Research Topics
| Michael J MugaveroSummaryAffiliation: University of Alabama at Birmingham Country: USA Publications
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Detail Information
Publications
Failure to establish HIV care: characterizing the "no show" phenomenonMichael J Mugavero
Division of Infectious Diseases and International Health, Department of Medicine, University of Alabama at Birmingham, USA
Clin Infect Dis 45:127-30. 2007....
The therapeutic implications of timely linkage and early retention in HIV careKimberly B Ulett
University of Alabama School of Medicine, Birmingham, Alabama, USA
AIDS Patient Care STDS 23:41-9. 2009..Missed clinic visits represent an important obstacle to the timely initiation of antiretroviral therapy. These data inform development of interventions to improve linkage and retention in HIV care, an emerging area of growing importance...
Missed visits and mortality among patients establishing initial outpatient HIV treatmentMichael J Mugavero
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, 908 20th St South, Birmingham, AL 35294 2050, USA
Clin Infect Dis 48:248-56. 2009....
From access to engagement: measuring retention in outpatient HIV clinical careMichael J Mugavero
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294 2050, USA
AIDS Patient Care STDS 24:607-13. 2010....
Measuring retention in HIV care: the elusive gold standardMichael J Mugavero
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294 2170, USA
J Acquir Immune Defic Syndr 61:574-80. 2012..We evaluated 6 commonly used retention measures in predicting viral load (VL) suppression and the correlation among measures...
Overload: impact of incident stressful events on antiretroviral medication adherence and virologic failure in a longitudinal, multisite human immunodeficiency virus cohort studyMichael J Mugavero
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35294 2050, USA
Psychosom Med 71:920-6. 2009..Human immunodeficiency virus (HIV)-infected individuals experience frequently traumatic and stressful events, such as sexual and physical assault, housing instability, and major financial, employment, and legal difficulties...
Early retention in HIV care and viral load suppression: implications for a test and treat approach to HIV preventionMichael J Mugavero
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, USA
J Acquir Immune Defic Syndr 59:86-93. 2012..We evaluated factors associated with expeditious VL suppression and cumulative VL burden among patients establishing outpatient HIV care...
Viremia copy-years predicts mortality among treatment-naive HIV-infected patients initiating antiretroviral therapyMichael J Mugavero
Department of Medicine, Division of Infectious Diseases, University of Alabama, Birmingham, AL, USA
Clin Infect Dis 53:927-35. 2011..We evaluated the cumulative effect of exposure to HIV replication on mortality following initiation of combination antiretroviral therapy (ART)...
Comparative effectiveness of initial antiretroviral therapy regimens: ACTG 5095 and 5142 clinical trials relative to ART-CC cohort studyMichael J Mugavero
Division of Infectious Disease, Department of Medicine, University of Alabama, Birmingham, AL, USA
J Acquir Immune Defic Syndr 58:253-60. 2011....
Racial disparities in HIV virologic failure: do missed visits matter?Michael J Mugavero
Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA
J Acquir Immune Defic Syndr 50:100-8. 2009..Racial/ethnic health care disparities are well described in people living with HIV/AIDS, although the processes underlying observed disparities are not well elucidated...
Temporal trends in presentation for outpatient HIV medical care 2000-2010: implications for short-term mortalityPaula S Seal
Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, CCB 142, 908 20th Street So, Birmingham, AL 35294 2050, USA
J Gen Intern Med 26:745-50. 2011..Many newly diagnosed patients present to outpatient care with advanced HIV infection. More timely HIV diagnosis and initiation of care has the potential to improve individual health outcomes and has public health implications...
Antiretroviral prescribing patterns in treatment-naïve patients in the United StatesJames A McKinnell
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS Patient Care STDS 24:79-85. 2010..In contrast, regimen sequencing beyond the first regimen remained complex. These shifts in ART prescribing patterns may have implications for collaborative HIV care...
Short-term discontinuation of HAART regimens more common in vulnerable patient populationsLindsay S Robison
University of Alabama at Birmingham, Birmingham, Alabama 35294, USA
AIDS Res Hum Retroviruses 24:1347-55. 2008..S. HIV/AIDS epidemic. More vigilant monitoring of patient populations at higher risk of toxicity and virologic failure may allow for improved HAART regimen durability...
Increased regimen durability in the era of once-daily fixed-dose combination antiretroviral therapyJames H Willig
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS 22:1951-60. 2008..Modern regimens are thought to possess greater tolerability and convenience. We hypothesized this would translate into greater durability...
Comparative efficacy versus effectiveness of initial antiretroviral therapy in clinical trials versus routine careJustin S Routman
Divisions of Infectious Diseases, Department of Medicine, University of Alabama School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294 2050, USA
Clin Infect Dis 50:574-84. 2010..Although well-chronicled in many conditions, the efficacy versus effectiveness of antiretroviral therapy (ART) remains understudied...
HIV infection and obesity: where did all the wasting go?Tyler Tate
Department of Medicine, University of Alabama School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
Antivir Ther 17:1281-9. 2012..As chronic diseases rates have increased in HIV+ populations, modifiable risk factors such as obesity have increased in importance. Our objective was to evaluate factors associated with weight change among patients receiving ART...
Patient reported outcomes in routine care: advancing data capture for HIV cohort researchMichael S Kozak
Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, AL 35294 2050, USA
Clin Infect Dis 54:141-7. 2012..Comparisons between data from PROs and Electronic Health Records (EHR) are lacking. We compare EHR and PRO for capture of depression and substance abuse and their relationship to adherence to antiretroviral therapy (ART)...
Clinical outcome of HIV-infected antiretroviral-naive patients with discordant immunologic and virologic responses to highly active antiretroviral therapyRuimin Tan
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
J Acquir Immune Defic Syndr 47:553-8. 2008..The prognostic significance of a response to highly active antiretroviral therapy (HAART) that is immunologically and virologically discordant is not well understood...
The role of toxicity-related regimen changes in the development of antiretroviral resistanceChrista R Nevin
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, USA
AIDS Res Hum Retroviruses 27:957-63. 2011..Understanding the role of ARV drug selection and other factors associated with the emergence of ARV resistance will help inform interventions to improve patient care and ensure long-term treatment success...
Darunavir outcomes study: comparative effectiveness of virologic suppression, regimen durability, and discontinuation reasons for three-class experienced patients at 48 weeksJames H Willig
Division of Infectious Diseases, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS Res Hum Retroviruses 26:1279-85. 2010..New agents have transformed the treatment landscape for ARV-experienced patients, with effectiveness in routine clinical care mirroring efficacy in clinical trials...
Clinical inertia in the management of low-density lipoprotein abnormalities in an HIV clinicJames H Willig
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, USA
Clin Infect Dis 46:1315-8. 2008..Clinical inertia was observed in 44% of cases. Patients with higher baseline LDL levels were less likely to experience inertia, whereas women and those in the highest coronary heart disease risk category were more likely to be affected...
Pain, mood, and substance abuse in HIV: implications for clinic visit utilization, antiretroviral therapy adherence, and virologic failureJessica S Merlin
Division of Infectious Diseases, Department of Medicine, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA
J Acquir Immune Defic Syndr 61:164-70. 2012..Our objective was to investigate the relationship between pain, alone and in the context of mood disorders and substance abuse, on clinic utilization, antiretroviral therapy adherence, and virologic suppression...
Nucleoside reverse-transcriptase inhibitor dosing errors in an outpatient HIV clinic in the electronic medical record eraJames H Willig
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, USA
Clin Infect Dis 45:658-61. 2007..Understanding the factors related to nucleoside reverse-transcriptase inhibitor dosing errors is an important step in the building of preventive tools...
Distribution of health care expenditures for HIV-infected patientsRay Y Chen
Department of Internal Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
Clin Infect Dis 42:1003-10. 2006..These findings have important implications for the continued support of HIV treatment programs in the United States...
Uncompensated medical provider costs associated with prior authorization for prescription medications in an HIV clinicJames L Raper
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, AL 35294 2050, USA
Clin Infect Dis 51:718-24. 2010..60 per PA. Although evidence supports that PA reduces third-party expenditures, it significantly delays medication accessibility for patients and imposes high costs that negatively impact operating margins for health care providers...
Underutilization of the AIDS Drug Assistance Program: associated factors and policy implicationsNoah C Godwin
University of Alabama School of Medicine, 908 20th St South, Birmingham, AL 35294, USA
Health Serv Res 46:982-95. 2011..The AIDS Drug Assistance Program (ADAP) provides antiretroviral medications to low-income individuals with HIV infection...
Multimorbidity patterns in HIV-infected patients: the role of obesity in chronic disease clusteringDavid J Kim
University of Alabama School of Medicine, Birmingham, AL 35294 2050, USA
J Acquir Immune Defic Syndr 61:600-5. 2012..Increases in multimorbidity and obesity have been noted in HIV-infected populations in the current treatment era. Patterns of multimorbid disease clustering and the impact of obesity on multimorbidity are understudied in this population...
Predictors of AIDS-related morbidity and mortality in a southern U.S. CohortMichael J Mugavero
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS Patient Care STDS 21:681-90. 2007..97, p = 0.04), who had lower baseline CD4 counts (HR = 0.48 per 100 cells/mm(3), p < 0.01), and who spent less time on antiretroviral therapy during follow-up (HR = 0.47, p = 0.02) were more likely to experience an HIV-related event...
Duration of highly active antiretroviral therapy regimensRay Y Chen
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, 35294 2050, USA
Clin Infect Dis 37:714-22. 2003..6 years, and medication toxicity-associated events were the cause of one-half of discontinuations. Only a history of opportunistic infection and injection drug use were significantly associated with shorter regimen duration...
Comparative Effectiveness and Toxicity of Statins Among HIV-Infected PatientsSudershan Singh
Department of Medicine, University of Washington, Seattle, WA 98104, USA
Clin Infect Dis 52:387-95. 2011..Little is known about the comparative effectiveness of statins among human immunodeficiency virus (HIV)-infected patients. This study compared the effectiveness and toxicity of statins among HIV-infected patients in clinical care...
Mortality after cancer diagnosis in HIV-infected individuals treated with antiretroviral therapyChad J Achenbach
Division of Infectious Diseases, Center for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
AIDS 25:691-700. 2011..To evaluate survival and predictors of mortality after cancer diagnosis among HIV-infected persons receiving combination antiretroviral therapy (cART)...
Early virologic suppression with three-class experienced patients: 24-week effectiveness in the darunavir outcomes studyJames A McKinnell
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
AIDS 23:1539-46. 2009....
Durability of initial antiretroviral therapy in a resource-constrained setting and the potential need for zidovudine weight-based dosingJames H Willig
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, AL, USA
J Acquir Immune Defic Syndr 53:215-21. 2010..Whereas access to antiretroviral therapy (ART) for HIV-infected individuals in the developing world is increasing, data on factors impacting initial regimen durability are lacking...
Underutilization of aspirin for primary prevention of cardiovascular disease among HIV-infected patientsGreer A Burkholder
Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL 35294, USA
Clin Infect Dis 55:1550-7. 2012..However, little is known about HIV provider practices regarding aspirin (ASA) for primary prevention of CVD...
New syphilis cases and concurrent STI screening in a southeastern U.S. HIV clinic: a call to actionCynthia W Baffi
Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
AIDS Patient Care STDS 24:23-9. 2010..These low rates are concerning as concurrent sexually transmitted infections (STIs) increase risk for HIV transmission. HIV care provider education with emphasis on STI testing in the setting of incident syphilis is key in prevention...
Health care system and policy factors influencing engagement in HIV medical care: piecing together the fragments of a fractured health care delivery systemMichael J Mugavero
Department of Medicine, Division of Infectious Diseases, School of Medicine, Universityof Alabama at Birmingham, Birmingham, Alabama, USA
Clin Infect Dis 52:S238-46. 2011....
Routine, self-administered, touch-screen, computer-based suicidal ideation assessment linked to automated response team notification in an HIV primary care settingSarah T Lawrence
Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA
Clin Infect Dis 50:1165-73. 2010..We sought to implement routine screening of suicidal ideation and associated conditions using computerized patient-reported outcome (PRO) assessments...
Maraviroc observational study: the impact of expanded resistance testing and clinical considerations for antiretroviral regimen selection in treatment-experienced patientsJames H Willig
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL 35294, USA
AIDS Res Hum Retroviruses 29:105-11. 2013....
Short communication routine HIV testing in the emergency department: assessment of patient perceptionsD Scott Batey
Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, USA
AIDS Res Hum Retroviruses 28:352-6. 2012..These data are of particular benefit to decision makers considering the addition of routine HIV testing in EDs...
Support, stigma, health, coping, and quality of life in older gay men with HIVLarry Z Slater
University of Alabama School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama, USA
J Assoc Nurses AIDS Care 24:38-49. 2013..Study findings may help researchers develop interventions aimed at increasing QOL in this population...
Late diagnosis, delayed presentation and late presentation in HIV: proposed definitions, methodological considerations and health implicationsMichael Kozak
Division of Infectious Diseases, Department of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
Antivir Ther 18:17-23. 2013....
Bone changes and fracture risk in individuals infected with HIVAmy H Warriner
Division of Endocrinology, Metabolism, and Diabetes, University of Alabama at Birmingham, FOT 702, 2000 6th Avenue South, Birmingham, AL 35233 0271, USA
Curr Rheumatol Rep 12:163-9. 2010..Here we review the bone changes that occur with HIV infection and treatment...
Improving engagement in HIV care: what can we do?Michael J Mugavero
University of Alabama at Birmingham, Birmingham, AL, USA
Top HIV Med 16:156-61. 2008....
Late diagnosis of HIV infection: the role of age and sexMichael J Mugavero
Division of Infectious Diseases and International Health, Department of Medicine, University of Alabama at Birmingham, USA
Am J Med 120:370-3. 2007..Additionally, we evaluated factors associated with HIV infection being diagnosed during hospitalization...
