Thomas Peter Giordano, M.D., M.P.H.
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Positions
- Professor and Section Chief
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Medicine
Infectious Diseases
Baylor College of Medicine
Houston, TX US
- MD Anderson Foundation Chair
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Baylor College of Medicine
- Staff Physician
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Infectious Diseases
Harris Health System
- Director
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Texas Developmental Center for AIDS Research
Education
- BS from John Carroll University
- 05/1988 - Cleveland, OH United States
- Biology
- BA from John Carroll University
- 05/1988 - Cleveland, OH United States
- Humanities
- MA from Cornell University
- 08/1992 - Ithaca, NY United States
- History of Art
- MD from Johns Hopkins University School Of Medicine
- 05/1996 - Baltimore, MD United States
- Medicine
- Residency at Hospital Of The University Of Pennsylvania
- 06/1999 - Philadelphia, PA United States
- Internal Medicine
- Fellowship at Baylor College Of Medicine
- 05/2002 - Houston, TX United States
- Infectious Diseases
- MPH from University Of Texas Health Science Center School Of Public Health
- 06/2004 - Houston, TX United States
- Disease Control
Certifications
- Board Certified in Internal Medicine
- (10/01/1999 - 12/01/2009)
- American Board of Internal Medicine
- Board Certified in Infectious Diseases
- (12/01/2002 - 12/01/2022)
- American Board of Internal Medicine
Professional Interests
- HIV testing, adherence to antiretroviral therapy, and retention in HIV care
Professional Statement
Dr. Giordano is chief of the Section of Infectious Diseases, professor in the Department of Medicine, and MD Anderson Foundation Chair at Baylor College of Medicine. He is also Director of the Texas Developmental Center for AIDS Research and was the Medical Director of the Thomas Street Health Center, one of the largest HIV clinics in the United States, from 2004 to 2021. His research focuses on HIV testing, adherence to antiretroviral therapy, and retention in HIV care.Dr. Giordano has a strong track record of scientific achievements. His research has focused on improving care delivery and adherence to care for people with HIV infection in the US. His work has been recognized nationally and he is regarded as an authority in adherence and retention in HIV care research. He has been the recipient of highly competitive research grants and contracts, including 15 grants as the principal investigator, and has published more than 180 peer-review manuscripts.
Locally and nationally, he has participated in several service and leadership roles. Locally, he served as Medical Director of HIV Services for Harris Health from 2004 to 2021, and helped raise the national reputation of Harris Health’s flagship HIV clinic, Thomas Street Health Center. Nationally, Dr. Giordano completed a term as a standing member of an NIH Study Section and has served as grant reviewer for VA and other entities. He is a former member of the Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents, which authors HIV treatment guidelines used nationally and internationally. He has served as Track Chair for the Continuum of Care Track at the International Conference on HIV Treatment and Prevention Adherence, and completed a term on the FDA Scientific Advisory Panel that reviewed antiviral drugs.
Websites
Selected Publications
- Giordano TP, Guzman D, Clark R, Charlebois ED, Bangsberg DR "Measuring adherence to antiretroviral therapy in a diverse population using a visual analogue scale.." HIV Clin Trials.;5(2):74-9. Pubmed PMID: 15116282
- Giordano TP, Kramer JR, Souchek J, Richardson P, El-Serag HB "Cirrhosis and hepatocellular carcinoma in HIV-infected veterans with and without the hepatitis C virus: a cohort study, 1992-2001.." Arch. Intern. Med.. 2004 Nov 22;164(21):2349-54. Pubmed PMID: 15557414
- Giordano TP, White AC, Sajja P, Graviss EA, Arduino RC, Adu-Oppong A, Lahart CJ, Visnegarwala F "Factors associated with the use of highly active antiretroviral therapy in patients newly entering care in an urban clinic.." J. Acquir. Immune Defic. Syndr.. 2003 Apr 1;32(4):399-405. Pubmed PMID: 12640198
- Giordano TP, Visnegarwala F, White AC, Troisi CL, Frankowski RF, Hartman CM, Grimes RM "Patients referred to an urban HIV clinic frequently fail to establish care: factors predicting failure.." AIDS Care. 2005 Aug;17(6):773-83. Pubmed PMID: 16036264
- Giordano TP, Suarez-Almazor ME, Grimes RM "The population effectiveness of highly active antiretroviral therapy: are good drugs good enough?." 2005 Nov;2(4):177-83. Pubmed PMID: 16343375
- Giordano TP, Gifford AL, White AC, Suarez-Almazor ME, Rabeneck L, Hartman C, Backus LI, Mole LA, Morgan RO "Retention in care: a challenge to survival with HIV infection.." Clin. Infect. Dis.. 2007 Jun 1;44(11):1493-9. Pubmed PMID: 17479948
- Giordano TP, Henderson L, Landgren O, Chiao EY, Kramer JR, El-Serag H, Engels EA "Risk of non-Hodgkin lymphoma and lymphoproliferative precursor diseases in US veterans with hepatitis C virus.." JAMA. 2007 May 9;297(18):2010-7. Pubmed PMID: 17488966
- Clark A, Mayben JK, Hartman C, Kallen MA, Giordano TP "Conspiracy beliefs about HIV infection are common but not associated with delayed diagnosis or adherence to care.." AIDS Patient Care STDS. 2008 Sep;22(9):753-9. Pubmed PMID: 18754706
- El-Serag HB, Engels EA, Landgren O, Chiao E, Henderson L, Amaratunge HC, Giordano TP "Risk of hepatobiliary and pancreatic cancers after hepatitis C virus infection: A population-based study of U.S. veterans.." Hepatology. 2009 Jan;49(1):116-23. Pubmed PMID: 19085911
- Baillargeon J, Giordano TP, Rich JD, Wu ZH, Wells K, Pollock BH, Paar DP "Accessing antiretroviral therapy following release from prison." JAMA. 2009 Feb 25;301(8):848-57. Pubmed PMID: 19244192
- Giordano TP, Bartsch G, Zhang Y, Tedaldi E, Absalon J, Mannheimer S, Thomas A, Macarthur RD "Disparities in Outcomes for African American and Latino Subjects in the Flexible Initial Retrovirus Suppressive Therapies (FIRST) Trial.." AIDS Patient Care STDS. 2010 May;24(5):287-95. Pubmed PMID: 20438378
- Chiao EY, Dezube BJ, Krown SE, Wachsman W, Brock MV, Giordano TP, Mitsuyasu R, Pantanowitz L "Time for Oncologists to Opt In for Routine Opt-Out HIV Testing?." JAMA. 2010 Jul 21;304(3):334-9. Pubmed PMID: 20639567
- Buscher AL, Giordano TP "Gaps in Knowledge in Caring for HIV Survivors Long-term.." JAMA. 2010 Jul 21;304(3):340-1. Pubmed PMID: 20639568
- Bhatia R, Hartman C, Kallen MA, Graham J, Giordano TP "Persons newly diagnosed with HIV infection are at high risk for depression and poor linkage to care: results from the Steps Study.." AIDS Behav. 2011 Aug;15(6):1161-70. Pubmed PMID: 20711651
- Mugavero MJ, Davila JA, Nevin CR, Giordano TP "From access to engagement: Measuring retention in outpatient HIV clinical care." AIDS Patient Care STDS. 2010;24:607-13. Pubmed PMID: 20858055
- Hoxhaj S, Davila JA, Modi P, Kachalia N, Malone K, Ruggerio MC, Miertschin N, Brock P, Fisher A, Mitts B, Giordano TP "Utilizing Non-rapid HIV Technology for Routine, Opt-out HIV Screening in a High-Volume Urban Emergency Department.." Ann Emerg Med. 2011 Jul;58:S79-84. Pubmed PMID: 21684414
- 58) Hightow-Weidman LB, Jones K, Wohl AR, Futterman D, Outlaw A, Phillips II G, Hidalgo J, and Giordano TP "Early linkage and retention in care: Findings from the outreach, linkage, and retention in care initiative among young men of color who have sex with men." AIDS Patient Care STDS. 2011;25:S31-S38. Pubmed PMID: 21711141
- Buscher A, Hartman C, Kallen MA, Giordano TP "Impact of antiretroviral dosing frequency and pill burden on adherence among newly diagnosed, antiretroviral-naive HIV patients.." Int J STD AIDS. 2012 May;23(5):351-5. Pubmed PMID: 22648890
- Davila JA, Miertschin N, Sansgiry S, Schwarzwald H, Henley C, Giordano TP "Centralization of HIV services in HIV-positive African-American and Hispanic youth improves retention in care.." AIDS Care. 2013 Feb;25(2):202-6. Pubmed PMID: 22708510
- Gardner LI, Marks G, Craw JA, Wilson TE, Drainoni M, Moore RD, Mugavero MJ, Rodriguez AE, Bradley-Springer LA, Holman S, Keruly JC, Sullivan M, Skolnik PR, Malitz F, Metsch LR, Raper JL, and Giordano TP "A low-effort, clinic-wide intervention improves attendance for HIV primary care." Clin Infect Dis. 2012 Oct;55(8):1124-1134. Pubmed PMID: 22828593
- Giordano TP, Rodriguez S, Zhang H, Kallen MA, Jibaja-Weiss M, Buscher AL, Arya M, Suarez-Almazor ME, Ross M "Effect of a Clinic-Wide Social Marketing Campaign to Improve Adherence to Antiretroviral Therapy for HIV Infection.." AIDS Behav. 2013 Jan;17(1):104-12. Pubmed PMID: 22983536
- Mugavero MJ, Westfall AO, Zinski A, Davila J, Drainoni ML, Gardner LI, Keruly JC, Malitz F, Marks G, Metsch L, Wilson TE, Giordano TP "Measuring retention in HIV care: The elusive gold standard." J Acquir Immune Defic Syndr. 2012 Dec 15;61(5):574-80. Pubmed PMID: 23011397
- Poon KK, Dang BN, Davila JA, Hartman C, Giordano TP "Treatment Outcomes in Undocumented Hispanic Immigrants with HIV Infection.." PLoS ONE. 2013;8(3):e60022. Pubmed PMID: 23555868
- 84) Chiao EY, Hartman CM, El-Serag HB, Giordano TP "The impact of HIV viral control on the incidence of HIV-associated anal cancer." J Acquir Immune Defic Syndr. 2013 Aug 15;63 Pubmed PMID: 23614995
- Buscher AL, Mugavero M, Westfall AO, Keruly J, Moore R, Drainoni M-L, Sullivan M, Wilson TE, Rodriguez A, Metsch L, Gardner L, Marks G, Malitz F, Giordano TP "The association of clinical follow-up intervals in HIV-infected persons with viral suppression on subsequent viral suppression." AIDS Pt Care STD. 2013 Aug;27(8):459-66. Pubmed PMID: 23886048
- Giordano TP, Hallmark CJ, Davila JA, Arya M, Chen GJ, Shaw C, Williams-Ellis L, Darko T, McNeese-Ward M "Assessing HIV testing and linkage to care activities and providing academic support to public health authorities in Houston, TX." J Acquir Immune Defic Syndr. 2013 Nov;1(64):S7-S13. Pubmed PMID: 24126451
- Nachega JB, Parienti JJ, Uthman OA, Gross R, Dowdy DW, Sax PE, Gallant JE, Mugavero MJ, Mills EJ, Giordano TP "Lower pill Burden and once-daily antiretroviral treatment regimens for HIV Infection: A meta-analysis of randomized controlled trials." Clin Infect Dis. 2014 May;58(9):1297-307. Pubmed PMID: 24457345
- Gardner LI, Giordano TP, Marks G, Wilson TE, Craw JA, Drainoni ML, Keruly JC, Rodriguez AE, Malitz F, Moore RD, Bradley-Springer LA, Holman S, Rose CE, Girde S, Sullivan M, Metsch LR, Saag M, Mugavero MJ "Enhanced personal contact with HIV patients improves retention in primary care: a randomized trial in six U.S. HIV clinics." Clin Infect Dis. 2014 May 15; Pubmed PMID: 24837481
- 159) Dandachi D, de Groot A, Rajabiun S, Rajashekara S, Davila JA, Quinn E, Cabral HJ, Wilson IB, Giordano TP "Reliability and validity of a brief self-report adherence measure among people with HIV experiencing homelessness and mental health or substance use disorders." AIDS Behav. 2021;
- 140) Giordano TP, Gallagher K, Davich JA, Rathore M, Borne D, Davies E, Altice FL, Cabral H "The impact of housing and HIV treatment on health-related quality of life among people with HIV who are homeless or unstably housed." Amer J Public Health. 2018 Dec;108(S7):S531-S538.
- Giordano TP, Cully J, Amico KR, Davila JA, Kallen MA, Hartman C, Wear J, Buscher A, Stanley M "A randomized trial to test a peer mentor intervention to improve outcomes in persons hospitalized with HIV infection." Clin Infect Dis. 2016 Sep;63(5):678-86.
- 153) English K,* May SB,* Davila JA, Cully JA, Dindo L, Amico KR, Kallen MA, and Giordano TP "Retention in care and viral load improvement after discharge among hospitalized out-of-care people with HIV infection: A post hoc analysis of a randomized controlled trial." Open Forum Infect Dis. 2020 May 26;
- May SB, Giordano TP, Gottlieb A. "A Phenotyping Algorithm to Identify People With HIV in Electronic Health Record Data (HIV-Phen): Development and Evaluation Study." JMIR Form Res. 2021 Nov 25;5(11):e28620.
- Yu X, Kuo YF, Raji MA, Berenson AB, Baillargeon J, Giordano TP "Dementias Among Older Males and Females in the U.S. Medicare System With and Without HIV." J Acquir Immune Defic Syndr. 2023 Jun 1;93(2):107-115. Pubmed PMID: 36881792
Memberships
- Infectious Diseases Society of America
- Member (01/1999)
- HIV Medicine Association
- Member (01/2001)
- International AIDS Society
- Member (01/2002)
- US FDA Antiviral Drug Advisory Committee
- Member (01/2011 - 10/2014)
- International Association of Physicians in AIDS Care
- Member (01/2011)
- NIH Review Panel BSCH, Social and Behavioral Consequences of HIV/AIDS
- Member (01/2012 - 01/2018)
- Infectious Diseases Society of America
- Fellow (01/2012)
- The Department of Health and Human Services Panel on Antiretroviral Guidelines for Adults and Adolescents
- Member (01/2014 - 09/2023)
- Center for AIDS Research, Baylor College of Medicine
- Member (04/2021)
Funding
- Test of an intervention to improve retention in HIV care after hospitalization - #1 R01 MH085527-01A1 (09/15/2009 - 07/31/2015) Grant funding from National Institutes of Health, NIMH
- The goal of this project is to conduct a randomized, controlled, trial of a patient-mentor based intervention to improve retention in HIV care among patients hospitalized with HIV infection. Role: Principal Investigator
- Comprehensive Prevention with Positives Intervention at HIV Clinics - #200-2011-41982 (09/28/2011 - 09/27/2016) Grant funding from U. S. Centers for Disease Control and Prevention and National Institutes of Mental Health
- The goal of this project is to test the effectiveness of an intervention to prevent HIV transmission by decreasing high-risk behavior, improving adherence to care and antiretroviral therapy, and increasing the proportion of patients with viral suppression. This multi-component intervention will include provider training, provider feedback, and both computer and personally delivered behavioral interventions for patients. Role: Principal Investigator
- Texas Developmental Center for AIDS Research - #P30AI161943 (04/23/2021 - 03/31/2026) Grant funding from National Institutes of Health
- The Texas Developmental-Center for AIDS Research (Texas D-CFAR) is a one-of-a-kind Center in Texas, a region of the United States that is heavily impacted by the HIV epidemic. The center conducts cutting-edge HIV research, catalyzes research collaborations across Texas, trains the next generation of top HIV researchers and clinicians, and engages our community to implement solutions that optimize HIV health and HIV prevention. The Texas D-CFAR supports the overall mission of the national Center for AIDS Research (CFAR) program to end the HIV epidemic in the United States.
- Targeting HIV Retention and Improved Viral load through Engagement ('THRIVE') - #R34MH122294 (07/01/2020 - 06/30/2023) Grant funding from National Institutes of Mental Health
- The goal of this project is to develop and preliminarily test an intervention based on Acceptance and Commitment Therapy for people with HIV who are not in regular outpatient care for HIV and who are hospitalized at Ben Taub Hospital in Houston, Texas.
- VA Video Connect to Improve Access to Multi-disciplinary Specialty Care - #I01-HX002645 (01/01/2020 - 12/31/2024) Grant funding from Department of Veterans Affairs, Health Services Research and Development
- This project will test the effectiveness of VA Video Connect telehealth services in Veterans with HIV and study the implementation of these telehealth services in other VA facilities.
- Retaining HIV positive patients in medical care: Test of intervention strategy for HIV clinics - #200-2007-23685 (09/28/2007 - 06/30/2013) Grant funding from Centers for Disease Control and Prevention and Health Resources and Services Administration
- The major goal of this project is to develop and evaluate in a multi-site randomized clinical trial a multi-component intervention to retain HIV positive patients in medical care, including provider training, patient education, patient behavioral interventions, and appointment reminders. Role: Principal Investigator
- Project Hi-5, Building a Medical Home for Multiply Diagnosed HIV-positive Homeless Populations – Houston Demonstration Site - #1 H97HA24959 (09/01/2012 - 08/31/2017) Grant funding from HRSA-HAB
- To build a medical home for homeless persons with HIV infection and either serious mental illness or substance use problems in Houston, and contribute to a national demonstration project focusing on that goal. Role: Principal Investigator
- Wastewater Sampling: A New Tool to Accelerate Ending the HIV Epidemic - #1R01DA059394-01A1
- $3,875,000.00 (09/15/2023 - 07/31/2028) NIDA, NIH
- The specifics aims of this project are: 1) To develop a sensitive, reproducible, and streamlined wastewater HIV detection pipeline; 2) To develop epidemiologic models incorporating data from wastewater sampling as a novel and informative parameter along with routine surveillance data on HIV diagnoses and population data; 3) To characterize and incorporate stakeholder preferences, priorities, and recommendations for engaging key community stakeholders in the HIV wastewater sampling program with consideration to the ethical, legal, social, and cultural contexts of individuals living in target neighborhoods; 4) To determine if delivering proven public health interventions to neighborhoods as directed by wastewater data can reduce the wastewater viral load and increase HIV diagnoses in those neighborhoods.
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