Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine, New Haven, Connecticut, USA.
AIDS Patient Care STDS. 2012 Jun;26(6):312-9. doi: 10.1089/apc.2012.0044. Epub 2012 May 21.
Most patients (80-90%) newly diagnosed with HIV are started on the antiretroviral regimen efavirenz, emtricitabine, and tenofovir (EFV/FTC/TDF). Existing studies of patient tolerability, however, are limited. We compared symptom experiences of patients on EFV/FTC/TDF, and the subsequent impact on health-related quality of life, with those of patients on other combination antiretroviral therapy (cART). We conducted a cross-sectional analysis of the Veterans Aging Cohort Study from February 2008 to August 2009 to compare the symptom experiences of patients on EFV/FTC/TDF vs. other cART, unadjusted and then adjusted for treatment characteristics, and comorbid disease severity. We then assessed the association between EFV/FTC/TDF use and health-related quality of life. Among the 1,759 patients in our analytic sample, EFV/FTC/TDF use was associated with fewer symptoms than was other cART. The use of EFV/FTC/TDF was independently associated with health-related quality of life, and this association was at least partially explained by symptom burden.
大多数新诊断出 HIV 的患者(80-90%)开始接受依非韦伦、恩曲他滨和替诺福韦(EFV/FTC/TDF)的抗逆转录病毒治疗方案。然而,现有的患者耐受性研究是有限的。我们比较了 EFV/FTC/TDF 治疗的患者的症状体验,以及随后对健康相关生活质量的影响,与其他联合抗逆转录病毒治疗(cART)的患者进行比较。我们对 2008 年 2 月至 2009 年 8 月退伍军人老龄化队列研究进行了横断面分析,比较了 EFV/FTC/TDF 治疗组与其他 cART 治疗组的症状体验,未经调整和调整治疗特征以及合并疾病严重程度后进行比较。然后,我们评估了 EFV/FTC/TDF 使用与健康相关生活质量之间的关系。在我们的分析样本中,1759 名患者中,EFV/FTC/TDF 治疗组的症状少于其他 cART 治疗组。EFV/FTC/TDF 的使用与健康相关生活质量独立相关,这种关联至少部分是由症状负担引起的。