{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T05:28:24Z","timestamp":1789450104686,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,27]],"date-time":"2014-02-27T00:00:00Z","timestamp":1393459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006528","name":"ADRC","doi-asserted-by":"crossref","award":["K23-AG-032872"],"award-info":[{"award-number":["K23-AG-032872"]}],"id":[{"id":"10.13039\/100006528","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006528","name":"ADRC","doi-asserted-by":"crossref","award":["K23-AG-032872"],"award-info":[{"award-number":["K23-AG-032872"]}],"id":[{"id":"10.13039\/100006528","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006528","name":"ADRC","doi-asserted-by":"crossref","award":["P50 AG023501"],"award-info":[{"award-number":["P50 AG023501"]}],"id":[{"id":"10.13039\/100006528","id-type":"DOI","asserted-by":"crossref"}]},{"name":"UCSF CFAR","award":["P30-AI027763"],"award-info":[{"award-number":["P30-AI027763"]}]},{"name":"UCSF GCRC","award":["UL1 RR024131"],"award-info":[{"award-number":["UL1 RR024131"]}]},{"DOI":"10.13039\/100001167","name":"the Larry L. Hillblom Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100001167","id-type":"DOI","asserted-by":"crossref"}]},{"name":"AIDS Research Institute"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["NIA T32-AG00212"],"award-info":[{"award-number":["NIA T32-AG00212"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Institute on Aging and the American Federation for Aging Research","award":["1K23-AG030999"],"award-info":[{"award-number":["1K23-AG030999"]}]},{"DOI":"10.13039\/100005595","name":"University of California","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100005595","id-type":"DOI","asserted-by":"crossref"}]},{"name":"University of California at San Francisco-Gladstone Institute of Virology and Immunology Center for AIDS Research","award":["P30-AI027763"],"award-info":[{"award-number":["P30-AI027763"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To describe the frequency of medication\u2010related problems in older adults with human immunodeficiency virus (\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      ) infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>HIV\u2010positive individuals aged 60 and older and age\u2010 and sex\u2010matched HIV\u2010negative individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Total number of medications, potentially inappropriate medications (\n                      <jats:styled-content style=\"fixed-case\">PIM<\/jats:styled-content>\n                      s) according to the modified\n                      <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>\n                      eers Criteria, anticholinergic drug burden according to the\n                      <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>\n                      nticholinergic\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      isk\n                      <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>\n                      cale (\n                      <jats:styled-content style=\"fixed-case\">ARS<\/jats:styled-content>\n                      ), and drug\u2013drug interactions using the\n                      <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>\n                      exi\u2010\n                      <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                      nteract online drug interactions database.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 89 HIV\u2010positive participants, most were\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      aucasian (91%) and male (94%), with a median age of 64 (range 60\u201382). Common comorbidities included hyperlipidemia, hypertension, and depression. Participants were taking a median of 13 medications (range 2\u201338), of which only a median of four were antiretrovirals. At least one\n                      <jats:styled-content style=\"fixed-case\">PIM<\/jats:styled-content>\n                      was prescribed in 46 participants (52%). Sixty\u2010two (70%) participants had at least one\n                      <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\n                      ategory\n                      <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                      (consider therapy modification) drug\u2013drug interaction, and 10 (11%) had a Category\n                      <jats:styled-content style=\"fixed-case\">X<\/jats:styled-content>\n                      (avoid combination) interaction. One\u2010third of these interactions were between two nonantiretroviral medications. Fifteen participants (17%) had an\n                      <jats:styled-content style=\"fixed-case\">ARS<\/jats:styled-content>\n                      score of 3 or greater. In contrast, HIV\u2010negative participants were taking a median of six medications, 29% had at least one\n                      <jats:styled-content style=\"fixed-case\">PIM<\/jats:styled-content>\n                      , and 4% had an\n                      <jats:styled-content style=\"fixed-case\">ARS<\/jats:styled-content>\n                      score of 3 or greater (\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\n                      <\/jats:italic>\n                      \u00a0&lt;\u00a0.05 for each comparison, except\n                      <jats:italic>\n                        <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\n                      <\/jats:italic>\n                      \u00a0=\u00a0.07 for anticholinergic burden).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HIV\u2010positive older adults have a high frequency of medication\u2010related problems, of which a large portion is due to medications used to treat comorbid diseases. These medication issues were substantially higher than HIV\u2010negative participants. Attention to the principles of geriatric prescribing is needed as this population ages in order to minimize complications from multiple medication use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.12695","type":"journal-article","created":{"date-parts":[[2014,2,27]],"date-time":"2014-02-27T14:17:09Z","timestamp":1393510629000},"page":"447-453","source":"Crossref","is-referenced-by-count":144,"title":["Polypharmacy, Drug\u2013Drug Interactions, and Potentially Inappropriate Medications in Older Adults with Human Immunodeficiency Virus Infection"],"prefix":"10.1111","volume":"62","author":[{"given":"Meredith","family":"Greene","sequence":"first","affiliation":[{"name":"Division of Geriatrics Department of Medicine University of California, San Francisco San Francisco California"},{"name":"San Francisco Veterans Affairs Medical Center San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Steinman","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine University of California, San Francisco San Francisco California"},{"name":"San Francisco Veterans Affairs Medical Center San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian R.","family":"McNicholl","sequence":"additional","affiliation":[{"name":"Positive Health Program San Francisco General Hospital University of California, San Francisco San Francisco California"},{"name":"School of Pharmacy University of California, San Francisco San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Valcour","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine University of California, San Francisco San Francisco California"},{"name":"Memory and Aging Center Department of Neurology University of California, San Francisco  San Francisco California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,2,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.03948.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.3728"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.5.1326"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32801022eb"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13365-010-0006-1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000134665.58343.8D"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181945eb0"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0054910"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31826bfc53"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1482"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3851\/IMP2076"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2004.18.568"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.3851\/IMP1540"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkr248"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1592\/phco.31.5.480"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2011.03795.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/brain.2012.0105-Rev"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjopharm.2007.12.002"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49042.x"},{"key":"e_1_2_6_21_1","volume-title":"Lexicomp Lexi\u2010Interact Online","author":"Lexi\u2010Comp, Inc.","year":"2013"},{"key":"e_1_2_6_22_1","unstructured":"Micromedex 2.0. Greenwood Village CO:Truven Health Analytics[on\u2010line]. Available athttp:\/\/www.micromedexsolutions.com\/home\/dispatchAccessed December 17 2012."},{"key":"e_1_2_6_23_1","volume-title":"AHFS Drug Information","author":"McEvoy GK","year":"2012"},{"key":"e_1_2_6_24_1","unstructured":"Panel on Antiretroviral Guidelines for Adults and Adolescents.Guidelines for the use of antiretroviral agents in HIV\u20101\u2010infected adults and adolescents. Department of Health and Human Services [on\u2010line]. Available athttp:\/\/aidsinfo.nih.gov\/contentfiles\/lvguidelines\/AdultandAdolescentGL.pdfSection Accessed December 17 2012."},{"key":"e_1_2_6_25_1","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1111\/j.1532-5415.2012.03923.x","article-title":"American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults","volume":"60","year":"2012","journal-title":"J Amer Geriatr Soc"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2005.19.655"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.4140\/TCP.n.2012.564"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2007.106"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318271f7b8"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2006.05.002"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.892"},{"key":"e_1_2_6_32_1","unstructured":"Centers for Disease Control and Prevention.Diagnoses of HIV infection among adults aged 50\u00a0years and older in the United States and dependent areas 2007\u20132010. HIV Surveillance Supplemental Report 2013;18(No. 3) [on\u2010line]. Available athttp:\/\/www.cdc.gov\/hiv\/topics\/surveillance\/resources\/reports\/#supplementalAccessed August 4 2013."},{"key":"e_1_2_6_33_1","unstructured":"Centers for Disease Control and Prevention.Monitoring selected national HIV prevention and care objectives by using HIV surveillance data\u2014United States and 6 U.S. dependent areas\u20142010. HIV Surveillance Supplemental Report 2013;18(No. 2 part B) [on\u2010line]. Available athttp:\/\/www.cdc.gov\/hiv\/topics\/surveillance\/resources\/reports\/#supplemental Accessed August 6 2013."},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2012.752565"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.3.337"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.286.22.2823"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.12695","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgs.12695","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.12695","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:42:09Z","timestamp":1762177329000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.12695"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,27]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,3]]}},"alternative-id":["10.1111\/jgs.12695"],"URL":"https:\/\/doi.org\/10.1111\/jgs.12695","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,27]]}}}