Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus

Sara E. Croxford; Veronique Martin; Sebastian B. Lucas; Robert F. Miller; Frank A. Post; Jane Anderson; Vanessa J. Apea; David Asboe; Garry Brough; David R. Chadwick; Simon Collins; Helen Corkin; Gillian Dean; Valerie C. Delpech; Maka Gogia; Deborah Gold; Anna Kafkalias; Marilena Korkodilos; Justyna D. Kowalska; Jacqueline Lindo; Jens D. Lundgren; Lucy Lynch; Esteban Martinez; Niall McDougall; Sarah North; Juergen K. Rockstroh; Caroline Sabin; Maria Vidal-Read; Laura J. Waters; Ann K. Sullivan

doi:10.1016/S2352-3018(22)00363-0

Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus

Sara E. Croxford^*, Veronique Martin, Sebastian B. Lucas, Robert F. Miller, Frank A. Post, Jane Anderson, Vanessa J. Apea, David Asboe, Garry Brough, David R. Chadwick, Simon Collins, Helen Corkin, Gillian Dean, Valerie C. Delpech, Maka Gogia, Deborah Gold, Anna Kafkalias, Marilena Korkodilos, Justyna D. Kowalska, Jacqueline LindoJens D. Lundgren, Lucy Lynch, Esteban Martinez, Niall McDougall, Sarah North, Juergen K. Rockstroh, Caroline Sabin, Maria Vidal-Read, Laura J. Waters, Ann K. Sullivan

^*Corresponding author af dette arbejde

Publikation: Bidrag til tidsskrift › Review › peer review

2 Citationer (Scopus)

9 Downloads (Pure)

Abstract

Getting to Zero is a commonly cited strategic aim to reduce mortality due to both HIV and avoidable deaths among people with HIV. However, no clear definitions are attached to these aims with regard to what constitutes HIV-related or preventable mortality, and their ambition is limited. This Position Paper presents consensus recommendations to define preventable HIV-related mortality for a pragmatic approach to public health monitoring by use of national HIV surveillance data. These recommendations were informed by a comprehensive literature review and agreed by 42 international experts, including clinicians, public health professionals, researchers, commissioners, and community representatives. By applying the recommendations to 2019 national HIV surveillance data from the UK, we show that 30% of deaths among people with HIV were HIV-related or possibly HIV-related, and at least 63% of these deaths were preventable or potentially preventable. The application of these recommendations by health authorities will ensure consistent monitoring of HIV elimination targets and allow for the identification of inequalities and areas for intervention.

Originalsprog	Engelsk
Tidsskrift	The Lancet HIV
Vol/bind	10
Udgave nummer	3
Sider (fra-til)	e195-e201
Antal sider	7
ISSN	2352-3018
DOI	https://doi.org/10.1016/S2352-3018(22)00363-0
Status	Udgivet - 2023

Bibliografisk note

Funding Information:
We thank Adamma Aghaizu, Nicky Connor, and Amber Newbigging-Lister for their support in chairing and scribing during the virtual working group sessions, and Jess Drummond and Eleanor Johnston for managing the project on behalf of Fast-Track Cities Initiative London. We acknowledge the continuing collaboration of people living with HIV, clinicians, microbiologists, immunologists, public health practitioners, occupational health doctors, nurses, and other colleagues who contribute to the surveillance of HIV in the UK. SEC's time on this project was funded by Fast-Track Cities Initiative London. The funders did not influence the study design, guide the analysis, or affect the decision to submit the paper for publication. Members of the Fast-Track Cities Initiative London leadership group, who are also authors of the manuscript, provided input into interpretation of data and commented on the written manuscript.

Publisher Copyright:
© 2023 Elsevier Ltd

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10.1016/S2352-3018(22)00363-0

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Citationsformater

Croxford, S. E., Martin, V., Lucas, S. B., Miller, R. F., Post, F. A., Anderson, J., Apea, V. J., Asboe, D., Brough, G., Chadwick, D. R., Collins, S., Corkin, H., Dean, G., Delpech, V. C., Gogia, M., Gold, D., Kafkalias, A., Korkodilos, M., Kowalska, J. D., ... Sullivan, A. K. (2023). Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus. The Lancet HIV, 10(3), e195-e201. https://doi.org/10.1016/S2352-3018(22)00363-0

Croxford, SE, Martin, V, Lucas, SB, Miller, RF, Post, FA, Anderson, J, Apea, VJ, Asboe, D, Brough, G, Chadwick, DR, Collins, S, Corkin, H, Dean, G, Delpech, VC, Gogia, M, Gold, D, Kafkalias, A, Korkodilos, M, Kowalska, JD, Lindo, J, Lundgren, JD, Lynch, L, Martinez, E, McDougall, N, North, S, Rockstroh, JK, Sabin, C, Vidal-Read, M, Waters, LJ & Sullivan, AK 2023, 'Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus', The Lancet HIV, bind 10, nr. 3, s. e195-e201. https://doi.org/10.1016/S2352-3018(22)00363-0

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title = "Recommendations for defining preventable HIV-related mortality for public health monitoring in the era of Getting to Zero: an expert consensus",

abstract = "Getting to Zero is a commonly cited strategic aim to reduce mortality due to both HIV and avoidable deaths among people with HIV. However, no clear definitions are attached to these aims with regard to what constitutes HIV-related or preventable mortality, and their ambition is limited. This Position Paper presents consensus recommendations to define preventable HIV-related mortality for a pragmatic approach to public health monitoring by use of national HIV surveillance data. These recommendations were informed by a comprehensive literature review and agreed by 42 international experts, including clinicians, public health professionals, researchers, commissioners, and community representatives. By applying the recommendations to 2019 national HIV surveillance data from the UK, we show that 30% of deaths among people with HIV were HIV-related or possibly HIV-related, and at least 63% of these deaths were preventable or potentially preventable. The application of these recommendations by health authorities will ensure consistent monitoring of HIV elimination targets and allow for the identification of inequalities and areas for intervention.",

author = "Croxford, {Sara E.} and Veronique Martin and Lucas, {Sebastian B.} and Miller, {Robert F.} and Post, {Frank A.} and Jane Anderson and Apea, {Vanessa J.} and David Asboe and Garry Brough and Chadwick, {David R.} and Simon Collins and Helen Corkin and Gillian Dean and Delpech, {Valerie C.} and Maka Gogia and Deborah Gold and Anna Kafkalias and Marilena Korkodilos and Kowalska, {Justyna D.} and Jacqueline Lindo and Lundgren, {Jens D.} and Lucy Lynch and Esteban Martinez and Niall McDougall and Sarah North and Rockstroh, {Juergen K.} and Caroline Sabin and Maria Vidal-Read and Waters, {Laura J.} and Sullivan, {Ann K.}",

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AU - Croxford, Sara E.

AU - Martin, Veronique

AU - Lucas, Sebastian B.

AU - Miller, Robert F.

AU - Post, Frank A.

AU - Anderson, Jane

AU - Apea, Vanessa J.

AU - Asboe, David

AU - Brough, Garry

AU - Chadwick, David R.

AU - Collins, Simon

AU - Corkin, Helen

AU - Dean, Gillian

AU - Delpech, Valerie C.

AU - Gogia, Maka

AU - Gold, Deborah

AU - Kafkalias, Anna

AU - Korkodilos, Marilena

AU - Kowalska, Justyna D.

AU - Lindo, Jacqueline

AU - Lundgren, Jens D.

AU - Lynch, Lucy

AU - Martinez, Esteban

AU - McDougall, Niall

AU - North, Sarah

AU - Rockstroh, Juergen K.

AU - Sabin, Caroline

AU - Vidal-Read, Maria

AU - Waters, Laura J.

AU - Sullivan, Ann K.

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N2 - Getting to Zero is a commonly cited strategic aim to reduce mortality due to both HIV and avoidable deaths among people with HIV. However, no clear definitions are attached to these aims with regard to what constitutes HIV-related or preventable mortality, and their ambition is limited. This Position Paper presents consensus recommendations to define preventable HIV-related mortality for a pragmatic approach to public health monitoring by use of national HIV surveillance data. These recommendations were informed by a comprehensive literature review and agreed by 42 international experts, including clinicians, public health professionals, researchers, commissioners, and community representatives. By applying the recommendations to 2019 national HIV surveillance data from the UK, we show that 30% of deaths among people with HIV were HIV-related or possibly HIV-related, and at least 63% of these deaths were preventable or potentially preventable. The application of these recommendations by health authorities will ensure consistent monitoring of HIV elimination targets and allow for the identification of inequalities and areas for intervention.

AB - Getting to Zero is a commonly cited strategic aim to reduce mortality due to both HIV and avoidable deaths among people with HIV. However, no clear definitions are attached to these aims with regard to what constitutes HIV-related or preventable mortality, and their ambition is limited. This Position Paper presents consensus recommendations to define preventable HIV-related mortality for a pragmatic approach to public health monitoring by use of national HIV surveillance data. These recommendations were informed by a comprehensive literature review and agreed by 42 international experts, including clinicians, public health professionals, researchers, commissioners, and community representatives. By applying the recommendations to 2019 national HIV surveillance data from the UK, we show that 30% of deaths among people with HIV were HIV-related or possibly HIV-related, and at least 63% of these deaths were preventable or potentially preventable. The application of these recommendations by health authorities will ensure consistent monitoring of HIV elimination targets and allow for the identification of inequalities and areas for intervention.

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DO - 10.1016/S2352-3018(22)00363-0

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