دورية أكاديمية
Improved outcomes following gastrointestinal surgery among people living with HIV in the HAART-era: A scoping review.
| العنوان: | Improved outcomes following gastrointestinal surgery among people living with HIV in the HAART-era: A scoping review. |
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| المؤلفون: | Chen VH; Department of Surgery, University of British Columbia & St. Paul's Hospital, Vancouver, British Columbia, Canada; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Patterson KM; Department of Surgery, University of British Columbia & St. Paul's Hospital, Vancouver, British Columbia, Canada., Montaner J; Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; BC-Centre for Excellence in HIV/AIDS, Providence Health Care & Division of AIDS, St. Paul's Hospital, Vancouver, British Columbia, Canada., Wiseman SM; Department of Surgery, University of British Columbia & St. Paul's Hospital, Vancouver, British Columbia, Canada. Electronic address: smwiseman@providencehealth.bc.ca. |
| المصدر: | American journal of surgery [Am J Surg] 2024 Sep; Vol. 235, pp. 115710. Date of Electronic Publication: 2024 Mar 26. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Belle Mead, NJ : Excerpta Medica Original Publication: New York. |
| مواضيع طبية MeSH: | Antiretroviral Therapy, Highly Active* , HIV Infections*/drug therapy , HIV Infections*/complications , Digestive System Surgical Procedures*/methods , Postoperative Complications*/epidemiology, Humans ; Treatment Outcome |
| مستخلص: | Background: This study aimed to review the varied 1-4 gastrointestinal (GI) system surgical outcomes among people living with Human Immunodeficiency Virus (PLWH) in the HAART-era. Methods: MEDLINE and EMBASE were searched for primary publications on GI surgery outcomes exclusively in HAART-treated HIV patients. NSQIP-reported complications (NRCs), all-cause complications (ACC) and HIV disease parameters were extracted. Results: 12 studies met study inclusion criteria, examining bowel (4), bariatric (5), cholecystectomy (1), appendectomy (1), and other general abdominal operations (1). The NRC rate was 0%, ≥44.4% and 13.3% in bariatric, bowel and appendix surgeries, respectively. Over half of NRCs were infectious. HAART-treated patients had lower ACC, LOS, and sepsis versus untreated-HIV, and higher ACC, LOS and reoperation rates versus HIV-negative patients. Conclusion: HAART use is associated with markedly improved NRC outcomes post GI surgery among PLWH; however, these remained inferior to those documented among HIV uninfected individuals. Competing Interests: Declaration of competing interest The authors do not report any conflicts of interest. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: HAART; HIV+ HAART; HIV+ surgical outcomes; NSQIP; Surgical outcomes |
| تواريخ الأحداث: | Date Created: 20240410 Date Completed: 20240816 Latest Revision: 20240816 |
| رمز التحديث: | 20240818 |
| DOI: | 10.1016/j.amjsurg.2024.03.006 |
| PMID: | 38599893 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1879-1883 |
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| DOI: | 10.1016/j.amjsurg.2024.03.006 |