“Moving Fourth”: Introduction of a practical toolkit for shared decision-making to facilitate healthy living beyond HIV viral suppression

Curran, Adrían; Arends, Joop E.; Buhk, Thomas; Cascio, Mario; Teófilo, Eugénio; Berk, Guido van den; Guaraldi, Giovanni

doi:10.24875/aidsrev.20000130

Cited by 3 publications

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“…The extension of the UNAIDS 90–90–90 target proposing that more than 90% of people living with HIV should have good health-related quality of life highlights the importance of frailty, supported by its inclusion in updated European AIDS Clinical Society (EACS) Guidelines [17,18]. Therefore, this review will explore the most recent advancements in the area [see Video, Supplemental Digital Content 1, http://links.lww.com/COID/A35 (Supplemental Digital Content 1.…”

Section: Introductionmentioning

confidence: 99%

Frailty in people living with HIV: an update

Jones

Levett

Barber

2021

Current Opinion in Infectious Diseases

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Purpose of reviewThe HIV population is ageing with rising rates of frailty though strategies of how best to manage it remain ill-defined. It also remains unclear what the prevalence of frailty is within this cohort, how best to diagnose it and what factors are associated. Recent findingsThe prevalence of frailty remains unclear because of heterogenous results. Routine screening in those 50þ is recommended and whilst the Fried Frailty Phenotype is currently preferred the Clinical Frailty Scale could be considered. No biomarkers are currently recommended. Looking at associated factors, HIV neurocognitive impairment and long-term alcohol usage has been shown to be associated with developing frailty whilst those who are frail have been shown to be less active and more likely to fall. NAFLD with fibrosis has been shown to be an indicator of metabolic age and the Pooled Cohort Equations has been shown to be more effective in diagnosing cardiovascular risk in frail people living with HIV.

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Section: Introductionmentioning

confidence: 99%

Frailty in people living with HIV: an update

Jones

Levett

Barber

2021

Current Opinion in Infectious Diseases

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“…The use of PROMs in clinical care has been shown to empower patients, drive person‐centric HIV care, help HCPs identify patients' concerns, and encourage patient engagement with services [10]. This dual HCP–patient benefit garnered from PROMs can facilitate priority setting and shared decision‐making and, if effectively implemented, could enhance the HCP's ability to gain valuable insights into the HRQoL of people living with HIV [42].…”

Section: Discussionmentioning

confidence: 99%

Long‐term success for people living with HIV: A framework to guide practice

Lazarus

Wohl

Cascio³

et al. 2023

HIV Medicine

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Objectives: In recent decades, the needs of people living with HIV have evolved as life expectancy has greatly improved. Now, a new definition of long-term success (LTS) is necessary to help address the multifaceted needs of all people living with HIV. Methods: We conducted a two-phase research programme to delineate the range of experiences of people living with HIV. The insights garnered from these research phases were explored in a series of expert-led workshops, which led to the development and refinement of the LTS framework. Results:The insights generated from the research phases identified a series of themes that form a part of LTS. These themes were subsequently incorporated into the LTS framework, which includes five outcome pillars: sustained undetectable viral load, minimal impact of treatment and clinical monitoring, optimized healthrelated quality of life, lifelong integration of healthcare, and freedom from stigma and discrimination. A series of supporting statements were also developed by the expert panel to help in the achievement of each of the LTS pillars.

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“…With this approach, the HIV clinical care perspective is widened to integrate overall well-being and healthy ageing in a supportive environment. As a complement to the traditional management and monitoring of HIV, more person-centred, self-reported assessments of health and well-being (e.g., patient-reported outcomes) should be harnessed to help identify priority issues that could then be addressed [46,47]. This holistic approach recognizes HIV treatment as one part of a larger vision that defines LTS in living and thriving with HIV.…”

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confidence: 99%

Why we need to re‐define long‐term success for people living with HIV

Fuster‐RuizdeApodaca

Wohl

Cascio³

et al. 2023

HIV Medicine

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Over the past few decades, the life expectancy of people living with HIV has markedly improved due to the advances in HIV diagnosis, linkage to care, and treatment. However, with these advances, a new set of challenges has emerged that must be addressed to ensure the long-term well-being of people living with HIV. In this article, as part of a wider journal supplement, we explore the unmet needs and challenges across the HIV continuum of care and re-define what long-term success looks like to support the healthy ageing of all people affected by HIV.

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“Moving Fourth”: Introduction of a practical toolkit for shared decision-making to facilitate healthy living beyond HIV viral suppression

Cited by 3 publications

References 0 publications

Frailty in people living with HIV: an update

Frailty in people living with HIV: an update

Long‐term success for people living with HIV: A framework to guide practice

Why we need to re‐define long‐term success for people living with HIV

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