A controlled trial of early versus late treatment with zidovudine in symptomatic human immunodeficiency virus infection. Results of the Veterans Affairs Cooperative Study.

Author: DayP L, DiamondG R, DickinsonG M, DrusanoG L, EgorinM J, GeorgeW L, GordinF M, HamiltonJ D, HartiganP M, SimberkoffM S

Paper Details 
Original Abstract of the Article :
BACKGROUND: Zidovudine is recommended for asymptomatic and early symptomatic human immunodeficiency virus (HIV) infection. The best time to initiate zidovudine treatment remains uncertain, however, and whether early treatment improves survival has not been established. METHODS: We conducted a multi...See full text at original site
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引用元:
https://doi.org/10.1056/NEJM199202133260703

データ提供:米国国立医学図書館(NLM)

Early vs. Late Zidovudine Treatment for HIV: A Pivotal Study

The field of [HIV treatment] has witnessed remarkable progress, but the optimal timing for initiating treatment remains a crucial question. This study explores the effectiveness of early versus late treatment with [zidovudine] in symptomatic HIV-infected patients. Researchers conducted a meticulously designed, randomized, double-blind trial to compare the two approaches. The study sheds light on the impact of early treatment on disease progression and survival in a clinically significant patient population.

Early Treatment Delays Progression to AIDS, but Not Survival

This landmark study reveals that while early treatment with zidovudine can delay progression to [AIDS], it does not significantly improve survival in symptomatic HIV-infected patients. The authors found that patients receiving early treatment experienced a delay in the decline of their CD4+ counts and a higher rate of conversion from positive to negative for serum p24 antigen. However, the overall survival rate remained similar between the early and late treatment groups. This finding underscores the importance of considering a holistic approach to HIV management, encompassing early treatment, but also focusing on comprehensive care and adherence to therapy.

Early Treatment: Benefits and Considerations

This study highlights the potential benefits of early treatment in delaying disease progression. However, it also brings attention to the increased risk of side effects associated with early therapy. This emphasizes the need for individualized care, balancing the benefits of early treatment with potential side effects. Continued research into HIV treatment strategies is essential to identify optimal approaches that maximize patient well-being and quality of life.

Dr.Camel's Conclusion

This study, like a compass guiding travelers through the desert, provides valuable insights into the complexities of HIV treatment. While early treatment may offer a temporary reprieve from the harsh realities of HIV, the journey towards a cure remains long and challenging. The study underscores the importance of personalized care, a balanced approach to treatment, and continued research in the quest for a more effective and compassionate approach to managing HIV.

Date :
  1. Date Completed 1992-02-21
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

1346337

DOI: Digital Object Identifier

10.1056/NEJM199202133260703

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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