PIN86 - A Multicenter, Observational Study To Evaluate Comorbidities In Patients Above 50 Years Of Age – Aging Positive: Characterization Of The Healthcare Resource Use

Abstract

The primary objective of AGING POSITIVE is to characterize non-AIDS-related comorbidities of interest among HIV-infected patients ≥ 50 years old. This poster focuses the results of a secondary objective: to describe healthcare resource use (hospitalizations and medical appointments) in the previous 12 months. Multicenter, cross-sectional study conducted in seven Portuguese centers specialized in the treatment of HIV/AIDS. Data was collected from hospital medical records and through a patient self-administered questionnaire. A total of 401 patients were recruited between Nov/15 and Jun/16. Patient’s mean age was 59.3 years (SD), the mean infection duration was 12 years (SD 6.17) and the mean duration of ART was approximately 10 (SD 6.07) years. Accordingly to the medical records all patients had medical appointments at the HIV-specialist during the previous year (mean 3.43; SD 2.72), 49.0% had medical appointments at other hospital-specialist (mean 3.50; SD 3.48) and 56.4% had medical appointments with the general practitioner ([GP] mean 3.58; SD 3.48). Approximately 7% of the patients were hospitalized, with a mean of 1 hospitalization and median duration of 7 days. Almost ¼ of the patients (64/266) had no medical appointments at GP or other hospital-specialist. The median number of medical appointments at the HIV-specialist was 3 irrespective of patients having at >1 or >3 medical appointments at the GP or at other hospital-specialist. The number of comorbidities was statistically associated with the number of medical appointments at other hospital-specialist (r=0.2112; p=0.0032). Results of healthcare resources showed a moderate and good correlation in comparison of self-reported versus medical charts data. HIV infection poses a new paradigm for the medical community in terms of comorbidities and co-medication burden of aging patients. The use of HIV-specialist appointments and hospitalizations is according to the expectations. There is some heterogeneity on the utilization of GP and other hospital-specialists appointments.