeHealth care systemChart abstractionPatient demographicsObservational studyCare conversationsProlong lifePatientsSerious illnessVeterans AffairsCare systemStandardizing practicesPilot periodGOCC