Document Detail


HIV, aging, and advance care planning: are we successfully planning for the future?
MedLine Citation:
PMID:  22694717     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Studies of advance care planning (ACP) completion rates in HIV-infected persons pre-date the "graying" of the HIV epidemic. We sought to examine current ACP completion rates and factors influencing completion among HIV-infected persons.
METHODS: HIV-1-seropositive persons aged 45-65 years on effective antiretroviral therapy for a minimum of 6 months were enrolled in a cross-sectional survey. Likelihood of ACP was assessed by demographic and clinical characteristics, tested with odds ratios (OR) and 95% Wald confidence intervals (CI), and adjusted for gender.
RESULTS: Of 238 participants, 112 (47%) completed ACP. Persons ≥55 years of age (OR 2.8; CI 1.6,5.0; p<0.001), males (OR 4.1; CI 1.8,9.3; p=0.004), and persons with higher education (OR 2.2; CI 1.3,4.0; p=0.007) were more likely to have completed ACP. Persons with a cardiac event were more likely to have completed ACP (OR 5.5; CI 1.6,25; p=0.03), although this effect was diminished after adjusting for gender (OR 4.5; CI 0.95,21.4; p=0.06). HIV infection diagnosed for greater than 5 years was not associated with ACP completion (OR 1.3; CI 0.7,2.7; p=0.4). Current CD4(+) cell counts were similar between those completing and not completing documentation (588 cells/μL and 604 cells/μL, respectively; p=0.7). The likelihood of ACP did not significantly differ with other comorbidities.
DISCUSSION: Less than 50% of middle-aged patients in HIV care had documented ACP. In particular, women and those with lower education were at greatest risk of non-completion and may need interventions to improve ACP.
Authors:
Kristine M Erlandson; Amanda A Allshouse; Syki Duong; Samantha MaWhinney; Wendy M Kohrt; Thomas B Campbell
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-06-13
Journal Detail:
Title:  Journal of palliative medicine     Volume:  15     ISSN:  1557-7740     ISO Abbreviation:  J Palliat Med     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-10     Completed Date:  2013-01-16     Revised Date:  2013-10-11    
Medline Journal Info:
Nlm Unique ID:  9808462     Medline TA:  J Palliat Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1124-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of Infectious Disease, University of Colorado-Anschutz Medical Campus, Aurora, Colorado 80045, USA. Kristine.Erlandson@ucdenver.edu
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MeSH Terms
Descriptor/Qualifier:
Advance Care Planning*
Aged
Aging*
Colorado
Confidence Intervals
Cross-Sectional Studies
Female
HIV Seropositivity*
Humans
Male
Middle Aged
Odds Ratio
Sex Factors
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
RR025780/RR/NCRR NIH HHS; T32 A1007447-1//PHS HHS
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