Impact of an HIV Care Coordination Program on the Timeliness of Viral Suppression and Immune Recovery Among Clients Newly Diagnosed with HIV
Abstract We compared the time to immune recovery and viral suppression (VS) among people newly diagnosed with HIV who enrolled in the HIV Care Coordination Program (CCP), a comprehensive medical case management program, with a propensity matched group of newly diagnosed people who did not enroll. CCP enrollees had more rapid VS (≤ 200 copies/mL) [hazards ratio (HR) 1.17; 95% confidence interval 1.02–1.34] but no more rapid immune recovery (≥ two successive CD4 counts > 500 cells/$ mm^{3} $) (HR 0.98; 0.84–1.13). Relative to usual care, the CCP may expedite VS (though not immune recovery) for newly diagnosed HIV patients and therefore lower forward transmission risk..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
Aids and behavior - 24(2019), 4 vom: 14. Nov., Seite 1237-1242 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Robertson, McKaylee M. [VerfasserIn] |
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| Links: |
Volltext [lizenzpflichtig] |
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| Themen: |
Care coordination |
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| Anmerkungen: |
© Springer Science+Business Media, LLC, part of Springer Nature 2019 |
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| doi: |
10.1007/s10461-019-02732-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Abstract We compared the time to immune recovery and viral suppression (VS) among people newly diagnosed with HIV who enrolled in the HIV Care Coordination Program (CCP), a comprehensive medical case management program, with a propensity matched group of newly diagnosed people who did not enroll. CCP enrollees had more rapid VS (≤ 200 copies/mL) [hazards ratio (HR) 1.17; 95% confidence interval 1.02–1.34] but no more rapid immune recovery (≥ two successive CD4 counts > 500 cells/$ mm^{3} $) (HR 0.98; 0.84–1.13). Relative to usual care, the CCP may expedite VS (though not immune recovery) for newly diagnosed HIV patients and therefore lower forward transmission risk. | ||
| 650 | 4 | |a HIV | |
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| 650 | 4 | |a Medical case management | |
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| 650 | 4 | |a New HIV diagnoses | |
| 650 | 4 | |a Care coordination | |
| 650 | 4 | |a Comparative effectiveness | |
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| 700 | 1 | |a Levin, Bruce |4 aut | |
| 700 | 1 | |a Irvine, Mary K. |4 aut | |
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