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Screening for HIV-related neurocognitive impairment in clinical practice: Challenges and opportunities.

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Title: Screening for HIV-related neurocognitive impairment in clinical practice: Challenges and opportunities.
Authors: Barber, T.J. (AUTHOR), Bradshaw, D. (AUTHOR), Hughes, D. (AUTHOR), Leonidou, L. (AUTHOR), Margetts, A. (AUTHOR), Ratcliffe, D. (AUTHOR), Thornton, S. (AUTHOR), Pozniak, A. (AUTHOR), Asboe, D. (AUTHOR), Mandalia, S. (AUTHOR), Boffito, M. (AUTHOR), Davies, N. (AUTHOR), Gazzard, B. (AUTHOR), Catalan, J. (AUTHOR)
Source: AIDS Care. Feb2014, Vol. 26 Issue 2, p160-168. 9p.
Subjects: Diagnosis of central nervous system diseases, Cognition disorders diagnosis, Antiviral agents, HIV infection complications, Health services administration, Neuropsychological tests, Disease prevalence
Geographic Terms: United Kingdom
Abstract: With increasingly successful management of HIV, focus has shifted away from AIDS-related complications to other chronic co-morbidities. For HIV-related cognitive problems, the true aetiopathogenesis and epidemiology remains unclear. Rather than a systematic review, this paper presents the challenges and the opportunities we faced in establishing our own clinical service. Papers were identified using Pubmed and the terms “screening”, “HIV” and “neurocognitive”. This article covers the background of HIV-associated neurocognitive disorders (HAND) with a focus on HIV-related neurocognitive impairment (NCI), detailing classification, prevalence, diagnostic categories and diagnostic uncertainties. Screening is discussed, including a comparison of the available screening tools for cognitive deficits in HIV-infected patients and the importance of practice effects. Discussed also are the normal ranges and the lack thereof and potential investigations for those found to have impairments. We conclude by discussing the role of NCI screening in routine clinical care at the current time. [ABSTRACT FROM PUBLISHER]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Screening for HIV-related neurocognitive impairment in clinical practice: Challenges and opportunities.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Feb2014, Vol. 26 Issue 2, p160-168. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+central+nervous+system+diseases%22">Diagnosis of central nervous system diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders+diagnosis%22">Cognition disorders diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Antiviral+agents%22">Antiviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infection+complications%22">HIV infection complications</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+administration%22">Health services administration</searchLink><br /><searchLink fieldCode="DE" term="%22Neuropsychological+tests%22">Neuropsychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink>
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  Data: With increasingly successful management of HIV, focus has shifted away from AIDS-related complications to other chronic co-morbidities. For HIV-related cognitive problems, the true aetiopathogenesis and epidemiology remains unclear. Rather than a systematic review, this paper presents the challenges and the opportunities we faced in establishing our own clinical service. Papers were identified using Pubmed and the terms “screening”, “HIV” and “neurocognitive”. This article covers the background of HIV-associated neurocognitive disorders (HAND) with a focus on HIV-related neurocognitive impairment (NCI), detailing classification, prevalence, diagnostic categories and diagnostic uncertainties. Screening is discussed, including a comparison of the available screening tools for cognitive deficits in HIV-infected patients and the importance of practice effects. Discussed also are the normal ranges and the lack thereof and potential investigations for those found to have impairments. We conclude by discussing the role of NCI screening in routine clinical care at the current time. [ABSTRACT FROM PUBLISHER]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09540121.2013.819401
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        Text: English
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        Type: general
      – SubjectFull: Cognition disorders diagnosis
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      – SubjectFull: Antiviral agents
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      – SubjectFull: HIV infection complications
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      – SubjectFull: United Kingdom
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              Text: Feb2014
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