1607Veterans Aging Cohort Study (VACS) Index, Functional Status, and Other Patient Reported Outcomes in Older HIV-positive (HIV+) Adults

John, M.; Hessol, Nancy A.; Hare, C. Bradley; Lyons, Catherine; Marcotte, Terrence; Parrott, Amanda Hutton; Whirry, Robert; Foreman, Cameron; Gandhi, Monica; Greene, Meredith

doi:10.1093/ofid/ofu052.1153

Cited by 3 publications

(2 citation statements)

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“…The Veterans Aging Cohort Study index is another frailty tool validated in PWH [ 34 ]. It correlates with functional status [ 35 ], severity of illness [ 36 ], and cause-specific [ 37 ] as well as all-cause mortality [ 34 ]. An online calculator is accessible at https://vacs-apps2.med.yale.edu/calculator for ease of use.…”

Section: Cga Domains and Screening Methodsmentioning

confidence: 99%

Comprehensive Geriatric Assessment in Older Persons With HIV

Sangarlangkarn

Appelbaum

2020

Open Forum Infectious Diseases

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With increased longevity related to the advent of antiretroviral therapy, there are increasing proportions of older persons living with HIV (PWH). Prior studies have demonstrated increased prevalence of geriatric syndromes in older PWH and recommended the Comprehensive Geriatric Assessments (CGA) in this population. However, there is currently no peer-reviewed literature that outlines how to perform CGA in PWH in the clinical setting. In this article, we offer a review on how to perform CGA in PWH, outline domains of the CGA and their importance in PWH, and describe screening tools for each domain focusing on tools that have been validated in PWH, are easy to administer, and/or are already commonly used in the field of geriatrics

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Section: Cga Domains and Screening Methodsmentioning

confidence: 99%

Comprehensive Geriatric Assessment in Older Persons With HIV

Sangarlangkarn

Appelbaum

2020

Open Forum Infectious Diseases

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“…They also had lower anxiety ( P = 0.013) and less alcohol use ( P = 0.009). Higher VACS Index was associated with poorer medication adherence ( P = 0.003) and increased functional dependence on IADL screening ( P = 0.02) (John et al , ).…”

Section: Managing the Aging Hiv‐positive Patient – Possible Next Stepsmentioning

confidence: 99%

The clinical implications of HIV infection and aging

John

2016

Oral Diseases

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The objectives of this study, presented as part of a plenary session at WW7 in Hyderabad, India were to review (i) the epidemiology and current clinical issues of HIV infection with regard to HIV and older populations and (ii) models for increased morbidity and mortality in older HIV-positive individuals with implications for clinical care. HIV infection for those in treatment has become a complex chronic disease in which end-organ injury and resulting morbidity, functional decline, and mortality do not have a single etiology but reflect cumulative loss of organ system reserve from multiple interacting sources leading to functional decline, organ system failure, and death. Emerging guidelines and recommendations suggest a need for increased awareness and treatment of the multifaceted needs of the aging HIV-infected patient. Oral Diseases (2016) 22, 79-86

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Caring for Older People with HIV

Sangarlangkarn¹,

Zeuli²,

Avihingsanon³

2021

Fundamentals of HIV Medicine 2021

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This chapter describes the differences in HIV care and management for persons with HIV who are 50 years old or older compared to their younger counterparts. Importantly, older patients with HIV present unique and complex cases and disease-centric guidelines do not apply to every patient. Management of diseases in older patients with HIV should be individualized based on aging phenotypes identified by the Veterans Aging Cohort Study (VACS) index, interactions with multiple morbidities, and patient preferences. Learners will understand how to conduct a comprehensive geriatric assessment to assess for function, mobility/fall risk, frailty, cognition, mood, and issues related to polypharmacy. Learners will also discuss a comprehensive medication assessment, nutrition and weight changes, social and monetary issues impacting care, symptom burdens and pain, and advance planning. Lastly, learners will be presented with specific coexisting conditions common to aging that are impacted by HIV, including diabetes mellitus, hypertension, bone disease, peripheral neuropathy, certain cancers, and recommended vaccinations.

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1607Veterans Aging Cohort Study (VACS) Index, Functional Status, and Other Patient Reported Outcomes in Older HIV-positive (HIV+) Adults

Cited by 3 publications

References 0 publications

Comprehensive Geriatric Assessment in Older Persons With HIV

Comprehensive Geriatric Assessment in Older Persons With HIV

The clinical implications of HIV infection and aging

Caring for Older People with HIV

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