geoffrey modest medical blogs

  A recent paper found that HIV care provided by non-infectious disease specialists was in some ways superior to that provided by ID specialists (see   hiv primary care better than non-ID providers JAIDS2024  in dropbox or 10.1097/QAI.0000000000003410)   Details : -- 6323 adults receiving HIV care were analyzed from the CDC’s Medical Monitoring Project (MMP), from 2019-2021     -- MMP is an annual cross-sectional survey designed to produce nationally representative estimates of the behavioral and clinical characteristics of adults with HIV diagnoses through routine public health surveillance.     -- the random set of people sampled in the 2019 and 2020 data collection cycles were recruited for a phone or face-to-face interview     -- the following states were included: California, Delaware, Florida, Georgia, Illinois, Indiana, Michigan, Mississippi, New Jersey, New York, North Carolina, Oregon, Pennsylvania, Puerto Rico, T...

  Background : -- chronic HPV infection is associated with six different anatomical regions: five are in the genital area (penis, cervix, anus, vagina, and vulva) and the sixth is in the oropharynx -- of note, there has been an increase in HPV-related cancers over time, with  oropharyngeal cancer being  the single most common HPV-related cancer in the US -- the CDC reported in  2019 ( https://www.cdc.gov/mmwr/volumes/68/wr/pdfs/mm6833a3-H.pdf ) that  there were an average of 43,999 potential HPV-associated cancers (12.2/100K) annually, with 79% (34,800) attributable to HPV:     -- oropharynx: 19,000 cases, 4.9/100K people, with 12,600 from the 9 serotypes covered by the vaccine, 900 from other HPV serotypes, and 5,500 that were HPV-negative     -- cervix: 12,015 cases, 7.2/100K people, with 9,700 from the 9 serotypes covered by the vaccine, 1200 from other HPV serotypes, and 1,100 that were HPV-negative         – the ...