Evidence map›Paper›PMID 35511728›Full record

ArticleAge and ageing2022

Geriatric conditions and healthcare utilisation in older adults living with HIV.

Meredith Greene, Ying Shi, John Boscardin, Rebecca Sudore, Monica Gandhi, Kenneth Covinsky

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Meredith GreeneDepartment of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0002-6548-6078
Ying ShiDepartment of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA.
John BoscardinDepartment of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA.
Rebecca SudoreDepartment of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA.
Monica GandhiDepartment of Medicine, Division of HIV, Infectious Diseases and Global Medicine, University of California San Francisco, San Francisco, CA, USA.
Kenneth CovinskyDepartment of Medicine, Division of Geriatrics, University of California San Francisco, San Francisco, CA, USA.
San Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

Unnecessary and Harmful Medication Use in Older Adults with DementiaP01AG066605 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MELISSA Diane ALDRIDGE · 2020 to 2026
$17.7M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Tailored Geriatric Assessment and Management for HIV Care SettingsK76AG064545 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GREENE, MEREDITH · 2019 to 2023
$1.2M
Integrating Geriatric Assessment with HIV CareR03AG056341 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GREENE, MEREDITH · 2017 to 2018
$238k
NIA NIH HHS K24 AG054415NIA NIH HHS K76 AG064545NIA NIH HHS P01 AG066605NIA NIH HHS R03 AG056341
6 · The paper itself

Abstract

backgroundolder HIV-positive adults experience a significant burden of geriatric conditions. However, little is known about the association between geriatric conditions and healthcare utilisation in this population.

settingoutpatient safety-net HIV clinic in San Francisco.

methodsin 2013, HIV-positive adults ≥50 years of age underwent geriatric assessment including functional impairment, fall(s)in past year, cognitive impairment (MOCA <26) and low social support (Lubben social network scale ≤12). We reviewed medical records from 2013 through 2017 to capture healthcare utilisation (emergency room (ER) visits and hospitalisations) and used Poisson models to examine the association between geriatric conditions and utilisation events over 4 years.

resultsamong 192 participants, 81% were male, 51% were white, the median age was 56 (range 50-74), and the median CD4 count was 508 (IQR 338-688) cells/mm3. Sixteen percent of participants had ≥1 activities of daily living (ADL) dependency, 58% had ≥1 instrumental activities of daily living IADL dependency, 43% reported ≥1 falls, 31% had cognitive impairment, and 58% had low social support. Over 4 years, 90 participants (46%) had ≥1 ER visit (total of 289 ER visits), 39 (20%) had ≥1 hospitalisation (total of 68 hospitalisations), and 15 (8%) died. In unadjusted and adjusted analyses, IADL dependency and falls were associated with healthcare utilisation (adjusted incidence rate ratios IADL (95%CI): 1.73 (1.33-2.25); falls: 1.51 (1.21-1.87)).

conclusionIADL dependency and history of falls were associated with healthcare utilisation among older HIV-positive adults. Although our results are limited by sample size, improved understanding of the association between geriatric conditions and healthcare utilisation could build support for geriatric HIV care models.

Indexed as

Activities of Daily LivingHIV InfectionsAgedFemaleGeriatric AssessmentHumansMalePatient Acceptance of Health Carefunctional performanceGeriatric assessmenthealth servicesolder people

Identifiers

PMID35511728
PMCPMC9271234
OpenAlexW4226025954

What Socratic holds

Textmetadata
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 Socratic graph.