1997
Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study
Wilson* I, Cleary† P. Clinical Predictors of Declines in Physical Functioning in Persons With AIDS: Results of a Longitudinal Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 1997, 16: 343-349. PMID: 9420312, DOI: 10.1097/00042560-199712150-00006.Peer-Reviewed Original ResearchConceptsPhysical functioningIADL scoresWeight lossIndependent predictorsSymptom complexStaff-model health maintenance organizationBaseline IADL scoresInjection drug useLongitudinal cohort studySignificant independent predictorsPublic teaching hospitalAcademic group practiceHealth maintenance organizationCandida esophagitisChart reviewCohort studyNeurologic symptomsClinical factorsClinical predictorsAIDS clinicClinical correlatesTeaching hospitalGastrointestinal diseasesDaily livingBaseline functioning
1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningPredictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measuresThe influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomesCosts of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study.
Epstein A, Seage G, Weissman J, Cleary P, Fowler F, Gatsonis C, Massagli M, Stone V, Coltin K, Craven D. Costs of medical care and out-of-pocket expenditures for persons with AIDS in the Boston Health Study. INQUIRY The Journal Of Health Care Organization Provision And Financing 1995, 32: 211-21. PMID: 7601519.Peer-Reviewed Original Research
1993
Discussion of Preferences for Life-Sustaining Care by Persons With AIDS: Predictors of Failure in Patient-Physician Communication
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of Preferences for Life-Sustaining Care by Persons With AIDS: Predictors of Failure in Patient-Physician Communication. JAMA Internal Medicine 1993, 153: 1241-1248. DOI: 10.1001/archinte.1993.00410100067010.Peer-Reviewed Original ResearchHealth maintenance organizationPatient-physician communicationLife-sustaining careStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regressionDiscussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication.
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. JAMA Internal Medicine 1993, 153: 1241-8. PMID: 8494476, DOI: 10.1001/archinte.153.10.1241.Peer-Reviewed Original ResearchConceptsLife-sustaining careHealth maintenance organizationPatient-physician communicationStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regressionUsing patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritisUsing patient reports to improve medical care
Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Delbanco T. Using patient reports to improve medical care. Quality Management In Health Care 1993, 2: 31-38. PMID: 10131018, DOI: 10.1097/00019514-199302010-00007.Peer-Reviewed Original Research
1992
Comparison of patient-reported outcomes after elective coronary artery bypass grafting in patients aged ≥ and <65 years
Guadagnoli E, Ayanian J, Cleary P. Comparison of patient-reported outcomes after elective coronary artery bypass grafting in patients aged ≥ and <65 years. The American Journal Of Cardiology 1992, 70: 60-64. PMID: 1615871, DOI: 10.1016/0002-9149(92)91390-p.Peer-Reviewed Original ResearchConceptsCoronary artery bypassProportion of patientsOlder patientsElective CABGArtery bypassPostsurgical health-related qualitySevere co-morbid diseaseAge groupsElective coronary artery bypassLife outcomesImpact of CABGLife outcome scoresCo-morbid diseasesHealth-related qualityPatient-reported outcomesFunctional benefitsMental health statusMajor teaching hospitalYounger onesPreadmission statusMarried patientsOutcome scoresTeaching hospitalInstrumental activitiesDaily livingUsing patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCareDeterminants of perceived health status of medical outpatients
Barsky A, Cleary P, Klerman G. Determinants of perceived health status of medical outpatients. Social Science & Medicine 1992, 34: 1147-1154. PMID: 1641676, DOI: 10.1016/0277-9536(92)90288-2.Peer-Reviewed Original ResearchConceptsMedical morbidityHealth statusHypochondriacal attitudesFunctional statusPsychiatric disordersAggregate medical morbidityGlobal health statusGeneral medical clinicLarge academic teaching hospitalOverall health statusAcademic teaching hospitalPre-established cutoffsFunctional disabilityPsychiatric morbidityClinic visitorsPatients' opinionsMedical outpatientsTeaching hospitalSelf-report questionnairesEntire clinicMorbidityMedical clinicsScreening cutoffClinicPersonality disorderDelirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients. JAMA Internal Medicine 1992, 152: 334-340. DOI: 10.1001/archinte.1992.00400140082019.Peer-Reviewed Original ResearchHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsFull criteriaCognitive impairmentMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluationDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluation
1991
Assessing quality of life after surgery
Cleary P, Greenfield S, McNeil B. Assessing quality of life after surgery. Contemporary Clinical Trials 1991, 12: s189-s203. PMID: 1663855, DOI: 10.1016/s0197-2456(05)80023-6.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAttitude to HealthBostonCaliforniaCholecystectomyCoronary Artery BypassFemaleFollow-Up StudiesHealth Status IndicatorsHip ProsthesisHumansMaleMiddle AgedPostoperative PeriodProstatectomyQuality of LifeReproducibility of ResultsSurveys and QuestionnairesTreatment OutcomeConceptsHealth-related qualityCoronary artery bypass graft surgeryPostsurgical health-related qualityArtery bypass graft surgeryBypass graft surgeryOutcome of surgeryType of surgeryStudy of patientsTraditional clinical indicatorsTotal hip replacementQuality of lifeGraft surgeryMedical therapyTransurethral prostatectomyClinical indicatorsSurgical conditionsTeaching hospitalSurgeryHip replacementHealth statusCognitive functioningOutcomesInternal consistencySelf-report scalesConstruct validity
1988
Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients
Levkoff S, Safran C, Cleary P, Gallop J, Phillips R. Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients. Journal Of The American Geriatrics Society 1988, 36: 1099-1104. PMID: 3192888, DOI: 10.1111/j.1532-5415.1988.tb04396.x.Peer-Reviewed Original ResearchConceptsUrinary tract infectionLow serum albuminTract infectionsHospital stayRisk factorsElevated white blood cell countWhite blood cell countRisk of deliriumDiagnosis of deliriumBlood cell countCases of deliriumMajor teaching hospitalHospital mortalityDischarge diagnosisHospital chargesSame hospitalTeaching hospitalDeliriumFactors AssociatedPatientsCell countAdmissionInfectionSerum albuminStay
1987
Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital
Phillips R, Safran C, Cleary P, Delbanco T. Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital. Journal Of General Internal Medicine 1987, 2: 400-405. PMID: 3694300, DOI: 10.1007/bf02596366.Peer-Reviewed Original ResearchConceptsEmergency readmissionRenal diseaseTeaching hospitalAcute care teaching hospitalGreater hospital chargesDays of dischargeRisk factor profileElevated anion gapAvailable clinical dataMedical servicesReadmitted patientsLonger hospitalizationPatient demographicsPrior admissionClinical factorsHeart failureDischarge diagnosisHospital chargesRelative riskClinical dataAnion gapReadmissionReduced riskPatientsFactor profileScreening for alcohol abuse using the cage questionnaire
Bush B, Shaw S, Cleary P, Delbanco T, Aronson M. Screening for alcohol abuse using the cage questionnaire. The American Journal Of Medicine 1987, 82: 231-235. PMID: 2880504, DOI: 10.1016/0002-9343(87)90061-1.Peer-Reviewed Original ResearchConceptsLiver transaminase levelsCAGE questionnaireMean corpuscular volumeAlcohol abuseTransaminase levelsAlcohol abusersCorpuscular volumeScreening testGamma-glutamyl transpeptidase levelsCommunity-based teaching hospitalGamma-glutamyl transpeptidase valuesCAGE-negative patientsDetailed chart reviewMichigan Alcoholism Screening TestAbsence of alcoholismSpecific screening testAlcoholism Screening TestChart reviewRed blood cellsTranspeptidase levelsCAGE questionsProspective studySix-month periodTeaching hospitalPhysician address