Guidelines for Persons With HIV
Authors: Frederick L. Altice
Journal: Annals of Internal Medicine (2012)

Letters4 December 2012Guidelines for Persons With HIVFrederick L. Altice, MD, MA, Curt G. Beckwith, MD, Tim Horn, MS, and Jane M. Simoni, PhD, on behalf of the International Association of Physicians in AIDS Care Panel on Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIVFrederick L. Altice, MD, MAFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, Curt G. Beckwith, MDFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, Tim Horn, MSFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, and Jane M. Simoni, PhDFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, on behalf of the International Association of Physicians in AIDS Care Panel on Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIVSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-11-201212040-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The letters from Dr. Fitzpatrick and colleagues and Drs. Wood and Montaner show areas that the panel addressed but for which insufficient evidence limited the ability to make definitive recommendations. Given the assumptions needed for interpreting uncontrolled studies, we confined our evidence base to studies with either randomized or observational comparative data.We agree with Dr. Fitzpatrick and colleagues that peer navigation and intensive individual outreach may be helpful in achieving successful entry into and retention in clinical care, particularly among persons with comorbid psychiatric and substance use disorders. The strength of evidence for such strategies is currently ...References1. Altice FL, Kamarulzaman A, Soriano VV, Schechter M, Friedland GH. Treatment of medical, psychiatric, and substance-use comorbidities in people infected with HIV who use drugs. Lancet. 2010;376:367-87. [PMID: 20650518] CrossrefMedlineGoogle Scholar2. Wolfe D, Carrieri MP, Shepard D. Treatment and care for injecting drug users with HIV infection: a review of barriers and ways forward. Lancet. 2010;376:355-66. [PMID: 20650513] CrossrefMedlineGoogle Scholar3. Binford MC, Kahana SY, Altice FL. A systematic review of antiretroviral adherence interventions for HIV-infected people who use drugs. Curr HIV/AIDS Rep. 2012;:. [PMID: 22936463] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Disclosures: Disclosures from authors and panel members can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-0061. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoGuidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIV: Evidence-Based Recommendations From an International Association of Physicians in AIDS Care Panel Melanie A. Thompson , Michael J. Mugavero , K. Rivet Amico , Victoria A. Cargill , Larry W. Chang , Robert Gross , Catherine Orrell , Frederick L. Altice , David R. Bangsberg , John G. Bartlett , Curt G. Beckwith , Nadia Dowshen , Christopher M. Gordon , Tim Horn , Princy Kumar , James D. Scott , Michael J. Stirratt , Robert H. Remien , Jane M. Simoni , and Jean B. Nachega Guidelines for Persons With HIV Lisa K. Fitzpatrick , Daveda Hudson , and Aurnell Dright Guidelines for Persons With HIV Evan Wood and Julio S.G. Montaner Metrics 4 December 2012Volume 157, Issue 11Page: 833-834KeywordsAntiretroviralsDrug adherenceDrugsEvidence based medicineHIVHealth careObservational studiesPharmacistsTreatment guidelines ePublished: 4 December 2012 Issue Published: 4 December 2012 CopyrightCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...