ArticleBMC medicine2025
A metric to measure long-term well-being of people living with HIV in Spain.
Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
Abstract
backgroundAchieving long-term well-being for people living with HIV (PLHIV) requires moving beyond viral suppression to address health-related quality of life (HRQoL), encompassing physical, mental, and social dimensions. This study aimed to develop a composite metric to monitor and improve the long-term well-being of PLHIV in Spain.
methodsThis study employs a Delphi consensus process with composite score analysis of cross-sectional survey data from 500 PLHIV in Spain. The Delphi method was employed to engage 43 experts to identify and prioritize indicators for three domains: comorbidity, discrimination, and quality of life. Data from validated instruments, including the Charlson Comorbidity Index and the WHOQOL-HIV-BREF tool, were used to construct a composite well-being score. Scores for each domain were weighted and standardized to create the long-term well-being index.
resultsThe composite metric revealed that most participants had moderate well-being, with 70% scoring medium for comorbidities and 66% experiencing medium to high discrimination. About 15% reported poor quality of life, and nine participants exhibited the worst possible scores across all domains. The metric demonstrated the interrelated impact of comorbidity, discrimination, and quality of life on overall well-being.
conclusionsThis study introduces a long-term well-being composite metric that integrates comorbidity, discrimination, and HRQoL as critical domains for monitoring and improving the health of PLHIV. The metric provides a holistic, patient-centered framework to guide interventions and policy, supporting better outcomes for PLHIV in Spain and beyond.
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