澳大利亚与艾滋病毒相关的神经认知障碍筛查和诊断途径:范围审查和国际影响。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-08-01 Epub Date: 2024-04-29 DOI:10.1080/09540121.2024.2343768
Ruth A Wagstaff, Amy B Mullens, Kirstie Daken, Lucette A Cysique, Diana Le Clercq, Chris Howard, Sue Gilling, Adina Piovesana, Claire L Thompson
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引用次数: 0

摘要

有症状的艾滋病毒相关神经认知障碍(HAND)是艾滋病毒的一种并发症(认知障碍、日常功能困难)。如果及早发现,干预措施有助于优化护理、避免病情迅速恶化并提高应对能力。在澳大利亚的医疗保健专业人员和社区环境中,有关筛查/诊断的信息仍不一致。我们对学术文献、政府政策和非政府组织(NGOs)进行了一次范围界定审查,以便根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的指导原则,绘制现有筛查/诊断信息的地图。在 EBSCOhost 和 Medline(日期:2015-2021 年)、澳大利亚政府非政府组织网域、谷歌和未发表的学术著作中进行了文献检索(2021 年 7 月),并进行了更新(2022 年 12 月),以确定澳大利亚的项目(过去 5 年)。有 17 个项目符合纳入标准。未发现任何政府指南。不同的艾滋病相关组织提出了不同的诊断指南。大多数 HAND 研究都源自悉尼。最容易获取的信息来自澳大利亚痴呆症协会,但也存在一些不准确之处。澳大利亚关于HAND筛查/诊断的研究/信息很少。目前亟需开展HAND转化研究,并制定筛查/诊断标准,为最佳实践提供依据。以澳大利亚为背景,讨论具有类似模式/医疗保健的高收入国家的国际影响。
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HIV associated neurocognitive disorder screening and diagnosis pathways in Australia: a scoping review and international implications.

Symptomatic HIV-associated neurocognitive disorder (HAND) is a complication of HIV (cognitive impairment, difficulties with everyday functioning). If detected early, interventions assist with optimizing care, avoiding rapid decline and enhancing coping. There remains inconsistency surrounding screening/diagnosis information within Australian healthcare professionals and community settings. A scoping review of academic literature, government policies and non-government organisations (NGOs) was conducted to map existing screening/diagnosis information using the guidelines of Joanna Briggs Institute. A literature search of EBSCOhost and Medline (dates: 2015-2021), the Australian government NGO web domains, Google and unpublished academic works was conducted (July 2021) and updated (December 2022) to identify Australian items (past 5 years). Seventeen items met the inclusion criteria. No government guidelines were identified. Various HIV-related organisations proposed different diagnostic guidelines. Most HAND research originated in Sydney. The most accessible information was from Dementia Australia, with some inaccuracies noted. There is scant Australian research/information on HAND screening/diagnosis. HAND translational research and screening/diagnosis standards are urgently needed to inform best practices. The Australian context is used to discuss international implications regarding higher-income countries with similar patterns/healthcare.

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CiteScore
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172
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