{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:17:48Z","timestamp":1782519468733,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to assess the extent of integration of non\u2010communicable disease (NCD) assessment and management in HIV clinics across Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A structured electronic questionnaire with 41 multiple\u2010choice and rating\u2010scale questions assessing NCD assessment and management was sent to 88 HIV clinics across the WHO European Region during March\u2013May 2023. One response per clinic was collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 51 clinics from 34 countries with &gt;100\u2009000 people with HIV under regular follow\u2010up responded. Thirty\u2010seven clinics (72.6%) reported shared NCD care responsibility with the general practitioner. Systematic assessment for NCDs and integration of NCD management were common overall [median agreement 80%, interquartile range (IQR): 55\u201395%; and 70%, IQR: 50\u201388%, respectively] but were lowest in central eastern and eastern Europe. Chronic kidney disease (median agreement 96%, IQR: 85\u2013100%) and metabolic disorders (90%, IQR: 75\u2013100%) were regularly assessed, while mental health (72%, IQR: 63\u201385%) and pulmonary diseases (52%, IQR: 40\u201375%) were less systematically assessed. Some essential diagnostic tests such as glycated haemoglobin (HbA1c) for diabetes (<jats:italic>n<\/jats:italic>\u2009=\u200938\/51, 74.5%), proteinuria for kidney disease (<jats:italic>n<\/jats:italic>\u2009=\u200930\/51, 58.8%) and spirometry for lung disease (<jats:italic>n<\/jats:italic>\u2009=\u200911\/51, 21.6%) were only employed by a proportion of clinics. The most frequent barriers for integrating NCD care were the lack of healthcare workers (<jats:italic>n<\/jats:italic>\u2009=\u200917\/51, 33.3%) and lack of time during outpatient visits (<jats:italic>n<\/jats:italic>\u2009=\u200912\/51, 23.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most HIV clinics in Europe systematically assess and manage NCDs. People with HIV appear to be screened more frequently than the general population at the same age. There are, however, larger gaps among eastern European clinics in general and for clinics in all regions related to mental health, pulmonary diseases and the employment of some essential diagnostic tests.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13619","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T04:39:50Z","timestamp":1708058390000},"page":"700-710","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Differences in integrated assessment and management of non\u2010communicable diseases (<scp>NCDs<\/scp>) for people with <scp>HIV<\/scp> across the <scp>WHO<\/scp> European region"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5224-0335","authenticated-orcid":false,"given":"Christian","family":"Kraef","sequence":"first","affiliation":[{"name":"CHIP, RIgshospitalet University of Copenhagen  Copenhagen Denmark"},{"name":"Department of 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Clinical Centre  Pristina Kosovo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4478-4129","authenticated-orcid":false,"given":"Tatevik","family":"Balayan","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Prevention  Yerevan Armenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan","family":"Harxhi","sequence":"additional","affiliation":[{"name":"Infectious Disease Service HIV Ambulatory Clinic  Tirana Albania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmina","family":"Trajanovska","sequence":"additional","affiliation":[{"name":"University Clinic for Infectious Diseases &amp; Febrile Conditions  Skopje North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Mackintosh","sequence":"additional","affiliation":[{"name":"Western General Hospital  Edinburgh 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