Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study.
<h4>Background</h4>HIV testing among patients with malignant lymphoma (PWML) is variably implemented. We evaluated HIV testing among PWML, and mapped factors influencing hematologists' testing behavior.<h4>Materials</h4>We conducted a mixed-methods study assessing HIV te...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0279958 |
| _version_ | 1797866809769066496 |
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| author | Saskia Bogers Hanne Zimmermann Amie Ndong Udi Davidovich Marie José Kersten Peter Reiss Maarten Schim van der Loeff Suzanne Geerlings HIV Transmission Elimination AMsterdam (H-TEAM) Consortium |
| author_facet | Saskia Bogers Hanne Zimmermann Amie Ndong Udi Davidovich Marie José Kersten Peter Reiss Maarten Schim van der Loeff Suzanne Geerlings HIV Transmission Elimination AMsterdam (H-TEAM) Consortium |
| author_sort | Saskia Bogers |
| collection | DOAJ |
| description | <h4>Background</h4>HIV testing among patients with malignant lymphoma (PWML) is variably implemented. We evaluated HIV testing among PWML, and mapped factors influencing hematologists' testing behavior.<h4>Materials</h4>We conducted a mixed-methods study assessing HIV testing among PWML, factors influencing HIV testing and opportunities for improvement in five hospitals in the region of Amsterdam, the Netherlands. The proportion of PWML tested for HIV within 3 months before or after lymphoma diagnosis and percentage positive were assessed from January 2015 through June 2020. Questionnaires on intention, behavior and psychosocial determinants for HIV testing were conducted among hematologists. Through twelve semi-structured interviews among hematologists and authors of hematology guidelines, we further explored influencing factors and opportunities for improvement.<h4>Findings</h4>Overall, 1,612 PWML were included for analysis, including 976 patients newly diagnosed and 636 patients who were referred or with progressive/relapsed lymphoma. Seventy percent (678/976) of patients newly diagnosed and 54% (343/636) of patients with known lymphoma were tested for HIV. Overall, 7/1,021 (0.7%) PWML tested HIV positive, exceeding the 0.1% cost-effectiveness threshold. Questionnaires were completed by 40/77 invited hematologists, and 85% reported intention to test PWML for HIV. In the interviews, hematologists reported varying HIV testing strategies, including testing all PWML or only when lymphoma treatment is required. Recommendations for improved HIV testing included guideline adaptations, providing electronic reminders and monitoring and increasing awareness.<h4>Conclusions</h4>Missed opportunities for HIV testing among PWML occurred and HIV test strategies varied among hematologists. Efforts to improve HIV testing among PWML should include a combination of approaches. |
| first_indexed | 2024-04-09T23:31:19Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-09T23:31:19Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e72615b27fd4461996bb6a46ff6af8c12023-03-21T05:31:58ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01181e027995810.1371/journal.pone.0279958Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study.Saskia BogersHanne ZimmermannAmie NdongUdi DavidovichMarie José KerstenPeter ReissMaarten Schim van der LoeffSuzanne GeerlingsHIV Transmission Elimination AMsterdam (H-TEAM) Consortium<h4>Background</h4>HIV testing among patients with malignant lymphoma (PWML) is variably implemented. We evaluated HIV testing among PWML, and mapped factors influencing hematologists' testing behavior.<h4>Materials</h4>We conducted a mixed-methods study assessing HIV testing among PWML, factors influencing HIV testing and opportunities for improvement in five hospitals in the region of Amsterdam, the Netherlands. The proportion of PWML tested for HIV within 3 months before or after lymphoma diagnosis and percentage positive were assessed from January 2015 through June 2020. Questionnaires on intention, behavior and psychosocial determinants for HIV testing were conducted among hematologists. Through twelve semi-structured interviews among hematologists and authors of hematology guidelines, we further explored influencing factors and opportunities for improvement.<h4>Findings</h4>Overall, 1,612 PWML were included for analysis, including 976 patients newly diagnosed and 636 patients who were referred or with progressive/relapsed lymphoma. Seventy percent (678/976) of patients newly diagnosed and 54% (343/636) of patients with known lymphoma were tested for HIV. Overall, 7/1,021 (0.7%) PWML tested HIV positive, exceeding the 0.1% cost-effectiveness threshold. Questionnaires were completed by 40/77 invited hematologists, and 85% reported intention to test PWML for HIV. In the interviews, hematologists reported varying HIV testing strategies, including testing all PWML or only when lymphoma treatment is required. Recommendations for improved HIV testing included guideline adaptations, providing electronic reminders and monitoring and increasing awareness.<h4>Conclusions</h4>Missed opportunities for HIV testing among PWML occurred and HIV test strategies varied among hematologists. Efforts to improve HIV testing among PWML should include a combination of approaches.https://doi.org/10.1371/journal.pone.0279958 |
| spellingShingle | Saskia Bogers Hanne Zimmermann Amie Ndong Udi Davidovich Marie José Kersten Peter Reiss Maarten Schim van der Loeff Suzanne Geerlings HIV Transmission Elimination AMsterdam (H-TEAM) Consortium Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. PLoS ONE |
| title | Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. |
| title_full | Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. |
| title_fullStr | Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. |
| title_full_unstemmed | Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. |
| title_short | Mapping hematologists' HIV testing behavior among lymphoma patients-A mixed-methods study. |
| title_sort | mapping hematologists hiv testing behavior among lymphoma patients a mixed methods study |
| url | https://doi.org/10.1371/journal.pone.0279958 |
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