Low Non-structured Antiretroviral Therapy Interruptions in HIV-Infected Persons Who Inject Drugs Receiving Multidisciplinary Comprehensive HIV Care at an Outpatient Drug Abuse Treatment Center
Continuous HIV treatment is necessary to ensure successful combined antiretroviral therapy (cART). The aim of this study was to evaluate the incidence of patient-initiated non-structured treatment interruptions in HIV-infected persons who inject drugs and who received a multidisciplinary comprehensi...
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| Veröffentlicht in: | AIDS and behavior 2016-05, Vol.20 (5), p.1068-1075 |
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| creator | Vallecillo, Gabriel Mojal, Sergio Roquer, Albert Samos, Pilar Luque, Sonia Martinez, Diana Martires, Paula Karen Torrens, Marta |
| description | Continuous HIV treatment is necessary to ensure successful combined antiretroviral therapy (cART). The aim of this study was to evaluate the incidence of patient-initiated non-structured treatment interruptions in HIV-infected persons who inject drugs and who received a multidisciplinary comprehensive program, including medical HIV care, drug-dependence treatment and psychosocial support, at a drug outpatient addiction center. Non-structured treatment interruptions were defined as ≥30 consecutive days off cART without medical indication. During a median follow-up of 53.8 months, 37/132 (28 %) patients experienced the first non-structured treatment interruptions. The cumulative probability of cART interruption at 5 years was 31.2 % (95 % CI 22.4–40.0). Current drug use injection ≥1/day (HR 14.77; 95 % CI 5.90–36.96) and cART naive patients (HR 0.35, 95 % CI 0.14–0.93) were predictive factors for non-structured treatment interruptions. HIV care provided at a drug addiction center is a useful strategy to sustain continuous cART, however, drug abstinence is essential for the long-term maintenance of cART. |
| doi_str_mv | 10.1007/s10461-015-1211-y |
| format | Article |
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The aim of this study was to evaluate the incidence of patient-initiated non-structured treatment interruptions in HIV-infected persons who inject drugs and who received a multidisciplinary comprehensive program, including medical HIV care, drug-dependence treatment and psychosocial support, at a drug outpatient addiction center. Non-structured treatment interruptions were defined as ≥30 consecutive days off cART without medical indication. During a median follow-up of 53.8 months, 37/132 (28 %) patients experienced the first non-structured treatment interruptions. The cumulative probability of cART interruption at 5 years was 31.2 % (95 % CI 22.4–40.0). Current drug use injection ≥1/day (HR 14.77; 95 % CI 5.90–36.96) and cART naive patients (HR 0.35, 95 % CI 0.14–0.93) were predictive factors for non-structured treatment interruptions. 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The aim of this study was to evaluate the incidence of patient-initiated non-structured treatment interruptions in HIV-infected persons who inject drugs and who received a multidisciplinary comprehensive program, including medical HIV care, drug-dependence treatment and psychosocial support, at a drug outpatient addiction center. Non-structured treatment interruptions were defined as ≥30 consecutive days off cART without medical indication. During a median follow-up of 53.8 months, 37/132 (28 %) patients experienced the first non-structured treatment interruptions. The cumulative probability of cART interruption at 5 years was 31.2 % (95 % CI 22.4–40.0). Current drug use injection ≥1/day (HR 14.77; 95 % CI 5.90–36.96) and cART naive patients (HR 0.35, 95 % CI 0.14–0.93) were predictive factors for non-structured treatment interruptions. HIV care provided at a drug addiction center is a useful strategy to sustain continuous cART, however, drug abstinence is essential for the long-term maintenance of cART.</description><subject>Abstinence</subject><subject>Acquired immune deficiency syndrome</subject><subject>Addictions</subject><subject>Adult</subject><subject>AIDS</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Comorbidity</subject><subject>Dependence</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug therapy</subject><subject>Drug use</subject><subject>Drugs</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - virology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methadone - administration & dosage</subject><subject>Middle Aged</subject><subject>Opiate Substitution Treatment - statistics & numerical data</subject><subject>Original Paper</subject><subject>Outpatients</subject><subject>Patients</subject><subject>Predictions</subject><subject>Public Health</subject><subject>Spain - epidemiology</subject><subject>Substance Abuse Treatment Centers</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Substance Abuse, Intravenous - drug therapy</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk2P0zAQhiMEYpeFH8AFWeLCJeBxEjs-VuFjKxUWoQLHyEknravEyfqjqP-On4ZDFoSQkDh5NPPMa8_4TZKnQF8CpeKVA5pzSCkUKTCA9HwvuYRCZGnGivx-jKmkqQBeXCSPnDtSSiUX8mFywXjORCb4ZfJ9M34jH0aTOm9D64PFHVkZry16O560VT3ZHtCq6UzWxqO1YfJ6NI5oQ67XX9K16bD1sekjWjfnvx7GSB5jkry2Ye_IJ2xRn7TZk_eh93qnXaunXhtlz6Qah8niAY3TJ5z1SKUsEuWJMuQm-El5jWZRIqsmOCRbi8oPc7LC-UGPkwed6h0-uTuvks9v32yr63Rz825drTZpm9PCpwokghBtqbqCKZoJFjfBVN5Q7JCXquU8lhtogLYxgg7LhnPFcdd2HYDMrpIXi-5kx9uAztdDnAT7Xhkcg6tBlEKWNJfsf9BMMiplHtHnf6HHMVgTB_lJsZzyDCIFC9Xa0TmLXT1ZPcQF1kDr2Qn14oQ6OqGenVCfY8-zO-XQDLj73fHr6yPAFsDFktmj_ePqf6r-AKCRwd4</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Vallecillo, Gabriel</creator><creator>Mojal, Sergio</creator><creator>Roquer, Albert</creator><creator>Samos, Pilar</creator><creator>Luque, Sonia</creator><creator>Martinez, Diana</creator><creator>Martires, Paula Karen</creator><creator>Torrens, Marta</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U2</scope></search><sort><creationdate>20160501</creationdate><title>Low Non-structured Antiretroviral Therapy Interruptions in HIV-Infected Persons Who Inject Drugs Receiving Multidisciplinary Comprehensive HIV Care at an Outpatient Drug Abuse Treatment Center</title><author>Vallecillo, Gabriel ; Mojal, Sergio ; Roquer, Albert ; Samos, Pilar ; Luque, Sonia ; Martinez, Diana ; Martires, Paula Karen ; Torrens, Marta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-a19e177c8af52a03726792a4b0efe68ac66177b1b10c6171fe8b66a6edcff1193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abstinence</topic><topic>Acquired immune deficiency syndrome</topic><topic>Addictions</topic><topic>Adult</topic><topic>AIDS</topic><topic>Antiretroviral agents</topic><topic>Antiretroviral drugs</topic><topic>Antiretroviral therapy</topic><topic>Antiretroviral Therapy, Highly Active</topic><topic>Comorbidity</topic><topic>Dependence</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Drug therapy</topic><topic>Drug use</topic><topic>Drugs</topic><topic>Female</topic><topic>Health behavior</topic><topic>Health Psychology</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV Infections - 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Academic</collection><collection>Safety Science and Risk</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vallecillo, Gabriel</au><au>Mojal, Sergio</au><au>Roquer, Albert</au><au>Samos, Pilar</au><au>Luque, Sonia</au><au>Martinez, Diana</au><au>Martires, Paula Karen</au><au>Torrens, Marta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low Non-structured Antiretroviral Therapy Interruptions in HIV-Infected Persons Who Inject Drugs Receiving Multidisciplinary Comprehensive HIV Care at an Outpatient Drug Abuse Treatment Center</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>20</volume><issue>5</issue><spage>1068</spage><epage>1075</epage><pages>1068-1075</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><coden>AIBEFC</coden><abstract>Continuous HIV treatment is necessary to ensure successful combined antiretroviral therapy (cART). The aim of this study was to evaluate the incidence of patient-initiated non-structured treatment interruptions in HIV-infected persons who inject drugs and who received a multidisciplinary comprehensive program, including medical HIV care, drug-dependence treatment and psychosocial support, at a drug outpatient addiction center. Non-structured treatment interruptions were defined as ≥30 consecutive days off cART without medical indication. During a median follow-up of 53.8 months, 37/132 (28 %) patients experienced the first non-structured treatment interruptions. The cumulative probability of cART interruption at 5 years was 31.2 % (95 % CI 22.4–40.0). Current drug use injection ≥1/day (HR 14.77; 95 % CI 5.90–36.96) and cART naive patients (HR 0.35, 95 % CI 0.14–0.93) were predictive factors for non-structured treatment interruptions. HIV care provided at a drug addiction center is a useful strategy to sustain continuous cART, however, drug abstinence is essential for the long-term maintenance of cART.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>26427376</pmid><doi>10.1007/s10461-015-1211-y</doi><tpages>8</tpages></addata></record> |
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| ispartof | AIDS and behavior, 2016-05, Vol.20 (5), p.1068-1075 |
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| subjects | Abstinence Acquired immune deficiency syndrome Addictions Adult AIDS Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Antiretroviral Therapy, Highly Active Comorbidity Dependence Drug abuse Drug addiction Drug therapy Drug use Drugs Female Health behavior Health Psychology Health services HIV HIV Infections - drug therapy HIV Infections - epidemiology HIV Infections - psychology HIV Infections - virology Human immunodeficiency virus Humans Infectious Diseases Longitudinal Studies Male Medical treatment Medicine Medicine & Public Health Methadone - administration & dosage Middle Aged Opiate Substitution Treatment - statistics & numerical data Original Paper Outpatients Patients Predictions Public Health Spain - epidemiology Substance Abuse Treatment Centers Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - drug therapy Substance Abuse, Intravenous - epidemiology Therapy Treatment Outcome |
| title | Low Non-structured Antiretroviral Therapy Interruptions in HIV-Infected Persons Who Inject Drugs Receiving Multidisciplinary Comprehensive HIV Care at an Outpatient Drug Abuse Treatment Center |
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