More New Yorkers with AIDS died of 'common' causes in 2004 than in 1999

Reducing deaths requires shift in health care model for people with AIDS

PHILADELPHIA, September 19, 2006 -- An analysis of 68,669 New York City residents with AIDS found that of those who died between 1999 and 2004, 26.3 percent died of non-HIV-related causes. This figure is a 32.8 percent increase from 19.8 percent in 1999.

The analysis, "Causes of Death among Persons with AIDS in the Era of Highly Active Antiretroviral Therapy: New York City," is published in the Sept. 19, 2006, issue of Annals of Internal Medicine.

More than three quarters of non-HIV-related deaths were due to three underlying causes: substance abuse (31 percent), cardiovascular disease (23.8 percent), or a non-HIV-related type of cancer (20.8 percent).

"Reducing deaths from these causes requires a shift in the health care model for persons with AIDS from a primary focus on managing HIV infection to providing care that addresses all aspects of physical and mental health," said Judith E. Sackoff, Ph.D., lead author of the analysis. "This should include helping patients change behaviors, such as smoking; screening for early detection of cancer; and monitoring chronic conditions, such as diabetes and hypertension."

In a separate editorial, Judith A. Aberg, M.D., concurred. "Physicians everywhere must remember that most of their HIV-infected patients will survive to develop the diseases that plague the rest of us."

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NOTE TO EDITORS: To interview Judith E. Sackoff, Ph.D. or Harold Sox, M.D., Editor of Annals of Internal Medicine, contact Steve Majewski.


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