Annals of Internal Medicine -- Tip sheet for November 16, 1999

November 15, 1999

Less Aggressive Treatment of Ill Elderly Does Not Contribute To Higher Death Rates

Studies have shown that seriously ill older adults receive less aggressive treatment and have higher short-term mortality rates than younger adults. A new analysis of data from the SUPPORT study (Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments) found that less aggressive treatment does not explain the survival disadvantage of seriously ill elderly (Article, p. 721). An editorial says that although SUPPORT has "failed to identify how to improve care at the end of life," it has revealed the complexity of caring for terminal illnesses (Editorial, p. 780). The editorial says that "more such 'negative'studies" are needed and that, regardless of the results, they should be adequately funded through the dissemination phase.

Name-Based Surveillance of HIV Infection Has Less Effect Than Many Believe

Reporting HIV-infected patients by name did not result in the patients getting more timely care or in more partners being notified of possible exposure to HIV, a survey found (Medicine and Public Issues, p. 775). On the other hand, the study found "no evidence that name-based surveillance of HIV infection was a substantial barrier to seeking health care promptly after a positive test result."

Physician Report Cards Should Account for Patients' Education Level

Managed care organizations and providers often evaluate physicians using data on patients' physical and mental health status and their reported satisfaction with the physicians. A new study of 100 primary care physicians and 50 patients seen by each physician found that the patients' ranking of the care received was affected by their education levels (Article, p. 745). A higher level of patient education was associated with greater satisfaction.
-end-
Annals of Internal Medicine is published by the American College of Physicians-American Society of Internal Medicine (ACP-ASIM), an organization of more than 115,000 physicians trained in internal medicine. The following highlights are not intended to substitute for articles as sources of information. For an article, call 1-800-523-1546, ext. 2656 or 215-351-2656.

American College of Physicians

Related HIV Articles from Brightsurf:

BEAT-HIV Delaney collaboratory issues recommendations measuring persistent HIV reservoirs
Spearheaded by Wistar scientists, top worldwide HIV researchers from the BEAT-HIV Martin Delaney Collaboratory to Cure HIV-1 Infection by Combination Immunotherapy (BEAT-HIV Collaboratory) compiled the first comprehensive set of recommendations on how to best measure the size of persistent HIV reservoirs during cure-directed clinical studies.

The Lancet HIV: Study suggests a second patient has been cured of HIV
A study of the second HIV patient to undergo successful stem cell transplantation from donors with a HIV-resistant gene, finds that there was no active viral infection in the patient's blood 30 months after they stopped anti-retroviral therapy, according to a case report published in The Lancet HIV journal and presented at CROI (Conference on Retroviruses and Opportunistic Infections).

Children with HIV score below HIV-negative peers in cognitive, motor function tests
Children who acquired HIV in utero or during birth or breastfeeding did not perform as well as their peers who do not have HIV on tests measuring cognitive ability, motor function and attention, according to a report published online today in Clinical Infectious Diseases.

Efforts to end the HIV epidemic must not ignore people already living with HIV
Efforts to prevent new HIV transmissions in the US must be accompanied by addressing HIV-associated comorbidities to improve the health of people already living with HIV, NIH experts assert in the third of a series of JAMA commentaries.

The Lancet HIV: Severe anti-LGBT legislations associated with lower testing and awareness of HIV in African countries
This first systematic review to investigate HIV testing, treatment and viral suppression in men who have sex with men in Africa finds that among the most recent studies (conducted after 2011) only half of men have been tested for HIV in the past 12 months.

The Lancet HIV: Tenfold increase in number of adolescents on HIV treatment in South Africa since 2010, but many still untreated
A new study of more than 700,000 one to 19-year olds being treated for HIV infection suggests a ten-fold increase in the number of adolescents aged 15 to 19 receiving HIV treatment in South Africa, according to results published in The Lancet HIV journal.

Starting HIV treatment in ERs may be key to ending HIV spread worldwide
In a follow-up study conducted in South Africa, Johns Hopkins Medicine researchers say they have evidence that hospital emergency departments (EDs) worldwide may be key strategic settings for curbing the spread of HIV infections in hard-to-reach populations if the EDs jump-start treatment and case management as well as diagnosis of the disease.

NIH HIV experts prioritize research to achieve sustained ART-free HIV remission
Achieving sustained remission of HIV without life-long antiretroviral therapy (ART) is a top HIV research priority, according to a new commentary in JAMA by experts at the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health.

The Lancet HIV: PrEP implementation is associated with a rapid decline in new HIV infections
Study from Australia is the first to evaluate a population-level roll-out of pre-exposure prophylaxis (PrEP) in men who have sex with men.

Researchers date 'hibernating' HIV strains, advancing BC's leadership in HIV cure research
Researchers have developed a novel way for dating 'hibernating' HIV strains, in an advancement for HIV cure research.

Read More: HIV News and HIV Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.