Aakriti Neopaney

All Publications

• A Care Coordination Model to Prevent Cardiovascular Events in Patients with Psoriatic Disease: A Multicenter Pilot Study JOURNAL OF INVESTIGATIVE DERMATOLOGY Song, W. B., Garshick, M. S., Barbieri, J. S., Shin, D. B., Baez, S., Papadopoulos, M., Neopaney, A., Fitzsimmons, R., Kalb, R. E., Mease, P. J., Craig, E. T., Koplin, J., Takeshita, J., Fuxench, Z., Armstrong, A. W., Mehta, N. N., Beidas, R. S., Ogdie, A. R., Gelfand, J. M. 2024; 144 (6): 1405-1409.e1

  View details for DOI 10.1016/j.jid.2023.12.008

  View details for Web of Science ID 001294715000001

  View details for PubMedID 38184142

  View details for PubMedCentralID PMC11116061

• Regional Variation in Cardiovascular Risk Factor Screening by Dermatologists for Psoriasis Patients in the United States JOURNAL OF INVESTIGATIVE DERMATOLOGY Song, W. B., Peck, G. M., Neopaney, A., Shin, D. B., Fleischer Jr, A. B., Feldman, S. R., Gelfand, J. M., Mochizuki, H., Elder, J. T., Okada, Y. 2023; 143 (9): 1816-1819

  View details for DOI 10.1016/j.jid.2023.03.1655

  View details for Web of Science ID 001059021000001

  View details for PubMedID 36990175

• Longitudinal Analysis of Caregiver Burden in Head and Neck Cancer JAMA OTOLARYNGOLOGY-HEAD & NECK SURGERY Kudrick, L. D., Baddour, K., Wu, R., Fadel, M., Snyder, V., Neopaney, A., Thomas, T. H., Sabik, L. M., Nilsen, M. L., Johnson, J. T., Ferris, R. L., Nouraie, S. M., Hass, R., Mady, L. J. 2023; 149 (8): 681-689

  Abstract

  Despite the critical role of caregivers in head and neck cancer (HNC), there is limited literature on caregiver burden (CGB) and its evolution over treatment. Research is needed to address evidence gaps that exist in understanding the causal pathways between caregiving and treatment outcomes.To evaluate the prevalence of and identify risk factors for CGB in HNC survivorship.This longitudinal prospective cohort study took place at the University of Pittsburgh Medical Center. Dyads of treatment-naive patients with HNC and their caregivers were recruited between October 2019 and December 2020. Eligible patient-caregiver dyads were 18 years or older and fluent in English. Patients undergoing definitive treatment identified a caregiver as the primary, nonprofessional, nonpaid person who provided the most assistance to them. Among 100 eligible dyadic participants, 2 caregivers declined participation, resulting in 96 enrolled participants. Data were analyzed from September 2021 through October 2022.Participants were surveyed at diagnosis, 3 months postdiagnosis, and 6 months postdiagnosis. Caregiver burden was evaluated with the 19-item Social Support Survey (scored 0-100, with higher scores indicating more support), Caregiver Reaction Assessment (CRA; scored 0-5, with higher scores on 4 subscales [disrupted schedule, financial problems, lack of family support, and health problems] indicating negative reactions, and higher scores on the fifth subscale [self-esteem] indicating favorable influence); and 3-item Loneliness Scale (scored 3-9, with higher scores indicating greater loneliness). Patient health-related quality of life was assessed using the University of Washington Quality of Life scale (UW-QOL; scored 0-100, with higher scores indicating better QOL).Of the 96 enrolled participants, half were women (48 [50%]), and a majority were White (92 [96%]), married or living with a partner (81 [84%]), and working (51 [53%]). Of these participants, 60 (63%) completed surveys at diagnosis and at least 1 follow-up. Of the 30 caregivers, most were women (24 [80%]), White (29 [97%]), married or living with a partner (28 [93%]), and working (22 [73%]). Caregivers of nonworking patients reported higher scores on the CRA subscale for health problems than caregivers of working patients (mean difference, 0.41; 95% CI, 0.18-0.64). Caregivers of patients with UW-QOL social/emotional (S/E) subscale scores of 62 or lower at diagnosis reported increased scores on the CRA subscale for health problems (UW-QOL-S/E score of 22: CRA score mean difference, 1.12; 95% CI, 0.48-1.77; UW-QOL-S/E score of 42: CRA score mean difference, 0.74; 95% CI, 0.34-1.15; and UW-QOL-S/E score of 62: CRA score mean difference, 0.36; 95% CI, 0.14-0.59). Woman caregivers had statistically significant worsening scores on the Social Support Survey (mean difference, -9.18; 95% CI, -17.14 to -1.22). The proportion of lonely caregivers increased over treatment.This cohort study highlights patient- and caregiver-specific factors that are associated with increased CGB. Results further demonstrate the potential implications for negative health outcomes for caregivers of patients who are not working and have lower health-related quality of life.

  View details for DOI 10.1001/jamaoto.2023.1283

  View details for Web of Science ID 001012212700001

  View details for PubMedID 37318816

  View details for PubMedCentralID PMC10273129

• Prevention of cardiovascular disease and mortality in patients with psoriasis or psoriatic arthritis (CP3) study: Preliminary results Neopaney, A., Wang, S., Shin, D. B., Fitzsimmons, R., Baez, S., Armstrong, A., Barbieri, J., Beidas, R., Garshick, M., Mehta, N., Ogdie, A., Gelfand, J. ELSEVIER SCIENCE INC. 2023: S115

  View details for Web of Science ID 001037960300664

• Potential impact of the COVID-19 pandemic on financial toxicity in cancer survivors HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK Baddour, K., Kudrick, L. D., Neopaney, A., Sabik, L. M., Peddada, S. D., Nilsen, M. L., Johnson, J. T., Ferris, R. L., Mady, L. J. 2020; 42 (6): 1332-1338

  Abstract

  In the context of COVID-19, cancer survivors represent a particularly vulnerable population that may be "doubly hit" by both costs of cancer treatment and financial strain imposed by the pandemic.We performed a review of the literature pertaining to cancer, financial toxicity, and economic challenges.Multiple societies have put forth recommendations to modify delivery of cancer care in order to minimize patient exposure to the virus. Cancer survivors, especially patients with head and neck cancer, have been disproportionately affected by rising unemployment levels and economic recessions in the past, both of which are linked to higher cancer mortality. Patients who rely on employer-provided insurance and do not qualify for Medicaid may lose access to life-saving treatments.It is essential to implement interventions and policy changes in order to mitigate the effects of this pandemic but also to ensure this becomes a nonissue during the next one.

  View details for DOI 10.1002/hed.26187

  View details for Web of Science ID 000529010500001

  View details for PubMedID 32329924

  View details for PubMedCentralID PMC7264615