Victor Valcour|Robert Paul|Sen Chiao|Lauren A. Wendelken|Bruce L. Miller
Screening for Cognitive Impairment in Human Immunodeficiency Virus
University Memory and Aging Center|University of California, San Francisco|University of Missouri–St. Louis|University Memory and Aging Center|University Memory and Aging Center|University Memory and Aging Center
recent publications estimate prevalence human immunodeficiency virus hivassociated neurocognitive disorders hand exceeds 50 rate likely higher among older patients cognitive impairment may impact medication adherence symptomatic impairment linked allcause mortality providing impetus early detection currently insufficient data inform solid recommendations screening methods hivspecific tools poor performance characteristics severe form impairment accounts 5 cases reliance symptoms likely miss substantial proportion individuals hand due poor insight confounding mood disturbances lack wellinformed proxies aging hivpositive population broader screening tools may required allow sensitivity hiv neurodegenerative disorders describe clinical presentation hand review existing data related screening tools provide preliminary practical recommendations absence definitive studies