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Review
. 2022 Jul;23(6):639-649.
doi: 10.1111/hiv.13221. Epub 2021 Dec 28.

Development of the HIV360 international core set of outcome measures for adults living with HIV: A consensus process

João Marques-Gomes  1   2 , Matthew J Salt  3 , Rita Pereira-Neto  2 , Franca S Barteldes  1 , Vera Gouveia-Barros  3 , Alexandre Carvalho  4   5 , Antonella d'Arminio-Monforte  6 , Alethse De-la-Torre-Rosas  7 , Amy Harris  8   9 , Catarina Esteves  10   11 , Carcom Maor  12 , Cristina Mora  13 , Carla Oliveira  14 , Cristina Sousa  15 , Douglas D Richman  16 , Esteban Martinez  17 , Fábio Cota-Medeiros  18   19 , Filipa Gramacho  18 , Georg M N Behrens  20 , Graça Gonçalves  18 , Helena Farinha  21   22 , Isabel Nabais  18   19 , Inês Vaz-Pinto  11   23 , Juan Sierra-Madero  24 , Joaquim Sousa-Gago  2   25 , John Thornhill  26   27   28 , José Vera  23   29 , Maja Erceg-Tusek  30 , Margarida Tavares  31 , Miguel Vasconcelos  32 , Nuno Fernandes  15 , Nicola Gianotti  33 , Nienke Langebeek  34 , Paulo Anjos  35 , Raquel Couto  36 , Ricardo Fernandes  37 , Reena Rajasuriar  38 , Rosário Serrão  31 , Shaun Watson  39 , Teresa Branco  10   40 , Tiago Teixeira  41 , Vicente Soriano  42
Affiliations
Free article
Review

Development of the HIV360 international core set of outcome measures for adults living with HIV: A consensus process

João Marques-Gomes et al. HIV Med. 2022 Jul.
Free article

Abstract

Objectives: HIV outcomes centre primarily around clinical markers with limited focus on patient-reported outcomes. With a global trend towards capturing the outcomes that matter most to patients, there is agreement that standardizing the definition of value in HIV care is key to their incorporation. This study aims to address the lack of routine, standardized data in HIV care.

Methods: An international working group (WG) of 37 experts and patients, and a steering group (SG) of 18 experts were convened from 14 countries. The project team (PT) identified outcomes by conducting a literature review, screening 1979 articles and reviewing the full texts of 547 of these articles. Semi-structured interviews and advisory groups were performed with the WG, SG and people living with HIV to add to the list of potentially relevant outcomes. The WG voted via a modified Delphi process - informed by six Zoom calls - to establish a core set of outcomes for use in clinical practice.

Results: From 156 identified outcomes, consensus was reached to include three patient-reported outcomes, four clinician-reported measures and one administratively reported outcome; standardized measures were included. The WG also reached agreement to measure 22 risk-adjustment variables. This outcome set can be applied to any person living with HIV aged > 18 years.

Conclusions: Adoption of the HIV360 outcome set will enable healthcare providers to record, compare and integrate standardized metrics across treatment sites to drive quality improvement in HIV care.

Keywords: AIDS; HIV; outcomes; patient-centred care; value-based healthcare.

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References

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