Impact of coronavirus disease 2019 on co-morbidities in HIV.


Journal

Current opinion in HIV and AIDS
ISSN: 1746-6318
Titre abrégé: Curr Opin HIV AIDS
Pays: United States
ID NLM: 101264945

Informations de publication

Date de publication:
01 03 2023
Historique:
entrez: 1 2 2023
pubmed: 2 2 2023
medline: 3 2 2023
Statut: ppublish

Résumé

This perspective paper offers some reflections on an hypothesized changing scenario of HIV comorbidities in the years to come and provides some insights on how to improve screening and management of people with HIV (PWH) in the coronavirus disease 2019 (COVID-19) era. PWH may experience a higher burden of excess disease and mortality associated with noninfectious comorbidities in the COVID-19 era. HIV care must move beyond viral-immunological success to incorporate patient-centered outcomes based on the intrinsic characteristics of the individual and its environment, assessment and screening for comorbidities, evaluation of aging and geriatric syndromes and last but not least fight stigma, ageism and inequality to access to care. COVID-19 is widening the gap between unmet needs of PWH and healthcare systems. An increasing burden of comorbidities, multimorbidity and frailty is affecting PWH which requires redesign of care delivery oriented around the diverse needs of individuals, rather than the prerequisites of providers, and must ensure health equity. In particular, any changes to care delivery must address existing disparities in access and care among PWH and fight stigma.

Identifiants

pubmed: 36722200
doi: 10.1097/COH.0000000000000785
pii: 01222929-202303000-00010
doi:

Types de publication

Review Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

111-115

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Références

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Auteurs

Giovanni Guaraldi (G)

Department of Surgical, Medical, Dental and Morphological Sciences.
Modena HIV Metabolic Clinic (MHMC), University of Modena and Reggio Emilia.
Department of Infectious Diseases, Azienda Ospedaliero-Universitaria, Policlinico of Modena, Modena, Italy.

Jovana Milic (J)

Department of Surgical, Medical, Dental and Morphological Sciences.
Modena HIV Metabolic Clinic (MHMC), University of Modena and Reggio Emilia.

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