Research Topics
| Thomas GiordanoSummaryAffiliation: Baylor College of Medicine Country: USA Publications
Research Grants
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Detail Information
Publications
Retention in care: a challenge to survival with HIV infectionThomas P Giordano
Baylor College of Medicine, Houston, Texas, USA
Clin Infect Dis 44:1493-9. 2007..Patients with human immunodeficiency virus (HIV) infection need lifelong medical care, but many do not remain in care. The effect of poor retention in care on survival is not known, and we sought to quantify that relationship...- Risk of non-Hodgkin lymphoma and lymphoproliferative precursor diseases in US veterans with hepatitis C virusThomas P Giordano
Department of Medicine, Baylor College of Medicine, and The Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, Tex 77030, USA
JAMA 297:2010-7. 2007..Previous studies have been too small to adequately assess these risks... - Is there a race-based disparity in the survival of veterans with HIV?Thomas P Giordano
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
J Gen Intern Med 21:613-7. 2006..Disparities in survival for black patients with HIV in the United States have been reported. The VA is an equal access health care system... - The population effectiveness of highly active antiretroviral therapy: are good drugs good enough?Thomas P Giordano
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey VA Medical Center, 2002 Holcombe Boulevard VA152, Houston, TX 77030, USA
Curr HIV/AIDS Rep 2:177-83. 2005.... - Patients referred to an urban HIV clinic frequently fail to establish care: factors predicting failureThomas P Giordano
Baylor College of Medicine, Texas, USA
AIDS Care 17:773-83. 2005..Age > 35 years was protective. Half the indigent patients entering care in this single-site study fail to establish regular care. Substance use and younger age are predictors of failure to establish care... - Predictors of retention in HIV care among a national cohort of US veteransThomas P Giordano
Baylor College of Medicine, Houston, Texas, USA
HIV Clin Trials 10:299-305. 2009..We determined the predictors of poor retention in HIV care among a group of US veterans and examined whether poor retention was confounded by other predictors of survival... - Cirrhosis and hepatocellular carcinoma in HIV-infected veterans with and without the hepatitis C virus: a cohort study, 1992-2001Thomas P Giordano
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, Houston, Tex 77030, USA
Arch Intern Med 164:2349-54. 2004.... - Do sex and race/ethnicity influence CD4 cell response in patients who achieve virologic suppression during antiretroviral therapy?Thomas P Giordano
Section of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
Clin Infect Dis 37:433-7. 2003..In both univariate and multivariate analyses, women had greater CD4 cell count increases, compared with men, as did patients receiving a regimen that did not include a protease inhibitor. Race/ethnicity was not a factor... - Disparities in outcomes for African American and Latino subjects in the Flexible Initial Retrovirus Suppressive Therapies (FIRST) trialThomas P Giordano
Baylor College of Medicine, Michael E DeBakey VA Medical Center, and Thomas Street Health Center, Houston, Texas 77030, USA
AIDS Patient Care STDS 24:287-95. 2010..Efforts to promote access to HIV testing and care and to improve adherence have the potential to reduce racial/ethnic disparities in outcomes of patients with HIV infection... - Relating the size of molecularly defined clusters of tuberculosis to the duration of symptomsThomas P Giordano
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
Clin Infect Dis 38:10-6. 2004..The size of molecularly defined clusters of tuberculosis was not related to the duration of symptoms of most patients who belonged to clusters... - The effect of HIV coinfection on the risk of cirrhosis and hepatocellular carcinoma in U.S. veterans with hepatitis CJennifer R Kramer
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
Am J Gastroenterol 100:56-63. 2005..84, p= 0.40). CONCLUSIONS: Coinfection was a significant risk factor for cirrhosis only during the pre-HAART era and was not associated with hepatocellular carcinoma, irrespective of time period... - Human immunodeficiency virus-associated squamous cell cancer of the anus: epidemiology and outcomes in the highly active antiretroviral therapy eraElizabeth Y Chiao
Department of Medicine, Baylor College of Medicine, Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center 152, 2002 Holcombe Blvd, Houston, TX 77030, USA
J Clin Oncol 26:474-9. 2008.... - Utilization of health care resources by HIV-infected white, African-American, and Hispanic men in the era before highly active antiretroviral therapyTerri J Menke
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Department of Veterans Affairs Medical Center, 2002 Holcombe Boulevard, Houston, TX 77030, USA
J Natl Med Assoc 95:853-61. 2003..Undesirable resource utilization patterns by African-American and Hispanic populations need urgent attention... - Incidence and risk factors for immune reconstitution inflammatory syndrome during highly active antiretroviral therapySamuel A Shelburne
Department of Medicine, Section of Infectious Diseases, University of Texas Health Science Center at Houston, Texas 77030-4211, USA
AIDS 19:399-406. 2005..neoformans. Antiretroviral drug-naive patients who start HAART in close proximity to the diagnosis of an opportunistic infection and have a rapid decline in HIV-1 RNA level should be monitored for development of this disorder... - Screening HIV-infected individuals for anal cancer precursor lesions: a systematic reviewElizabeth Y Chiao
Baylor College of Medicine, Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E DeBakey Veterans Affairs Medical Center, TX, USA
Clin Infect Dis 43:223-33. 2006..This review identifies important areas for further study before routine anal Pap smear screening can be recommended... - Survival in hepatitis C and HIV co-infection: a cohort study of hospitalized veteransHashem B El-Serag
Houston Center for Quality of Care and Utilization Studies, Houston Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA
Clin Gastroenterol Hepatol 3:175-83. 2005..However, the long-term effect of hepatitis C virus (HCV) co-infection on the mortality of HIV-infected patients remains unclear... - Conspiracy beliefs about HIV infection are common but not associated with delayed diagnosis or adherence to careApril Clark
Department of Medicine, Baylor College of Medicine, Houston, TX 77030, USA
AIDS Patient Care STDS 22:753-9. 2008..However, these beliefs did not negatively impact access or adherence to HIV care. Efforts to improve adherence to HIV care may not need to focus on eliminating conspiracy beliefs... - Hepatitis C coinfection increases the risk of fulminant hepatic failure in patients with HIV in the HAART eraJennifer R Kramer
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E DeBakey Veterans Affairs Medical Center 152, Houston, TX 77030, USA
J Hepatol 42:309-14. 2005..It is uncertain if patients coinfected with hepatitis C and HIV are more likely to suffer fulminant hepatic failure (FHF) when compared to patients with HIV-only... - Risk of hepatobiliary and pancreatic cancers after hepatitis C virus infection: A population-based study of U.S. veteransHashem B El-Serag
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Hepatology 49:116-23. 2009..Absence of an association with ECC was consistent in adjusted and unadjusted models. A significant association with pancreatic cancer was erased by alcohol use and other variables... - Predictors of delayed HIV diagnosis in a recently diagnosed cohortJennifer K Mayben
Department of Family and Community Medicine, Houston, Texas, Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas 77030, USA
AIDS Patient Care STDS 21:195-204. 2007..Expanded routine testing for HIV infection is needed with attention directed to men and persons who may not recognize that they are at risk for contracting HIV infection... - Clinical evidence of interaction between itraconazole and nonnucleoside reverse transcriptase inhibitors in HIV-infected patients with disseminated histoplasmosisRoberto A Andrade
Section of Infectious Diseases, Baylor College of Medicine, Houston, TX 77009, USA
Ann Pharmacother 43:908-13. 2009..Unfortunately, few clinical data exist confirming a presumed interaction between itraconazole and nonnucleoside reverse transcriptase inhibitors (NNRTIs)... - Effect of human immunodeficiency virus and antiretrovirals on outcomes of hepatitis C: a systematic review from an epidemiologic perspectiveJennifer R Kramer
Houston Center for Quality of Care and Utilization Studies, Michael E DeBakey Veterans Affairs Medical Center, Houston, Texas, USA
Clin Gastroenterol Hepatol 5:1321-1328.e7. 2007..We systematically reviewed the literature examining the association of human immunodeficiency virus (HIV) and antiretroviral therapy (ART) with liver disease in patients with hepatitis C virus (HCV) infection... - Risk of immune thrombocytopenic purpura and autoimmune hemolytic anemia among 120 908 US veterans with hepatitis C virus infectionElizabeth Y Chiao
Department of Medicine, Baylor College of Medicine, 2002 Holcombe Road, Houston, TX 77030, USA
Arch Intern Med 169:357-63. 2009..There is emerging evidence that hepatitis C virus (HCV) infection play a role in the etiology of immune thrombocytopenia purpura (ITP) and autoimmune hemolytic anemia (AIHA), both of which are severe autoimmune cytopenias... - Factors associated with the use of highly active antiretroviral therapy in patients newly entering care in an urban clinicThomas P Giordano
Sections of Infectious Diseases, Department of Medicine, Baylor College of Medicine, Houston, Texas 77009, USA
J Acquir Immune Defic Syndr 32:399-405. 2003..Among patients new to care, women and those with poor appointment adherence were less likely to receive HAART. Efforts to improve clinic retention and further study of the barriers to HAART use in women are needed... - Time for oncologists to opt in for routine opt-out HIV testing?Elizabeth Y Chiao
Department of Medicine, Baylor College of Medicine, and Health Services Research and Development, Department of Veterans Affairs Medical Center, Houston, Texas 77030, USA
JAMA 304:334-9. 2010..In addition, evidence is discussed for the potential of opt-out HIV testing to improve clinical outcomes by facilitating appropriate HIV management during cancer treatment for individuals who are found to be HIV positive... - Measuring adherence to antiretroviral therapy in a diverse population using a visual analogue scaleThomas P Giordano
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
HIV Clin Trials 5:74-9. 2004..Given its simplicity, the visual analogue scale adherence instrument will be useful in research and may be useful in routine patient care... - Statin therapy and serum transaminases among a cohort of HCV-infected veteransLouise M Henderson
Department of Medicine, Baylor College of Medicine, Houston, TX, USA
Dig Dis Sci 55:190-5. 2010..We sought to determine the effect of statin therapy on serum AST and ALT levels in a cohort of HCV-infected veterans with well-characterized liver disease... - Acute bacterial pneumonia is associated with the occurrence of acute coronary syndromesVicente F Corrales-Medina
Department of Medicine, Baylor College of Medicine, Houston, Texas, USA vfmedina bcm edu
Medicine (Baltimore) 88:154-9. 2009..6; 95% CI, 24.5-92.5). The characteristics and strength of these associations suggest a causal role for the acute infection in this relationship... - Care for HIV infection in the US: can we do better?Thomas P Giordano
Baylor College of Medicine, Houston, Texas, USA
Res Initiat Treat Action 12:5-7. 2007 - Oral step-down therapy is comparable to intravenous therapy for Staphylococcus aureus osteomyelitisNaval G Daver
Infectious Disease Section, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
J Infect 54:539-44. 2007..We hypothesized that regimens with an early switch to oral antibiotics are as effective as prolonged parenteral regimens for staphylococcal osteomyelitis... - Neurocysticercosis in the HIV era: a case report and review of the literatureJose A Serpa
Department of Medicine, Section of Infectious Diseases, Baylor College of Medicine, Houston, Texas, USA
Am J Trop Med Hyg 77:113-7. 2007..NCC should be included in the differential diagnosis of neurologic infections in HIV patients in endemic populations. Consideration of the patient's immune status should alert the clinician to potential atypical presentations... - Hyperglycemia in diabetics and non-diabetics: effect on the risk for and severity of pneumococcal pneumoniaAdriana M Rueda
Medical Service Infectious Disease Section, Michael E DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA
J Infect 60:99-105. 2010.... - End-stage liver disease in a state prison populationJacques Baillargeon
Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX 77555, USA
Ann Epidemiol 17:808-13. 2007..Information on the epidemiology of end-stage liver disease (ESLD) in US correctional populations is limited. We examined the prevalence, mortality and clinical characteristics of ESLD in the nation's second largest state prison system... - Does HIV infection independently increase the incidence of lung cancer?Thomas P Giordano
Clin Infect Dis 40:490-1. 2005
Research Grants
- HIV, Race and Survival in the Highly Active Therapy EraThomas Giordano; Fiscal Year: 2007....
- Attitudes and Beliefs and the Steps of HIV CareThomas Giordano; Fiscal Year: 2007..These studies will allow us to identify modifiable factors for improving outcomes, and target the Step of HIV Care where interventions should be focused to maximize impact. ..
- Test of an intervention to improve retention in HIV care after hospitalizationThomas Giordano; Fiscal Year: 2009..We will test the efficacy of this patient mentor intervention in a 5-year randomized, controlled trial in more than 400 socio-economically and racially diverse HIV-infected patients hospitalized at Ben Taub General Hospital. ..
- Test of an intervention to improve retention in HIV care after hospitalizationThomas P Giordano; Fiscal Year: 2010..We will test the efficacy of this patient mentor intervention in a 5-year randomized, controlled trial in more than 400 socio-economically and racially diverse HIV-infected patients hospitalized at Ben Taub General Hospital. ..