Measures of Retention in HIV Care: A Study Within a Review

被引:2
|
作者
Rehman, Nadia [1 ]
Wu, Michael [2 ]
Garcia, Cristian [3 ]
Leenus, Alvin [4 ]
El-Kechen, Hussein [1 ]
Bhandari, Manika [1 ]
Zakaryan, Gohar [5 ]
Zani, Babalwa [6 ]
Hajizadeh, Anisa [7 ]
Wang, Annie [1 ]
Morassut, Rita E. [8 ]
Bartoszko, Jessica J. [1 ]
Makanjuola, Oluwatoni [2 ,9 ]
Jhuti, Diya [5 ]
Arora, Vaibhav [5 ]
Kapoor, Andrew [2 ,5 ,10 ]
Jones, Aaron [5 ]
Djiadeu, Pascal [1 ,11 ]
Mbuagbaw, Lawrence [1 ,9 ,12 ,13 ,14 ,15 ,16 ]
机构
[1] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Hamilton, ON, Canada
[2] McMaster Univ, Michael G DeGroote Sch Med, Hamilton, ON, Canada
[3] Univ Toronto, Temerty Fac Med, Toronto, ON, Canada
[4] Univ Ottawa, Fac Law, Ottawa, ON, Canada
[5] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada
[6] AB Consulting, Publ Hlth Res Unit, Cape Town, South Africa
[7] Nuffield Dept Primary Care Hlth Sci, Oxford, England
[8] Western Univ, Dept Obstet & Gynaecol, London, ON, Canada
[9] Yaounde Cent Hosp, Ctr Dev Best Practices Hlth CDBPH, Yaounde, Cameroon
[10] McMaster Univ, Dept Med, Hamilton, ON, Canada
[11] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
[12] McMaster Univ, Dept Anesthesia, Hamilton, ON, Canada
[13] McMaster Univ, Dept Pediat, Hamilton, ON, Canada
[14] St Josephs Healthcare, Father Sean OSullivan Res Ctr, Biostat Unit, Hamilton, ON, Canada
[15] Stellenbosch Univ, Dept Global Hlth, Div Epidemiol & Biostat, Cape Town, South Africa
[16] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, 1280 Main St West, Hamilton, ON L8S4L8, Canada
关键词
retention; HIV care; study within a review; human immunodeficiency virus; randomized controlled trial; RANDOMIZED CONTROLLED-TRIAL; ANTIRETROVIRAL THERAPY; INFECTED PATIENTS; INTERVENTION; OUTCOMES; ADULTS; ART;
D O I
10.1089/apc.2022.0225
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
People living with HIV (PLHIV) need lifelong medical care. However, retention in HIV care is not measured uniformly, making it challenging to compare or pool data. The objective of this study within a review (SWAR) is to describe the assortment of definitions used for retention in HIV care in randomized controlled trials (RCTs). We conducted a SWAR, drawing data from an overview of systematic reviews on interventions to improve the HIV care cascade. Ethics review was not required for this analysis of secondary data. We identified RCTs of interventions used to improve retention in care for PLHIV, including all age groups and extracted the definitions used and their characteristics. We identified 50 trials that measured retention published between 2007 and 2021 and provided 59 definitions for retention in care. The definitions consisted of nine different characteristics with follow-up time (n = 47), and clinical visits (n = 36) most used. The definitions of retention in HIV care are highly heterogeneous. In this study, we present the pros and cons of characteristics used to measure retention in HIV care.
引用
收藏
页码:192 / 198
页数:7
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