Comparative value of four measures of retention in expert care in predicting clinical outcomes and health care utilization in HIV patients

PloS One
Kelly R RevelesChristopher R Frei

Abstract

This study compared the ability of four measures of patient retention in HIV expert care to predict clinical outcomes. This retrospective study examined Veterans Health Administration (VHA) beneficiaries with HIV (ICD-9-CM codes 042 or V08) receiving expert care (defined as HIV-1 RNA viral load and CD4 cell count tests occurring within one week of each other) at VHA facilities from October 1, 2006, to September 30, 2008. Patients were ≥18 years old and continuous VHA users for at least 24 months after entry into expert care. Retention measures included: Annual Appointments (≥2 appointments annually at least 60 days apart), Missed Appointments (missed ≥25% of appointments), Infrequent Appointments (>6 months without an appointment), and Missed or Infrequent Appointments (missed ≥25% of appointments or >6 months without an appointment). Multivariable nominal logistic regression models were used to determine associations between retention measures and outcomes. Overall, 8,845 patients met study criteria. At baseline, 64% of patients were virologically suppressed and 37% had a CD4 cell count >500 cells/mm3. At 24 months, 82% were virologically suppressed and 46% had a CD4 cell count >500 cells/mm3. During follow-up, 13% progressed ...Continue Reading

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Citations

Jul 16, 2019·Population Health Management·Julie L PriestBrenna L Brady
Apr 28, 2020·AIDS and Behavior·Dima DandachiBich N Dang
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Aug 30, 2019·AIDS Care·D Scott BateyUNKNOWN Retention in Care (RIC) Study Group
Nov 9, 2016·AIDS Research and Therapy·Emma Sophia KayMichael J Mugavero

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Methods Mentioned

BETA
prophylactic therapy

Software Mentioned

SAS
JMP

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