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Practical management of complexity in older people with HIV

Approaching an international consensus

Bibliographic Data

ID19443166
AuthorsTristan Barber (0000-0003-1914-4891, Ian Charleson Day Centre, Royal Free London NHS Foundation Trust, London, UK, corresponding author), Brenda Crabtree (Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán), Claudia P Cortés (0000-0001-9101-9783, Universidad de Chile School of Medicine, Santiago, Chile), Giovanni Guaraldi (0000-0002-5724-3914, Modena HIV Metabolic Clinic, University of Modena and Reggio Emilia, Modena, Italy), Jennifer Hoy (0000-0002-6948-7086, Monash University), Jennifer F Hoy (Department of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Australia), Reena Rajasuriar (0000-0003-3756-0629, University of Malaya), Jessica Castilho (Vanderbilt University Medical Center), Jessica L Castilho (0000-0002-7599-8173, Vanderbilt University Medical Center), Moisés Agosto-Rosario (National Minority AIDS Council (NMAC), Washington DC, USA), Kate Murzin (Realize, Toronto, Canada), Julian Falutz (McGill University Health Centre)
Year2023
Volume35
Issue8
Pages1149-1153
Publication date2023-08-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2190956
PMID36994591
OpenAlexW4361267619
LanguageEN
Citations received1
References cited23

Globally the community of people with HIV is ageing, and some of these have increasingly complex care needs, with a known excess of non-HIV related comorbidities and related issues including consequent polypharmacy. At the 2022 International AIDS Conference in Montréal, Canada, the "Silver Zone" was created in the Global Village as a safe space for older people with HIV. As part of the Silver Zone activities, a session discussing global models of care for in this group was held. HIV treatment providers and advocates from diverse resource settings and with a diversity of expertise were invited to share their experience, reflections, and ideas, and this consensus statement was formed based on these discussions. Different approaches to care emerged, based on local needs and resources, and it became clear that issues of complexity and frailty need not be age limited. Despite clear regional differences, some common themes became apparent, and a consensus was established on basic principles that may be considered in diverse settings. These are discussed here, with agreement on necessary proximal steps to develop bespoke person-centred care models

Consensus conference · Library science · Political science · Chronic Disease Management Strategies · Computer Science · Frailty in Older Adults · Health Systems, Economic Evaluations, Quality of Life · Medicine · Virology

  • “I must carefully evaluate the benefits and risks to determine the appropriate person to disclose to” exploring preferences in selection of disclosure recipients among older people living with HIV in China

    Jiaxin Hao, Limei Feng et al.•AIDS Care•2025

  • Frailty in elderly people

    Open Access•Andrew Clegg, John Young et al.•The Lancet•2013

  • Future challenges for clinical care of an ageing population infected with HIV

    Open Access•Mikaela Smit, Kees Brinkman et al.•The Lancet Infectious Diseases•2015

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1
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