Amy C Justice

Summary

Country: USA

Publications

  1. ncbi Predictive accuracy of the Veterans Aging Cohort Study index for mortality with HIV infection: a North American cross cohort analysis
    Amy C Justice
    Department of Internal Medicine, Yale University and the Veterans Affairs Healthcare System, West Haven, CT 06516, USA
    J Acquir Immune Defic Syndr 62:149-63. 2013
  2. ncbi Lessons learned from the first wave of aging with HIV
    Amy C Justice
    Veterans Administration Connecticut Healthcare System and Yale University, West Haven, Connecticut 06516, USA
    AIDS 26:S11-8. 2012
  3. ncbi Does an index composed of clinical data reflect effects of inflammation, coagulation, and monocyte activation on mortality among those aging with HIV?
    Amy C Justice
    Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
    Clin Infect Dis 54:984-94. 2012
  4. ncbi Development and verification of a "virtual" cohort using the National VA Health Information System
    Shawn L Fultz
    VA Connecticut Health Care System, West Haven, CT 06516, USA
    Med Care 44:S25-30. 2006
  5. ncbi HIV and aging: time for a new paradigm
    Amy C Justice
    Yale University Schools of Medicine and Public Health, New Haven, USA
    Curr HIV/AIDS Rep 7:69-76. 2010
  6. ncbi Medical disease and alcohol use among veterans with human immunodeficiency infection: A comparison of disease measurement strategies
    Amy C Justice
    VA Connecticut Healthcare System West Haven, Connecticut 06516, USA
    Med Care 44:S52-60. 2006
  7. ncbi The Veterans Affairs Healthcare System: A unique laboratory for observational and interventional research
    Amy C Justice
    Veterans Aging Cohort Study Center, Yale University School of Medicine, New Haven, CT 06516, USA
    Med Care 44:S7-12. 2006
  8. ncbi Towards a combined prognostic index for survival in HIV infection: the role of 'non-HIV' biomarkers
    Amy C Justice
    Section of General Internal Medicine, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
    HIV Med 11:143-51. 2010
  9. ncbi Veterans Aging Cohort Study (VACS): Overview and description
    Amy C Justice
    VA Conneticut Healthcare System, West Haven, CT 06516, USA
    Med Care 44:S13-24. 2006
  10. ncbi Impact of cigarette smoking on mortality in HIV-positive and HIV-negative veterans
    Kristina Crothers
    Department of Internal Medicine, VA Connecticut Healthcare System, West Haven, CT 06516, USA
    AIDS Educ Prev 21:40-53. 2009

Research Grants

  1. MEDIATORS OF AGE ASSOCIATED OUTCOMES IN HIV INFECTION
    Amy Justice; Fiscal Year: 2002
  2. Alcohol Associated Outcomes Among HIV+/-Aging Veterans
    Amy Justice; Fiscal Year: 2002
  3. Alcohol & HIV in Kenya: Stage 1 Trial of a Peer-led Alcohol Behavior Intervention
    REBECCA PAPAS; Fiscal Year: 2007
  4. Alcohol Associated Outcomes Among HIV+/- Aging Veterans
    Amy Justice; Fiscal Year: 2007

Detail Information

Publications93

  1. ncbi Predictive accuracy of the Veterans Aging Cohort Study index for mortality with HIV infection: a North American cross cohort analysis
    Amy C Justice
    Department of Internal Medicine, Yale University and the Veterans Affairs Healthcare System, West Haven, CT 06516, USA
    J Acquir Immune Defic Syndr 62:149-63. 2013
    ....
  2. ncbi Lessons learned from the first wave of aging with HIV
    Amy C Justice
    Veterans Administration Connecticut Healthcare System and Yale University, West Haven, Connecticut 06516, USA
    AIDS 26:S11-8. 2012
    ..These include the observation that most patients have more than one health condition, and the need to assess individual risk, prioritize care, and consider the total burden of disease when considering further testing and treatment...
  3. ncbi Does an index composed of clinical data reflect effects of inflammation, coagulation, and monocyte activation on mortality among those aging with HIV?
    Amy C Justice
    Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
    Clin Infect Dis 54:984-94. 2012
    ....
  4. ncbi Development and verification of a "virtual" cohort using the National VA Health Information System
    Shawn L Fultz
    VA Connecticut Health Care System, West Haven, CT 06516, USA
    Med Care 44:S25-30. 2006
    ..The VA's integrated electronic medical record makes it possible to create a "virtual" cohort of veterans with and without HIV infection to monitor trends in utilization, toxicity, and outcomes...
  5. ncbi HIV and aging: time for a new paradigm
    Amy C Justice
    Yale University Schools of Medicine and Public Health, New Haven, USA
    Curr HIV/AIDS Rep 7:69-76. 2010
    ..A composite index that summarizes a patient's risk of morbidity and mortality could facilitate this work and help chart its progress...
  6. ncbi Medical disease and alcohol use among veterans with human immunodeficiency infection: A comparison of disease measurement strategies
    Amy C Justice
    VA Connecticut Healthcare System West Haven, Connecticut 06516, USA
    Med Care 44:S52-60. 2006
    ..ICD-9 Diagnostic Codes)...
  7. ncbi The Veterans Affairs Healthcare System: A unique laboratory for observational and interventional research
    Amy C Justice
    Veterans Aging Cohort Study Center, Yale University School of Medicine, New Haven, CT 06516, USA
    Med Care 44:S7-12. 2006
  8. ncbi Towards a combined prognostic index for survival in HIV infection: the role of 'non-HIV' biomarkers
    Amy C Justice
    Section of General Internal Medicine, Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA
    HIV Med 11:143-51. 2010
    ..We ask whether 'non-HIV' biomarkers improve differentiation of mortality risk among individuals initiating combination antiretroviral therapy (cART)...
  9. ncbi Veterans Aging Cohort Study (VACS): Overview and description
    Amy C Justice
    VA Conneticut Healthcare System, West Haven, CT 06516, USA
    Med Care 44:S13-24. 2006
    ..VACS includes the earlier 3 and 5 site studies (VACS 3 and VACS 5) as well as the ongoing 8 site study...
  10. ncbi Impact of cigarette smoking on mortality in HIV-positive and HIV-negative veterans
    Kristina Crothers
    Department of Internal Medicine, VA Connecticut Healthcare System, West Haven, CT 06516, USA
    AIDS Educ Prev 21:40-53. 2009
    ..These findings support the need for improvements in smoking cessation and for studies of mechanisms and diseases underlying increased mortality in smokers with HIV...
  11. ncbi Adherence, virological and immunological outcomes for HIV-infected veterans starting combination antiretroviral therapies
    R Scott Braithwaite
    Section of General Internal Medicine, Department of Medicine, Yale University, 950 Campbell Avenue, West Haven, CT 06516, USA
    AIDS 21:1579-89. 2007
    ..We aimed to determine adherence, virological, and immunological outcomes one year after starting a first combination antiretroviral therapy (ART) regimen...
  12. ncbi Influence of alternative thresholds for initiating HIV treatment on quality-adjusted life expectancy: a decision model
    R Scott Braithwaite
    Yale University and Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    Ann Intern Med 148:178-85. 2008
    ..The optimal threshold for initiating HIV treatment is unclear...
  13. ncbi Aging and infectious diseases: do patterns of comorbidity vary by HIV status, age, and HIV severity?
    Joseph L Goulet
    Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
    Clin Infect Dis 45:1593-601. 2007
    ..Patterns of comorbidity differ substantially by HIV status, age, and HIV severity. Primary care guidelines require adaptation for persons with HIV infection...
  14. ncbi Agreement between electronic medical record-based and self-administered pain numeric rating scale: clinical and research implications
    Joseph L Goulet
    VA Connecticut Healthcare System, West Haven Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06516, USA
    Med Care 51:245-50. 2013
    ..Many health care systems use the numeric rating scale (NRS) for pain screening, and record the score in the patients' electronic medical record (EMR)...
  15. ncbi Hepatic safety and antiretroviral effectiveness in HIV-infected patients receiving naltrexone
    Jeanette M Tetrault
    Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Alcohol Clin Exp Res 36:318-24. 2012
    ..We sought to determine the impact of naltrexone on hepatic enzymes and HIV biomarkers in HIV-infected patients...
  16. ncbi Adjusting alcohol quantity for mean consumption and intoxication threshold improves prediction of nonadherence in HIV patients and HIV-negative controls
    R Scott Braithwaite
    Department of Medicine, Section of General Internal Medicine, Yale University School of Medicine and Connecticut Veterans Administration Medical Center, West Haven, Connecticut 06516, USA
    Alcohol Clin Exp Res 32:1645-51. 2008
    ..We investigated whether considering an individual's usual drinking quantity or threshold for alcohol-induced cognitive impairment improves the prediction of nonadherence with prescribed medications...
  17. ncbi FIB-4 index is associated with hepatocellular carcinoma risk in HIV-infected patients
    Lesley S Park
    Yale School of Medicine, West Haven, CT 06516, USA
    Cancer Epidemiol Biomarkers Prev 20:2512-7. 2011
    ..We hypothesized that high FIB-4 would be associated with development of HCC in HIV-infected persons, who are at high risk due to high prevalence of viral hepatitis and alcohol consumption, and possibly due to HIV infection itself...
  18. ncbi Increased COPD among HIV-positive compared to HIV-negative veterans
    Kristina Crothers
    Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yale University School of Medicine, New Heaven, CT, USA
    Chest 130:1326-33. 2006
    ..The possibility that HIV infection increases susceptibility to and/or accelerates COPD deserves further investigation and has implications regarding the pathogenesis of COPD...
  19. ncbi Risk factors for hospitalization and medical intensive care unit (MICU) admission among HIV-infected Veterans
    Kathleen M Akgün
    Department of Internal Medicine, VA Connecticut Healthcare System, West Haven, CT 06510, USA
    J Acquir Immune Defic Syndr 62:52-9. 2013
    ..We also asked whether AIDS and non-AIDS conditions increased risk after accounting for VACS Index score...
  20. ncbi Depression symptoms and treatment among HIV infected and uninfected veterans
    Kristen Sueoka
    Yale University School of Medicine, New Haven, CT, USA
    AIDS Behav 14:272-9. 2010
    ..09, 95% CI 1.04, 4.24). Primary care and HIV providers were equally unlikely to treat active depressive symptoms. Treatment variation by race, site, and availability of a mental health provider, suggests targets for intervention...
  21. ncbi Quantifying the decrement in utility from perceived side effects of combination antiretroviral therapies in patients with HIV
    R Scott Braithwaite
    Section of General Internal Medicine, Yale University School of Medicine and VA Connecticut Healthcare System, West Haven, CT 06516, USA
    Value Health 11:975-9. 2008
    ..The decrement in utility attributable to side effects from combination antiretroviral therapy (CART) is unknown and likely to influence clinical decisions regarding CART initiation and cost-effectiveness...
  22. ncbi Food insecurity is associated with poor virologic response among HIV-infected patients receiving antiretroviral medications
    Emily A Wang
    Department of Internal Medicine, Yale University School of Medicine, Harkness Hall Building A 367 Cedar Street, Suite 410A, New Haven, CT 06510, USA
    J Gen Intern Med 26:1012-8. 2011
    ..The objective of this study was to examine the impact of food insecurity on HIV disease outcomes in a large cohort of HIV-infected patients receiving antiretroviral medications...
  23. ncbi Alcohol consumption and depressive symptoms over time: a longitudinal study of patients with and without HIV infection
    Lynn E Sullivan
    Yale University School of Medicine, New Haven, CT 06520 8093, United States
    Drug Alcohol Depend 117:158-63. 2011
    ..The impact of alcohol consumption on depressive symptoms over time among patients who do not meet criteria for alcohol abuse or dependence is not known...
  24. ncbi Time to depression treatment in primary care among HIV-infected and uninfected veterans
    Dina Hooshyar
    Yale University School of Medicine, New Haven, CT, USA
    J Gen Intern Med 25:656-62. 2010
    ..Multiple factors, including patient characteristics, competing demands, and clinic type, impact delivery of depression treatment in primary care...
  25. ncbi Decreased awareness of current smoking among health care providers of HIV-positive compared to HIV-negative veterans
    Kristina Crothers
    Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    J Gen Intern Med 22:749-54. 2007
    ..Cigarette smoking is an important risk factor for morbidity and mortality in HIV-positive patients on combination antiretroviral therapy...
  26. ncbi Relative prevalence of comorbidities and treatment contraindications in HIV-mono-infected and HIV/HCV-co-infected veterans
    Joseph L Goulet
    Yale University School of Medicine, New Haven, CT, USA
    AIDS 19:S99-105. 2005
    ....
  27. ncbi A temporal and dose-response association between alcohol consumption and medication adherence among veterans in care
    R Scott Braithwaite
    West Haven Veterans Administration Medical Center and Yale University School of Medicine, West Haven, Connecticut 06516, USA
    Alcohol Clin Exp Res 29:1190-7. 2005
    ..g., illicit drug use). Our objective was to determine whether there are temporal and dose-response relationships between alcohol consumption and poor adherence...
  28. ncbi Do benefits of earlier antiretroviral treatment initiation outweigh harms for individuals at risk for poor adherence?
    R Scott Braithwaite
    Department of Medicine, Section of General Internal Medicine, Yale University, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut, USA
    Clin Infect Dis 48:822-6. 2009
    ..Earlier treatment increased life expectancy across a wide adherence range (50%-100% of doses taken). Delaying treatment for patients with suboptimal adherence may not always be appropriate...
  29. ncbi Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care: Veterans Aging Cohort Five-Site Study
    Amy C Justice
    Veterans Aging Cohort Study Center, VA Pittsburgh Healthcare System, and University of Pittsburgh Center for Research on Health Care, School of Medicine, Division of General Internal Medicine, Pennsylvania, USA
    AIDS 18:S49-59. 2004
    ..Both groups reported increased memory problems with advancing age. This preliminary work suggests a substantial prevalence of psychiatric and neurocognitive problems among middle-aged and older HIV-infected individuals...
  30. ncbi Drug toxicity, HIV progression, or comorbidity of aging: does tipranavir use increase the risk of intracranial hemorrhage?
    Amy C Justice
    Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    Clin Infect Dis 47:1226-30. 2008
    ..We studied 2 large cohorts to estimate the background rate of intracranial hemorrhage and compared it with rates reported among persons who had been exposed to tipranavir...
  31. ncbi The burden of illness in the first year home: do male and female VA users differ in health conditions and healthcare utilization
    Sally G Haskell
    VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    Womens Health Issues 21:92-7. 2011
    ..we sought to describe gender differences in medical and mental health conditions and health care utilization among veterans who used Veterans Health Administration (VA) services in the first year after combat in Iraq and Afghanistan...
  32. ncbi Patient-reported symptoms on the antiretroviral regimen efavirenz/emtricitabine/tenofovir
    E Jennifer Edelman
    Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut, USA
    AIDS Patient Care STDS 26:312-9. 2012
    ..The use of EFV/FTC/TDF was independently associated with health-related quality of life, and this association was at least partially explained by symptom burden...
  33. ncbi Disparities in rates of spine surgery for degenerative spine disease between HIV-infected and uninfected veterans
    Joseph T King
    Department of Surgery, Section of Neurosurgery, VA Connecticut Healthcare System, West Haven, CT 06516, USA
    Spine (Phila Pa 1976) 37:612-22. 2012
    ..Retrospective analysis of nationwide Veterans Health Administration clinical and administrative data...
  34. ncbi Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data
    Kathleen A McGinnis
    Veterans Aging Cohort Study Center, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA
    Am J Public Health 93:1728-33. 2003
    ..CONCLUSIONS: HIV-positive minority veterans experience poorer survival than white veterans. This difference may derive from differences in comorbidities and in the severity of illness of HIV-related disease...
  35. ncbi The impact of cigarette smoking on mortality, quality of life, and comorbid illness among HIV-positive veterans
    Kristina Crothers
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    J Gen Intern Med 20:1142-5. 2005
    ..These findings suggest that smoking cessation should be emphasized for HIV-infected patients...
  36. ncbi Nonmedical use of prescription opioids and pain in veterans with and without HIV
    Declan T Barry
    Yale University School of Medicine, New Haven, CT 06519 1187, USA
    Pain 152:1133-8. 2011
    ..Veterans in care have a high prevalence of NMU that is associated with substance use, medical status, and pain interference, but not HIV status...
  37. ncbi Estimating the proportion of patients infected with HIV who will die of comorbid diseases
    R Scott Braithwaite
    VAMC New Haven and Yale University School of Medicine, New Haven, Conn, USA
    Am J Med 118:890-8. 2005
    ..Effective antiretroviral therapies have improved the prognosis for patients infected with the human immunodeficiency virus (HIV). We aimed to estimate the likelihood that HIV-infected patients would die of comorbid disease...
  38. ncbi Patterns of drug use and abuse among aging adults with and without HIV: a latent class analysis of a US Veteran cohort
    Traci C Green
    Division of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United States
    Drug Alcohol Depend 110:208-20. 2010
    ..Findings have the potential to inform screening and intervention efforts in aging drug users with and without HIV...
  39. ncbi HIV and aging: state of knowledge and areas of critical need for research. A report to the NIH Office of AIDS Research by the HIV and Aging Working Group
    Kevin P High
    Department of Internal Medicine, Section on Infectious Diseases, Wake Forest University Baptist Medical Center, Winston Salem, NC 27157 1042, USA
    J Acquir Immune Defic Syndr 60:S1-18. 2012
    ....
  40. ncbi Receipt of opioid analgesics by HIV-infected and uninfected patients
    E Jennifer Edelman
    Department of Internal Medicine, Yale University School of Medicine, PO Box 208093, New Haven, CT 06520 8088, USA
    J Gen Intern Med 28:82-90. 2013
    ..Opioids are increasingly prescribed, but there are limited data on opioid receipt by HIV status...
  41. ncbi Determinants of hormone therapy discontinuation among female veterans nationally
    Sally G Haskell
    Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT 06515, USA
    Mil Med 173:91-6. 2008
    ....
  42. ncbi Disease progression in HIV-infected patients treated with stavudine vs. zidovudine
    Amy C Justice
    Yale University, New Haven, CT, USA
    J Clin Epidemiol 57:89-97. 2004
    ..This prospective, observational study compared disease progression and death in HIV-1 patients treated with stavudine vs. zidovudine in the Collaborations in HIV Outcomes Research/U.S. (CHORUS) cohort...
  43. ncbi The payoff time: a flexible framework to help clinicians decide when patients with comorbid disease are not likely to benefit from practice guidelines
    R Scott Braithwaite
    Department of Internal Medicine, Section of General Internal Medicine, Yale University School of Medicine and VA Connecticut Healthcare System, New Haven, Connecticut, USA
    Med Care 47:610-7. 2009
    ..Practice guidelines rarely consider comorbid illness, and resulting overuse of health services may increase costs without conferring benefit...
  44. ncbi Refill adherence to oral hypoglycemic agents and glycemic control in veterans
    Nancy Kim
    Department of Internal Medicine, Section of General Internal Medicine, School of Medicine, Yale University, Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
    Ann Pharmacother 44:800-8. 2010
    ..Persistence, the continuous refill of medications, is one metric that could be integrated into clinical care if associated with glycemic control...
  45. ncbi Incorporating quality of evidence into decision analytic modeling
    R Scott Braithwaite
    Yale University School of Medicine and Connecticut Veterans Affairs Healthcare System, New Haven, Connecticut 06516, USA
    Ann Intern Med 146:133-41. 2007
    ..We conclude that the results of decision modeling may vary dramatically depending on the stringency of the criteria for selecting evidence to use in the model...
  46. ncbi Delayed presentation for human immunodeficiency virus (HIV) care among veterans: a problem of access or screening?
    Neel R Gandhi
    Robert Wood Johnson Clinical Scholars Program and Section of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    Med Care 45:1105-9. 2007
    ..Others argue that delays will persist until routine screening is adopted. The Veterans Health Administration (VA) is a unique laboratory to examine whether access to comprehensive health benefits results in earlier entry into HIV care...
  47. ncbi Estimating alcohol content of traditional brew in Western Kenya using culturally relevant methods: the case for cost over volume
    Rebecca K Papas
    Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
    AIDS Behav 14:836-44. 2010
    ..Using a computational approach, both methods demonstrated comparable results. We conclude that cost estimation of alcohol content is more culturally relevant and does not differ in accuracy from the international standard...
  48. ncbi Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq
    Mona Duggal
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    BMC Health Serv Res 10:175. 2010
    ..The objective of this study was to examine gender differences among OEF/OIF Veterans in utilization of VA outpatient health care services...
  49. ncbi A comparison of two approaches to text processing: facilitating chart reviews of radiology reports in electronic medical records
    Julie A Womack
    thVeterans Health Administration Connecticut in West Haven, CT, USA
    Perspect Health Inf Manag 7:1a. 2010
    ..00; recall: 0.92; accuracy: 0.92; F-statistic: 0.96).Text-processing tools utilizing basic database or programming skills are comparable, precise, and accurate in identifying reports for review...
  50. ncbi Differences between infectious diseases-certified physicians and general medicine-certified physicians in the level of comfort with providing primary care to patients
    Shawn L Fultz
    Veterans Affairs Connecticut Healthcare System, West Haven, CT 06516, USA
    Clin Infect Dis 41:738-43. 2005
    ..Methods are needed to increase physicians' level of comfort for prescribing treatment and/or to facilitate referral to other physicians for treatment...
  51. ncbi Critical illness in HIV-infected patients in the era of combination antiretroviral therapy
    Kathleen M Akgün
    VA Connecticut Healthcare System, Department of Internal Medicine, West Haven, Connecticut, USA
    Proc Am Thorac Soc 8:301-7. 2011
    ..In addition, we consider issues related to administration of ART in the ICU and identify important areas of future research...
  52. ncbi Prioritizing primary care in HIV: comorbidity, toxicity, and demography
    Amy C Justice
    West Haven Veterans Affairs Healthcare System, Yale University, New Haven, CT, USA
    Top HIV Med 14:159-63. 2006
    ..Issues in prioritizing primary care in HIV disease were discussed by Amy C. Justice, MD, PhD, at the 9th Annual Ryan White CARE Act Clinical Update in Washington, DC. The original presentation is available as a Webcast at www.iasusa.org...
  53. ncbi A framework for tailoring clinical guidelines to comorbidity at the point of care
    R Scott Braithwaite
    Section of General Internal Medicine, Yale University School of Medicine, West Haven Veterans Affairs Connecticut Healthcare System, VACS 11 ACSL G, 950 Campbell Ave, West Haven, CT 06516, USA
    Arch Intern Med 167:2361-5. 2007
    ..Evidence is accumulating to suggest that clinical guidelines should be modified for patients with comorbidities, yet there is no quantitative and objective approach that considers benefits together with risks...
  54. ncbi Measuring performance directly using the veterans health administration electronic medical record: a comparison with external peer review
    Joseph L Goulet
    Yale University School of Medicine, New Haven, and VA Connecticut Healthcare System, West Haven, Connecticut 06516, USA
    Med Care 45:73-9. 2007
    ..Electronic medical records systems (EMR) contain many directly analyzable data fields that may reduce the need for extensive chart review, thus allowing for performance measures to be assessed on a larger proportion of patients in care...
  55. ncbi Measuring alcohol consumption using Timeline Followback in non-treatment-seeking medical clinic patients with and without HIV infection: 7-, 14-, or 30-day recall
    David A Fiellin
    Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    J Stud Alcohol Drugs 74:500-4. 2013
    ..Daily estimation measures such as the Timeline Followback (TLFB) have been validated, yet the optimal time window and its performance in non-treatment-seeking medical clinic subjects and among those with HIV are not known...
  56. ncbi HIV infection, aging, and immune function: implications for cancer risk and prevention
    Robert Dubrow
    Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale School of Medicine, New Haven, Connecticut, USA
    Curr Opin Oncol 24:506-16. 2012
    ..This article documents cancer risk among HIV-infected persons, reviews immune system effects of HIV infection in relation to cancer risk, discusses implications for cancer prevention, and suggests future research directions...
  57. ncbi Systematic cultural adaptation of cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in western Kenya
    Rebecca K Papas
    Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
    AIDS Behav 14:669-78. 2010
    ..PDA effect sizes (Cohen's d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya...
  58. ncbi How does depression influence diabetes medication adherence in older patients?
    Amy M Kilbourne
    VA Pittsburgh Center for Health Equity Research and Promotion, General Internal Medicine 151 C, University Drive C, Pittsburgh, PA 15240, USA
    Am J Geriatr Psychiatry 13:202-10. 2005
    ..Using various measures (electronic monitoring, patient/provider report, pharmacy data), the authors assessed the association between depression and diabetes medication adherence among older patients with Type 2 diabetes...
  59. ncbi Increased risk of fragility fractures among HIV infected compared to uninfected male veterans
    Julie A Womack
    VA Connecticut Healthcare System, West Haven, Connecticut, United States of America
    PLoS ONE 6:e17217. 2011
    ..HIV infection has been associated with an increased risk of fragility fracture. We explored whether or not this increased risk persisted in HIV infected and uninfected men when controlling for traditional fragility fracture risk factors...
  60. ncbi Associations between alcohol use and homelessness with healthcare utilization among human immunodeficiency virus-infected veterans
    Adam J Gordon
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15240, USA
    Med Care 44:S37-43. 2006
    ..Alcohol use is a frequent root cause of homelessness, and both homelessness and alcohol use influence the quality and quantity of interactions with health care providers...
  61. ncbi Algorithm for assessing patients' adherence to oral hypoglycemic medication
    Amy M Kilbourne
    Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System (VAPHS, Pittsburgh, PA 15240, USA
    Am J Health Syst Pharm 62:198-204. 2005
  62. ncbi Incidence of non-AIDS-defining malignancies in HIV-infected versus noninfected patients in the HAART era: impact of immunosuppression
    Roger J Bedimo
    Department of Medicine, Veterans Affairs North Texas Health Care System, University of Texas Southwestern Medical Center, Dallas, TX 75216, USA
    J Acquir Immune Defic Syndr 52:203-8. 2009
    ..Whether incidence of non-ADM is significantly higher in HIV-infected than in HIV-uninfected patients remains unclear...
  63. ncbi Clinical importance of HIV and depressive symptoms among veterans with HIV infection
    Amy M Kilbourne
    VA Pittsburgh Center for Health Equity Research and Promotion, the University of Pittsburgh Center for Research on Health Care, School of Medicine, Division of General Internal Medicine, Pittsburgh, PA 15240, USA
    J Gen Intern Med 17:512-20. 2002
    ..To compare the clinical importance (association with illness severity and survival) of depressive and HIV symptoms among veterans with HIV infection...
  64. ncbi Impact of pneumococcal vaccination on the incidence of pneumonia by HIV infection status among patients enrolled in the Veterans Aging Cohort 5-Site Study
    Maria C Rodriguez-Barradas
    Medical Service, Michael E De Bakey Veterans Affairs VA Medical Center and Department of Medicine, Baylor College of Medicine, Houston, Texas, USA
    Clin Infect Dis 46:1093-100. 2008
    ..Benefits of vaccination with the 23-valent pneumococcal polysaccharide vaccine (PPV) among these patients continue to be debated...
  65. ncbi Rural residence is associated with delayed care entry and increased mortality among veterans with human immunodeficiency virus infection
    Michael Ohl
    VA Office of Rural Health ORH, Midwest Rural Health Resource Center, Iowa City VAMC, Iowa City, IA, USA
    Med Care 48:1064-70. 2010
    ..Rural persons with human immunodeficiency virus (HIV) face many barriers to care, but little is known about rural-urban variation in HIV outcomes...
  66. ncbi Pregnancy and mental health among women veterans returning from Iraq and Afghanistan
    Kristin M Mattocks
    Yale University School of Medicine, Department of Internal Medicine, New Haven, Connecticut, USA
    J Womens Health (Larchmt) 19:2159-66. 2010
    ..The aim of this study was to determine the prevalence of mental health problems among veterans who received pregnancy-related care in the Veterans Health Administration (VHA) system...
  67. ncbi Relationship between provider type and the attainment of treatment goals in primary care
    Daniel G Federman
    VA Connecticut Health Care System, West Haven, Conncticut 06516, USA
    Am J Manag Care 11:561-6. 2005
    ..To determine the relationship between provider type (eg, resident, mid-level practitioner, attending physician) and attainment of clinical goals with respect to the treatment of dyslipidemia, diabetes mellitus, and hypertension...
  68. ncbi The Veterans Aging Cohort Study: observational studies of alcohol use, abuse, and outcomes among human immunodeficiency virus-infected veterans
    Joseph Conigliaro
    Center for Health Equity Research and Promotion CHERP, Pittsburgh, PA, USA
    Alcohol Clin Exp Res 28:313-21. 2004
    ..The symposium concluded with a discussion led and facilitated by Diedra Roach...
  69. ncbi Gender differences in rates of depression, PTSD, pain, obesity, and military sexual trauma among Connecticut War Veterans of Iraq and Afghanistan
    Sally G Haskell
    Department of Medicine, Section of General Internal Medicine, VA Connecticut Healthcare System, New Haven, Connecticut 06516, USA
    J Womens Health (Larchmt) 19:267-71. 2010
    ....
  70. ncbi An internationally generalizable risk index for mortality after one year of antiretroviral therapy
    Janet P Tate
    Yale University School of Medicine, West Haven, CT, USA
    AIDS 27:563-72. 2013
    ..A comprehensive approach to risk assessment, addressing multiorgan system injury on ART, is needed. We sought to develop and validate a practical and generalizable mortality risk index for HIV-infected individuals on ART...
  71. ncbi Prognosis of HIV-1-infected patients starting highly active antiretroviral therapy: a collaborative analysis of prospective studies
    Matthias Egger
    Department of Social and Preventive Medicine, University of Bern, CH 3012 Bern, Switzerland
    Lancet 360:119-29. 2002
    ..The ART Cohort Collaboration, which includes 13 cohort studies from Europe and North America, was established to fill this knowledge gap...
  72. ncbi Development and validation of a prognostic model for survival time data: application to prognosis of HIV positive patients treated with antiretroviral therapy
    Margaret May
    Department of Social Medicine, University of Bristol, Bristol, UK
    Stat Med 23:2375-98. 2004
    ..The methods are illustrated by using a model developed to predict progression to a new AIDS event or death in HIV-1 positive patients starting antiretroviral therapy...
  73. ncbi Effect of persistent moderate viremia on disease progression during HIV therapy
    Stephen P Raffanti
    Comprehensive Care Center, Nashville, TN 37203, USA
    J Acquir Immune Defic Syndr 37:1147-54. 2004
    ..We evaluated whether risk of clinical progression varies by level of viral suppression achieved...
  74. ncbi Risk of diabetes in HIV infected veterans pre- and post-HAART and the role of HCV coinfection
    Adeel A Butt
    Division of Infectious Diseases, University of Pittsburgh School of Medicine, and VA Pittsburgh Healthcare System, PA, USA
    Hepatology 40:115-9. 2004
    ..HCV coinfection is associated with a significantly higher risk of diabetes in the HAART era, but not in the pre-HAART era. HCV-HIV coinfected patients should be aggressively screened for diabetes...
  75. ncbi Association of venous thromboembolism with human immunodeficiency virus and mortality in veterans
    Shawn L Fultz
    Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA
    Am J Med 116:420-3. 2004
  76. ncbi How harmful is hazardous alcohol use and abuse in HIV infection: do health care providers know who is at risk?
    Joseph Conigliaro
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University of Pittsburgh, Pittsburgh, Pennsylvania 15240, USA
    J Acquir Immune Defic Syndr 33:521-5. 2003
    ..Health care providers should routinely screen and counsel patients regarding alcohol problems as part of standard of care to minimize disease progression and bone marrow and hepatic toxicity...
  77. ncbi Long-term HIV/AIDS survival estimation in the highly active antiretroviral therapy era
    Joseph T King
    Section of Neurosurgery, Surgical Service Line, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA
    Med Decis Making 23:9-20. 2003
    ....
  78. ncbi Differences in symptom expression in older HIV-positive patients: The Veterans Aging Cohort 3 Site Study and HIV Cost and Service Utilization Study experience
    David S Zingmond
    Division of General Internal Medicine and Health Services Research, University of Southern California at Los Angeles, 90095 1736, USA
    J Acquir Immune Defic Syndr 33:S84-92. 2003
    ..Nonwhites appeared less likely to report symptoms. Age is a determinant of reporting certain symptoms in HIV disease but may be masked or accentuated by other factors such as race...
  79. ncbi Testing, referral, and treatment patterns for hepatitis C virus coinfection in a cohort of veterans with human immunodeficiency virus infection
    Shawn L Fultz
    Center for Health Equity Research and Promotion, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
    Clin Infect Dis 36:1039-46. 2003
    ..Health care providers are often unaware of alcohol consumption that may accelerate the course of hepatitis C, increase the risk of hepatocellular carcinoma, and reduce treatment efficacy...
  80. ncbi Evaluation of multiple failure time analyses of observational data in patients treated for HIV
    Hyun Ja Lim
    Division of Biostatistics, Medical College of Wisconsin, 8701 Water Plank Road, Milwaukee, WI 53226, USA
    HIV Clin Trials 6:81-91. 2005
    ....
  81. ncbi An experimental study of the agreement of self-administration and telephone administration of the Timeline Followback interview
    Stephen A Maisto
    Department of Psychology, Center for Health and Behavior, Syracuse University, 430 Huntington Hall, Syracuse, New York 13244, USA
    J Stud Alcohol Drugs 69:468-71. 2008
    ..The purpose of this study was to determine if the TLFB could be used effectively by self-administration compared with the more costly telephone interview in a large, multisite observational study of HIV-positive and HIV-negative adults...
  82. ncbi Health-related quality of life in veterans and nonveterans with HIV/AIDS
    Joseph M Mrus
    Cincinnati VA Medical Center, Cincinnati, OH, USA
    J Gen Intern Med 21:S39-47. 2006
    ....
  83. ncbi Prognosis of HIV-1-infected patients up to 5 years after initiation of HAART: collaborative analysis of prospective studies
    Margaret May
    Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol, UK
    AIDS 21:1185-97. 2007
    ..To estimate the prognosis over 5 years of HIV-1-infected, treatment-naive patients starting HAART, taking into account the immunological and virological response to therapy...
  84. ncbi Spirituality and religion in patients with HIV/AIDS
    Sian Cotton
    Health Services Research and Development, VA Medical Center, Cincinnati, OH, USA
    J Gen Intern Med 21:S5-13. 2006
    ....
  85. ncbi Hepatocellular carcinoma and non-Hodgkin's lymphoma: the roles of HIV, hepatitis C infection, and alcohol abuse
    Kathleen A McGinnis
    Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA, USA
    J Clin Oncol 24:5005-9. 2006
    ..Efforts to decrease hepatocellular carcinoma among persons with HIV should focus primarily on detecting and treating HCV and reducing heavy alcohol use...
  86. ncbi Rate and predictors of treatment prescription for hepatitis C
    Adeel A Butt
    University of Pittsburgh Medical Center, Falk Medical Building, Pittsburgh, PA 15213, USA
    Gut 56:385-9. 2007
    ..The true treatment rate for hepatitis C virus (HCV) in veterans is unknown...
  87. ncbi HIV treatment response and prognosis in Europe and North America in the first decade of highly active antiretroviral therapy: a collaborative analysis
    Margaret T May
    Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK
    Lancet 368:451-8. 2006
    ..We aimed to examine trends in the characteristics of patients starting HAART in Europe and North America, and their treatment response and short-term prognosis...
  88. ncbi Alcohol problems and health care services use in human immunodeficiency virus (HIV)-infected and HIV-uninfected veterans
    Kevin L Kraemer
    Center for Research on Health Care, Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA
    Med Care 44:S44-51. 2006
    ..Although alcohol problems are common in human immunodeficiency virus (HIV)-infected patients, their impact on health care services use in HIV-infected patients is not well understood...
  89. ncbi Intoxication before intercourse and risky sexual behavior in male veterans with and without human immunodeficiency virus infection
    Robert L Cook
    Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
    Med Care 44:S31-6. 2006
    ....
  90. ncbi Role of alcohol in determining human immunodeficiency virus (HIV)-relevant outcomes: A conceptual model to guide the implementation of evidence-based interventions into practice
    Joseph Conigliaro
    Program for Quality, Safety and Patient Rights, Department of Medicine, University of Kentucky, Lexington, Kentucky 40536, USA
    Med Care 44:S1-6. 2006
  91. ncbi Aging and infectious diseases: workshop on HIV infection and aging: what is known and future research directions
    Rita B Effros
    David Geffen School of Medicine at the University of California, Los Angeles, USA
    Clin Infect Dis 47:542-53. 2008
    ..Answers to the questions posed are likely to help prioritize and balance strategies to slow the progression of HIV infection, to address comorbidities and drug toxicity, and to enhance understanding about both HIV infection and aging...
  92. ncbi Cohort profile: the North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD)
    Stephen J Gange
    NA-ACCORD Coordinating Center, Baltimore, MD 21287, USA
    Int J Epidemiol 36:294-301. 2007
  93. ncbi Factors associated with dementia and cognitive impairments in veterans with human immunodeficiency virus
    Kathleen A McGinnis
    Arch Neurol 59:490. 2002

Research Grants7

  1. MEDIATORS OF AGE ASSOCIATED OUTCOMES IN HIV INFECTION
    Amy Justice; Fiscal Year: 2002
    ..By virtue of the requested support, the applicant believes she will gain the experience and insight needed to conduct multidisciplinary interventional studies to improve outcomes for middle-aged and older people with HIV. ..
  2. Alcohol Associated Outcomes Among HIV+/-Aging Veterans
    Amy Justice; Fiscal Year: 2002
    ..After completing baseline enrollment, follow up will occur at 6-month intervals and new patients will be enrolled as they present for care. ..
  3. Alcohol & HIV in Kenya: Stage 1 Trial of a Peer-led Alcohol Behavior Intervention
    REBECCA PAPAS; Fiscal Year: 2007
    ..This approach is consistent with successful cost-effective models of service delivery in resource-poor settings in which lay individuals (e.g., clinical officers, traditional birth attendants and peer counselors) are trained. ..
  4. Alcohol Associated Outcomes Among HIV+/- Aging Veterans
    Amy Justice; Fiscal Year: 2007
    ....