Where do HIV-infected adolescents go after transfer? - Tracking transition/transfer of HIV-infected adolescents using linkage of cohort data to a health information system platform

Journal of the International AIDS Society
Mary-Ann DaviesAndrew Boulle

Abstract

To evaluate long-term outcomes in HIV-infected adolescents, it is important to identify ways of tracking outcomes after transfer to a different health facility. The Department of Health (DoH) in the Western Cape Province (WCP) of South Africa uses a single unique identifier for all patients across the health service platform. We examined adolescent outcomes after transfer by linking data from four International epidemiology Databases to Evaluate AIDS Southern Africa (IeDEA-SA) cohorts in the WCP with DoH data. We included adolescents on antiretroviral therapy who transferred out of their original cohort from 10 to 19 years of age between 2004 and 2014. The DoH conducted the linkage separately for each cohort and linked anonymized data were then combined. The primary outcome was successful transfer defined as having a patient record at a facility other than the original facility after the transfer date. Secondary outcomes included the proportion of patients retained, with HIV-RNA <400 copies/ml and CD4 > 500 cells/µl at 1, 2 and 3 years post-transfer. Of 460 adolescents transferred out (53% female), 72% transferred at 10-14 years old, and 79% transferred out of tertiary facilities. Overall, 81% of patients transferred successful...Continue Reading

References

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Dec 20, 2015·Journal of the International AIDS Society·Leigh F JohnsonUNKNOWN International Epidemiologic Databases to Evaluate AIDS Southern Africa (IeDEA-SA) Collaboration

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Citations

May 23, 2017·Journal of the International AIDS Society·Annette H SohnAli Judd
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Annette H SohnMary-Ann Davies
Jul 25, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Roxanna HaghighatAnurita Bains
Mar 13, 2018·Current Opinion in HIV and AIDS·Ali Judd, Mary-Ann Davies
Feb 21, 2018·Current Opinion in HIV and AIDS·Julia BohliusAnna Turkova
Dec 12, 2018·AIDS·Patricia M Flynn, Elaine J Abrams
Dec 11, 2019·Bulletin of the World Health Organization·Irene NjugunaDalton Wamalwa
Mar 24, 2018·Current Opinion in HIV and AIDS·Leslie A EnaneCaroline Foster
Dec 15, 2018·Journal of the International AIDS Society·Azar KariminiaUNKNOWN IeDEA
Jul 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Andrea CiaranelloMary Mahy
Oct 20, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·David Aguilera-AlonsoUNKNOWN CoRISpe Cohort Working Group and CoRISpe-FARO Cohort Working Group

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Software Mentioned

Stata13
SQL Server

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