ArticleJournal of acquired immune deficiency syndromes (1999)2013
Accuracy of definitions for linkage to care in persons living with HIV.
Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review.AIDS and behavior · 2017Pooled it
- Breaking barriers: access to services among people living with HIV/AIDS (PLHIV) in Jharkhand - a convergent mixed methods study.BMC public health · 2026Article
- Detection of HIV-1 Resistance Mutations to Antiretroviral Therapy and Cell Tropism in Russian Patients Using Next-Generation Sequencing.Pathogens (Basel, Switzerland) · 2026Article
- HIV-1 Drug Resistance among Treatment-Naïve Patients in Russia: Analysis of the National Database, 2006-2022.Viruses · 2023Article
- Barriers and facilitators of access to HIV prevention, care, and treatment services among people living with HIV in Kerman, Iran: a qualitative study.BMC health services research · 2022Article
- A mega-aggregation framework synthesis of the barriers and facilitators to linkage, adherence to ART and retention in care among people living with HIV.Systematic reviews · 2021Article
- Retention-in-care in the PMTCT cascade: definitions matter! Analyses from the INSPIRE projects in Malawi, Nigeria and Zimbabwe.Journal of the International AIDS Society · 2020Article
- An Adherence-Enhancing Program Increases Retention in Care in the Swiss HIV Cohort.Open forum infectious diseases · 2020Article
- Processes and dynamics of linkage to care from mobile/outreach and facility-based HIV testing models in hard-to-reach settings in rural Tanzania. Qualitative findings of a mixed methods study.AIDS research and therapy · 2018Article
- Integrating HIV Surveillance and Field Services: Data Quality and Care Continuum in King County, Washington, 2010-2015.American journal of public health · 2017Article
- Barriers and facilitators of linkage to HIV care among HIV-infected young Chinese men who have sex with men: a qualitative study.BMC health services research · 2017Article
- Critical Review: Building on the HIV Cascade: A Complementary "HIV States and Transitions" Framework for Describing HIV Diagnosis, Care, and Treatment at the Population Level.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- Patterns of HIV service use and HIV viral suppression among patients treated in an academic infectious diseases clinic in North Carolina.AIDS and behavior · 2015Article
- Incarceration and health outcomes in HIV-infected patients: the impact of substance use, primary care engagement, and antiretroviral adherence.The American journal on addictions · 2015Article
- Location of HIV diagnosis impacts linkage to medical care.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- The HIV care cascade: models, measures and moving forward.Journal of the International AIDS Society · 2015Review
- The continuum of HIV care in a Veterans' Affairs clinic.AIDS research and human retroviruses · 2014Article
- Behind the cascade: analyzing spatial patterns along the HIV care continuum.Journal of acquired immune deficiency syndromes (1999) · 2013Article
- Optimizing care for HIV-infected people who use drugs: evidence-based approaches to overcoming healthcare disparities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Review
- From Theory to Practice: Implementation of a Resource Allocation Model in Health Departments.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo compare the accuracy of linkage to care metrics for patients diagnosed with HIV using retention in care and virological suppression as the gold standards of effective linkage.
designA retrospective cohort study of patients aged 18 years and older with newly diagnosed HIV infection in the City of Philadelphia, 2007-2008.
methodsTimes from diagnosis to clinic visits or laboratory testing were used as linkage measures. Outcome variables included being retained in care and achieving virological suppression, 366-730 days after diagnosis. Positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) for each linkage measure and retention, and virological suppression outcomes are described.
resultsOf the 1781 patients in the study, 503 (28.2%) were retained in care in the Ryan White system and 418 (23.5%) achieved virological suppression 366-730 days after diagnosis. The linkage measure with the highest PPV for retention was having 2 clinic visits within 365 days of diagnosis, separated by 90 days (74.2%). Having a clinic visit between 21 and 365 days after diagnosis had both the highest NPV for retention (94.5%) and the highest adjusted AUC for retention (0.872). Having 2 tests within 365 days of diagnosis, separated by 90 days, had the highest adjusted AUC for virological suppression (0.780).
conclusionsLinkage measures associated with clinic visits had higher PPV and NPV for retention, whereas linkage measures associated with laboratory testing had higher PPV and NPV for retention. Linkage measures should be chosen based on the outcome of interest.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.