Adherence to Bone Mineral Density Screening Recommendations in Older Adults with HIV.

IF 1.5 4区 医学 Q4 IMMUNOLOGY
Madison Martz, Nazar Akhverdyan, Melissa P Wilson, Jacob Walker, Sarah Gorvetzian, Lakshmi Chauhan, Kristine M Erlandson
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引用次数: 0

Abstract

HIV guidelines recommend bone mineral density (BMD) screening by dual-energy x-ray absorptiometry (DXA) for all postmenopausal women and all men ≥50 years, but uptake of these recommendations has been low. We conducted a retrospective cross-sectional analysis of people with HIV (PWH) aged ≥65 or older engaged in routine care to determine DXA completion. We reviewed records of 300 patients (243 men; 57 women). 48% had a DXA scan ordered, and 85% of those with a DXA order had results available within the electronic record. Of those screened, 13% of women and 27% of men had normal BMD; 45% of women and 53% of men had osteopenia; and 42% of women and 20% of men had osteoporosis. Older PWH at the highest fracture risk were under-screened for low BMD, per current HIV guidelines. Improved fracture risk screening is needed for this high-risk patient population.

老年艾滋病毒感染者坚持骨密度筛查建议。
HIV指南推荐所有绝经后女性和所有≥50岁的男性通过双能x线吸收仪(DXA)进行骨密度(BMD)筛查,但这些建议的采纳率很低。我们对≥65岁或以上接受常规护理的HIV (PWH)患者进行了回顾性横断面分析,以确定DXA的完成情况。我们回顾了300例患者的记录(243例男性;57岁女性)。48%的患者订购了DXA扫描,其中85%的患者在电子记录中获得了DXA扫描结果。在接受筛查的人中,13%的女性和27%的男性骨密度正常;45%的女性和53%的男性患有骨质减少症;42%的女性和20%的男性患有骨质疏松症。根据目前的HIV指南,骨折风险最高的老年PWH未进行低骨密度筛查。对于这一高危患者群体,需要改进骨折风险筛查。
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来源期刊
CiteScore
3.10
自引率
6.70%
发文量
201
审稿时长
3-6 weeks
期刊介绍: AIDS Research and Human Retroviruses was the very first AIDS publication in the field over 30 years ago, and today it is still the critical resource advancing research in retroviruses, including AIDS. The Journal provides the broadest coverage from molecular biology to clinical studies and outcomes research, focusing on developments in prevention science, novel therapeutics, and immune-restorative approaches. Cutting-edge papers on the latest progress and research advances through clinical trials and examination of targeted antiretroviral agents lead to improvements in translational medicine for optimal treatment outcomes. AIDS Research and Human Retroviruses coverage includes: HIV cure research HIV prevention science - Vaccine research - Systemic and Topical PreP Molecular and cell biology of HIV and SIV Developments in HIV pathogenesis and comorbidities Molecular biology, immunology, and epidemiology of HTLV Pharmacology of HIV therapy Social and behavioral science Rapid publication of emerging sequence information.
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