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Utility of a Short Neuropsychological Protocol for Detecting HIV-Associated Neurocognitive Disorders in Patients with Asymptomatic HIV-1 Infection

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dc.contributor.authorMartinez-Banf, Martha
dc.contributor.authorVélez, Jorge I.
dc.contributor.authorMebarak Chams, Moisés R.
dc.contributor.authorArcos-Holzinger, Mauricio
dc.contributor.authorAcosta-López, Johan E.
dc.contributor.authorGarcía, Ricardo
dc.contributor.authorPerea, María Victoria
dc.contributor.authorArcos-Burgos, Mauricio
dc.contributor.authorLadera, Valentina
dc.date.accessioned2021-08-05T14:43:46Z
dc.date.available2021-08-05T14:43:46Z
dc.date.issued2021
dc.description.abstractHuman Immunodeficiency Virus type 1 (HIV-1) infection is a chronic disease that affects ~40 million people worldwide. HIV-associated neurocognitive disorders (HAND) are common in individuals with HIV-1 Infection, and represent a recent public health problem. Here we evaluate the performance of a recently proposed short protocol for detecting HAND by studying 60 individuals with HIV-1-Infection and 60 seronegative controls from a Caribbean community in Barranquilla, Colombia. The short evaluation protocol used significant neuropsychological tests from a previous study of asymptomatic HIV-1 infected patients and a group of seronegative controls. Brief screening instruments, i.e., the Mini-mental State Examination (MMSE) and the International HIV Dementia Scale (IHDS), were also applied. Using machine-learning techniques, we derived predictive models of HAND status, and evaluated their performance with the ROC curves. The proposed short protocol performs exceptionally well yielding sensitivity, specificity, and overall prediction values >90%, and better predictive capacity than that of the MMSE and IHDS. Community-specific cut-off values for HAND diagnosis, based on the MMSE and IHDS, make this protocol suitable for HAND screening in individuals from this Caribbean community. This study shows the effectivity of a recently proposed short protocol to detect HAND in individuals with asymptomatic HIV-1-Infection. The application of community-specific cut-off values for HAND diagnosis in the clinical setting may improve HAND screening accuracy and facilitate patients’ treatment and follow-up. Further studies are needed to assess the performance of this protocol in other Latin American populations.eng
dc.format.mimetypepdfeng
dc.identifier.citationMartinez-Banfi, M.; Vélez, J.I.; Mebarak Chams, M.R.; Arcos-Holzinger, M.; Acosta-López, J.E.; García, R.; Perea, M.V.; Arcos-Burgos, M.; Ladera, V. Utility of a Short Neuropsychological Protocol for Detecting HIV-Associated Neurocognitive Disorders in Patients with Asymptomatic HIV-1 Infection. Brain Sci. 2021, 11, 1037. https:// doi.org/10.3390/brainsci11081037spa
dc.identifier.doihttps://doi.org/10.3390/brainsci11081037
dc.identifier.issn20763425
dc.identifier.urihttps://hdl.handle.net/20.500.12442/8110
dc.identifier.urlhttps://www.mdpi.com/2076-3425/11/8/1037
dc.language.isoengeng
dc.publisherMDPIeng
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceBrain scienceseng
dc.sourceVol. 11, No. 8 (2021)
dc.subjectHIVeng
dc.subjectAIDSeng
dc.subjectHANDeng
dc.subjectNeurocognitive disordereng
dc.subjectPredictive modelseng
dc.subjectNeuropsychological screeningeng
dc.subjectMachine learningeng
dc.titleUtility of a Short Neuropsychological Protocol for Detecting HIV-Associated Neurocognitive Disorders in Patients with Asymptomatic HIV-1 Infectioneng
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.spaArtículo científicospa
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