Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia
Objectives: Integration of HIV and non-communicable disease services improves the quality and efficiency of care in low- and middle-income countries (LMICs). We aimed to describe current practices for the screening and management of atherosclerotic cardiovascular disease (ASCVD) among adult HIV clin...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-01-01
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| Series: | Journal of Virus Eradication |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2055664020300054 |
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| author | D.C. Boettiger M.G. Law J. Ross B.V. Huy B.S.L. Heng R. Ditangco S. Kiertiburanakul A. Avihingsanon D.D. Cuong N. Kumarasamy A. Kamarulzaman P.S. Ly E. Yunihastuti T. Parwati Merati F. Zhang S. Khusuwan R. Chaiwarith M.P. Lee S. Sangle J.Y. Choi W.W. Ku J. Tanuma O.T. Ng A.H. Sohn C.W. Wester D. Nash C. Mugglin S. Pujari |
| author_facet | D.C. Boettiger M.G. Law J. Ross B.V. Huy B.S.L. Heng R. Ditangco S. Kiertiburanakul A. Avihingsanon D.D. Cuong N. Kumarasamy A. Kamarulzaman P.S. Ly E. Yunihastuti T. Parwati Merati F. Zhang S. Khusuwan R. Chaiwarith M.P. Lee S. Sangle J.Y. Choi W.W. Ku J. Tanuma O.T. Ng A.H. Sohn C.W. Wester D. Nash C. Mugglin S. Pujari |
| author_sort | D.C. Boettiger |
| collection | DOAJ |
| description | Objectives: Integration of HIV and non-communicable disease services improves the quality and efficiency of care in low- and middle-income countries (LMICs). We aimed to describe current practices for the screening and management of atherosclerotic cardiovascular disease (ASCVD) among adult HIV clinics in Asia. Methods: Sixteen LMIC sites included in the International Epidemiology Databases to Evaluate AIDS – Asia-Pacific network were surveyed. Results: Sites were mostly (81%) based in urban public referral hospitals. Half had protocols to assess tobacco and alcohol use. Protocols for assessing physical inactivity and obesity were in place at 31% and 38% of sites, respectively. Most sites provided educational material on ASCVD risk factors (between 56% and 75% depending on risk factors). A total of 94% reported performing routine screening for hypertension, 100% for hyperlipidaemia and 88% for diabetes. Routine ASCVD risk assessment was reported by 94% of sites. Protocols for the management of hypertension, hyperlipidaemia, diabetes, high ASCVD risk and chronic ischaemic stroke were in place at 50%, 69%, 56%, 19% and 38% of sites, respectively. Blood pressure monitoring was free for patients at 69% of sites; however, most required patients to pay some or all the costs for other ASCVD-related procedures. Medications available in the clinic or within the same facility included angiotensin-converting enzyme inhibitors (81%), statins (94%) and sulphonylureas (94%). Conclusion: The consistent availability of clinical screening, diagnostic testing and procedures and the availability of ASCVD medications in the Asian LMIC clinics surveyed are strengths that should be leveraged to improve the implementation of cardiovascular care protocols. |
| first_indexed | 2024-12-23T03:08:32Z |
| format | Article |
| id | doaj.art-0206a75859f1480d967a91347a466f80 |
| institution | Directory Open Access Journal |
| issn | 2055-6640 |
| language | English |
| last_indexed | 2024-12-23T03:08:32Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Virus Eradication |
| spelling | doaj.art-0206a75859f1480d967a91347a466f802022-12-21T18:02:17ZengElsevierJournal of Virus Eradication2055-66402020-01-01611118Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in AsiaD.C. Boettiger0M.G. Law1J. Ross2B.V. Huy3B.S.L. Heng4R. Ditangco5S. Kiertiburanakul6A. Avihingsanon7D.D. Cuong8N. Kumarasamy9A. Kamarulzaman10P.S. Ly11E. Yunihastuti12T. Parwati Merati13F. Zhang14S. Khusuwan15R. Chaiwarith16M.P. Lee17S. Sangle18J.Y. Choi19W.W. Ku20J. Tanuma21O.T. Ng22A.H. Sohn23C.W. Wester24D. Nash25C. Mugglin26S. Pujari27Kirby Institute, UNSW Sydney, Australia; Institute for Health Policy Studies, University of California, San Francisco, USA; Corresponding author: David C Boettiger Institute for Health Policy Studies, University of California, San Francisco, 3333 California Street, 94118, USAKirby Institute, UNSW Sydney, AustraliaTREAT Asia/amfAR, The Foundation for AIDS Research, Bangkok, ThailandNational Hospital for Tropical Disease, Hanoi, VietnamHospital Sungai Buloh, Kuala Lumpur, MalaysiaResearch Institute for Tropical Medicine, Manila, PhilippinesFaculty of Medicine Ramathibodi Hospital, Bangkok, ThailandHIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, ThailandBach Mai Hospital, Hanoi, VietnamCART Clinical Research Site, Infectious Diseases Medical Centre, Voluntary Health Services, Chennai, IndiaUniversity Malaya Medical Centre, Kuala Lumpur, MalaysiaSocial Health Clinic, National Center for HIV/AIDS, Dermatology and STDs, Phnom Penh, CambodiaFaculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Jakarta, IndonesiaUdayana University and Sanglah Hospital, Denpasar, IndonesiaBeijing Ditan Hospital, Capital Medical University, Beijing, ChinaChiangrai Prachanukhor Hospital, Chiangrai, ThailandResearch Institute for Health Sciences, Chiangmai, ThailandQueen Elizabeth Hospital, Hong KongBJ Government Medical College and Sassoon General Hospitals, Pune, IndiaSeverance Hospital, Seoul, South KoreaTaipei Veterans General Hospital, Taipei, TaiwanNational Center for Global Health and Medicine, Tokyo, JapanTan Tock Seng Hospital, SingaporeTREAT Asia/amfAR, The Foundation for AIDS Research, Bangkok, ThailandVanderbilt University Medical Center, Institute for Global Health, Nashville, USAInstitute for Implementation Science in Population Health, City University of New York, New York, USA; Department of Epidemiology and Biostatistics, City University of New York, New York, USAInstitute of Social and Preventative Medicine, University of Bern, SwitzerlandInstitute for Infectious Diseases, Pune, IndiaObjectives: Integration of HIV and non-communicable disease services improves the quality and efficiency of care in low- and middle-income countries (LMICs). We aimed to describe current practices for the screening and management of atherosclerotic cardiovascular disease (ASCVD) among adult HIV clinics in Asia. Methods: Sixteen LMIC sites included in the International Epidemiology Databases to Evaluate AIDS – Asia-Pacific network were surveyed. Results: Sites were mostly (81%) based in urban public referral hospitals. Half had protocols to assess tobacco and alcohol use. Protocols for assessing physical inactivity and obesity were in place at 31% and 38% of sites, respectively. Most sites provided educational material on ASCVD risk factors (between 56% and 75% depending on risk factors). A total of 94% reported performing routine screening for hypertension, 100% for hyperlipidaemia and 88% for diabetes. Routine ASCVD risk assessment was reported by 94% of sites. Protocols for the management of hypertension, hyperlipidaemia, diabetes, high ASCVD risk and chronic ischaemic stroke were in place at 50%, 69%, 56%, 19% and 38% of sites, respectively. Blood pressure monitoring was free for patients at 69% of sites; however, most required patients to pay some or all the costs for other ASCVD-related procedures. Medications available in the clinic or within the same facility included angiotensin-converting enzyme inhibitors (81%), statins (94%) and sulphonylureas (94%). Conclusion: The consistent availability of clinical screening, diagnostic testing and procedures and the availability of ASCVD medications in the Asian LMIC clinics surveyed are strengths that should be leveraged to improve the implementation of cardiovascular care protocols.http://www.sciencedirect.com/science/article/pii/S2055664020300054HIVcardiovascular diseaseatherosclerosishypertensionAsia |
| spellingShingle | D.C. Boettiger M.G. Law J. Ross B.V. Huy B.S.L. Heng R. Ditangco S. Kiertiburanakul A. Avihingsanon D.D. Cuong N. Kumarasamy A. Kamarulzaman P.S. Ly E. Yunihastuti T. Parwati Merati F. Zhang S. Khusuwan R. Chaiwarith M.P. Lee S. Sangle J.Y. Choi W.W. Ku J. Tanuma O.T. Ng A.H. Sohn C.W. Wester D. Nash C. Mugglin S. Pujari Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia Journal of Virus Eradication HIV cardiovascular disease atherosclerosis hypertension Asia |
| title | Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia |
| title_full | Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia |
| title_fullStr | Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia |
| title_full_unstemmed | Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia |
| title_short | Atherosclerotic cardiovascular disease screening and management protocols among adult HIV clinics in Asia |
| title_sort | atherosclerotic cardiovascular disease screening and management protocols among adult hiv clinics in asia |
| topic | HIV cardiovascular disease atherosclerosis hypertension Asia |
| url | http://www.sciencedirect.com/science/article/pii/S2055664020300054 |
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