{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:48:51Z","timestamp":1781880531883,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T00:00:00Z","timestamp":1583193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000864","name":"British HIV Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000864","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim of the study was to describe a UK\u2010wide process to assess adherence to guidelines for the routine investigation and monitoring of HIV\u2010positive adults aged \u2265 50 years and provide clinical services with individual feedback to support improvement in quality of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The British HIV Association (BHIVA) invited HIV clinical care sites to provide retrospective data from case notes of up to 40 adults aged \u2265 50 years with HIV\u20101 infection attending the clinic for care during 2017 and\/or 2018, using a structured dynamic online questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4959 questionnaires from 141 clinical services were returned. Regarding the key targets specified in the BHIVA monitoring guidelines, 97% of patients on antiretroviral therapy (ART) had had their viral load measured in the last 9\u00a0months, or 15\u00a0months if on a protease inhibitor, and 94% had had all medications recorded in the last 15\u00a0months. Only 67% of patients on ART without cardiovascular disease (CVD) had had a 10\u2010year CVD risk calculated in the last 3\u00a0years. It was reported that 80% and 92% had had their smoking status documented in the last 2\u00a0years and blood pressure checked in the last 15\u00a0months, respectively. HIV services had communicated with the general practitioners of 90% of consenting individuals, but consulted electronic primary care records for only 10%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nationally, targets were met for viral load and blood pressure monitoring but not for CVD risk assessment, smoking status documentation and recording of comedication. There was variable performance in relation to other outcomes; adherence and laboratory measurements were carried out more regularly\u00a0than lifestyle and wellbeing assessments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12842","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T14:49:09Z","timestamp":1583246949000},"page":"409-417","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Monitoring of older HIV\u20101\u2010positive adults by HIV clinics in the United Kingdom: a national quality improvement initiative"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2666-8960","authenticated-orcid":false,"given":"N","family":"Ekong","sequence":"first","affiliation":[{"name":"Brotherton Wing Clinic Leeds General Infirmary Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Curtis","sequence":"additional","affiliation":[{"name":"British HIV Association London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Infection and Tropical Medicine Royal Victoria Infirmary Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5173-2760","authenticated-orcid":false,"given":"CA","family":"Sabin","sequence":"additional","affiliation":[{"name":"Centre for Clinical Research Epidemiology, Modelling and Evaluation Institute for Global Health University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Chadwick","sequence":"additional","affiliation":[{"name":"Centre for Clinical Infection James Cook University Hospital Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the British HIV Association (BHIVA) Audit and Standards Sub\u2010Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Progress towards ending the HIV epidemic in the United Kingdom: 2018 report"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00056-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare6010017"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12714"},{"key":"e_1_2_8_6_1","volume-title":"The People Living With HIV Stigma Survey UK: National findings","year":"2015"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3851\/IMP1540"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3851\/IMP3293"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001756"},{"key":"e_1_2_8_10_1","unstructured":"Pharmaceut J More detailed SCR can help ease winter pressures"},{"key":"e_1_2_8_11_1","volume-title":"British HIV Association guidelines for the routine investigation and monitoring of adult HIV\u20101\u2010positive individuals 2016"},{"key":"e_1_2_8_12_1","volume-title":"British HIV Association: Standards of Care for People Living with HIV 2013"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-017-2708-y"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12744"},{"key":"e_1_2_8_15_1","volume-title":"Over 50 monitoring audit. 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