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Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care

Monitoring delayed entry to HIV medical care is needed because it signifies that opportunities to prevent HIV transmission and mitigate disease progression have been missed. A central question for population-level monitoring is whether to consider a person linked to care after receipt of one CD4 or...

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Autores principales: Bertolli, Jeanne, Shouse, R Luke, Beer, Linda, Valverde, Eduardo, Fagan, Jennifer, Jenness, Samuel M, Wogayehu, Afework, Johnson, Christopher, Neaigus, Alan, Hillman, Daniel, Courogen, Maria, Brady, Kathleen A, Bolden, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462334/
https://www.ncbi.nlm.nih.gov/pubmed/23049661
http://dx.doi.org/10.2174/1874613601206010131
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author Bertolli, Jeanne
Shouse, R Luke
Beer, Linda
Valverde, Eduardo
Fagan, Jennifer
Jenness, Samuel M
Wogayehu, Afework
Johnson, Christopher
Neaigus, Alan
Hillman, Daniel
Courogen, Maria
Brady, Kathleen A
Bolden, Barbara
author_facet Bertolli, Jeanne
Shouse, R Luke
Beer, Linda
Valverde, Eduardo
Fagan, Jennifer
Jenness, Samuel M
Wogayehu, Afework
Johnson, Christopher
Neaigus, Alan
Hillman, Daniel
Courogen, Maria
Brady, Kathleen A
Bolden, Barbara
author_sort Bertolli, Jeanne
collection PubMed
description Monitoring delayed entry to HIV medical care is needed because it signifies that opportunities to prevent HIV transmission and mitigate disease progression have been missed. A central question for population-level monitoring is whether to consider a person linked to care after receipt of one CD4 or VL test. Using HIV surveillance data, we explored two definitions for estimating the number of HIV-diagnosed persons not linked to HIV medical care. We used receipt of at least one CD4 or VL test (definition 1) and two or more CD4 or VL tests (definition 2) to define linkage to care within 12 months and within 42 months of HIV diagnosis. In five jurisdictions, persons diagnosed from 12/2006-12/2008 who had not died or moved away and who had zero, or less than two reported CD4 or VL tests by 7/31/2010 were considered not linked to care under definitions 1 and 2, respectively. Among 13,600 persons followed up for 19-42 months; 1,732 (13%) had no reported CD4 or VL tests; 2,332 persons (17%) had only one CD4 or VL test and 9,536 persons (70%) had two or more CD4 or VL tests. To summarize, after more than 19 months, 30% of persons diagnosed with HIV had less than two CD4 or VL tests; more than half of them were considered to have entered care if entering care is defined as having one CD4 or VL test. Defining linkage to care as a single CD4 or VL may overestimate entry into care, particularly for certain subgroups.
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spelling pubmed-34623342012-10-04 Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care Bertolli, Jeanne Shouse, R Luke Beer, Linda Valverde, Eduardo Fagan, Jennifer Jenness, Samuel M Wogayehu, Afework Johnson, Christopher Neaigus, Alan Hillman, Daniel Courogen, Maria Brady, Kathleen A Bolden, Barbara Open AIDS J Article Monitoring delayed entry to HIV medical care is needed because it signifies that opportunities to prevent HIV transmission and mitigate disease progression have been missed. A central question for population-level monitoring is whether to consider a person linked to care after receipt of one CD4 or VL test. Using HIV surveillance data, we explored two definitions for estimating the number of HIV-diagnosed persons not linked to HIV medical care. We used receipt of at least one CD4 or VL test (definition 1) and two or more CD4 or VL tests (definition 2) to define linkage to care within 12 months and within 42 months of HIV diagnosis. In five jurisdictions, persons diagnosed from 12/2006-12/2008 who had not died or moved away and who had zero, or less than two reported CD4 or VL tests by 7/31/2010 were considered not linked to care under definitions 1 and 2, respectively. Among 13,600 persons followed up for 19-42 months; 1,732 (13%) had no reported CD4 or VL tests; 2,332 persons (17%) had only one CD4 or VL test and 9,536 persons (70%) had two or more CD4 or VL tests. To summarize, after more than 19 months, 30% of persons diagnosed with HIV had less than two CD4 or VL tests; more than half of them were considered to have entered care if entering care is defined as having one CD4 or VL test. Defining linkage to care as a single CD4 or VL may overestimate entry into care, particularly for certain subgroups. Bentham Open 2012-09-07 /pmc/articles/PMC3462334/ /pubmed/23049661 http://dx.doi.org/10.2174/1874613601206010131 Text en © Bertolli et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Bertolli, Jeanne
Shouse, R Luke
Beer, Linda
Valverde, Eduardo
Fagan, Jennifer
Jenness, Samuel M
Wogayehu, Afework
Johnson, Christopher
Neaigus, Alan
Hillman, Daniel
Courogen, Maria
Brady, Kathleen A
Bolden, Barbara
Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title_full Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title_fullStr Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title_full_unstemmed Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title_short Using HIV Surveillance Data to Monitor Missed Opportunities for Linkage and Engagement in HIV Medical Care
title_sort using hiv surveillance data to monitor missed opportunities for linkage and engagement in hiv medical care
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462334/
https://www.ncbi.nlm.nih.gov/pubmed/23049661
http://dx.doi.org/10.2174/1874613601206010131
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