A Smart + Strong Site
Subscribe to:
Newsletters
POZ magazine
JOIN AIDSMEDS YouTube

Back to home » Treatment News » Top Stories

Most Popular Stories
Undetectable Viral Load Essentially Eliminates Transmission Risk in Straight Couples
FDA Approves New Single-Tablet HIV Regimen, Triumeq
Life Expectancy for Young People With HIV Is Nearly Normal
A 15-Year Jump in Life Expectancy for People With HIV
Scientists Devise Method of Snipping HIV From Immune Cells
Monkey HIV Vaccine Success Opens Door for Human Trials
HIV Combo Pill Less Toxic Thanks to New Form of Tenofovir
What's That Mean?
(just double-click it!)

If you don't understand one of the words in this article, just double-click it. A window will open with a definition from mondofacto's On-line Medical Dictionary. If the double-click feature doesn't work in your browser, you can enter the word below:

Most Popular Lessons
Aging & HIV
The HIV Life Cycle
Shingles
Herpes Simplex Virus
Syphilis & Neurosyphilis
Treatments for Opportunistic Infections (OIs)
What is AIDS & HIV?
More News

Have medical or treatment news about HIV? Send press releases, news tips and other announcements to news@aidsmeds.com.

Click here for more news


emailprint

September 28, 2012

Comprehensive Care, Ryan White Funding, Means Survival Benefits at Inner-City Clinic

by Tim Horn

At an inner-city Baltimore HIV clinic serving a primarily poor and black population, the average life expectancy is now 73 years, according to a new 15-year analysis of patient outcomes reported by Johns Hopkins University researchers in Clinical Infectious Diseases. Importantly, long-term survival at the clinic was highly dependent on comprehensive disease management—a mix of primary, specialty and supportive health care services—underscoring the importance of funding streams like Ryan White to provide vital resources.

“We believe that our results reflect what is possible when HIV care is delivered based on state-of-the-art care guidelines with support from the Ryan White HIV/AIDS Program to address the challenge to deliver treatment that is highly effective, but also expensive, complex, and requires continuous patient engagement by populations that are often underserved by healthcare disparities,” Richard Moore, MD, and his colleagues write.

The study, which analyzed data from the Johns Hopkins HIV Clinical Cohort collected between 1995 and 2010, is the first to directly compare outcomes for patient groups affected most by health care disparities.

The Johns Hopkins-run clinic relies on a model that involves multiple levels of care. First is primary care, in which people living with HIV receive all of the necessary laboratory evaluations and treatment needed to manage HIV infection. The clinic also provides specialty care, such as substance abuse and mental health treatment and counseling. Finally the clinic offers a variety of supportive care services, such as case management, nutrition, treatment adherence counseling, emergency services and transportation.

“One reason for our ability to deliver HIV care to patients who might otherwise have financial and other barriers to care is the Ryan White HIV/AIDS program,” Moore and his colleagues write. Created in 1990, this program provides the clinic with financial assistance to offer care to low-income people living with HIV, who in 2010 made up 92 percent of the clinic’s patient population.

As a result of the “integrated multi-disciplinary program of care” the clinic was able to offer, and because of advances in antiretroviral therapy, HIV-positive people at the clinic can expect to live into their seventies. “In 2009 a 28-year-old HIV-infected person was estimated to have 45.4 years of life remaining,” Moore and his colleagues determined. 

This dramatic life expectancy remained the same across all demographic and behavioral risk groups. Even adjustments made for patients’ source of medical insurance did not affect the outcomes.

There is one important caveat, the Johns Hopkins team notes. The study’s results include only those patients who were sufficiently engaged in care—those who showed up for lab testing and clinical follow-ups. They suggest that much more needs to be done to test people living with HIV and to successfully enter and retain them in clinical care.

“We believe that our results reflect an effective model of care, and should continue in the United States if individuals with HIV infection are to have the maximal benefit,” Moore and his colleagues wrote.

“The lesson learned from the remarkable outcomes within the HIV clinic at Johns Hopkins and other Ryan White-supported clinics in the U.S. is that supplemental funding for primary care is needed to overcome health disparities widely evident in our current system,” explained Michael Saag, MD, of the University of Alabama at Birmingham in an accompanying editorial.

The Ryan White CARE Act, which is up for reauthorization by the U.S. Congress in 2013, is considered by advocates to be an essential source of funding to reinforce primary care services for people living with HIV. They note that adequate Ryan White funding will still be necessary once the Affordable Care Act goes into full effect in 2014.

Search: baltimore, johns hopkins, hiv care, mental health, substance abuse, case management, nutrition, transportation, survival, outcomes, ryan white care act


Scroll down to comment on this story.



Name:

(will display; 2-50 characters)

Email:

(will NOT display)

City:

(will display; optional)

Comment (500 characters left):

(Note: The AIDSmeds team reviews all comments before they are posted. Please do not include ":" "@" "<" ">" in your comment. The opinions expressed by people providing comments are theirs alone. They do not necessarily reflect the opinions of Smart + Strong, which is not responsible for the accuracy of any of the information supplied by people providing comments.)

Comments require captcha.
Please enter this number for verification:

| Posting Rules



Show comments (2 total)


[Go to top]

Quick Links
About HIV and AIDS
The Cure
Lab Tests
Clinical Trials
HIV Meds
Starting Treatment
Switching Treatment
Drug Resistance
Side Effects
Disclosure
Lipodystrophy
Hepatitis & HIV
Women & Children
Fact Sheets
Treatment News
Community Forums
Blogs
Conference Coverage
Health Services Directory
POZ Magazine


    acousticmat
    Tucson
    Arizona


    Newhopenate
    New Hope
    Pennsylvania


    Sexynyrican
    Brooklyn
    New York


    daino1972
    Columbus
    Ohio
Click here to join POZ Personals!
Conference Coverage

XX International AIDS Conference
(AIDS 2014)
Melbourne, Australia
July 20 - 25, 2014


21st Conference on Retroviruses and Opportunistic Infections
(CROI 2014)
Boston, MA
March 3 - 7, 2014


7th International AIDS Society Conference on HIV Pathogenesis, Treatment and Prevention
(IAS 2013)
Kuala Lumpur, Malaysia
June 30 - July 3, 2013


more conference coverage

[ about AIDSmeds | AIDSmeds advisory board | our staff | advertising policy | advertise/contact us]
© 2014 Smart + Strong. All Rights Reserved. Terms of use and Your privacy.
Smart + Strong® is a registered trademark of CDM Publishing, LLC.