How do we preserve health among adults living with HIV?
Menée aux Etats-Unis et au Canada à partir de données portant sur des patients infectés par le VIH, cette étude analyse la part attribuable des facteurs liés ou non au VIH (tabagisme, hypertension, cholestérol, diabète de type 2, infection par les virus de l'hépatite B ou C, etc.) dans le risque de cancer "non classant SIDA" et pouvant être prévenus ou modifiés
In The Lancet HIV, Keri N Althoff and colleagues estimated the contribution of traditional and HIV-related risk factors for non-AIDS defining cancers, type 1 myocardial infarction, end-stage liver disease, and end-stage renal disease in a large, well performed cohort study of HIV-infected patients from the North American AIDS Cohort Collaboration on Research and Design Consortium recruited during 2000–15. This study highlights the importance of intervening upon traditional risk factors to prevent a substantial proportion of these outcomes among HIV-infected adults. The findings are of interest for physicians treating HIV-infected individuals and could be used to guide the prioritisation of interventions. However, it would be reasonable to initiate a general debate about how money should be used and how to prioritise interventions and allocate resources not only for the ageing HIV population, but also for the aging population in general.
The Lancet HIV 2019