当今ART治疗可以预期生存期到70岁 关于启动ART时机的研究
作者: 时间:2009-2-13 来源:
目前发达国家ART指南推荐启动抗病毒治疗时机是CD4低于350开始,对某些特殊人群,如高HIV病毒量,合并HCV感染的,可以提前给药。但是有些人认为早启动治疗会最大限度降低HIV对免疫系统损害。
去年美国和加拿大研究数据结论是当在CD4降到350前启动ART比降到350后启动,死亡风险降低70%,但研究没有说明如果在CD4高到500时启动会是什么结果。
在加拿大举行的16届抗病毒和抗机会性感染大会上展示2个针对此的研究,但2个研究的结论相互冲突。
北美的研究说明在CD4低于500时启动治疗比高于500时启动死亡风险增加60%。
另一研究是欧洲和北美的合作观察数据,没有发现CD4高于400后启动治疗有任何益处。发现CD4在350-400间启动ART益处明显,但是在450-550间启动没有降低AIDS或死亡风险。
大会指出这两研究缺乏严格可比性。前一个是观察死亡风险,后一个是观察AIDS和死亡风险。两个研究都没有针对非AIDS指征性疾病进行观察,而这些该是早期启动ART最担心的风险以及预防这些副作用的经济投入是否更值得。
http://www.aidsmap.com/en/news/44645131-770C-4D41-AA18-7E2E4116D4E3.asp
当今ART治疗可以预期生存期到70岁
作者:中国艾滋病信息治疗网 时间:2009-1-29 来源:中国艾滋病治疗信息网
著名杂志《柳叶刀》上文章,研究来自国际上14个大型临床点包括加拿大,欧洲和美国。观察共43,000名患者的死亡率和影响预后的因素。启动ART的时间分为1996-1999,2000-2002,2002-2005年间。
临床研究数据表明,成功的ART治疗可以延长生存期到60岁以上:成功的ART治疗,如果是20岁开始,可以活到63岁,如果是35岁开始,可以活到67岁。如果是在CD4 200以上开始启动治疗,20岁者可以活到70岁,35岁者可以活到72岁。
研究也表明在随着治疗的改进,ART的预期生存期在逐渐延长:1996-1999年预期生存期延长43年,到2002-2005年是近70年。
静脉吸毒人员生存期要短20年。基线CD4低也是缩短生存期的因素。CD4在500时治疗HIV死亡风险可以忽略。女性总体比男性长。
尽管如此,发现HIV阳性个体比HIV阴性的存活期短10年。还有非HIV相关的合并症。
ART treatment today can be expected survival time to 70-year-old on the start time of the study ART
Author: Time :2009-2-13 Source:
At present, developed countries start ART guidelines recommend anti-virus treatment time are the beginning of CD4 below 350, for certain special populations, such as high HIV viral load, the merger HCV infection can be administered in advance. But some people think to start treatment as early as minimize damage to HIV on the immune system.
The United States and Canada last year, research data concludes that when CD4 dropped to 350 in the ART than before the start down to 350 after the start, 70 percent lower risk of death, but the researchers did not say if the CD4 high to 500 when they will be any results.
In Canada, held the 16th anti-virus and anti-opportunistic infections to display the General Assembly 2 for this study, but the conclusions of two studies conflict with each other.
North American research in CD4 less than 500 to start treatment at higher than 500 when they increase the risk of death 60%.
Another study is co-operation in Europe and North America to observe the data and found no higher than 400 after the start CD4 treatment has any benefit. Found in CD4 between 350-400 obvious benefits to start ART, but in between the 450-550 did not activate or death to reduce the risk of AIDS.
The General Assembly noted that the lack of strict comparability of the two studies. Before a risk of death are observed, the latter observation are AIDS and the risk of death. Two studies do not have indications for non-AIDS diseases were observed, and these are early promoter of the most worried about the risks of ART, as well as to prevent these side effects are more worthy of economic input.
http://www.aidsmap.com/en/news/44645131-770C-4D41-AA18-7E2E4116D4E3.asp
ART treatment today can be expected survival time to 70-year-old
Author: China's AIDS treatment information network time :2009-1-29 Source: China AIDS Treatment Information Network
Well-known magazine "Lancet" on the article, researchers from 14 large-scale international clinical points, including Canada, Europe and the United States. Observed a total of 43,000 patients with mortality and prognostic factors. ART start time is divided into 1996-1999,2000-2002,2002-2005 years.
Clinical study data show that the success of ART treatment can extend survival to 60 years of age: the success of ART treatment, if it is the beginning of 20-year-old, can live to 63 years old, if it is the beginning of 35-year-old, can live to 67 years. If the above are in the CD4 200 started treatment, 20-year-old can live to 70 years old, 35-year-old can live to 72 years.
The study also shows that with improved treatment, ART expected gradually to extend the survival period :1996-1999 period is expected to survive 43 years to 2002-2005, are near 70 years.
Intravenous drug users in a shorter survival period of 20 years. Low baseline CD4 is also shortened survival factor. CD4 in 500 risk of death when the treatment of HIV can be ignored. Women overall than men.
In spite of this, found HIV-positive individuals than HIV-negative short survival time for 10 years. Non-HIV related complications.
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