Design and implementation of a prospective cohort study of persons living with and without HIV infection who are initiating medication treatment for opioid use disorder.

Design and implementation of a prospective cohort study of persons living with and without HIV infection who are initiating medication treatment for opioid use disorder.
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设计和实施一项前瞻性队列研究,研究对象为开始阿片类药物使用障碍药物治疗的艾滋病毒感染者和未感染者。

DOI:
10.1016/j.conctc.2021.100704
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发表时间:
2021-03
影响因子:
1.5
通讯作者:
Springer SA
Springer SA
中科院分区:
其他
文献类型:
--
作者:
Biondi BE;Mohanty S;Wyk BV;Montgomery RR;Shaw AC;Springer SA

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阿片类药物使用障碍对艾滋病毒感染者的艾滋病毒连续护理产生负面影响。OUD(MOUD)的药物治疗可能对HIV和OUD患者产生不同的生物学效应。为了解决MOUD调节免疫反应的问题,我们描述了最先进的系统生物学方法,对有和没有HIV感染的人进行了第一次前瞻性纵向研究,这些人感染了OUD启动MOUD。正在进行一项对DSM-5诊断为OUD的患者进行的前瞻性队列研究,这些患者患有或不患有HIV感染,并开始接受美沙酮或丁丙诺啡治疗,以评估这些药物对免疫生物学结局的生物学效应。我们描述了这项研究的招募、实验室和统计方法以及方案细节。在筛选入组研究的受试者中,468人(36%)符合条件,迄今为止有135人入组。第六个月的保留率高达80%。本研究将使用最先进的系统生物学方法,对DSM-5 OUD感染和未感染HIV的患者开始MOUD治疗进行首次前瞻性纵向研究。
Opioid use disorder (OUD) negatively impacts the HIV continuum of care for persons living with HIV. Medication treatment for OUD (MOUD) may have differential biological effects in individuals with HIV and OUD. To address the question of modulation of immune responses by MOUDs, we describe state of the art systems biology approaches to carry out the first prospective, longitudinal study of persons with and without HIV infection with OUD initiating MOUD. A prospective cohort study of persons with DSM-5 diagnosed OUD who are living with and without HIV infection and initiating treatment with methadone or buprenorphine is underway to assess biological effects of these medications on immunobiological outcomes. We describe the recruitment, laboratory, and statistical methods of this study as well as the protocol details. Of those screened for enrollment into the study, 468 (36%) were eligible and 135 were enrolled thus far. Retention through month 6 has been high at 80%. This study will use state of the art systems biology approaches to carry out the first prospective, longitudinal studies of persons living with and without HIV with DSM-5 OUD initiating treatment with MOUD.
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