Adherence to Recommendations from Comprehensive Geriatric Assessment of Older Individuals with HIV

Journal of the International Association of Providers of AIDS Care
Christiana BitasMarshall Glesby

Abstract

This retrospective cohort study sought to assess the effectiveness of comprehensive geriatric assessment (CGA) for older patients at an HIV clinic in a large US city. We systematically reviewed medical records of all patients who underwent CGA from June 2013 to July 2017. In addition, physicians and social workers completed an anonymous survey about the impact of CGA on their patients. For the 76 patients (median age 67.2; Q1, Q3 = 60.9, 72.6) seen by geriatricians at the clinic, there were 184 recommendations, 54 instances of counseling, and 11 direct actions. Overall adherence to recommendations was 32.8%, 34.9% for patient-directed, and 31.7% for provider-directed recommendations. No demographic or CGA variables were associated with adherence. Despite this lack of adherence, surveyed providers reported that they usually or always followed recommendations; the most frequently cited barrier to implementation was lack of feasibility. Further research will be needed to determine how CGA can improve outcomes for this population.

References

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Citations

Aug 25, 2020·Southern African Journal of HIV Medicine·Mareike RabeMelaku A Eyassu
Jul 28, 2020·Journal of the International Association of Providers of AIDS Care·Meredith GreeneMonica Gandhi
May 13, 2020·Current HIV/AIDS Reports·Julian Falutz
Nov 27, 2020·Open Forum Infectious Diseases·Aroonsiri Sangarlangkarn, Jonathan S Appelbaum
Apr 6, 2021·Current HIV/AIDS Reports·Kristine M Erlandson, Damani A Piggott
May 8, 2021·HIV/AIDS : Research and Palliative Care·Eugenia L SieglerMarshall J Glesby
Aug 7, 2021·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Amelia J DavisKristine M Erlandson

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