Evidence map›Paper›PMID 30304939›Full record

ArticleThe American journal of hospice & palliative care2019

The Association Between HIV Infection and the Use of Palliative Care in Patients Hospitalized With Heart Failure.

Shelli L Feder, Janet P Tate, Kathleen M Akgün, Julie A Womack, Sangchoon Jeon, Marjorie Funk, Roger J Bedimo, Matthew J Budoff, Adeel A Butt, Kristina Crothers and 1 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 85% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Shelli L FederYale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8059-9281
Janet P TateYale School of Medicine, New Haven, CT, USA.
Kathleen M AkgünVA Connecticut Healthcare System, West Haven, CT, USA.
Julie A WomackVA Connecticut Healthcare System, West Haven, CT, USA.
Sangchoon JeonYale School of Nursing, West Haven, CT, USA.
Marjorie FunkYale School of Nursing, West Haven, CT, USA.ORCID http://orcid.org/0000-0002-0390-801X
Roger J BedimoDepartment of Medicine, Veterans Affairs North Texas Health Care System, Dallas, TX, USA.
Matthew J BudoffLos Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA, USA.
Adeel A ButtVA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Kristina CrothersDepartment of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Nancy S RedekerYale School of Nursing, West Haven, CT, USA.
Yale University · USCornell University · USThe Lundquist Institute · USUniversity of Washington · USVA North Texas Health Care System · US

Funding

Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794
6 · The paper itself

Abstract

backgroundThe number of adults with heart failure (HF) and HIV infection is increasing. These patients may benefit from palliative care (PC).

objectivesDetermine the association between HIV infection, other HIV characteristics, and PC among hospitalized patients with HF in the Veterans Health Administration (VHA).

designNested case-control study of patients with HF hospitalized from 2003 to 2015 and enrolled in the Veterans Aging Cohort Study. SETTING/PATIENTS: Two hundred and ten hospitalized patients with HF who received PC matched to 1042 patients with HF who did not receive PC, by age, discharge date, and left ventricular ejection fraction. MEASUREMENTS: Palliative care use was the primary outcome. Independent variables included HIV infection identified by

resultsThe sample was 99% male, mean age was 64 years (standard deviation ±10), 54% of cases and 59% of controls were black, and 30% of cases and 31% of controls were HIV-infected. In adjusted models, HIV as the primary diagnosis for hospitalization (odds ratio [OR]: 3.69, 95% confidence interval [CI]: 1.30-10.52), unsuppressed HIV-1 RNA (OR: 2.62, 95% CI: 1.31-5.24), and CD4 counts <200 cells/mm

conclusionsHIV characteristics indicative of severe disease are associated with PC for hospitalized VHA patients with HF. Increasing access to PC for patients with HF and HIV is warranted.

Indexed as

AgedAge FactorsCase-Control StudiesCD4 Lymphocyte CountComorbidityFemaleHeart FailureHIV InfectionsHospitalizationHumansLength of StayLogistic ModelsMaleMiddle AgedPalliative CarePatient Dischargeend of lifeheart failureHIVhospicehospitalizationpalliative care

Identifiers

PMID30304939
PMCPMC7457998
OpenAlexW2896326055

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.