Guidelines for Persons With HIV

Abstract

Letters4 December 2012Guidelines for Persons With HIVFrederick L. Altice, MD, MA, Curt G. Beckwith, MD, Tim Horn, MS, and Jane M. Simoni, PhD, on behalf of the International Association of Physicians in AIDS Care Panel on Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIVFrederick L. Altice, MD, MAFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, Curt G. Beckwith, MDFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, Tim Horn, MSFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, and Jane M. Simoni, PhDFrom Yale University, New Haven, CT, 06510; The Miriam Hospital, Providence, RI 02906; Treatment Action Group, New York, NY 10016-7701; and University of Washington, Seattle, WA 98195-1525.Search for more papers by this author, on behalf of the International Association of Physicians in AIDS Care Panel on Guidelines for Improving Entry Into and Retention in Care and Antiretroviral Adherence for Persons With HIVSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-11-201212040-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The letters from Dr. Fitzpatrick and colleagues and Drs. Wood and Montaner show areas that the panel addressed but for which insufficient evidence limited the ability to make definitive recommendations. Given the assumptions needed for interpreting uncontrolled studies, we confined our evidence base to studies with either randomized or observational comparative data.We agree with Dr. Fitzpatrick and colleagues that peer navigation and intensive individual outreach may be helpful in achieving successful entry into and retention in clinical care, particularly among persons with comorbid psychiatric and substance use disorders. The strength of evidence for such strategies is currently ...