Moving from viral suppression to comprehensive patient-centered care: The high prevalence of comorbid conditions and health risk factors in HIV-1-infected patients in Australia

Broom, Jennifer, Sowden, David, Williams, Merran, Taing, Kuong, Morwood, Karen and McGill, Karen (2012) Moving from viral suppression to comprehensive patient-centered care: The high prevalence of comorbid conditions and health risk factors in HIV-1-infected patients in Australia. Journal of the International Association of Physicians in AIDS Care, 11 2: 109-114. doi:10.1177/1545109711418832


Author Broom, Jennifer
Sowden, David
Williams, Merran
Taing, Kuong
Morwood, Karen
McGill, Karen
Title Moving from viral suppression to comprehensive patient-centered care: The high prevalence of comorbid conditions and health risk factors in HIV-1-infected patients in Australia
Journal name Journal of the International Association of Physicians in AIDS Care   Check publisher's open access policy
ISSN 1545-1097
1557-0886
Publication date 2012-03-01
Year available 2011
Sub-type Article (original research)
DOI 10.1177/1545109711418832
Volume 11
Issue 2
Start page 109
End page 114
Total pages 6
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Language eng
Formatted abstract
HIV clinicians today need to move from focusing on viral suppression to a chronic disease model in which comorbid conditions and risk factors are comprehensively identified and addressed to reduce rates of serious non-AIDS-related morbidity and mortality. This study aimed to determine the prevalence of comorbid conditions in an Australian HIV-positive population. Of 180 patients included, there was a median CD4 count of 0.520 cells/mm3. The majority (88%) of patients were currently receiving highly active antiretroviral therapy (HAART). There were high rates of failure to attend clinical appointments (30%), current smoking (42%), hypertension (16%), and dyslipidemia (17%). Significant rates of dipstick-positive proteinuria (16%) and elevated blood glucose (15%) were recorded. Risk factors were commonly not addressed by the treating clinician. There is an urgent need to systematize detection and management of high-prevalence comorbid conditions to prevent premature mortality associated with serious non-AIDS events.
Keyword Human immunodeficiency virus
Highly active antiretroviral therapy
Chronic disease, prevention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online before print August 29, 2011.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Thu, 22 Mar 2012, 00:48:01 EST by Ms Nicole Heidemann on behalf of Sunshine Coast Clinical School