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Continued Declines in AIDS and non-AIDS Related Mortality with Persistently Higher Death Rates among Blacks and the Publicly Insured in the HIV Outpatient Study (HOPS), 1996-2009
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Reported by Jules Levin
CROI 2013
Frank J Palella Jr1, Kate Buchacz2, Rachel Debes3, Rose Baker3, Carl Armon3, John T Brooks2, and the HOPS Investigators 1Northwestern University, Chicago, IL, USA; 2Centers for Disease Control and Prevention, Atlanta, GA, USA; 3Cerner Corporation, Vienna, VA, USA
Limitations:
·Causes of death were missing for a variable proportion of decedents over time, ranging from < 5% to approximately 30% of deaths.
·The HOPS is undertaking initiatives to enhance ascertainment of causes of death, including utilization of the National Death Index (NDI) through collaboration with NA-ACCORD.
Conclusions
·Death rates among HIV-infected persons in the HOPS continued to decline during 1996-2009.
·AIDS death rates declined more rapidly than deaths from non-AIDS causes.
·Excess mortality persisted among blacks and the publicly insured: This was largely accounted for by excesses in non-AIDS deaths.
·Earlier detection and earlier treatment of chronic non-AIDS diseases are likely to achieve further reductions in mortality.
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