2024
Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers
Zhan Y, Han L, Abel E, Akgun K, Redeker N, Feder S. Variation in Uptake of Specialist Palliative Care Among People with Advanced Heart Failure Across VA Medical Centers. Journal Of Pain And Symptom Management 2024, 67: e551-e552. DOI: 10.1016/j.jpainsymman.2024.02.339.Peer-Reviewed Original ResearchSpecialist palliative careVA Medical CenterDepartment of Veterans AffairsPalliative careVeterans AffairsRandom intercept multilevel logistic regressionPalliative care deliveryDelivery characteristicsMedical CenterMultilevel logistic regressionCare deliveryICD-9/10 codesAdvanced heart failureRetrospective cohort studyHealth careModifiable factorsCareTeam staffingCohort studyHeart failureLogistic regressionImplementation effortsIdentified factorsICD-9/10Study findingsVariation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs
Feder S, Han L, Zhan Y, Abel E, Akgün K, Fried T, Ersek M, Redeker N. Variation in Specialist Palliative Care Reach and Associated Factors Among People With Advanced Heart Failure in the Department of Veterans Affairs. Journal Of Pain And Symptom Management 2024, 68: 22-31.e1. PMID: 38561132, PMCID: PMC11168897, DOI: 10.1016/j.jpainsymman.2024.03.022.Peer-Reviewed Original ResearchOutpatient specialist palliative careSpecialist palliative careVeterans Affairs Medical CenterPalliative careSpecialist palliative care consultationRandom intercept multilevel logistic regressionDepartment of Veterans AffairsMultilevel logistic regressionAffairs Medical CenterClinical practice guidelinesICD-9/10 codesAdvanced heart failureRetrospective cohort studyVeterans AffairsOutpatient palliativeOutpatient deliveryPractice guidelinesCohort studyLogistic regressionCardiology involvementDelivery characteristicsAssociated factorsMedical CenterIdentified factorsICD-9/10
2023
Advance 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
2018
The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure
Feder SL, Tate JP, Akgün KM, Womack JA, Jeon S, Funk M, Bedimo RJ, Budoff MJ, Butt AA, Crothers K, Redeker NS. The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure. American Journal Of Hospice And Palliative Medicine® 2018, 36: 228-234. PMID: 30304939, PMCID: PMC7457998, DOI: 10.1177/1049909118804465.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedCase-Control StudiesCD4 Lymphocyte CountComorbidityFemaleHeart FailureHIV InfectionsHospitalizationHumansLength of StayLogistic ModelsMaleMiddle AgedPalliative CarePatient DischargeRespiration, ArtificialRisk FactorsSex FactorsUnited StatesUnited States Department of Veterans AffairsConceptsHeart failureHIV infectionHIV-1 RNAPalliative careVeterans Health AdministrationHospitalized patientsHIV characteristicsPrimary diagnosisVeterans Aging Cohort StudyPalliative care useVentricular ejection fractionAging Cohort StudyCells/Case-control studyConditional logistic regressionDiseases NinthCohort studyEjection fractionPrimary outcomeVHA patientsDischarge dateMean ageCare useSevere diseaseAdjusted model