We propose a multidimensional first-level diagnostic assessment easy to use in routine clinical practice to allow infectious disease specialists to have a general and complete overview of persons living with HIV. Following the Delphi method, articles published from January 1, 2011 on controlled trials, clinical reports and observational studies dealing specifically with HIV and its co-morbidities were selected for review by the authors. Participants in the poll were selected among clinicians and infectious diseases specialists, working in 38 different dedicated HIV centres in Italy. The participants were given access to a website dedicated to the project and received a standardized information package containing a synopsis of the study and a description of the Delphi process and the selected literature. A total of 131 Items were divided into 10 first-level survey areas: anamnesis, objective examination, infectious diseases, osteoporosis diagnosis, metabolic pathologies diagnosis, cardiovascular diagnosis, nephrologic diagnosis, hepatological diagnosis, central nervous system diagnosis, evaluation of quality of life (QoL). This simple and concise first level tool identifies a few areas of multi-organ diagnostic assessment beyond the infectivity area. The identification of these areas will allow us to find shared and validated evaluation procedures with the intent to increase the likelihood of early recognition of patients at risk of comorbidity development, in order to facilitate more effective prevention, thereby reducing the overall impact on the quality of life of patients affected by this chronic illness.

Managing the long surviving HIV patient : a proposal for a multidimensional first-level diagnostic assessment / M. Borderi, G. Angarano, A. Antinori, A. Chirianni, P. Cinque, A. D'Arminio Monforte, A. Di Biagio, G. Di Perri, M. Galli, A. Gori, A. Lazzarin, C. Mussini, C.F. Perno, T. Quirino, G. Rizzardini, L. Calza, P. Viale, B. Acone, M. Andreoni. - In: NEW MICROBIOLOGICA. - ISSN 1121-7138. - 41:2(2018 Apr), pp. 112-117.

Managing the long surviving HIV patient : a proposal for a multidimensional first-level diagnostic assessment

A. D'Arminio Monforte;M. Galli;A. Gori;A. Lazzarin;C.F. Perno;
2018-04

Abstract

We propose a multidimensional first-level diagnostic assessment easy to use in routine clinical practice to allow infectious disease specialists to have a general and complete overview of persons living with HIV. Following the Delphi method, articles published from January 1, 2011 on controlled trials, clinical reports and observational studies dealing specifically with HIV and its co-morbidities were selected for review by the authors. Participants in the poll were selected among clinicians and infectious diseases specialists, working in 38 different dedicated HIV centres in Italy. The participants were given access to a website dedicated to the project and received a standardized information package containing a synopsis of the study and a description of the Delphi process and the selected literature. A total of 131 Items were divided into 10 first-level survey areas: anamnesis, objective examination, infectious diseases, osteoporosis diagnosis, metabolic pathologies diagnosis, cardiovascular diagnosis, nephrologic diagnosis, hepatological diagnosis, central nervous system diagnosis, evaluation of quality of life (QoL). This simple and concise first level tool identifies a few areas of multi-organ diagnostic assessment beyond the infectivity area. The identification of these areas will allow us to find shared and validated evaluation procedures with the intent to increase the likelihood of early recognition of patients at risk of comorbidity development, in order to facilitate more effective prevention, thereby reducing the overall impact on the quality of life of patients affected by this chronic illness.
Delphi method; Multidimensional first-level diagnostic assessment; PLWHIV Management; Survey; Algorithms; Anti-HIV Agents; Comorbidity; Delphi Technique; HIV Infections; Humans; Longevity; Quality of Life
Settore MED/17 - Malattie Infettive
http://www.newmicrobiologica.org/PUB/allegati_pdf/2018/2/112.pdf
Article (author)
File in questo prodotto:
File Dimensione Formato  
112.pdf

accesso aperto

Tipologia: Publisher's version/PDF
Dimensione 562.28 kB
Formato Adobe PDF
562.28 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/628978
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 4
  • ???jsp.display-item.citation.isi??? 4
social impact