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HIV Death Rates Will Increase Due To Aging/Comorbidities & Healthcare Costs Will Double Housing, This Must Get Close Attention
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We are headed for a time where it will be the NORM for HIV+ to be over 50 & 60, to have multiple Comorbities, To have Cognitive Impairment & neurologic & neuropathy Disease & Will Be Disabled Both Mentally & Physically
--------Death Rates in HIV+ will increase & Quality of Life Will Get Bad over the next years.
You would have to be in denial, suffer ageism, not understand current epidemiological & aging/HIV research TO NOT see this. HIV Survival studies in recent years saying HIV+ are approaching normal survival rates ARE LIES. If you read them all closely they are estimated projections AND most important NONE of these studies included comorbidities as considerations in estimating death rates. -
---------Comorbidty rates are overall essentially DOUBLE in older HIV+ vs the general population:
we have high frailty rates with some studies reporting 20%+, high cognitive impairment rates, double osteoporosis & fall & fracture rates, high depression & anxiety & mental decline rates, AND HIGH physical disability rates.
-----Healthcare & Ryan White Costs will DOUBLE due to increased non-HIV medications & care costs.
------6 major cities in USA report 20%+ over 60 NOW, 70% over 40 AND 75% are PREDICTED TO OVER over 50 in 12 years with 30% cancer rates & 80% heart disease rates:
75% Projected to Be Over 50. 85% of HIV+ projected to Have Cadiovascular Disease in USA, 30% malignancy, 23% diabetes. Care Costs Increase by 40% due to Comobidities
80% of HIV+ Are Over 45 / 20% over 60 /50% Over 50 in NY, SF, Boston, Florida - (01/27/17)
------ LONG TERM CARE INSTITUTIONALIZATION-
THEN there is the issue of LONG TERM CARE for HIV+ who become completely disabled & need home health care & then moved into full time long term healthcare facilities THIS WILL HAPPEN & WE ARE NOT THINKING ABOUT IT
-----these 2 studies at Glasgow HIV Oct 2018 IS the VERY FIRST STUDY toquantify death rates by the number of comorbidities in HIV+ - AND this 2nd study at Glasgow reports the same as other recent studies that aging & comorbidities will DOUBLE HIV HEALTHCARE COSTS
Multimorbidity and risk of death differs by gender in people living with HIV in the Netherlands - the ATHENA cohort study - (10/29/18)
The economic burden of comorbidities among people living with HIV in Germany; A cohort analysis using health insurance claims data - (10/29/18)
NYC DOH HIV Surveillance Data reported last week; 77% over 40 years old, 55% over 50, 24% over 60:
NYC DOH Released New 2017 HIV Surveillance Report....23.9% over 60 years old, 77% over 40....55% over 50 - (12/05/18)
SIGN OF IMPENDING HEALTH AGING-RELATED DECLINE:
In 60-Year-Plus HIV Group With Viral Suppression, 70% Have Low CD4:CD8 Ratio
CFAR DATA
HIV+ on Medicare Have Double the rates of:
-------anemia, depression, congestive heart failure, bipolar disorder, liver disease, mental disorders, kidney disease;
-----40% to 50% higher:
Cancer Rates, chronic pulmonary disease, cerebrovascular disease, peripheral artery disease, dementia, osteoporosis, anxiety, substance abuse, Hepatitis C, AIDS-defining cancer....read table below.
.......Recent anecdotal reports of higher rates of alzheimers in older HIV+ from several key HIV neurology researchers have added to the published literature over recent years suggesting HIV+ may be at greater risk for alzheimers, but we don't yet have conclusive evidence that older HIV+ are at greater risk for alzhemers, some research is ongoing to shed light on this question.
33 conditions based on diagnoses/procedures on medical claims over a 1-year period –
Hypertension, dyslipidemia, diabetes, ischemic heart disease, cataract, anemia, cardiac dysrhythmia, renal disease, chronic pulmonary disease, non-AIDS defining cancer, depression, benign prostate hyperplasia, glaucoma, osteoarthritis, cerebrovascular disease, peptic ulcer disease/GERD, retinal disorders, heart valve disorders, congestive heart failure, peripheral vascular disease, hypothyroidism, substance abuse, anxiety, tobacco use disorder, hepatitis C, dementia, rheumatologic disease, osteoporosis, liver disease, hemiplegia/paraplegia, AIDS-defining cancer, schizophrenia, bipolar disorder
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