Evidence map›Paper›PMID 37023581›Full record

ArticleHeart & lung : the journal of critical care

Advance directive screening among veterans with incident heart failure: Comparisons among people aging with and without HIV.

Kristie M Walenczyk, Casey E Cavanagh, Melissa Skanderson, Shelli L Feder, Ann A Soliman, Amy Justice, Matthew M Burg, Kathleen M Akgün

Open access · greenAbstract read
In one paragraph

Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 1 country.

Kristie M WalenczykDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Department of Cardiology, VA Connecticut Healthcare System, West Haven, CT, USA. Electronic address: kristie.walenczyk@yale.edu.
Casey E CavanaghDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
Melissa SkandersonMedicine Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Shelli L FederMedicine Service, VA Connecticut Healthcare System, West Haven, CT, USA; Yale School of Nursing, New Haven, CT, USA.
Ann A SolimanDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Medicine Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Amy JusticeDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Medicine Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Matthew M BurgDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Department of Cardiology, VA Connecticut Healthcare System, West Haven, CT, USA.
Kathleen M AkgünDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA; Medicine Service, VA Connecticut Healthcare System, West Haven, CT, USA.
Yale University · USUniversity of Virginia · USVA Connecticut Healthcare 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
Stress and Congestive Heart Failure: A mechanistic clinical trialR01HL152548 · NHLBI · YALE UNIVERSITY · PI BURG, MATTHEW M, LAMPERT, RACHEL · 2020 to 2024
$3.6M
PTSD, Sleep, and Risk for Incident HypertensionR01HL125587 · NHLBI · YALE UNIVERSITY · PI BURG, MATTHEW M · 2015 to 2018
$3.2M
Yale Scholars in Implementation Science (YSIS)K12HL138037 · NHLBI · YALE UNIVERSITY · PI SHARIFI, MAHNOOSH · 2017 to 2021
$3.0M
3/3 COMpAAAS Tripartite: ART-CC, KP, and VAU01AA026224 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2017 to 2021
$2.9M
NHLBI NIH HHS K12 HL138037NHLBI NIH HHS R01 HL125587NHLBI NIH HHS R01 HL152548NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U01 AA026224NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794
6 · The paper itself

Abstract

backgroundHeart failure (HF) is common among people aging with HIV (PWH) and without HIV (PWoH). Despite the poor prognosis for HF, advance directives (AD) completion is low but has not been compared among PWH and PWoH.

objectivesDetermine the prevalence and predictors of AD screening among PWH and PWoH with incident HF.

methodsWe included Veterans with an incident HF diagnosis code from 2013-2018 in the Veterans Aging Cohort Study (VACS) without prior AD screening. Health records were reviewed for AD screening note titles within -30 days to 1-year post-HF diagnosis. Analyses were stratified by HIV status. Trends in annual AD screening were evaluated with the Cochran-Mantel-Haenszel test. The associations of AD screening with demographics, disease severity (Charlson Comorbidity Index, VACS 2.0 Index), and healthcare encounters (cardiology, palliative care, hospitalization) were evaluated with Cox proportional hazards regression.

resultsHF was diagnosed in 4516 Veterans (28.2% PWH, 71.8% PWoH). Annual AD screening rates increased in both groups (P

conclusionsAD screening rates after incident HF remain suboptimal but increased over time and were higher in PWH. Future quality improvement and implementation efforts should aim for universal AD screening with incident HF diagnosis, initiated by providers skilled in discussing AD, including in the cardiology subspecialty setting.

Indexed as

Heart FailureHIV InfectionsVeteransAdvance DirectivesAgingCohort StudiesHumansAdvance care planningAdvance directiveEnd-of-lifeHeart failureHIVVeteran

Identifiers

PMID37023581
PMCPMC10524135
OpenAlexW4362638885

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.