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M94A3100.TXT
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1994-10-25
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Document 3100
DOCN M94A3100
TI The HIV outpatient study (HOPS): early results.
DT 9412
AU Marlowe S; Moorman A; Holmberg S; HOPS Investigators/Health Research
Network, Atlanta, GA.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):153 (abstract no. PB0037). Unique
Identifier : AIDSLINE ICA10/94369475
AB OBJECTIVE: To monitor trends in demographics, symptoms, diagnoses, and
treatments of HIV-infected outpatients, especially early in infection.
METHODS: We analyzed data electronically charted by trained clinic
personnel on HIV-infected outpatients' visits to clinician offices in
the following US cities: Atlanta, GA, Tampa, FL, Portland, OR, Okland,
CA, and north Los Angeles, CA. The PC-based electronic system allows
immediate access to site-specific data. RESULTS: In the first 6 months
445 patients were interviewed and examined during 1,113 visits, of which
10% were event-triggered and 90% were for routine care. Median age of
patients was 37 years; 91% were male; 74% were white, 12% Afr/American,
and 4% Hispanic; 88% were homo/bisexual men, and 6% were injecting drug
users. Sources of payment were private insurance (71%), Medicaid (14%),
and Medicare (4%); 50% of patients were working fulltime, 38% were
disabled/not working. Of 367 patients with a CD4 count during the
observation period, 52% had < 200, 33% had 200-499, and 16% had > or =
500 cells/microliter. Common symptoms included mild/moderate fatigue
(12%), diarrhea (5%), paresthesia (5%), productive cough (5%), headaches
(4%), and weight loss (3%). Frequent diagnoses included candidiasis
(14%), sinusitis (6%), PCP (4%), KS (4%), peripheral neuropathy (5%),
herpes simplex (4%), Mycobacterium avium infection (4%), wasting (4%),
and bronchitis (4%). During the observed clinic visits 56% of patients
had taken AZT, 25% DDI, 22% DDC, and 8% D4T. CONCLUSIONS: These
preliminary data provide insight into current characteristics and
treatment of HIV-infected, non-hospitalized patients. To better monitor
trends, the HOPS is expanding to include sites with greater demographic
and risk group diversity.
DE Adult AIDS-Related Opportunistic Infections/EPIDEMIOLOGY Ethnic Groups
Female Human HIV Infections/*EPIDEMIOLOGY/PHYSIOPATHOLOGY/*THERAPY
Insurance, Health Leukocyte Count Male Medicaid Medicare
Outpatients/*STATISTICS & NUMER DATA Sex Behavior Substance Abuse,
Intravenous T4 Lymphocytes United States/EPIDEMIOLOGY MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).