{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:12:42Z","timestamp":1747185162463,"version":"3.40.5"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T00:00:00Z","timestamp":1573171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["RD06\/006, RD12\/0017\/0018 and RD16\/0002\/0006"],"award-info":[{"award-number":["RD06\/006, RD12\/0017\/0018 and RD16\/0002\/0006"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2020,2]]},"abstract":"Objectives<\/jats:title>The aim of this study was to evaluate adherence to the recommendations of the Spanish guidelines for the initial assessment of patients with HIV infection in the multicentre Cohort of the Spanish HIV\/AIDS Network (CoRIS) during the years 2004\u20132017.<\/jats:p><\/jats:sec>Methods<\/jats:title>We calculated the percentage of patients who had each of 11 clinical and analytical recommended examinations performed in their initial evaluation. We evaluated the factors associated with not performing each examination with multivariable logistic regression models.<\/jats:p><\/jats:sec>Results<\/jats:title>We included 13\u00a0612 patients in the study. In the initial assessment, CD4 count and viral load were determined in more than 98.0% of the patients. Serologies for hepatitis A, B and C and syphilis were determined in 55.8%, 66.4%, 89.8% and 81.7% of the patients, respectively. Total cholesterol and creatinine were determined in 78.7% and 78.9% of the patients, respectively. The lowest proportions of examinations were observed for blood pressure, smoking status and latent tuberculosis screening, which were performed in 43.2%, 50.6% and 53.9% of the patients, respectively. Injecting drug users and heterosexual patients (compared to men who have sex with men) and patients with a lower educational level had a higher risk of having an incomplete initial assessment for a substantial number of examinations. Latent tuberculosis screening was less likely in patients with CD4 counts <\u00a0200 cells\/\u00b5L.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The initial assessment of HIV\u2010infected patients is suboptimal for the evaluation of cardiovascular risk, smoking status, screening of syphilis and viral hepatitis, and diagnosis of latent tuberculosis: adherence to the guidelines was low for these examinations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12817","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T12:19:05Z","timestamp":1573215545000},"page":"128-134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How well are we performing the initial assessment of HIV\u2010positive patients? Results from a multicentre cohort in Spain"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7016-716X","authenticated-orcid":false,"given":"I","family":"Su\u00e1rez\u2010Garc\u00eda","sequence":"first","affiliation":[{"name":"Infectious Diseases Unit Department of Internal Medicine Infanta Sof\u00eda University Hospital Madrid Spain"},{"name":"European University Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9571-6471","authenticated-orcid":false,"given":"B","family":"Alejos","sequence":"additional","affiliation":[{"name":"National Epidemiology Centre Carlos III Health Institute Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Delgado","sequence":"additional","affiliation":[{"name":"Son Espases Hospital Palma de Mallorca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Rivero","sequence":"additional","affiliation":[{"name":"Navarra Hospital Complex Pamplona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JA","family":"Pineda","sequence":"additional","affiliation":[{"name":"Nuestra Se\u00f1ora de Valme Hospital Sevilla Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Jarrin","sequence":"additional","affiliation":[{"name":"National Epidemiology Centre Carlos III Health Institute Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Cohort of the Spanish HIV\/AIDS Network (CoRIS) study group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,8]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"European AIDS Clinical Society.EACS Guidelines. Version 9.0. October 2017 2017."},{"key":"e_1_2_7_3_1","unstructured":"Panel deexpertosdeGeSIDA.Documento de consenso de GeSIDA sobre control y monitorizaci\u00f3n de la infecci\u00f3npor el 2018."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit757"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimc.2015.09.003"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-13-236"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1157\/13096749"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimc.2011.06.002"},{"issue":"5","key":"e_1_2_7_9_1","first-page":"6","article-title":"GESIDA quality care indicators for the care of persons infected by HIV\/AIDS","volume":"28","author":"Wichmann MA","year":"2010","journal-title":"Enferm Infecc Microbiol Clin"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.13.0778"},{"key":"e_1_2_7_11_1","unstructured":"Sistema de informaci\u00f3nsobre nuevos diagn\u00f3sticos de VIH.Registro nacional de casos de SIDA. Vigilanciaepidemiol\u00f3gica del VIH y SIDA en Espa\u00f1a 2017. Actualizaci\u00f3n 30 de junio de 2018 2018."}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhiv.12817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.12817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hiv.12817","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.12817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T22:00:53Z","timestamp":1694124053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.12817"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,8]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1111\/hiv.12817"],"URL":"https:\/\/doi.org\/10.1111\/hiv.12817","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"type":"print","value":"1464-2662"},{"type":"electronic","value":"1468-1293"}],"subject":[],"published":{"date-parts":[[2019,11,8]]},"assertion":[{"value":"2019-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}