Are We Meeting the American Diabetes Association Goals for HIV‐Infected Patients with Diabetes Mellitus?

Adeyemi, Oluwatoyin; Vibhakar, Sonia; Max, Blake

doi:10.1086/605286

Cited by 25 publications

(61 citation statements)

References 14 publications

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“…These outcomes are similar to findings from other samples of HIV-infected patients: less than 60% of adults initiated on cART received timely lipid screening in a Veterans Administration study, 17 and only 54% of patients with diabetes at a Chicago HIV specialty clinic had hemoglobin A1c G7%. 5 Although such findings are likely due to multiple factors, systems-related causes may play a role in process of care measures. Patients likely get blood pressure checked more routinely because it is often done by support/nursing staff at the beginning of each medical visit.…”

Section: Discussionmentioning

confidence: 99%

“…However, very little has been published on these issues. 5,6 HIV/AIDS and other major chronic illnesses are prevalent among low-income and urban residents, [7][8][9] putting these populations at risk for adverse health outcomes including death. This is likely due to several reasons including differential access to (or utilization of) health services and resources, differences in the quality of care received, and other environmental/health behavior-related factors.…”

Section: Introductionmentioning

confidence: 99%

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Comorbidity-Related Treatment Outcomes among HIV-Infected Adults in the Bronx, NY

et al. 2011

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Aging, HIV infection, and antiretroviral therapy have been associated with increasing rates of chronic comorbidities in patients with HIV. Urban minority populations in particular are affected by both the HIV/AIDS and chronic disease epidemics. Our objectives were to estimate the prevalence of and risk factors for hypertension, dyslipidemia, and diabetes among HIV-infected adults in the Bronx and describe comorbidity-related treatment outcomes. This was a cross-sectional study of 854 HIV-positive adults receiving care at 11 clinics which provide HIV primary care services; clinics were affiliated with a large urban academic medical center. Data on blood pressure (BP), cholesterol, and glycemic control were collected through standardized chart review of outpatient medical records. We found prevalence rates of 26%, 48%, and 13% for hypertension, dyslipidemia, and diabetes, respectively. Older age, obesity, family history, and current protease inhibitor use were consistently associated with comorbidity. Diabetes treatment goals were achieved less often than BP and lipid goals, and concurrent diabetes was a significant predictor for BP and lipid control. In conclusion, major cardiovascular-related comorbidities are prevalent among HIVpositive adults in the Bronx, especially older and obese individuals. Differences exist in comorbidity-related treatment outcomes, especially for patients with concurrent diabetes. Because cardiovascular risk is modifiable, effective treatment of related comorbidities may improve morbidity and mortality in HIV-infected patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comorbidity-Related Treatment Outcomes among HIV-Infected Adults in the Bronx, NY

et al. 2011

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“…Fourteen articles representing 17 distinct studies integrating HIV and AIDS with diabetes, hypertension and/or CVD met inclusion criteria (Adeyemi, Vibhakar, & Max, 2009;Bury, Stroup, Stephens, & Baker, 2007;Chamie et al, 2012;Edwards et al, 2015;Gwarzo et al, 2012;Inouye et al, 2011;Kotwani et al, 2014;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;M Rabkin et al, 2012;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011). Six were full papers (Adeyemi et al, 2009;Bury et al, 2007;Chamie et al, 2012;Edwards et al, 2015;Inouye et al, 2011;Kotwani et al, 2014), one was a report with four case studies(UNAIDS, 2011), and seven were abstracts (Gwarzo et al, 2012;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Six were full papers (Adeyemi et al, 2009;Bury et al, 2007;Chamie et al, 2012;Edwards et al, 2015;Inouye et al, 2011;Kotwani et al, 2014), one was a report with four case studies(UNAIDS, 2011), and seven were abstracts (Gwarzo et al, 2012;Monroe et al, 2012;Namata et al, 2014;Noble et al, 2012;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011). Eleven studies were from Sub-Saharan Africa (Ethiopia, Kenya, Lesotho, Nigeria, South Africa Uganda), (Chamie et al, 2012;Edwards et al, 2015;Gwarzo et al, 2012;Kotwani et al, 2014;Namata et al, 2014;Nyabera et al, 2011;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011), four from the United States (U.S.) (Adeyemi et al, 2009;Bury et al, 2007;Inouye et al, 2011;Monroe et al, 2012), one from the United Kingdom (U.K.) (Noble et al, 2012)and one from South-East Asia (Cambodia) (UNAIDS, 2011)( Figure 3). The majority of papers were published in 2011 and 2012 ( Figure 4).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The majority of papers were published in 2011 and 2012 ( Figure 4). Seven studies took place in community/mobile service points (Chamie et al, 2012;Inouye et al, 2011;Kotwani et al, 2014;Tiam et al, 2012;Tierney et al, 2011;UNAIDS, 2011); three in primary health centers or general outpatient clinics (Adeyemi et al, 2009;Edwards et al, 2015; UNAIDS, 2011); five in HIV clinics (Bury et al, 2007;Monroe et al, 2012;Namata et al, 2014;Nyabera et al, 2011;UNAIDS, 2011); and two were located in secondary health facilities (Gwarzo et al, 2012;Noble et al, 2012) (Table 2). There was one cohort study (Bury et al, 2007).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

et al. 2017

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Non-communicable diseases (NCDs), including cardiovascular diseases (CVD), hypertension and diabetes together with HIV infection are among the major public health concerns worldwide. Health services for HIV and NCDs require health systems that provide for people's chronic care needs, which present an opportunity to coordinate efforts and create synergies between programmes to benefit people living with HIV and/or AIDS and NCDs. This review included studies that reported service integration for HIV and/or AIDS with coronary heart diseases, chronic CVD, cerebrovascular diseases (stroke), hypertension or diabetes. We searched multiple databases from inception until October 2015. Articles were screened independently by two reviewers and assessed for risk of bias. 11,057 records were identified with 7,616 after duplicate removal. After screening titles and abstracts, 14 papers addressing 17 distinct interventions met the inclusion criteria. We categorized integration models by diseases (HIV with diabetes, HIV with hypertension and diabetes, HIV with CVD and finally HIV with hypertension and CVD and diabetes). Models also looked at integration from micro (patient focused integration) to macro (system level integrations). Most reported integration of hypertension and diabetes with HIV and AIDS services and described multidisciplinary collaboration, shared protocols, and incorporating screening activities into community campaigns. Integration took place exclusively at the meso-level, with no micro-or macro-level integrations described. Most were descriptive studies, with one cohort study reporting evaluative outcomes. Several innovative initiatives were identified and studies showed that CVD and HIV service integration is feasible.Integration should build on existing protocols and use the community as a locus for advocacy and health services, while promoting multidisciplinary teams, including greater involvement of pharmacists. There is a need for robust and well-designed studies at all levels -particularly macrolevel studies, research looking at long-term outcomes of integration, and research in a more diverse range of countries.

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The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life

et al. 2011

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The study identified relations among traumatic stressors, HIV-related trauma symptoms, comorbid medical conditions, and health related quality of life (HRQL) in individuals with HIV. Participants (N = 118) completed a structured clinical interview on HIV as a traumatic stressor and other severe traumatic stressors and completed the Impact of Event Scale to assess HIV-related trauma symptoms and the Medical Outcomes Study 36-item Short Form (SF-36) to assess HRQL. Medical chart reviews determined comorbid conditions. Path analysis findings indicated participants with prior severe traumatic stressors experienced their HIV diagnosis as traumatic and in turn were more likely to have current HIV-related trauma symptoms which were negatively related to HRQL. HIV as a traumatic stressor was related to coronary artery diseases and HRQL. Traumatic stressors and HIV-related trauma symptoms impact health in individuals with HIV and highlight the need for psychological interventions prior to diagnosis and throughout treatment.

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Are We Meeting the American Diabetes Association Goals for HIV‐Infected Patients with Diabetes Mellitus?

Cited by 25 publications

References 14 publications

Comorbidity-Related Treatment Outcomes among HIV-Infected Adults in the Bronx, NY

Comorbidity-Related Treatment Outcomes among HIV-Infected Adults in the Bronx, NY

Integrating cardiovascular diseases, hypertension, and diabetes with HIV services: a systematic review

The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life

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