{"id":2923,"date":"2012-07-01T09:56:55","date_gmt":"2012-07-01T13:56:55","guid":{"rendered":"http:\/\/blogs.nejm.org\/?p=2923"},"modified":"2015-06-04T15:14:23","modified_gmt":"2015-06-04T19:14:23","slug":"haart-era-now-longer-then-pre-haart-era-can-we-officially-retire-haart","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/haart-era-now-longer-then-pre-haart-era-can-we-officially-retire-haart\/2012\/07\/01\/","title":{"rendered":"&#8220;HAART Era&#8221; Now Longer Than &#8220;Pre-HAART Era&#8221; &#8212; Can We Officially Retire &#8220;HAART&#8221;?"},"content":{"rendered":"<p><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2012\/07\/7980557_blog1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2929\" title=\"pets\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2012\/07\/7980557_blog1.jpg\" alt=\"\" width=\"400\" height=\"175\" \/><\/a>As I&#8217;ve <a href=\"http:\/\/blogs.nejm.org\/index.php\/needed-something-better-than-haart\/2008\/04\/10\/\" target=\"_blank\">shared before<\/a>, I&#8217;m no fan of the term &#8220;HAART&#8221; and do everything I can to stop people from using it.<\/p>\n<p>(I&#8217;m a fun guy to have at parties.)<\/p>\n<p>I&#8217;m returning to this pet peeve of mine because I realized recently that we&#8217;ve passed a milestone of sorts:<\/p>\n<ul>\n<li>Period of no effective HIV treatment, 15 years (1981-1996)<\/li>\n<li>Period of effective HIV treatment, <strong>16 years<\/strong> (1996-2012)<\/li>\n<\/ul>\n<p>I came to this realization while reviewing a manuscript on an HIV-related complication. The author repeatedly (and\u00a0at great length) described how this complication had changed with the &#8220;advent of HAART&#8221; (cringe) &#8211;incidence down, prognosis better, management altered. There were many comparisons between the &#8220;pre-HAART era&#8221; and the &#8220;post-HAART era&#8221;, even a separate table on the differences.<\/p>\n<p>Of historical interest, yes, but hardly earth-shattering news at this point\u00a0, and not of much practical use to the reader &#8211;pretty much <em>everything<\/em> changed with effective HIV treatment.<\/p>\n<p>The bottom line is that HIV-related complications should be considered now only in the context of patients who are receiving, or who are about to receive, antiretroviral therapy.\u00a0In other words, describing how to manage HIV-related complications without HIV treatment would be like an endocrinologist\u00a0describing management of Type 1 diabetes complications without insulin.<\/p>\n<p>So since HIV treatment is now the new normal &#8212; becoming more so with each passing year &#8212; let&#8217;s just call it antiretroviral therapy, and assume that it&#8217;s standard of care to give the highly active kind.<\/p>\n<p>And if you want to abbreviate it, &#8220;ART&#8221; will do just fine.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As I&#8217;ve shared before, I&#8217;m no fan of the term &#8220;HAART&#8221; and do everything I can to stop people from using it. (I&#8217;m a fun guy to have at parties.) I&#8217;m returning to this pet peeve of mine because I realized recently that we&#8217;ve passed a milestone of sorts: Period of no effective HIV treatment, [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,8],"tags":[77,223,423],"class_list":["post-2923","post","type-post","status-publish","format-standard","hentry","category-health-care","category-hiv","category-patient-care","tag-antiretroviral-therapy","tag-complications","tag-hiv"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/2923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=2923"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/2923\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=2923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=2923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=2923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}