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Clinical management of ageing people living with HIV in Europe: the view of the care providers

机译：欧洲艾滋病毒患者衰老人的临床管理：护理提供者的看法

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Background Although guidelines for the management of HIV infection include recommendations for aging people living with HIV (PLWH), clinical practice of European HIV care providers may vary. Method We performed a study using a 3-phase Delphi methodology by involving a panel of clinicians with expertise in HIV infection clinical management. The main aim of the study was to assess the care provider prospective on how HIV clinical care should be delivered to ageing PLWH. The first phase involved ten clinicians to identify HIV comorbidities of interest. The second and third phases recruited clinicians virtually via a web-based questionnaire that included 137 questions focussed on 11 comorbidities (e.g. cardiovascular disease, pulmonary disease, etc.). Results Results were analysed thematically and consensus (or not) among European physicians reported. Ninety-seven and 85 responses were collected in phase 2 and 3, respectively. High levels of agreement were found among clinical care providers across Europe and with the European AIDS Conference Society guidelines regarding key items of clinical management of comorbidities in ageing PLWH. Conclusion However, we identified some important gaps, such as the lack of standardisation or implementation of the assessment of frailty or menopause, which are emerging as important factors to optimise ageing PLWH clinical care. Further studies are warranted to confirm whether intensified screening translates into HIV morbidity advances.
机译：背景技术虽然艾滋病毒感染的管理指南包括艾滋病毒（PLWH）的老化人员的建议，但欧洲艾滋病毒护理提供者的临床实践可能会有所不同。方法我们通过涉及临床医生面板进行三相Delphi方法进行研究，艾滋病毒感染临床管理专业知识。该研究的主要目的是评估护理提供者对艾滋病毒临床护理如何递送到老化PLWH的指令。第一阶段涉及十个临床医生鉴定艾滋病病毒性艾滋病病毒性兴趣。第二个和第三阶段通过基于网络的问卷招募临床医生，其中包括137个问题，其侧重于11个可理解（例如心血管疾病，肺病等）。结果在报告的欧洲医生中进行了专题方式和共识（或不）分析结果。分别收集九十七和85阶段2和3的反应。欧洲临床护理提供者和欧洲艾滋病会议社会在衰老PLWH中的临床管理关键管理指导方针中发现了高度的协议。结论，我们确定了一些重要的差距，例如缺乏标准化或实施脆弱或更年期的评估，这是优化老化PLWH临床护理的重要因素。有必要进一步研究证实是否会导致艾滋病毒发病率转化。

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