PMID: 8989211Jan 1, 1997Paper

Impact of laboratory-initiated reporting of CD4+ T lymphocytes on U.S. AIDS surveillance

Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology : Official Publication of the International Retrovirology Association
R M KlevensJ M Karon

Abstract

This study was conducted to measure the impact of laboratory-initiated reporting of CD4+ results on reporting of AIDS in the United States. States were categorized by whether CD4+ reporting was required; we compared the number and percentage of AIDS cases reported based on immunologic criteria, controlling for whether states also required HIV infection reporting. We observed cases reported in 1994 with CD4+ values and the delay between diagnosis and report by CD4+ and HIV-reporting status. From 1992 to 1994, states with CD4+ reporting had a greater proportionate increase in reported AIDS cases (98%) than states without CD4+ reporting (55%; p < 0.0001). From 1993 to 1994, the eight states with both CD4+ and HIV reporting had a higher increase in cases meeting immunologic criteria (7%) than the 13 states with only HIV reporting (< 1%), the three states with only CD4+ reporting (< 1%), and the 16 states with neither form of laboratory reporting (4%). Of 1987 definition cases reported in 1994, the percentage reported with CD4+ values was lower in states without either CD4+ or HIV reporting (79%) than in states with both CD4+ and HIV reporting (83%), only HIV reporting (84%), or only CD4+ reporting (88%). The percentage of AIDS case...Continue Reading

Citations

Sep 15, 2001·Annals of Epidemiology·R M KlevensJ W Ward
Feb 7, 2003·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Allyn K Nakashima, Patricia L Fleming
Jan 8, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·M Kathleen GlynnLisa M Lee
Jun 1, 2005·Journal of Medical Ethics·L A Jansen
Apr 21, 2006·AIDS Patient Care and STDs·Kathleen McDavid, Matthew T McKenna
Dec 22, 2004·Current Infectious Disease Reports·Gina Dallabetta, Graham Neilsen
May 1, 2002·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sandra SchwarczMitchell Katz

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