Australian prescribers' perspectives on ART initiation in the era of “treatment as prevention”
Datos Bibliográficos
| ID | 19440231 |
|---|---|
| Autores | Limin Mao (0000-0003-0995-5789, National Centre for Clinical Research on Emerging Drugs, autor de correspondencia), John De Wit (0000-0002-5895-7935, UNSW Sydney), Philippe Adam (0000-0002-8979-7372, UNSW Sydney), Jeffrey J Post, Julian Post (0000-0003-1475-9272, UNSW Sydney), Levinia Crooks (Australasian Society for Infectious Diseases), Michael R Kidd, Martin Kidd (0000-0002-0221-1245, Flinders University), Sean Slavin (National Association of People with HIV Australia), Susan Kippax (UNSW Sydney), Edwina Wright (0000-0001-8626-782X, Monash University) |
| Año | 2013 |
| Volumen | 25 |
| Número | 11 |
| Páginas | 1375-1379 |
| Fecha de publicación | 2013-11-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | AIDS Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Editorial | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2013.766304 |
| PMID | 23406458 |
| OpenAlex | W2008971432 |
| Idioma | EN |
| Citas recibidas | 6 |
| Referencias citadas | 20 |
This study explores Australian prescribers' attitudes towards Treatment as Prevention (TasP) and their practices around initiating combination antiretroviral treatment (cART) for HIV. A brief online survey was conducted nationally amongst antiretroviral treatment (ART) prescribers in Australia. The sample broadly represented ART prescribers in Australia (N = 108), with 40.7% general practitioners (GPs), 25.9% sexual health clinic-based physicians and 21.3% hospital-based infectious diseases physicians. About 60% of respondents had been treating HIV-positive patients for more than 10 years. Respondents estimated that about 70-80% of all their HIV-positive patients were receiving ART. Over half of the prescribers agreed very strongly that their primary concern in recommending cART initiation was clinical benefit to individual patients rather than any population benefit. A majority of the prescribers (68.5%) strongly endorsed cART initiation before CD4+ T-cell count drops below 350 cells/mm(3), and a further 22.2% strongly endorsed cART initiation before CD4+ T-cell count drops below 500 cells/mm(3). Regarding the optimal timing of cART initiation, this study shows that prescribers in Australia in 2012 focus primarily on the benefits for their individual patients. Prescribers may need more convincing evidence of individual health benefits or increased knowledge about the population health benefits for a TasP approach to be effective in Australia
Alternative medicine · Antiretroviral therapy · Cart · Environmental health · Family medicine · Population · Treatment as prevention · Viral load · HIV Research and Treatment · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine
| Obras citantes distintas | 6 |
|---|---|
| Citas por año | 0,5 |
| Intervalo de citas | 2014 - 2018 (5) |
| Velocidad de citación | historical |
| Altamente citado | No |
| Tipos de cita | Neutras: 5 |