Incidence and Risk Factors for Follow-Up Interruption of HIV-Infected Patients in Guadeloupe - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles J AIDS Clin Res Year : 2013

Incidence and Risk Factors for Follow-Up Interruption of HIV-Infected Patients in Guadeloupe

Abstract

Background: Guadeloupe is the region of France with the second highest prevalence of HIV. Methods: To determine the risk factors for being lost to follow-up (LFU), a retrospective cohort study of 2,732 patients followed between 1988 and 2009 was conducted, and determined which variables were related to being LFU, i.e. permanently disappearing from HIV clinics or coming back after more than one year of missed appointments. Results: The incidence rate for permanent follow-up interruption was 9 per 100 person-years (8.3-9.7 personyears). The median time of LFU was 6.4 years (interquartile range 3-16.9 years). Cox modelling showed that the younger age groups (HR: 1.60[1.30-2.10], p=0.000) and patients diagnosed before 1997 (HR: 4.80[3.50-6.50], p=0.000) were significantly more likely to be permanently LFU. However, patients treated with HAART had a lower risk of being LFU (HR: 0.63[0.51-0.80], p=0.000). Conclusion: These results suggest that some patients may have died. They also allow to quantify the magnitude of a major yet often under-recognized problem and to identify its predictors in the context of Guadeloupe. This could help clinicians improve patient retention.
Fichier principal
Vignette du fichier
2013_Elenga_-_Incidence_and_Risk_Factors_for_Follow-Up_Interruption_of_HIV-Infected_patients_guadeloupe.pdf (702.59 Ko) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Loading...

Dates and versions

inserm-00915235 , version 1 (06-12-2013)

Identifiers

Cite

Narcisse Elenga, Marie-Thérèse Georger-Sow, Thierry Messiaen, Isabelle Lamaurie, Isabelle Favre, et al.. Incidence and Risk Factors for Follow-Up Interruption of HIV-Infected Patients in Guadeloupe. J AIDS Clin Res, 2013, 4 (9), pp.1000238. ⟨10.4172/2155-6113.1000238⟩. ⟨inserm-00915235⟩

Collections

INSERM UNIV-AG
123 View
235 Download

Altmetric

Share

Gmail Facebook X LinkedIn More