The natural history of HIV‐1 infectionstaging classifications of disease
作者:
Rachel Royce,
Roger Luckmann,
Robert Fusaro,
Warren Winkelstein,
期刊:
AIDS
(OVID Available online 1991)
卷期:
Volume 5,
issue 4
页码: 355-364
ISSN:0269-9370
年代: 1991
出版商: OVID
关键词: HIV-1 infection;AIDS;staging;classification;epidemiology
数据来源: OVID
摘要:
We evaluated and compared four staging classification systems for HIV infection in a population-based cohort: (1) a staging based on prodromal clinical criteria; (2) the Walter Reed Staging Classification (WRSC); (3) the immunologie staging system (ISS), and (4) a simple staging based on oral disease and CD4+ T-cell depletion. The staging systems were applied to 386 HIV-infected men in the San Francisco Men's Health Study cohort who did not have AIDS at the baseline examination. After 48–56 months of follow-up the cumulative incidence of AIDS and the cumulative mortality by stage was determined for each staging. Unlike the other systems, the WRSC could not classify a substantial proportion of HIV-infected men (51.9%). The WRSC and ISS include one or more stages which did not appear to be associated with a prognosis substantially different from that of adjacent stages. The simplified staging system based on CD4 + T-cell depletion and oral disease may be the most effective of the systems studied. A more complete understanding of the pathophysiology during the evolution of HIV infection will be required to define a more detailed staging of this disease.
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