AIDS reviewsPub Date : 2022-01-01DOI: 10.24875/AIDSRev.M22000055
Ana Treviño, Vicente Soriano
{"title":"Less hepatic decompensation events but rising liver cancer in hepatitis B patients on long-term nucleos(t)ide therapy.","authors":"Ana Treviño, Vicente Soriano","doi":"10.24875/AIDSRev.M22000055","DOIUrl":"https://doi.org/10.24875/AIDSRev.M22000055","url":null,"abstract":"","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"24 4","pages":"197"},"PeriodicalIF":2.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10467410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-29DOI: 10.24875/AIDSRev.20000130
Adrian Curran, Joop Arends, Thomas Buhk, Mario Cascio, Eugenio Teofilo, Guido van den Berk, Giovanni Guaraldi
{"title":"\"Moving Fourth\": Introduction of a practical toolkit for shared decision-making to facilitate healthy living beyond HIV viral suppression.","authors":"Adrian Curran, Joop Arends, Thomas Buhk, Mario Cascio, Eugenio Teofilo, Guido van den Berk, Giovanni Guaraldi","doi":"10.24875/AIDSRev.20000130","DOIUrl":"https://doi.org/10.24875/AIDSRev.20000130","url":null,"abstract":"<p><p>An extension of the UNAIDS 90-90-90 target proposes >90% of people living with HIV (PLHIV) should have good health-related quality of life (HrQoL); however, limited guidance exists. The \"Health Goals for Me\" framework, an individualized approach to HIV care, provides a framework to assess HrQoL. We analyzed several patient-reported outcome measures (PROMs) to develop a practical toolkit to facilitate shared physician-patient decision-making. HrQoL subdomains, actionable in the clinical setting and measurable as PROMs, were selected. PROMs were collated through systematic literature searches, scored by the authors on usability, validation, and availability, after which practical recommendations were made. Nine subdomains were selected across physical, psychological, social, and environmental domains; 46 validated PROMs were identified. After pre-screening, from 39 evaluated PROMs, we recommended PROMs in the following subdomains: fatigue/energy loss, frailty/resilience, sleep disturbance, substance use, anxiety/depression, cognition, sexual function and desire, and stigma. Using this toolkit, healthcare professionals and PLHIV can collaborate and mutually agree on individual care objectives. Following the \"Health Goals for Me\" framework, appropriate care interventions can be implemented and reviewed in a continuous cycle. We discussed how eHealth interventions, which will have increasing importance in the post-COVID era, can facilitate improved HrQoL for PLHIV by utilizing toolkits such as the one described here. Implementation of this practical framework and the PROMs toolkit could provide a useful approach to assessing HrQoL in PLHIV and could enhance the physician's ability to gain valuable insights into the patient's daily life across a broad range of HrQoL issues.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 4","pages":"204-213"},"PeriodicalIF":2.2,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39053959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-29DOI: 10.24875/AIDSRev.200001071
Renata Szpak, Natália F Lombardi, Frederico A Dias, Helena H L Borba, Roberto Pontarolo, Astrid Wiens
{"title":"Safety of Antiretroviral Therapy in the Treatment of HIV/AIDS in Children: Systematic Review and Meta-analysis.","authors":"Renata Szpak, Natália F Lombardi, Frederico A Dias, Helena H L Borba, Roberto Pontarolo, Astrid Wiens","doi":"10.24875/AIDSRev.200001071","DOIUrl":"https://doi.org/10.24875/AIDSRev.200001071","url":null,"abstract":"<p><p>The safety of using different antiretroviral therapies (ART) in pediatric HIV/AIDS patients is not well-established. Therefore, this study aimed to assess the safety of ART in children. A systematic review of randomized clinical trials (RCTs) was conducted to assess the safety of ART used by pediatric patients living with HIV/AIDS. The electronic search was conducted in PubMed and Scopus, in addition to a manual search. Studies were included if they assessed the safety of ART compared to placebo or another ART. Direct and indirect meta-analyses were conducted regarding safety outcomes. The systematic review included 21 RCTs. The studies included more than 5500 participants, and age ranged from 3 months to 18 years. The drugs evaluated were nucleoside reverse transcriptase inhibitors (NRTI); non-NRTI; and protease inhibitors. The predominant route of infection was vertical. Direct meta-analyses were performed for the outcomes sleep disorders, hepatobiliary disorders, respiratory disorders, hypertransaminasemia, neutropenia, hospitalization, and death. For these outcomes, no statistically significant differences were found. Indirect meta-analyses were performed for the outcomes anemia, gastrointestinal disorders, liver disorders, severe adverse events (AE), AE that led to changes in treatment, fever, and skin manifestations. However, no statistically significant differences were found for these outcomes. In this study, non-significant differences were detected in the safety of different ART used in pediatric individuals. The choice of appropriate therapy should be based on its efficacy and the individual characteristics of each patient.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 4","pages":"196-203"},"PeriodicalIF":2.2,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39057820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-29DOI: 10.24875/AIDSRev.20000088
Manuela Martín-Bejarano, Beatriz Ruiz-Saez, Ana Martinez-de-Aragón, Helena Melero, Berta Zamora, Norberto A Malpica, Jose T Ramos, Maria I Gonzalez-Tomé
{"title":"A Systematic Review of Magnetic Resonance Imaging Studies in Perinatally HIV-Infected Individuals.","authors":"Manuela Martín-Bejarano, Beatriz Ruiz-Saez, Ana Martinez-de-Aragón, Helena Melero, Berta Zamora, Norberto A Malpica, Jose T Ramos, Maria I Gonzalez-Tomé","doi":"10.24875/AIDSRev.20000088","DOIUrl":"https://doi.org/10.24875/AIDSRev.20000088","url":null,"abstract":"<p><p>Over the past few years, neuroimaging studies have been performed in young adults with perinatally acquired HIV (PHIV) to study the impact of HIV infection on the central nervous system (CNS), but no recent review have been published. This review aims to identify brain areas where PHIV eems to have greater impact taking into account demographic, behavioral, and clinical characteristics in PHIV infected patients. For this purpose, PubMed and Medline searches were carried out which included studies from 2010 to April 2020. We performed a systematic review and included 26 articles using structural (brain morphometry and diffusion tensor imaging) and functional magnetic resonance imaging methods involving 1182 PHIV-infected participants. Ample evidence has been provided of HIV effects on underlying brain structure. However, information recorded in the studies is commonly incomplete and results sometimes contradictory. In addition to future improvements and dissemination of tools for the developing brain MRI processing and analysis, the inclusion of data related to HIV infection itself (including clinical and immunovirological characteristics as well as detailed information about antiretroviral treatment such as age at ART initiation) may be of vital importance to the better understanding of the impact of the disease on CNS.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 4","pages":"167-185"},"PeriodicalIF":2.2,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25491807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-29DOI: 10.24875/AIDSRev.M21000046
Ana Treviño, Vicente Soriano
{"title":"The opioid epidemic during the COVID-19 pandemic: Impact on HIV and HCV control.","authors":"Ana Treviño, Vicente Soriano","doi":"10.24875/AIDSRev.M21000046","DOIUrl":"https://doi.org/10.24875/AIDSRev.M21000046","url":null,"abstract":"","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 4","pages":"227"},"PeriodicalIF":2.2,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-29DOI: 10.24875/AIDSRev.M21000045
Carmen de Mendoza, Vicente Soriano
{"title":"Another patient has cured HIV infection.","authors":"Carmen de Mendoza, Vicente Soriano","doi":"10.24875/AIDSRev.M21000045","DOIUrl":"https://doi.org/10.24875/AIDSRev.M21000045","url":null,"abstract":"","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 4","pages":"226-227"},"PeriodicalIF":2.2,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-12-22DOI: 10.24875/AIDSRev.21000051
Tippawan Siritientong, Daylia Thet
{"title":"Nutritional assessment in the HIV-infected older population receiving antiretroviral therapy.","authors":"Tippawan Siritientong, Daylia Thet","doi":"10.24875/AIDSRev.21000051","DOIUrl":"https://doi.org/10.24875/AIDSRev.21000051","url":null,"abstract":"<p><p>Malnutrition is a pronounced public health issue which often seems underestimated in the older people living with HIV (PLWH) virus infection. PLWH are highly vulnerable to nutritional problems resulting from agingrelated deterioration, disease itself, and adverse effects of antiretroviral therapy (ART). The comprehensive nutritional assessments are necessary to perform routinely in this population to monitor and provide appropriate interventions to reduce comorbid conditions. In this review, we focus on the untoward impacts of malnutrition and nutritional assessments on the morbidity and mortality in the older PLWH. Some predictive factors of nutritional status in this group of patients are discussed. We propose the important components for nutrition assessment tool for older PLWH on ART. Highlighted issue is the need for developing uniform standardized tools for the early diagnosis of malnutrition in this population. Applications of the nutritional assessments, proper nutritional interventions, and regular monitoring of nutritional status in older PLWH liv-ing in every clinical setting may help the patients get better well-being.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"24 4","pages":"153-161"},"PeriodicalIF":2.2,"publicationDate":"2021-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10515587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-10-04DOI: 10.24875/AIDSRev.M21000043
Lucia Gallego, Manuel de Santiago, Vicente Soriano
{"title":"New insights into the genetics of same-sex behavior.","authors":"Lucia Gallego, Manuel de Santiago, Vicente Soriano","doi":"10.24875/AIDSRev.M21000043","DOIUrl":"https://doi.org/10.24875/AIDSRev.M21000043","url":null,"abstract":"","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 3","pages":"164-166"},"PeriodicalIF":2.2,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-07-01DOI: 10.24875/AIDSRev.M21000042
Banda Marco, Herrera Cristina, Reynaga Cristhian, Rangel Sigfrido, Josue Del Angel, Angel Reyes, Prudente Isidoro
{"title":"Dolutegravir in Mexico for special populations: A cost analysis perspective.","authors":"Banda Marco, Herrera Cristina, Reynaga Cristhian, Rangel Sigfrido, Josue Del Angel, Angel Reyes, Prudente Isidoro","doi":"10.24875/AIDSRev.M21000042","DOIUrl":"https://doi.org/10.24875/AIDSRev.M21000042","url":null,"abstract":"<p><p>Integrase strand-transfer inhibitors (INSTI) are the latest class of antiretrovirals registered in Mexico. They include raltegravir (RAL), elvitegravir/cobicistat (EVG/c), dolutegravir (DTG) and bictegravir (BIC). Along with international guidelines, Mexico adopted the use of INSTI about two years ago as initial antiretroviral therapy (ART). This is partially due to the increase in the pre-treatment resistance to non-nucleoside reverse transcriptase inhibitors (NNRTI), mainly efavirenz (EFV). Furthermore, INSTI depict greater efficacy, safety and less drug-drug interactions than NNRTI and protease inhibitors (PI). DTG is a second generation INSTI with a high barrier to resistance. It is recommended in international and national guidelines in a wide variety of clinical scenarios for persons living with human immunodeficiency virus (HIV) (PLWHIV), including treatment-naïve, first-line NNRTI treatment failure, simplification switch in suppressed patients, pregnancy, women with childbearing potential, adolescents and children over 6 years of age. DTG is mostly metabolized by the liver UDP-glucuronosyltransferase, and exhibits low drug-drug interactions overall; on the other hand, it has an extremely low renal elimination, therefore may be used in PLWHIV with advanced kidney disease without dose modification. Tuberculosis is a common coinfection in Mexico that requires rifampin-based anti-tuberculosis therapy, which requires increasing DTG to double dosing (50 mg BID). In Mexico, DTG-based regimens are likely to be cost-effective in many scenarios, given its acquisition costs and the particularities of the HIV population and associated clinical conditions, including a relatively high proportion of the following: i) new HIV diagnoses presenting at acquired immunodeficiency syndrome (AIDS) stage; ii) high rate of tuberculosis coinfection; iii) frequent first-line NNRTI treatment failures; and iv) relatively high proportion of infected children and adolescents.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 3","pages":"126-132"},"PeriodicalIF":2.2,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39048694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AIDS reviewsPub Date : 2021-06-07DOI: 10.24875/AIDSRev.M21000041
Vicente Soriano, José Vicente Fernández-Montero
{"title":"COVID-19 in Madrid: Leading Pandemic Control after being the Spanish Epicenter.","authors":"Vicente Soriano, José Vicente Fernández-Montero","doi":"10.24875/AIDSRev.M21000041","DOIUrl":"https://doi.org/10.24875/AIDSRev.M21000041","url":null,"abstract":"<p><p>The arrival of coronavirus disease (COVID-19) in Europe exploded initially in North Italy and soon thereafter at several other major European cities, including Madrid. Indeed, Madrid was the epicenter of SARSCoV-2 infection in Spain, with a dramatic surge of cases since mid-March 2020.</p>","PeriodicalId":7685,"journal":{"name":"AIDS reviews","volume":"23 2","pages":"115-116"},"PeriodicalIF":2.2,"publicationDate":"2021-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39070273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}