📍Dallas 🇺🇸
- Ask women what they want!!
- Ask women what they want!!
- Care integration
- Home based care: might be an option but might be tricky
- community based
Need a multimorbidity framework.
#HIVGlasgow2024
- Care integration
- Home based care: might be an option but might be tricky
- community based
Need a multimorbidity framework.
#HIVGlasgow2024
- women have diff types of MI
- CT angiography may undeestimate cardiac risk in Women with HIV
- we need to do more to address the research gaps as women are underrepresented in research; stop talking about it and do it!!
#HIVGlasgow2024
- women have diff types of MI
- CT angiography may undeestimate cardiac risk in Women with HIV
- we need to do more to address the research gaps as women are underrepresented in research; stop talking about it and do it!!
#HIVGlasgow2024
- women have different care needs; physiologically, biologically (inflm at various life stages) at various stages of their lives
#HIVGlasgow
- women have different care needs; physiologically, biologically (inflm at various life stages) at various stages of their lives
#HIVGlasgow
- HIV clinic led models: outpt clinics with HIV specialist + team using Comprehensive geriatric approach. Adv: patients known to team. May be resource heavy.
- community based
- virtual based
- primary care based
#HIVGlasgow2024
- HIV clinic led models: outpt clinics with HIV specialist + team using Comprehensive geriatric approach. Adv: patients known to team. May be resource heavy.
- community based
- virtual based
- primary care based
#HIVGlasgow2024
- multiple issues must be addressed to avoid falling through the gaps
- 5.7 million older PWH; higher burden in LMIC
- call to action on this to avoid more morbidity and mortality: some are easier, some are harder. Loneliness is a big factor.
- multiple issues must be addressed to avoid falling through the gaps
- 5.7 million older PWH; higher burden in LMIC
- call to action on this to avoid more morbidity and mortality: some are easier, some are harder. Loneliness is a big factor.
- hard to find data for comorbidity patterns across the world.
- data gaps
#HIVGlasgow2024
- hard to find data for comorbidity patterns across the world.
- data gaps
#HIVGlasgow2024
- increasing age of PWH due to improvements in ART
- increasing comorbidities adjusted for age/gender/residence location
- comorbidity burden in PWH is like 5 years older in those without HIV
- trends of mortality: reduced AIDS related but ⬆️ non-AIDS
- increasing age of PWH due to improvements in ART
- increasing comorbidities adjusted for age/gender/residence location
- comorbidity burden in PWH is like 5 years older in those without HIV
- trends of mortality: reduced AIDS related but ⬆️ non-AIDS
Dr Guaraldi:
- older PWH arw not minorities
- OPWH are heterogenous
- we must realign our services.
- focus not on disease; but on health and well-being. Must fight ageism.
#HIVGlasgow2024
Dr Guaraldi:
- older PWH arw not minorities
- OPWH are heterogenous
- we must realign our services.
- focus not on disease; but on health and well-being. Must fight ageism.
#HIVGlasgow2024
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- had many with baseline high VL
- high efficacy and similar time to VS
- virologic success goes down with dtg/3tc in those with high HIV VL but similar to 3dr!
- had many with baseline high VL
- high efficacy and similar time to VS
- virologic success goes down with dtg/3tc in those with high HIV VL but similar to 3dr!
#HIVGlasgow2024
#HIVGlasgow2024
- LEN/BIC combo
- lower dose ISL with lower T cell toxicity; studies restarted with DOR.
- LEN/BIC combo
- lower dose ISL with lower T cell toxicity; studies restarted with DOR.
- shift towards LA-ART despite low risk for resistance
- shift towards LA-ART despite low risk for resistance