{"id":2576,"date":"2017-06-16T16:53:00","date_gmt":"2017-06-16T16:53:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=2576"},"modified":"2025-01-15T03:28:30","modified_gmt":"2025-01-15T03:28:30","slug":"prevalence-of-non-infectious-comorbidities-in-the-hiv-positive-population-in-belgium-a-multicenter-retrospective-study","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/prevalence-of-non-infectious-comorbidities-in-the-hiv-positive-population-in-belgium-a-multicenter-retrospective-study\/","title":{"rendered":"Pr\u00e9valence des comorbidit\u00e9s non infectieuses dans la population s\u00e9ropositive en Belgique: une \u00e9tude r\u00e9trospective multicentrique"},"content":{"rendered":"

R\u00e9sum\u00e9<\/h2>\n\n\n\n

Objectifs<\/h3>\n\n\n\n

En Belgique, onze centres de r\u00e9f\u00e9rence sur le sida (ARC) et sept laboratoires de r\u00e9f\u00e9rence sur le sida diagnostiquent et traitent les personnes s\u00e9ropositives et suivent les patients sous prise en charge. \u00c0 mesure que les d\u00e9c\u00e8s li\u00e9s au sida sont \u00e9vit\u00e9s et que la population s\u00e9ropositive vieillit, les comorbidit\u00e9s non infectieuses (NICM), telles que les maladies cardiovasculaires, les maladies r\u00e9nales et certains cancers, jouent un r\u00f4le plus important dans la qualit\u00e9 et la dur\u00e9e de vie des patients. Cette \u00e9tude vise \u00e0 caract\u00e9riser la population s\u00e9ropositive en Belgique en termes de pr\u00e9valence des NICM cl\u00e9s. <\/p>\n\n\n\n

M\u00e9thodes<\/h3>\n\n\n\n

Nous avons r\u00e9alis\u00e9 une \u00e9tude r\u00e9trospective de 5787 patients s\u00e9ropositifs sous suivi dans quatre ARC \u00e0 travers la Belgique entre le 1er juin 2014 et le 1er juillet 2016. R\u00e9sultats: L'\u00e2ge moyen des patients sous suivi \u00e9tait de 46,7 (ET = 11,6) ans , et le nombre moyen de CD4 au nadir \u00e9tait de 268,8 cellules \/ mm3 (\u00e9cart-type = 189,5). La pr\u00e9valence du diab\u00e8te sucr\u00e9, de l'hypertension art\u00e9rielle et de l'insuffisance r\u00e9nale chronique (IRC) \u00e9tait de 5,9, 31 et 7,8%, respectivement. Des \u00e9v\u00e9nements cardiovasculaires, d\u00e9finis comme la survenue d'un infarctus du myocarde, d'un accident vasculaire c\u00e9r\u00e9bral ou d'une proc\u00e9dure coronarienne invasive, sont survenus chez 2,9% des patients. Les taux de mortalit\u00e9 ajust\u00e9s selon l'\u00e2ge les plus \u00e9lev\u00e9s ont \u00e9t\u00e9 observ\u00e9s chez les patients \u00e2g\u00e9s de 51 \u00e0 55 ans. Les taux de mortalit\u00e9 \u00e9taient \u00e9galement plus \u00e9lev\u00e9s chez les patients atteints d'IRC et les patients atteints du virus vir\u00e9mique de l'h\u00e9patite C (p <0,05).<\/p>\n\n\n\n

Conclusions<\/h3>\n\n\n\n

Aider la population s\u00e9ropositive vieillissante \u00e0 \u00e9viter la morbidit\u00e9 et la mortalit\u00e9 pr\u00e9matur\u00e9es dues aux NICM repr\u00e9sente un d\u00e9fi majeur pour am\u00e9liorer encore les r\u00e9sultats des patients. La Belgique dispose d'un syst\u00e8me avanc\u00e9 de soins du VIH et de gestion des patients; cependant, une collecte de donn\u00e9es normalis\u00e9e dans les ARC est n\u00e9cessaire pour am\u00e9liorer le partage des connaissances et pour soutenir les futures analyses \u00e0 l'\u00e9chelle du pays.<\/p>\n\n\n\n

Des pays:<\/strong> Belgique<\/p>\n\n

\n
Lire le rapport complet<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

Summary Objectives In Belgium, eleven AIDS Reference Centers (ARCs) and seven AIDS Reference Laboratories diagnose and treat HIV-positive individuals and track patients under care. As AIDS-related deaths are avoided and the HIV-positive population ages, non-infectious comorbidities (NICMs), such as cardiovascular disease, renal disease and certain cancers, play a larger role in the quality and length […]<\/p>\n","protected":false},"author":24,"featured_media":3379,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[34,10,36],"publication-author":[1052,1045,1048,1046,1044,1051,989,1047,1050,494,1049,1053],"class_list":["post-2576","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-co-morbidities","tag-hcv","tag-hiv","publication-author-callens-s","publication-author-darcis-g","publication-author-de-wit-s","publication-author-del-forge-m","publication-author-fombellida-k","publication-author-goffard-jc","publication-author-gunter-j","publication-author-meuris-c","publication-author-moutschen-m","publication-author-razavi-h","publication-author-van-den-bulcke-c","publication-author-wyndham-thomas-c"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/comments?post=2576"}],"version-history":[{"count":6,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2576\/revisions"}],"predecessor-version":[{"id":7559,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/2576\/revisions\/7559"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media\/3379"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media?parent=2576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=2576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=2576"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=2576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}