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Hypertension control and retention in care among HIV-infected patients: The effects of co-located HIV and chronic noncommunicable disease care

Journal of Acquired Immune Deficiency Syndromes Nov 05, 2019

Osetinsky B, Genberg BL, Bloomfield GS, et al. - Assuming that integrated chronic disease care may benefit patients with comorbid HIV and chronic noncommunicable disease (NCD), researchers sought to determine the efficacy of such strategies, particularly those that directly leverage and extend the existing HIV care system to accommodate co-located care for NCDs. At the setting of the Academic Model of Providing Access to Healthcare, Kenya, that provides care to over 160,000 actively enrolled patients in the catchment area of 4 million people, retrospective clinical records of 3,603 patients with comorbid HIV and hypertension were analyzed. Relative to the HIV standard of care, the addition of chronic disease management (CDM) resulted in small but statistically significant improvements in hypertension control, decreasing systolic BP by 0.76 mm Hg, diastolic BP by 1.28 mm Hg, and increasing the probability of BP < 140/90 mm Hg by 1.51 percentage points. Findings here support the potential value of a CDM program that co-locates NCD and HIV care for improving BP and retention in care.
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