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State of HIV Treatment
Results of the International Association of Physicians in AIDS Care Surveys of HIV-Positive Patients and HIV-Treating Physicians in the United States
José M. Zuniga, MSPH, PhD
International Association of Physicians in AIDS Care, Chicago, Illinois; 33 North LaSalle, Suite 1700, Chicago, IL 60602; jzuniga{at}iapac.org
Background: There are few reports about physician and patient attitudes about antiretroviral therapy. Reports on physician perceptions of HIV-positive patients and patients' perceptions of their physicians are even scarcer. Methods:The International Association of Physicians in AIDS Care conducted surveys of HIV-treating physicians, and a separate set of HIV-positive patients. Physicians completed an online questionnaire. Patients completed a written questionnaire.Results: Physicians and patients agreed on several issues, including the priority of viral suppression when making treatment decisions and the treatment-limiting impact of side effects. However, they had diverging treatment goals in mind and differing impressions of the type and incidence of side effects. There were also sharp differences in physicians' estimates of how well patients understand HIV disease and its treatment.Conclusions: The differences revealed through these surveys underline the need to conduct a systematic study of physician and patient attitudes about antiretroviral therapy, as well as physician-patient communication.
Key Words: ART • adherence • resistance, HIV • AIDS
References
- Department of Health and Human Services Panel on Clinical Practices for Treatment of HIV Infection. Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. October 6, 2005. Rockville, Md: Department of Health and Human Services; 2005.
- Gulick RM, Ribaudo HJ, Shikuma CM, et al. Triple-nucleo side regimens versus efavirenz-containing regimens for the initial treatment of HIV-1 infection. N Engl J Med. 2004;350: 1850-1861.[Abstract/Free Full Text]
- Fagard C, Oxenius A, Günthard H, et al. A prospective trial of structured treatment interruptions in human immunodeficiency virus infection. Arch Intern Med. 2003;163:1220-1226.[Abstract/Free Full Text]
- Kaufmann DE, Lichterfeld M, Altfeld M, et al. Limited durability of viral control following treated acute HIV infection. PLoS Med. 2004;1:e36-e36.[CrossRef][Medline]
[Order article via Infotrieve]
- Hoen B, Fournier I, Lacabaratz C, et al. Structured treatment interruptions in primary HIV-1 infection: the ANRS 100 PRIMSTOP trial. J Acquir Immune Defic Syndr. 2005;40:307-316.[Medline]
[Order article via Infotrieve]
- Lawrence J, Mayers DL, Hullsiek KH, et al. Structured treatment interruption in patients with multidrug-resistant human immunodeficiency virus. N Engl J Med. 2003;349:837-846.[Abstract/Free Full Text]
- Ruiz L, Ribera E, Bonjoch A, et al. Role of structured treatment interruption before a 5-drug salvage antiretroviral regimen: the Retrogene Study. J Infect Dis. 2003;188:977-985.[CrossRef][Medline]
[Order article via Infotrieve]
- Ghosn J, Wirden M, Ktorza N, et al. No benefit of a structured treatment interruption based on genotypic resistance in heavily pretreated HIV-infected patients. AIDS. 2005;19: 1643-1647.[Medline]
[Order article via Infotrieve]
- El-Sadr W, Neaton J. Episodic CD4-guided use of antiretroviral therapy is inferior to continuous therapy: results of the SMART study. In: Program and abstracts of the 13th Conference on Retroviruses and Opportunistic Infections. February 5-8, 2006. Denver, Colorado. Abstract 106LB-106LB.
Journal of the International Association of Physicians in AIDS Care (JIAPAC), Vol. 5, No. 2,
51-56 (2006)
DOI: 10.1177/1545109706288805
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