Back to Search Start Over

Growing challenges for HIV programmes in Asia: clinic population trends, 2003-2013.

Authors :
De La Mata NL
Kumarasamy N
Ly PS
Ng OT
Nguyen KV
Merati TP
Lee MP
Do CD
Choi JY
Ross JL
Law MG
Source :
AIDS care [AIDS Care] 2017 Oct; Vol. 29 (10), pp. 1243-1254. Date of Electronic Publication: 2017 Jan 29.
Publication Year :
2017

Abstract

The scale-up of antiretroviral therapy (ART) has led to a substantial change in the clinical population of HIV-positive patients receiving care. We describe the temporal trends in the demographic and clinical characteristics of HIV-positive patients initiating ART in 2003-13 within an Asian regional cohort. All HIV-positive adult patients that initiated ART between 2003 and 2013 were included. We summarized ART regimen use, age, CD4 cell count, HIV viral load, and HIV-related laboratory monitoring rates during follow-up by calendar year. A total of 16 962 patients were included in the analysis. Patients in active follow-up increased from 695 patients at four sites in 2003 to 11,137 patients at eight sites in 2013. The proportion of patients receiving their second or third ART regimen increased over time (5% in 2003 to 29% in 2013) along with patients aged ≥50 years (8% in 2003 to 18% in 2013). Concurrently, CD4 monitoring has remained stable in recent years, whereas HIV viral load monitoring, although varied among the sites, is increasing. There have been substantial changes in the clinical and demographic characteristics of HIV-positive patients receiving ART in Asia. HIV programmes will need to anticipate the clinical care needs for their aging populations, expanded viral load monitoring, and, the eventual increase in second and third ART regimens that will lead to higher costs and more complex drug procurement needs.

Details

Language :
English
ISSN :
1360-0451
Volume :
29
Issue :
10
Database :
MEDLINE
Journal :
AIDS care
Publication Type :
Academic Journal
Accession number :
28132544
Full Text :
https://doi.org/10.1080/09540121.2017.1282108