Reassessing HIV Detection Strategies: An Analysis of Opportunistic Screening vs. Indicator-Condition-Driven Diagnosis in Valencia, Spain.
Our study assessed the characteristics of people living with HIV (PLWH) detected via opportunistic screening in Valencia (Spain) to determine diagnoses potentially missed under a more restrictive, indicator-condition diagnostic strategy. We conducted a retrospective analysis of electronic health rec...
| Publicado en: | Journal of Community Health Vol. 49; no. 4; pp. 748 - 755 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Springer Nature
Aug2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178878337&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178878337 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Aug2024 vid: 49 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 178878337 10.1007/s10900-024-01326-9 ppf: 748 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P size: 1MB tig: atl: Reassessing HIV Detection Strategies: An Analysis of Opportunistic Screening vs. Indicator-Condition-Driven Diagnosis in Valencia, Spain. aug: au: Ortega, Enrique Ocete, María Dolores Martínez-Roma, María Gimeno, Concepción Gómez, Neus Diago, Moisés Carrodeguas, Alba Medina, Diogo García-Deltoro, Miguel affil: https://ror.org/02wcq1q49 Fundació Investigació Hospital General Universitari de Valencia, Valencia, Spain Consorci Hospital General Universitari de Valencia, Valencia, Spain https://ror.org/043nxc105 Facultad de Medicina, Universidad de Valencia, Valencia, Spain https://ror.org/02qacef07 Gilead Sciences, Madrid, Spain su: Spain Medical care Nomads Retrospective studies Medical screening Diagnosis of HIV infections HIV prevention Research funding HIV-positive persons CD4 lymphocyte count Spaniards Medical records Acquisition of data Electronic health records AIDS serodiagnosis Medical appointments Early diagnosis Delayed diagnosis Time sug: subj: Medical care Nomads Retrospective studies Medical screening Spain All Other Miscellaneous Ambulatory Health Care Services Diagnosis of HIV infections HIV prevention Research funding HIV-positive persons CD4 lymphocyte count Spaniards Medical records Acquisition of data Electronic health records AIDS serodiagnosis Medical appointments Early diagnosis Delayed diagnosis Time keyword: Diagnosis Strategy HIV Linkage to care Screening Diagnosis Strategy HIV Linkage to care Screening ab: Our study assessed the characteristics of people living with HIV (PLWH) detected via opportunistic screening in Valencia (Spain) to determine diagnoses potentially missed under a more restrictive, indicator-condition diagnostic strategy. We conducted a retrospective analysis of electronic health records of 97 PLWH diagnosed between April 2019 and August 2022. The main outcomes reported were patient CD4 T cell count, known HIV risk factors at diagnosis, and missed opportunities for diagnosis, defined as the failure of a previously untested patient to undergo HIV testing despite attending previous visits to healthcare facilities prior to diagnosis. Successful linkage to care was achieved for 95.9% of diagnosed patients. Half of the PLWH were diagnosed late, while 47.8% did not meet the criteria for indicator-condition-driven HIV diagnosis at the time of their diagnosis. Additionally, 52.2% did not receive HIV testing despite an average of 5.1 ± 6.0 healthcare visits in the 12 months prior to diagnosis. Spaniards had more missed opportunities for diagnosis than foreigners (64% vs. 40%, p = 0.02). Depending solely on an indicator-condition-driven HIV diagnosis approach could result in 47.8% of cases being missed. Including "migrants" as a testing criterion could lower missed diagnoses to 25.3% but might create inequities in prevention access. In conclusion, our findings provide valuable insights to enhance HIV testing, early diagnosis, and linkage to care. While it is crucial to uphold the indicator-condition-driven HIV diagnosis as baseline practice, improving screening strategies will decrease late diagnoses and missed opportunities, thereby effectively contributing to end the epidemic. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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