Joseph Conigliaro
Biographic Data
| ID | 5534276 |
|---|---|
| NAME | Joseph Conigliaro |
| GIVEN NAMES | Joseph |
| FAMILY NAME | Conigliaro |
| SIGNATURE | CONIGLIARO J |
| AFFILIATIONS | University of Kentucky |
| ORCID | 0000-0001-6273-4024 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 13 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2018 |
| H-INDEX | 1 |
Perceptions of a longitudinal standardized patient experience by standardized patients, medical students, and faculty
Stakeholders observed that the LSP cases brought some sense of continuity missing in other clinical skills encounters which helped prepare students for patient care. Continuity pairings of students, faculty, and SPs were recommended to enhance relationship-building and feedback
Do medical residents perform patient-centered medical home tasks? A mixed-methods study
EPA: Entrustable professional activity; GIM: General Internal Medicine; NCQA: National Center for Quality Assurance; PCMH: Patient-centered medical home
Military veteran mortality following a survived suicide attempt
Veterans who have attempted suicide face elevated risks of all-cause mortality with suicide being prominent. This represents an important population for prevention activities
Factor Structure of Leigh’s (1990) Alcohol Sex Expectancies Scale in Individuals in Treatment for HIV Disease
Estimating the impact of alcohol consumption on survival for HIV+ individuals
Alcohol consumption is associated with decreased antiretroviral adherence, and decreased adherence results in poorer outcomes. However the magnitude of alcohol's impact on survival is unknown. Our objective was to use a calibrated and validated simulation of HIV disease to estimate the impact of alcohol on survival. We incorporated clinical data describing the temporal and dose-response relationships between alcohol consumption and adherence in a…
Symptom Expression in Coronary Heart Disease and Revascularization Recommendations for Black and White Patients
Objectives. We examined whether symptoms of coronary heart disease vary between Black and White patients with coronary heart disease, whether presenting symptoms affect physicians’ revascularization recommendations, and whether the effect of symptoms upon recommendations differs in Black and White patients. Methods. We interviewed Black and White patients in Pittsburgh in 1997 to 1999 who were undergoing elective coronary catheterization. We inte…
Associations Between Alcohol Use and Homelessness With Healthcare Utilization Among Human Immunodeficiency Virus-Infected Veterans
BACKGROUND: Alcohol use is a frequent root cause of homelessness, and both homelessness and alcohol use influence the quality and quantity of interactions with health care providers. OBJECTIVE: The objectives of this study are to compare rates of homelessness and alcohol use in a cohort of human immunodeficiency virus (HIV)-infected persons and to evaluate the influence of homelessness and alcohol use on utilization of health services. RESEARCH D…
Medical Disease and Alcohol Use Among Veterans With Human Immunodeficiency Infection: A Comparison of Disease Measurement Strategies
BACKGROUND: Many people with human immunodeficiency (HIV) infection drink alcohol. We asked whether level of exposure to alcohol is associated with medical disease in a linear or nonlinear manner, whether the association depends upon the proximity of alcohol use, and whether it varies by source used to measure disease (chart review vs. ICD-9 Diagnostic Codes). METHODS: The Veterans Aging 3 Site Cohort Study (VACS 3) enrolled 881 veterans, 86% of …
The Veterans Affairs Healthcare System: A Unique Laboratory for Observational and Interventional Research
Justice, Amy C. MD, PhD; Erdos, Joseph MD, PhD; Brandt, Cynthia MD, MPH; Conigliaro, Joseph MD, MPH; Tierney, William MD; Bryant, Kendall PhD Author Information
Veterans Aging Cohort Study (Vacs): Overview and Description
BACKGROUND: The Veterans Aging Cohort Study (VACS) is a study of human immunodeficiency virus (HIV) infected and uninfected patients seen in infectious disease and general medical clinics. VACS includes the earlier 3 and 5 site studies (VACS 3 and VACS 5) as well as the ongoing 8 site study. OBJECTIVES: We sought to provide background and context for analyses based upon VACS data, including study design and rationale as well as its basic protocol…
Alcohol Problems and Health Care Services Use in Human Immunodeficiency Virus (HIV)-Infected and HIV-Uninfected Veterans
BACKGROUND: Although alcohol problems are common in human immunodeficiency virus (HIV)-infected patients, their impact on health care services use in HIV-infected patients is not well understood. OBJECTIVE: We sought to examine the association between alcohol problems and health care services use in HIV-infected and HIV-uninfected patients. DESIGN, SETTING, AND SUBJECTS: We undertook a prospective analysis of 16,048 HIV-infected veterans and 32,0…
Role of Alcohol in Determining Human Immunodeficiency Virus (HIV)-Relevant Outcomes: A Conceptual Model to Guide the Implementation of Evidence-Based Interventions Into Practice
Conigliaro, Joseph MD, MPH; Justice, Amy C. MD, PhD; Gordon, Adam J. MD, MPH; Bryant, Kendall PhD for the VACS Alcohol and Behavior Change Research Group Author Information
Intoxication Before Intercourse and Risky Sexual Behavior in Male Veterans With and Without Human Immunodeficiency Virus Infection
Risky sexual behavior was common among male veterans attending outpatient clinics and is more common among HIV-positive veterans who use alcohol and drugs in sexual situations. Asking HIV-positive men a single question about intoxication before intercourse could help to identify men at increased risk of engaging in risky sexual behavior, and specific advice to avoid intoxication in sexual situations could help to reduce risky sexual behavior
A Temporal and Dose‐Response Association Between Alcohol Consumption and Medication Adherence Among Veterans in Care
BACKGROUND: Previous studies have shown that alcohol consumption is associated with decreased medication adherence, but this association may be confounded by characteristics common among those who drink heavily and those who fail to adhere (e.g., illicit drug use). Our objective was to determine whether there are temporal and dose-response relationships between alcohol consumption and poor adherence. METHODS: We administered telephone interview s…
Understanding physicians’ attitudes towards hormone therapy
Disease Management for Depression and At-Risk Drinking Via Telephone in an Older Population of Veterans
OBJECTIVES: The purpose of this study was to explore the efficacy in a primary care setting of a telephone-based disease management program for the acute management of depression and/or at-risk drinking. MATERIALS AND METHODS: Veterans (N= 97) with depression and/or at-risk drinking were identified by systematic screening and assessment. Eligible subjects received either telephone disease management (TDM) program or usual care based on random ass…
Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization
Objectives. We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. Methods. We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. Results. African American patients were less likely than Whites to be recommended …
Delay in Presentation for Cardiac Care by Race, Age, and Site of Care
BACKGROUND: Racial differences exist in the management of coronary artery disease. One hypothesis is that black patients delay seeking care and that this delay may influence the management of coronary artery disease. OBJECTIVES: To assess delay in seeking care for heart disease. RESEARCH DESIGN: Cross-sectional survey. SUBJECTS: One thousand six hundred and fifty-two patients awaiting coronary angiography at three VA and one non-VA Medical Center…
Problem drinking and medication adherence among persons with HIV infection
Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical System
BACKGROUND: Previous studies have found racial differences in the use of invasive cardiovascular procedures, which may be due in part to the greater financial incentives to perform such procedures in white patients. In Department of Veterans Affairs hospitals, direct financial incentives affecting use of the procedures are minimized for both patients and physicians. METHODS: We conducted a retrospective analysis of the use of cardiovascular proce…
Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization
Objectives. We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. Methods. We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. Results. African American patients were less likely than Whites to be recommended …
Racial Differences in the Use of Invasive Cardiovascular Procedures in the Department of Veterans Affairs Medical System
BACKGROUND: Previous studies have found racial differences in the use of invasive cardiovascular procedures, which may be due in part to the greater financial incentives to perform such procedures in white patients. In Department of Veterans Affairs hospitals, direct financial incentives affecting use of the procedures are minimized for both patients and physicians. METHODS: We conducted a retrospective analysis of the use of cardiovascular proce…
Problem drinking and medication adherence among persons with HIV infection
Delay in Presentation for Cardiac Care by Race, Age, and Site of Care
BACKGROUND: Racial differences exist in the management of coronary artery disease. One hypothesis is that black patients delay seeking care and that this delay may influence the management of coronary artery disease. OBJECTIVES: To assess delay in seeking care for heart disease. RESEARCH DESIGN: Cross-sectional survey. SUBJECTS: One thousand six hundred and fifty-two patients awaiting coronary angiography at three VA and one non-VA Medical Center…
Disease Management for Depression and At-Risk Drinking Via Telephone in an Older Population of Veterans
OBJECTIVES: The purpose of this study was to explore the efficacy in a primary care setting of a telephone-based disease management program for the acute management of depression and/or at-risk drinking. MATERIALS AND METHODS: Veterans (N= 97) with depression and/or at-risk drinking were identified by systematic screening and assessment. Eligible subjects received either telephone disease management (TDM) program or usual care based on random ass…
Racial/Ethnic Variations in Physician Recommendations for Cardiac Revascularization
Objectives. We sought to examine whether physician recommendations for cardiac revascularization vary according to patient race. Methods. We studied patients scheduled for coronary angiography at 2 hospitals, one public and one private, between November 1997 and June 1999. Cardiologists were interviewed regarding their recommendations for cardiac resvacularization. Results. African American patients were less likely than Whites to be recommended …
A Temporal and Dose‐Response Association Between Alcohol Consumption and Medication Adherence Among Veterans in Care
BACKGROUND: Previous studies have shown that alcohol consumption is associated with decreased medication adherence, but this association may be confounded by characteristics common among those who drink heavily and those who fail to adhere (e.g., illicit drug use). Our objective was to determine whether there are temporal and dose-response relationships between alcohol consumption and poor adherence. METHODS: We administered telephone interview s…
Understanding physicians’ attitudes towards hormone therapy
Associations Between Alcohol Use and Homelessness With Healthcare Utilization Among Human Immunodeficiency Virus-Infected Veterans
BACKGROUND: Alcohol use is a frequent root cause of homelessness, and both homelessness and alcohol use influence the quality and quantity of interactions with health care providers. OBJECTIVE: The objectives of this study are to compare rates of homelessness and alcohol use in a cohort of human immunodeficiency virus (HIV)-infected persons and to evaluate the influence of homelessness and alcohol use on utilization of health services. RESEARCH D…
Medical Disease and Alcohol Use Among Veterans With Human Immunodeficiency Infection: A Comparison of Disease Measurement Strategies
BACKGROUND: Many people with human immunodeficiency (HIV) infection drink alcohol. We asked whether level of exposure to alcohol is associated with medical disease in a linear or nonlinear manner, whether the association depends upon the proximity of alcohol use, and whether it varies by source used to measure disease (chart review vs. ICD-9 Diagnostic Codes). METHODS: The Veterans Aging 3 Site Cohort Study (VACS 3) enrolled 881 veterans, 86% of …
The Veterans Affairs Healthcare System: A Unique Laboratory for Observational and Interventional Research
Justice, Amy C. MD, PhD; Erdos, Joseph MD, PhD; Brandt, Cynthia MD, MPH; Conigliaro, Joseph MD, MPH; Tierney, William MD; Bryant, Kendall PhD Author Information
Veterans Aging Cohort Study (Vacs): Overview and Description
BACKGROUND: The Veterans Aging Cohort Study (VACS) is a study of human immunodeficiency virus (HIV) infected and uninfected patients seen in infectious disease and general medical clinics. VACS includes the earlier 3 and 5 site studies (VACS 3 and VACS 5) as well as the ongoing 8 site study. OBJECTIVES: We sought to provide background and context for analyses based upon VACS data, including study design and rationale as well as its basic protocol…
Alcohol Problems and Health Care Services Use in Human Immunodeficiency Virus (HIV)-Infected and HIV-Uninfected Veterans
BACKGROUND: Although alcohol problems are common in human immunodeficiency virus (HIV)-infected patients, their impact on health care services use in HIV-infected patients is not well understood. OBJECTIVE: We sought to examine the association between alcohol problems and health care services use in HIV-infected and HIV-uninfected patients. DESIGN, SETTING, AND SUBJECTS: We undertook a prospective analysis of 16,048 HIV-infected veterans and 32,0…
Role of Alcohol in Determining Human Immunodeficiency Virus (HIV)-Relevant Outcomes: A Conceptual Model to Guide the Implementation of Evidence-Based Interventions Into Practice
Conigliaro, Joseph MD, MPH; Justice, Amy C. MD, PhD; Gordon, Adam J. MD, MPH; Bryant, Kendall PhD for the VACS Alcohol and Behavior Change Research Group Author Information
Intoxication Before Intercourse and Risky Sexual Behavior in Male Veterans With and Without Human Immunodeficiency Virus Infection
Risky sexual behavior was common among male veterans attending outpatient clinics and is more common among HIV-positive veterans who use alcohol and drugs in sexual situations. Asking HIV-positive men a single question about intoxication before intercourse could help to identify men at increased risk of engaging in risky sexual behavior, and specific advice to avoid intoxication in sexual situations could help to reduce risky sexual behavior
Estimating the impact of alcohol consumption on survival for HIV+ individuals
Alcohol consumption is associated with decreased antiretroviral adherence, and decreased adherence results in poorer outcomes. However the magnitude of alcohol's impact on survival is unknown. Our objective was to use a calibrated and validated simulation of HIV disease to estimate the impact of alcohol on survival. We incorporated clinical data describing the temporal and dose-response relationships between alcohol consumption and adherence in a…
Symptom Expression in Coronary Heart Disease and Revascularization Recommendations for Black and White Patients
Objectives. We examined whether symptoms of coronary heart disease vary between Black and White patients with coronary heart disease, whether presenting symptoms affect physicians’ revascularization recommendations, and whether the effect of symptoms upon recommendations differs in Black and White patients. Methods. We interviewed Black and White patients in Pittsburgh in 1997 to 1999 who were undergoing elective coronary catheterization. We inte…
Factor Structure of Leigh’s (1990) Alcohol Sex Expectancies Scale in Individuals in Treatment for HIV Disease
Military veteran mortality following a survived suicide attempt
Veterans who have attempted suicide face elevated risks of all-cause mortality with suicide being prominent. This represents an important population for prevention activities
Do medical residents perform patient-centered medical home tasks? A mixed-methods study
EPA: Entrustable professional activity; GIM: General Internal Medicine; NCQA: National Center for Quality Assurance; PCMH: Patient-centered medical home
Perceptions of a longitudinal standardized patient experience by standardized patients, medical students, and faculty
Stakeholders observed that the LSP cases brought some sense of continuity missing in other clinical skills encounters which helped prepare students for patient care. Continuity pairings of students, faculty, and SPs were recommended to enhance relationship-building and feedback
Medicine (19 works) · Internal Medicine (10 works) · Internal Medicine (10 works) · Environmental health (7 works) · Family medicine (7 works) · HIV-related health complications and treatments (7 works) · HIV/AIDS Research and Interventions (7 works) · Cohort (6 works) · Cohort study (5 works) · Demography (5 works)