TY - JOUR TI - Causes of death among HIV-infected patients in France in 2010 (national survey): trends since 2000 AU - Morlat, Philippe AU - Roussillon, Caroline AU - Henard, Sandrine AU - Salmon, Dominique AU - Bonnet, Fabrice AU - Cacoub, Patrice AU - Georget, Aurore AU - Aouba, Albertine AU - Rosenthal, Eric AU - May, Thierry AU - Chauveau, Marie AU - Diallo, Bilghissa AU - Costagliola, Dominique AU - Chene, Geneviève AU - for the ANRS EN20 Mortalité 2010 Study Group T2 - AIDS (London, England) AB - OBJECTIVE:: The Mortalité 2010 survey aimed at describing the causes of death among HIV-infected patients in France in 2010 and their evolution since 2000. DESIGN AND METHODS:: A national sample of clinical sites, providing HIV care and treatment, notified and documented deaths using a standardized questionnaire. RESULTS:: The 90 participating wards notified 728 deaths. Median age at death was 50 years (interquartile range 45-58) and 75% were men. The main underlying causes of death were AIDS-related (25% in 2010 vs. 36% in 2005 and 47% in 2000), non-AIDS non-viral hepatitis-related malignancy (22 vs. 17 and 11%), liver-related (11 vs. 15 and 13%), cardiovascular diseases (10 vs. 8 and 7%) and non-AIDS-related infections (9 vs. 4 and 7%). Malignancies (AIDS and non-AIDS-related) accounted for a third of all causes of death. AIDS accounted for 33% of all causes of death among patients mono-infected with HIV vs. only 13% among those co-infected with hepatitis B virus or hepatitis C virus. CONCLUSION:: In 2010, 25% of the causes of death among HIV-infected patients remained AIDS-related. Improved screening and earlier HIV treatment should lead to a smaller proportion of deaths due to AIDS. The majority of patients died of various causes, whereas their HIV infection was well controlled under treatment. Improving case management of HIV-infected patients should include a multidisciplinary approach (prevention, screening, treatment), especially in oncology. Smoking cessation should be a priority goal. DA - 2014/05/15/ PY - 2014 DO - 10.1097/QAD.0000000000000222 DP - NCBI PubMed VL - 28 IS - 8 SP - 1181 EP - 1191 J2 - AIDS LA - ENG SN - 1473-5571 ST - Causes of death among HIV-infected patients in France in 2010 (national survey) ER -