Chimbetete, Cleophas; Mudzviti, Tinashe; Shamu, Tinei (2020). Profile of elderly patients receiving antiretroviral therapy at Newlands Clinic in 2020: A cross-sectional study. Southern African journal of HIV medicine, 21(1), p. 1164. Health and Medical Publishing Group 10.4102/sajhivmed.v21i1.1164
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Background: People living with HIV (PLWH) face new challenges such as accelerated ageing and higher rates of comorbidities including cardiovascular, renal and metabolic diseases as they age.
Objectives: To profile the demographic and clinical characteristics of elderly patients receiving HIV care at Newlands Clinic (NC), Harare, Zimbabwe, as of 01 October 2019.
Methods: A cross-sectional analysis was conducted using clinic data. All patients who were 50 years and older on 01 October 2019 were enrolled. Descriptive statistics (medians, interquartile ranges [IQRs] and proportions) were used to describe patient demographic and clinical characteristics.
Results: Out of 6543 patients undergoing care at NC, 1688 (25.8%) were older than 50 years. The median duration of antiretroviral therapy (ART) was 10.9 years (IQR: 7.1–13). Over 90% of all patients had an HIV viral load below 50 copies/mL. Women were more likely than men to be overweight and obese (32% and 25% vs. 18% and 7%, respectively). Hypertension (41.2%), arthritis (19.9%) and chronic kidney disease (11.6%) were common comorbidities differently distributed based on sex. The most common malignancy diagnosed in women was cervical intra-epithelial neoplasia (68% of cancer burden in women) and Kaposi sarcoma was the leading malignancy in men (41% of cancer burden in men). Nearly 20% of patients had at least two chronic non-communicable comorbidities and 5.6% had at least three.
Conclusion: A high burden of comorbidities was observed amongst HIV-positive elderly patients receiving ART. Age-appropriate monitoring protocols must be developed to ensure optimum quality of care for elderly HIV-positive individuals.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) |
Graduate School: |
Graduate School for Health Sciences (GHS) |
UniBE Contributor: |
Shamu, Tinei |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
2078-6751 |
Publisher: |
Health and Medical Publishing Group |
Language: |
English |
Submitter: |
Doris Kopp Heim |
Date Deposited: |
21 Dec 2020 16:05 |
Last Modified: |
05 Dec 2022 15:43 |
Publisher DOI: |
10.4102/sajhivmed.v21i1.1164 |
PubMed ID: |
33354366 |
BORIS DOI: |
10.7892/boris.150031 |
URI: |
https://boris.unibe.ch/id/eprint/150031 |
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