2006
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
1997
Treatment and Outcomes of Acute Myocardial Infarction Among Patients of Cardiologists and Generalist Physicians
Ayanian J, Guadagnoli E, McNeil B, Cleary P. Treatment and Outcomes of Acute Myocardial Infarction Among Patients of Cardiologists and Generalist Physicians. JAMA Internal Medicine 1997, 157: 2570-2576. PMID: 9531225, DOI: 10.1001/archinte.1997.00440430048006.Peer-Reviewed Original ResearchMeSH KeywordsAgedCardiologyFamily PracticeFemaleHumansMaleMedicareMyocardial InfarctionOdds RatioUnited StatesConceptsAcute myocardial infarctionMyocardial infarctionGeneralist physiciansBypass surgeryPatient characteristicsCoronary angiographyCoronary angioplastyBeta-adrenergic blocking agentsPatients of cardiologistsCongestive heart failureCardiologists' patientsHeart failureThrombolytic therapyHospital characteristicsConsulting cardiologistBlocking agentMedicare beneficiariesPatientsBetter outcomesEffective drugsInfarctionHospitalCardiologistsPhysiciansMortality
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical model
1994
Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction?
Nelson E, Ferreira P, Cleary P, Gustafson D, Wasson J. Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction? Family Practice Research Journal 1994, 14: 119-26. PMID: 8053377.Peer-Reviewed Original ResearchConceptsPatient reportsHealth statusCardiac symptomsAMI patientsMedical historyAcute myocardial infarction patientsAcute myocardial infarctionGeneral health statusSignificant independent predictorsMyocardial infarction patientsPsychosocial health statusPatients' health statusPoor psychosocial functionPoor psychosocial functioningIndependent predictorsPrognostic valueFuture hospitalInfarction patientsMyocardial infarctionHealth care researchCommunity hospitalLongitudinal followPatientsPsychosocial functionYounger age
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: 1241-8. 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 regressionThe Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristics
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic use