HIV and Aging: Reconsidering the Approach to Management of Comorbidities

Kristine M Erlandson; Maile Y Karris

doi:10.1016/j.idc.2019.04.005

HIV and Aging: Reconsidering the Approach to Management of Comorbidities

Infect Dis Clin North Am. 2019 Sep;33(3):769-786. doi: 10.1016/j.idc.2019.04.005.

Authors

Kristine M Erlandson¹, Maile Y Karris²

Affiliations

¹ University of Colorado, Anschutz Medical Campus, 12700 East 19th Avenue, Mail Stop B168, Aurora, CO 80045, USA. Electronic address: Kristine.Erlandson@ucdenver.edu.
² University of California San Diego, 200 West Arbor Drive #8208, San Diego, CA 92103-8208, USA.

Abstract

Health care for older adults with human immunodeficiency virus can be highly complex, resource intensive, and carry a high administrative burden. Data from aging longitudinal cohorts and feedback from the human immunodeficiency virus community suggest that the current model is not meeting the needs of these older adults. We introduce the 6 Ms approach, which acknowledges the multicomplexity of older adults with human immunodeficiency virus, simplifies geriatric principles for non-geriatrics-trained providers, and minimizes extensive training and specialized screening tests or tools. Implementing novel approaches to care requires support at local/national levels.

Keywords: Aging; Comprehensive geriatric assessment; Frailty; HIV; Multimorbidity; Polypharmacy.

Publication types

Research Support, N.I.H., Extramural
Review

MeSH terms

Acquired Immunodeficiency Syndrome / complications*
Acquired Immunodeficiency Syndrome / pathology*
Aging / pathology*
Comorbidity
Disease Management*
Humans

Abstract

Publication types

MeSH terms

Grants and funding