HIV and Aging: Reconsidering the Approach to Management of Comorbidities
- PMID: 31395144
- PMCID: PMC6690376
- DOI: 10.1016/j.idc.2019.04.005
HIV and Aging: Reconsidering the Approach to Management of Comorbidities
Abstract
Health care for older adults with human immunodeficiency virus can be highly complex, resource intensive, and carry a high administrative burden. Data from aging longitudinal cohorts and feedback from the human immunodeficiency virus community suggest that the current model is not meeting the needs of these older adults. We introduce the 6 Ms approach, which acknowledges the multicomplexity of older adults with human immunodeficiency virus, simplifies geriatric principles for non-geriatrics-trained providers, and minimizes extensive training and specialized screening tests or tools. Implementing novel approaches to care requires support at local/national levels.
Keywords: Aging; Comprehensive geriatric assessment; Frailty; HIV; Multimorbidity; Polypharmacy.
Copyright © 2019 Elsevier Inc. All rights reserved.
References
-
- Centers for Disease Control and Prevention: HIV Among People Aged 50 and Older. https://www.cdc.gov/hiv/group/age/olderamericans/index.html. Accessed 11/27/2018, 2018.
-
- Buchacz K, Battalora L, Armon C, Hart R, Brooks JT. Hospitalizations wth AIDS and chronic end- organ conditions in HIV outpatient study; Presented atConference on Retroviruses and Opportunistic Infections, Boston, MA: 2016; Abstract #708.
-
- Smith C Group DADS. Association between modifiable and nonmodifiable risk factors and specific causes of death in the HAART Era: the data collection on adverse events of anti-HIV drugs study [abstract 145]. Paper presented at: Program and abstracts of the 16th Conference on Retroviruses and Opportunistic Infections Montreal, Canada: 2009.