{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:53:19Z","timestamp":1791568399412,"version":"4.3.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Frailty adversely affects health and quality of life of people with HIV (PWH). A multidisciplinary-team (MDT) was established to perform a Comprehensive Geriatric Assessment (CGA) and to address modifiable risk factors in elderly PWH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PWH aged over 80\u00a0years were reviewed by a dedicated HIV\/geriatric clinic at Chelsea and Westminster Hospital. Descriptive statistics were used to report the variables of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty-three PWH were reviewed, with a median age of 82 (IQR 80\u201386). Fifty-seven (88%) were men. The median number of co-morbidities was five (IQR 4\u20137) and polypharmacy was seen in 55 (85%), with a median of six (IQR 5\u20138) co-medications reported. The median Rockwood Clinical Frailty Score was two (IQR 2\u20135). Antiretrovirals were modernised in 18 (29%) individuals; co-medication changes and de-prescribing was recommended in 39 (62%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A MDT approach helped reducing polypharmacy and frailty, suggesting that specialised tools and MDT input are key to identify medical and social concerns in elderly PWH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624241286558","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T19:56:48Z","timestamp":1727726208000},"page":"65-71","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Implementation of a multidisciplinary approach to care for people with HIV aged 80 years and over"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3313-4215","authenticated-orcid":false,"given":"Maithili","family":"Varadarajan","sequence":"first","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"},{"name":"Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Blackburn","sequence":"additional","affiliation":[{"name":"Hillingdon Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolo","family":"Girometti","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Hicks","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6029-8249","authenticated-orcid":false,"given":"Elizabeth","family":"Senkoro","sequence":"additional","affiliation":[{"name":"Chronic Disease Clinic of Ifakara, Ifakara Health Institute, Morogoro, Tanzania"},{"name":"Mark Wainberg Fellowship Program, International AIDS Society (IAS), Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Candela","sequence":"additional","affiliation":[{"name":"Vita-Salute San Raffaele University, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ridsdill Smith","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Naous","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Tong","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Boffito","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital, London, UK"},{"name":"Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"bibr1-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(23)00028-0"},{"key":"bibr2-09564624241286558","doi-asserted-by":"publisher","DOI":"10.3390\/geriatrics5040081"},{"key":"bibr3-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00056-0"},{"key":"bibr4-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1080\/21505594.2016.1245269"},{"key":"bibr5-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02764.x"},{"key":"bibr6-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.m146"},{"key":"bibr7-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab019"},{"key":"bibr8-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afw039"},{"key":"bibr9-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00738.x"},{"key":"bibr10-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofaa485"},{"key":"bibr11-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkx169"},{"key":"bibr12-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000003501"},{"key":"bibr13-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-015-0667-9"},{"key":"bibr14-09564624241286558","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02138-5"},{"key":"bibr15-09564624241286558","unstructured":"European AIDS Clinical Society Guidelines v10.0 November 2019. https:\/\/www.eacsociety.org\/files\/2019_guidelines-10.0_final.pdf. 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