Age as a determinant of survival in HIV infection.

Age is a major determinant of mortality for many diseases including HIV infection, yet the effect of age is rarely studied directly. In this article, we review what is known about the effect of age at seroconversion on HIV disease progression and survival prior to the widespread use of HAART before...

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Main Authors: Babiker, A, Peto, T, Porter, K, Walker, A, Darbyshire, J
Format: Journal article
Language:English
Published: 2001
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author Babiker, A
Peto, T
Porter, K
Walker, A
Darbyshire, J
author_facet Babiker, A
Peto, T
Porter, K
Walker, A
Darbyshire, J
author_sort Babiker, A
collection OXFORD
description Age is a major determinant of mortality for many diseases including HIV infection, yet the effect of age is rarely studied directly. In this article, we review what is known about the effect of age at seroconversion on HIV disease progression and survival prior to the widespread use of HAART before describing appropriate methods for adjusting for background mortality in more detail. We then investigate the impact of HAART on the effect of age at seroconversion on mortality and consider the estimation of the age effect in seroprevalent cohorts with regard to lack of knowledge of the true age at infection. Finally, we discuss mechanisms by which age at seroconversion might impact on disease progression and death. Throughout, we use published results by the Collaborative Group on AIDS Incubation and HIV Survival (CGAIHS), and published results and data from the Concerted Action on SeroConversion to AIDS and Death in Europe (CASCADE) for illustration.
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spelling oxford-uuid:90261a17-1b9a-4ba0-ae1e-7d628fd4fd492022-03-26T23:09:34ZAge as a determinant of survival in HIV infection.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:90261a17-1b9a-4ba0-ae1e-7d628fd4fd49EnglishSymplectic Elements at Oxford2001Babiker, APeto, TPorter, KWalker, ADarbyshire, JAge is a major determinant of mortality for many diseases including HIV infection, yet the effect of age is rarely studied directly. In this article, we review what is known about the effect of age at seroconversion on HIV disease progression and survival prior to the widespread use of HAART before describing appropriate methods for adjusting for background mortality in more detail. We then investigate the impact of HAART on the effect of age at seroconversion on mortality and consider the estimation of the age effect in seroprevalent cohorts with regard to lack of knowledge of the true age at infection. Finally, we discuss mechanisms by which age at seroconversion might impact on disease progression and death. Throughout, we use published results by the Collaborative Group on AIDS Incubation and HIV Survival (CGAIHS), and published results and data from the Concerted Action on SeroConversion to AIDS and Death in Europe (CASCADE) for illustration.
spellingShingle Babiker, A
Peto, T
Porter, K
Walker, A
Darbyshire, J
Age as a determinant of survival in HIV infection.
title Age as a determinant of survival in HIV infection.
title_full Age as a determinant of survival in HIV infection.
title_fullStr Age as a determinant of survival in HIV infection.
title_full_unstemmed Age as a determinant of survival in HIV infection.
title_short Age as a determinant of survival in HIV infection.
title_sort age as a determinant of survival in hiv infection
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