November 7, 2017
According to the researchers, "The aging of the HIV-positive populations in Italy and the U.S. will have major implications for HIV care. Our forecasts suggest that three-quarters of HIV-positive patients on ART will be over 50 years in both countries by 2035, resulting in an increased NCD burden in this population." Recall that the main drivers of this burden of NCDs will be as follows:
Furthermore, the researchers said:
"These shifts [toward NCDs] will have considerable implications for direct HIV care costs, with average care costs attributable to NCD treatment expected to double in Italy and increase by 40% in the U.S. Evidence-based approaches on effective prevention interventions and treatment protocols will be vital to mitigate this growing burden."
In high-income countries, as patients initiate ART earlier in the course of HIV disease, care provided by doctors, for the most part, continues to shift from preventing the life-threatening infections that are the hallmark of AIDS to what the research team called "the long-term prevention, screening and treatment of NCDs." The researchers underscored that as this shift continues the following aspects of care and treatment will need particular attention:
As patients age, the researchers call for "multidisciplinary patient management" focusing on the following elements of optimal health:
To help effect these changes, the researchers call for training in geriatric medicine to become available for healthcare providers, particularly family medicine specialists.
The publication of the model's results should stimulate other countries and regions to conduct their own assessments of the trajectories of people with HIV as they age and which NCDs need to be prevented and treated.
There are several issues that may affect the present model's accuracy:
These and other reasons suggest that the computer model is likely to have underestimated future NCDs and associated healthcare costs.
Factors linked to falling in HIV-positive women -- CATIE News
Nerve pain and numbness from A Practical Guide to HIV Drug Side Effects
Unravelling the complexity of HIV and fatigue -- CATIE News
Emerging issues in older HIV-positive people -- TreatmentUpdate 214
Denmark -- unexpected trends in use of psychotropic medicines -- TreatmentUpdate 204
Dutch doctors explore intersection of aging and HIV -- CATIE News
Strengthening the aging brain -- TreatmentUpdate 203
Longer life expectancy for HIV-positive people in North America -- TreatmentUpdate 200
HIV and aging -- Healthy living tips for people 50 and over living with HIV
Mental Health from HIV in Canada: A primer for service providers
Quantification of biological aging in young adults -- Proceedings of the National Academy of Science USA
Management of Human Immunodeficiency Virus Infection in Advanced Age -- Journal of the American Medical Association
"America's other drug problem: Giving the elderly too many prescriptions" -- Washington Post
The CIHR Comorbidity Agenda -- Canadian Institutes of Health Research (CIHR)
Factsheets on HIV and aging in Canada -- Canadian AIDS Society
HIV & Aging: A 2013 Environmental Scan of Programs and Services in Canada -- Community Report -- realize (formerly the Canadian Working Group on HIV and Rehabilitation -- CWGHR)
[Note from TheBodyPRO.com: This article was originally published by CATIE on Nov. 7, 2017. We have cross-posted it with their permission.]
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