Evidence map›Paper›PMID 35534889›Full record

ArticleBMC health services research2022

Perspectives of HIV specialists and cardiologists on the specialty referral process for people living with HIV: a qualitative descriptive study.

Charles Muiruri, Amy Corneli, Linda Cooper, Carrie Dombeck, Shamea Gray, Chris T Longenecker, Eric G Meissner, Nwora Lance Okeke, April C Pettit, Teresa Swezey and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04025125 (Pathways to Cardiovascular Disease Prevention and Impact of Specialty Referral in Underrepresented Racial/Ethnic Minorities With HIV), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT04025125 completednot on this map

Pathways to Cardiovascular Disease Prevention and Impact of Specialty Referral in Underrepresented Racial/Ethnic Minorities With HIV (Coordinating Center)

TypeobservationalSponsorDuke UniversityRan2014 to 2020Enrolled2,039ConditionsHIV/AIDS, Cardiovascular Diseases
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
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  6. 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

12 authors.

Charles MuiruriDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA. charles.muiruri@duke.edu.ORCID http://orcid.org/0000-0003-0213-0362
Amy CorneliDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA.
Linda CooperDivision of Infectious Diseases, Medical University of South Carolina, Charleston, SC, USA.
Carrie DombeckDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA.
Shamea GrayDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Chris T LongeneckerDepartment of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Eric G MeissnerDivision of Infectious Diseases, Medical University of South Carolina, Charleston, SC, USA.
Nwora Lance OkekeDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
April C PettitDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Teresa SwezeyDepartment of Population Health Sciences, Duke University School of Medicine, 215 Morris St., Suite 210, Durham, NC, 27701, USA.
Joseph ViciniDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Gerald S BloomfieldDuke Global Health Institute, Duke University, Durham, NC, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John Koethe · 2015 to 2026
$27.5M
The role of SMAD1 and SATB2 in colon patterningP20GM130457 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Evan R Delgado · 2020 to 2026
$18.7M
Assess and Adapt to the Impact of COVID-19 on CVD Self Management and Prevention Care in Adults Living with HIV (AAIM-High)U01HL142099 · NHLBI · UNIVERSITY OF WASHINGTON · PI BOSWORTH, HAYDEN B, LONGENECKER, CHRIS TODD · 2018 to 2021
$4.8M
Pathways to cardiovascular disease prevention and impact of specialty referral in under-represented racial/ethnic minorities with HIVR01MD013493 · NIMHD · DUKE UNIVERSITY · PI BLOOMFIELD, GERALD SAMUEL · 2018 to 2022
$3.3M
Multi-level Social and Behavioral Determinants of Health and Missed HIV Healthcare Provider VisitsR01MH113438 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETTIT, APRIL · 2018 to 2020
$1.3M
A Clinic-Based Behavioral Intervention to Reduce Cardiovascular Disease Risk in Persons Living with HIVK23HL137611 · NHLBI · DUKE UNIVERSITY · PI OKEKE, NWORA LANCE · 2018 to 2022
$895k
Addressing barriers to anti-hypertensive medication adherence among persons living who have achieved viral suppressionK01HL159052 · NHLBI · DUKE UNIVERSITY · PI MUIRURI, CHARLES · 2021 to 2025
$736k
National Institute for Minority Health and Health Disparities R01MD013493NHLBI NIH HHS K01 HL159052NHLBI NIH HHS K01HL159052NHLBI NIH HHS U01 HL142099NIAID NIH HHS P30 AI110527NIGMS NIH HHS P20 GM130457NIH HHS K23 HL137611NIH HHS P30 AI064518NIH HHS P30 AI110527NIH HHS R01 MH113438NIMHD NIH HHS R01 MD013493
6 · The paper itself

Abstract

backgroundCardiology care may be beneficial for risk factor management in people living with HIV (PLWH), yet limited information is available about the referral process from the perspectives of HIV specialists and cardiologists.

methodsWe conducted 28 qualitative interviews at academic medical centers in the United States from December 2019 to February 2020 using components of the Specialty Referral Process Framework: referral decision, entry into referral care, and care integration. We analyzed the data using applied thematic analysis.

resultsReasons for cardiology referral most commonly included secondary prevention, uncontrolled risk factors, cardiac symptoms, and medication management. Facilitators in the referral process included ease of referral, personal relationships between HIV specialists and cardiologists, and close proximity of the clinic to the patient's home. Barriers included lack of transportation, transportation costs, insurance coverage gaps, stigma, and patient reluctance.

conclusionsOur results will inform future studies on implementation strategies aimed at improving the specialty referral process for PLWH.

trial registrationClinicalTrials.gov Identifier: NCT04025125 .

Indexed as

CardiologistsHIV InfectionsHumansQualitative ResearchReferral and ConsultationSpecializationUnited StatesCardiologyHIVHIV specialistsQualitative researchSpecialty referral

Identifiers

PMID35534889
PMCPMC9082896

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Registered trials

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.