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dc.contributor.authorRhodes, Corinne M.en_US
dc.contributor.authorChang, Yuchiaoen_US
dc.contributor.authorRegan, Susanen_US
dc.contributor.authorTriant, Virginia A.en_US
dc.date.accessioned2017-02-18T01:58:42Z
dc.date.issued2017en_US
dc.identifier.citationRhodes, Corinne M., Yuchiao Chang, Susan Regan, and Virginia A. Triant. 2017. “Non-Communicable Disease Preventive Screening by HIV Care Model.” PLoS ONE 12 (1): e0169246. doi:10.1371/journal.pone.0169246. http://dx.doi.org/10.1371/journal.pone.0169246.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:30371063
dc.description.abstractImportance The Human Immunodeficiency Virus (HIV) epidemic has evolved, with an increasing non-communicable disease (NCD) burden emerging and need for long-term management, yet there are limited data to help delineate the optimal care model to screen for NCDs for this patient population. Objective: The primary aim was to compare rates of NCD preventive screening in persons living with HIV/AIDS (PLWHA) by type of HIV care model, focusing on metabolic/cardiovascular disease (CVD) and cancer screening. We hypothesized that primary care models that included generalists would have higher preventive screening rates. Design: Prospective observational cohort study. Setting: Partners HealthCare System (PHS) encompassing Brigham & Women’s Hospital, Massachusetts General Hospital, and affiliated community health centers. Participants: PLWHA age >18 engaged in active primary care at PHS. Exposure HIV care model categorized as infectious disease (ID) providers only, generalist providers only, or ID plus generalist providers. Main Outcome(s) and Measures(s) Odds of screening for metabolic/CVD outcomes including hypertension (HTN), obesity, hyperlipidemia (HL), and diabetes (DM) and cancer including colorectal cancer (CRC), cervical cancer, and breast cancer. Results: In a cohort of 1565 PLWHA, distribution by HIV care model was 875 ID (56%), 90 generalists (6%), and 600 ID plus generalists (38%). Patients in the generalist group had lower odds of viral suppression but similar CD4 counts and ART exposure as compared with ID and ID plus generalist groups. In analyses adjusting for sociodemographic and clinical covariates and clustering within provider, there were no significant differences in metabolic/CVD or cancer screening rates among the three HIV care models. Conclusions: There were no notable differences in metabolic/CVD or cancer screening rates by HIV care model after adjusting for sociodemographic and clinical factors. These findings suggest that HIV patients receive similar preventive health care for NCDs independent of HIV care model.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0169246en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218477/pdf/en
dash.licenseLAAen_US
dc.subjectBiology and Life Sciencesen
dc.subjectMicrobiologyen
dc.subjectMedical Microbiologyen
dc.subjectMicrobial Pathogensen
dc.subjectViral Pathogensen
dc.subjectImmunodeficiency Virusesen
dc.subjectHIVen
dc.subjectMedicine and Health Sciencesen
dc.subjectPathology and Laboratory Medicineen
dc.subjectPathogensen
dc.subjectOrganismsen
dc.subjectVirusesen
dc.subjectBiology and life sciencesen
dc.subjectRNA virusesen
dc.subjectRetrovirusesen
dc.subjectLentivirusen
dc.subjectDiagnostic Medicineen
dc.subjectCancer Detection and Diagnosisen
dc.subjectCancer Screeningen
dc.subjectOncologyen
dc.subjectEndocrinologyen
dc.subjectEndocrine Disordersen
dc.subjectDiabetes Mellitusen
dc.subjectMetabolic Disordersen
dc.subjectMedicine and health sciencesen
dc.subjectPublic and occupational healthen
dc.subjectPreventive medicineen
dc.subjectHIV preventionen
dc.subjectEpidemiologyen
dc.subjectHIV epidemiologyen
dc.subjectHealth Careen
dc.subjectPrimary Careen
dc.subjectCancers and Neoplasmsen
dc.subjectGynecological Tumorsen
dc.subjectCervical Canceren
dc.subjectHealth Care Policyen
dc.subjectScreening Guidelinesen
dc.titleNon-Communicable Disease Preventive Screening by HIV Care Modelen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dash.depositing.authorChang, Yuchiaoen_US
dc.date.available2017-02-18T01:58:42Z
dc.identifier.doi10.1371/journal.pone.0169246*
dash.contributor.affiliatedTriant, Virginia
dash.contributor.affiliatedRegan, Susan
dash.contributor.affiliatedChang, Yuchiao


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