Publication: The burden of HIV-associated neurocognitive disorder (HAND) in the Asia-Pacific region and recommendations for screening
Issued Date
2016-08-01
Resource Type
ISSN
18762026
18762018
18762018
Other identifier(s)
2-s2.0-84947976438
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Mahidol University
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SCOPUS
Bibliographic Citation
Asian Journal of Psychiatry. Vol.22, (2016), 182-189
Suggested Citation
Everall Ian, Chan Lai Gwen, Chow Ting Soo, Corr Melissa, Huang Chun-Kai, Kim Eosu, Kim Hyo-Youl, Khan Asad, Letendre Scott, Li Patrick Chung-Ki, Thanomsak Anekthananon, Treisman Glenn Jordan, Wei Han-Ting, Wong Wing-Wai The burden of HIV-associated neurocognitive disorder (HAND) in the Asia-Pacific region and recommendations for screening. Asian Journal of Psychiatry. Vol.22, (2016), 182-189. doi:10.1016/j.ajp.2015.10.009 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/41296
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Title
The burden of HIV-associated neurocognitive disorder (HAND) in the Asia-Pacific region and recommendations for screening
Other Contributor(s)
University of Melbourne
Tan Tock Seng Hospital
Hospital Pulau Pinang
Royal Prince Alfred Hospital
I-Shou University
Yonsei University College of Medicine
Yonsei University, Wonju College of Medicine
Tawam Hospital
University of California, San Diego
Queen Elizabeth Hospital Hong Kong
Mahidol University
Johns Hopkins University
Veterans General Hospital-Taipei
National Yang-Ming University Taiwan
Tan Tock Seng Hospital
Hospital Pulau Pinang
Royal Prince Alfred Hospital
I-Shou University
Yonsei University College of Medicine
Yonsei University, Wonju College of Medicine
Tawam Hospital
University of California, San Diego
Queen Elizabeth Hospital Hong Kong
Mahidol University
Johns Hopkins University
Veterans General Hospital-Taipei
National Yang-Ming University Taiwan
Abstract
© 2015 Elsevier B.V. Background HIV-associated neurocognitive disorder incurs a significant burden on HIV patients in Asia-Pacific countries; however, the incidence is difficult to estimate due to a lack of local epidemiological data. The impact of neurocognitive impairment in HIV patients is often underestimated due to a lack of education and awareness, and there are consequently gaps in the provision of screening and diagnosis to enable earlier intervention to limit neurocognitive impairment. Method This review seeks to redress the imbalance by promoting awareness and education among physicians concerning the neurovirulence of HIV and thereby increase screening efforts to improve diagnosis rates and clinical outcomes for underserved patients in this region. The Asia, Australia, and Middle East (AAME) HAND Advisory Board convened expert regional representatives to review current practice and recommend appropriate measures related to the implementation of standardised screening programmes and treatment recommendations to curb the developing HAND epidemic in the region. In particular, we recommend basic neuropsychological testing protocols that could be efficiently introduced into clinical practice for routine screening. Result We also propose simple guidelines for the management of HAND. We believe that HAND is a significant and under-reported diagnosis in HIV patients that warrants both greater recognition and further clinical investigation of the underlying pathophysiology and the impact of HIV disease progression, with HAND being associated with worse medication adherence and therefore possibly increased risk of ARV treatment failure. Discussion Widespread screening will lead to greater recognition of HAND and earlier intervention, which may lead to improved management strategies in the future.