{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T09:36:36Z","timestamp":1792143396138,"version":"4.4.0"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the implementation of frailty screening in people living with HIV (PLWH) in a large urban cohort of patients in Brighton, UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Focus group discussions with HIV professionals and PLWH interviews helped inform the design and implementation of the frailty screening pathway in the clinic. Data were collected from PLWH aged over 60\u2009years attending their HIV annual health check from July 2021 to January 2023 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009590), who were screened for frailty by nurses using the FRAIL scale. We assessed the proportions of PLWH who screened as frail, prefrail or robust and compared patient characteristics across groups. All PLWH identified as frail were offered a comprehensive geriatric assessment delivered by a combined HIV geriatric clinic, and uptake was recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 456\/590 (77.3%) PLWH aged over 60\u2009years were screened for frailty. Median age and time since HIV diagnosis (range) for those screened were 66 (60\u201399) years and 21 (0\u201332) years, respectively. In total, 56 (12.1%) of those screened were identified as frail, 118 (25.9%) as prefrail and 282 (61.8%) as robust. A total of 10\/56 (18%) people identified as frail declined an appointment in the geriatric clinic. Compared with non\u2010frail individuals, frail PLWH had been living with HIV for longer and had a greater number of comorbidities and comedications but were not chronologically older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementing frailty screening in PLWH over 60\u2009years old is feasible in a large cohort of PLWH, as recommended by the European AIDS Clinical Society. More research is needed to determine if frailty screening can improve clinical outcomes of older PLWH and the use of the comprehensive geriatric assessment within HIV services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.13598","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T01:54:43Z","timestamp":1702000483000},"page":"484-490","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Implementation of frailty screening for older people living with HIV in Brighton, UK"],"prefix":"10.1111","volume":"25","author":[{"given":"Natalie St","family":"Clair\u2010Sullivan","sequence":"first","affiliation":[{"name":"King's College London, Cicely Saunders Institute of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1809-217X","authenticated-orcid":false,"given":"Katherine","family":"Bristowe","sequence":"additional","affiliation":[{"name":"King's College London, Cicely Saunders Institute of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inayat","family":"Khan","sequence":"additional","affiliation":[{"name":"University Hospitals Sussex NHS Trust  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Maddocks","sequence":"additional","affiliation":[{"name":"King's College London, Cicely Saunders Institute of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9653-8689","authenticated-orcid":false,"given":"Richard","family":"Harding","sequence":"additional","affiliation":[{"name":"King's College London, Cicely Saunders Institute of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bremner","sequence":"additional","affiliation":[{"name":"Brighton and Sussex Medical School  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2792-6279","authenticated-orcid":false,"given":"Thomas","family":"Levett","sequence":"additional","affiliation":[{"name":"University Hospitals Sussex NHS Trust  Brighton UK"},{"name":"Brighton and Sussex Medical School  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Roberts","sequence":"additional","affiliation":[{"name":"University Hospitals Sussex NHS Trust  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoe","family":"Adler","sequence":"additional","affiliation":[{"name":"University Hospitals Sussex NHS Trust  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4894-1689","authenticated-orcid":false,"given":"Deokhee","family":"Yi","sequence":"additional","affiliation":[{"name":"King's College London, Cicely Saunders Institute of Palliative Care, Policy &amp; Rehabilitation  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1165-0573","authenticated-orcid":false,"given":"Jaime H.","family":"Vera","sequence":"additional","affiliation":[{"name":"University Hospitals Sussex NHS Trust  Brighton UK"},{"name":"Brighton and Sussex Medical School  Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-018-0210-2"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.22246"},{"key":"e_1_2_7_4_1","unstructured":"European AIDS clinical society.EACS guidelines Version 11.0.2021Available from:https:\/\/www.eacsociety.org\/media\/final2021eacsguidelinesv11.0_oct2021.pdf"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12527"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-03477-7"},{"key":"e_1_2_7_7_1","first-page":"1","article-title":"Frailty and frailty screening: a qualitative study to elicit perspectives of people living with HIV and their healthcare professionals","author":"St Clair\u2010Sullivan N","year":"2022","journal-title":"HIV Med"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02982161"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-070590"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofac129"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12834"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069231205189"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000614"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0212283"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2020.1813872"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nurpra.2019.11.017"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-021-00554-1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/6759521"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.569629"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2017.00484"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43587-021-00099-3"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0741-3"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X1500046X"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afx193"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.13598","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,4]],"date-time":"2024-04-04T00:15:50Z","timestamp":1712189750000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.13598"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,7]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/hiv.13598"],"URL":"https:\/\/doi.org\/10.1111\/hiv.13598","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,7]]},"assertion":[{"value":"2023-09-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}