Evidence map›Paper›PMID 37160576›Full record

ArticleJournal of racial and ethnic health disparities2024

Cardiology Encounters for Underrepresented Racial and Ethnic Groups with Human Immunodeficiency Virus and Borderline Cardiovascular Disease Risk.

Gerald S Bloomfield, C Larry Hill, Karen Chiswell, Linda Cooper, Shamea Gray, Chris T Longenecker, Darcy Louzao, Keith Marsolo, Eric G Meissner, Caryn G Morse and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2024. 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Review
  7. Article
  8. 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

17 authors at 6 institutions in 1 country.

Gerald S BloomfieldDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA. gerald.bloomfield@duke.edu.
C Larry HillDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan Street, Durham, NC, 27701, USA.
Karen ChiswellDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan Street, Durham, NC, 27701, USA.
Linda CooperDepartment of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Shamea GrayDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Chris T LongeneckerDivision of Cardiology and Department of Global Health, University of Washington, Seattle, WA, USA.
Darcy LouzaoDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan Street, Durham, NC, 27701, USA.
Keith MarsoloDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan Street, Durham, NC, 27701, USA.
Eric G MeissnerDepartment of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Caryn G MorseWake Forest University Health Sciences, Winston-Salem, NC, USA.
Charles MuiruriDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Kevin L ThomasDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Eric J VelazquezSection of Cardiovascular Medicine, Yale University, New Haven, CT, USA.
Joseph ViciniDepartment of Medicine, Vanderbilt University, Nashville, TN, USA.
April C PettitDepartment of Medicine, Vanderbilt University, Nashville, TN, USA.
Gretchen SandersDuke Clinical Research Institute, Duke University School of Medicine, 300 W. Morgan Street, Durham, NC, 27701, USA.
Nwora Lance OkekeDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Duke University · USMedical University of South Carolina · USVanderbilt University · USUniversity of Washington · USWake Forest University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
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 John J Lemasters · 2020 to 2026
$18.7M
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
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K23 HL137611NIAID NIH HHS P30 AI064518NIAID NIH HHS P30 AI110527NIGMS NIH HHS P20 GM130457NIGMS NIH HHS P20GM130457NIH HHS K23HL137611NIH HHS P30AI110527NIH HHS R01MH113438NIMHD NIH HHS R01 MD013493NIMHD NIH HHS R01MD013493NIMH NIH HHS R01 MH113438
6 · The paper itself

Abstract

backgroundUnderrepresented racial and ethnic groups (UREGs) with HIV have a higher risk of cardiovascular disease (CVD) compared with the general population. Referral to a cardiovascular specialist improves CVD risk factor management in high-risk individuals. However, patient and provider factors impacting the likelihood of UREGs with HIV to have an encounter with a cardiologist are unknown.

methodsWe evaluated a cohort of UREGs with HIV and borderline CVD risk (10-year risk ≥ 5% by the pooled cohort equations or ≥ 7.5% by Framingham risk score). Participants received HIV-related care from 2014-2020 at four academic medical centers in the United States (U.S.). Adjusted Cox proportional hazards regression was used to estimate the association of patient and provider characteristics with time to first ambulatory cardiology encounter.

resultsA total of 2,039 people with HIV (PWH) and borderline CVD risk were identified. The median age was 45 years (IQR: 36-50); 52% were female; and 94% were Black. Of these participants, 283 (14%) had an ambulatory visit with a cardiologist (17% of women vs. 11% of men, p < .001). In fully adjusted models, older age, higher body mass index (BMI), atrial fibrillation, multimorbidity, urban residence, and no recent insurance were associated with a greater likelihood of an encounter with a cardiologist.

conclusionIn UREGs with HIV and borderline CVD risk, the strongest determinants of a cardiology encounter were diagnosed CVD, insurance type, and urban residence. Future research is needed to determine the extent to which these encounters impact CVD care practices and outcomes in this population.

trial registrationClinicalTrials.gov Identifier: NCT04025125.

Indexed as

Cardiovascular DiseasesHIV InfectionsAdultCohort StudiesEthnic and Racial MinoritiesFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedRisk FactorsUnited StatesCardiovascular diseaseHIVReferral and consultationRisk factorsUnderrepresented racial and ethnic groups

Identifiers

PMID37160576
PMCPMC10632543
OpenAlexW4376121837

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.