Articles producció científica> Medicina i Cirurgia

Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions

  • Dades identificatives

    Identificador: imarina:5132576
    Autors:
    Lord E., Stockdale A., Malek R., Rae C., Sperle I., Raben D., Freedman A., Churchill D., Lundgren J., Sullivan A., Kabel J., Block K., Delpech V., Lowbury R., Yazdanpanah Y., Hows J., Del Amo J., Rüütel K.
    Resum:
    Objectives European guidelines recommend HIV testing for individuals presenting with indicator conditions (ICs) including AIDS‐defining conditions (ADCs). The extent to which non‐HIV specialty guidelines recommend HIV testing in ICs and ADCs is unknown. Our aim was to pilot a methodology in the UK to review specialty guidelines and ascertain if HIV was discussed and testing recommended. Methods UK and European HIV testing guidelines were reviewed to produce a list of 25 ADCs and 49 ICs. UK guidelines for these conditions were identified from searches of the websites of specialist societies, the National Institute of Clinical Excellence (NICE) website, the NICE Clinical Knowledge Summaries (CKS) website, the Scottish Intercollegiate Guidance Network (SIGN) website and the British Medical Journal Best Practice database and from Google searches. Results We identified guidelines for 12 of 25 ADCs (48%) and 36 of 49 (73%) ICs. In total, 78 guidelines were reviewed (range 0-13 per condition). HIV testing was recommended in six of 17 ADC guidelines (35%) and 24 of 61 IC guidelines (39%). At least one guideline recommended HIV testing for six of 25 ADCs (24%) and 16 of 49 ICs (33%). There was no association between recommendation to test and publication year (P = 0.62). Conclusions The majority of guidelines for ICs do not recommend testing. Clinicians managing ICs may be unaware of recommendations produced by HIV societies or the prevalence of undiagnosed HIV infection among these patients. We are piloting methods to engage with guideline development groups to ensure that patients diagnosed with ICs/ADCs are tested for HIV. We then plan to apply our methodology in other European settings as part of the Optimising Testing and Linkage to Care for HIV across Europe (OptTEST) proj
  • Altres:

    Autor segons l'article: Lord E., Stockdale A., Malek R., Rae C., Sperle I., Raben D., Freedman A., Churchill D., Lundgren J., Sullivan A., Kabel J., Block K., Delpech V., Lowbury R., Yazdanpanah Y., Hows J., Del Amo J., Rüütel K.
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Vidal Marsal, Francisco
    Paraules clau: Indicator conditions Hiv testing Aids-defining conditions hiv testing aids-defining conditions
    Resum: Objectives European guidelines recommend HIV testing for individuals presenting with indicator conditions (ICs) including AIDS‐defining conditions (ADCs). The extent to which non‐HIV specialty guidelines recommend HIV testing in ICs and ADCs is unknown. Our aim was to pilot a methodology in the UK to review specialty guidelines and ascertain if HIV was discussed and testing recommended. Methods UK and European HIV testing guidelines were reviewed to produce a list of 25 ADCs and 49 ICs. UK guidelines for these conditions were identified from searches of the websites of specialist societies, the National Institute of Clinical Excellence (NICE) website, the NICE Clinical Knowledge Summaries (CKS) website, the Scottish Intercollegiate Guidance Network (SIGN) website and the British Medical Journal Best Practice database and from Google searches. Results We identified guidelines for 12 of 25 ADCs (48%) and 36 of 49 (73%) ICs. In total, 78 guidelines were reviewed (range 0-13 per condition). HIV testing was recommended in six of 17 ADC guidelines (35%) and 24 of 61 IC guidelines (39%). At least one guideline recommended HIV testing for six of 25 ADCs (24%) and 16 of 49 ICs (33%). There was no association between recommendation to test and publication year (P = 0.62). Conclusions The majority of guidelines for ICs do not recommend testing. Clinicians managing ICs may be unaware of recommendations produced by HIV societies or the prevalence of undiagnosed HIV infection among these patients. We are piloting methods to engage with guideline development groups to ensure that patients diagnosed with ICs/ADCs are tested for HIV. We then plan to apply our methodology in other European settings as part of the Optimising Testing and Linkage to Care for HIV across Europe (OptTEST) project.
    Àrees temàtiques: Psicología Pharmacology (medical) Medicina ii Medicina i Infectious diseases Health policy Ciências biológicas iii Ciências biológicas i Biotecnología
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 14642662
    Adreça de correu electrònic de l'autor: francesc.vidal@urv.cat
    Identificador de l'autor: 0000-0002-6692-6186
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://onlinelibrary.wiley.com/doi/full/10.1111/hiv.12430
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Hiv Medicine. 18 (4): 300-304
    Referència de l'ítem segons les normes APA: Lord E., Stockdale A., Malek R., Rae C., Sperle I., Raben D., Freedman A., Churchill D., Lundgren J., Sullivan A., Kabel J., Block K., Delpech V., Low (2017). Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions. Hiv Medicine, 18(4), 300-304. DOI: 10.1111/hiv.12430
    DOI de l'article: 10.1111/hiv.12430
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2017
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Health Policy,Infectious Diseases,Pharmacology (Medical)
    Indicator conditions
    Hiv testing
    Aids-defining conditions
    hiv testing
    aids-defining conditions
    Psicología
    Pharmacology (medical)
    Medicina ii
    Medicina i
    Infectious diseases
    Health policy
    Ciências biológicas iii
    Ciências biológicas i
    Biotecnología
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