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Review
. 2019 Sep;46(3):433-445.
doi: 10.1016/j.pop.2019.05.009. Epub 2019 Jun 12.

Palliative Care in the Management of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome in the Primary Care Setting

Linda R Mitchell  1 , Nidhi Shah  2 , Peter A Selwyn  3
Affiliations
Review

Palliative Care in the Management of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome in the Primary Care Setting

Linda R Mitchell et al. Prim Care. 2019 Sep.

Abstract

Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) has metamorphosed in the past 40 years since the first cases were diagnosed. The advent of highly active antiretroviral treatment (HAART) transformed the disease trajectory for many patients with HIV/AIDS and transitioned the course from a terminal disease to a chronic disease model. This article reviews the epidemiology of HIV/AIDS, prognostic indicators, frailty, opportunistic infections, specific AIDS-defining malignancies and non-AIDS-defining malignancies, role of palliative care, advance care planning, and the role of HAART in patients dying of late-stage AIDS.

Keywords: Aging population; HIV/AIDS; Malignancies; Palliative care.

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