ArticleAIDS research and human retroviruses2014
The continuum of HIV care in a Veterans' Affairs clinic.
Article in AIDS research and human retroviruses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Use of the PRECIS-II instrument to categorize reports along the efficacy-effectiveness spectrum in an hepatitis C virus care continuum systematic review and meta-analysis.Journal of clinical epidemiology · 2018Pooled it
- "Call 911 - That's my [Advance Care] Plan": Factors that Inform Advance Care Planning Conversation Readiness Among Aging Persons Living With HIV.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Statistical methods applied for the assessment of the HIV cascade and continuum of care: a systematic scoping review.BMJ open · 2023Article
- Rapid Antiretroviral Therapy Program: Development and Evaluation at a Veterans Affairs Medical Center in the Southern United States.AIDS patient care and STDs · 2022Article
- HIV Care Continuum and Meeting 90-90-90 Targets: Cascade of Care Analyses of a U.S. Military Cohort.Military medicine · 2020Article
- Optimizing Interventions Across the HIV Care Continuum: A Case Study Using Process Improvement Analysis.Operations research for health care · 2020Article
- A modified HIV continuum of care: A six-year evaluation of a viral load cascade at a hospital-based clinic in Kingston, Jamaica.International journal of STD & AIDS · 2019Article
- HIV Treatment Cascade by Housing Status at Enrollment: Results from a Retention in Care Cohort.AIDS and behavior · 2019Article
- Pathways to Retention in HIV Care Among U.S. Veterans.AIDS research and human retroviruses · 2018Article
- Article
- Quality of HIV Care and Mortality Rates in HIV-Infected Patients.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Article
- The Epidemiologic and Economic Impact of Improving HIV Testing, Linkage, and Retention in Care in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Article
- Conceptualizing Care Continua: Lessons from HIV, Hepatitis C Virus, Tuberculosis and Implications for the Development of Improved Care and Prevention Continua.Frontiers in public health · 2016Review
- Making Longitudinal Progress in the HIV Care Continuum Within an Urban Veterans Affairs Clinic.AIDS patient care and STDs · 2015Article
- Addressing the challenges of the HIV continuum of care in high-prevalence cities in the United States.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- Engagement Along the HIV Care Continuum and the Potential Role f Mental Health and Substance Use Disorders.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2015Article
- Engagement in outpatient care for persons living with HIV in the United States.AIDS research and human retroviruses · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
The cascade of HIV care in the United States has become a focus for interventions aimed at improving the success of HIV treatment. The Atlanta VA Medical Center (AVAMC) Infectious Disease Clinic (IDC) is an urban clinic that provides care for over 1,400 people living with HIV (PLHIV) annually. Using data from the HIV Atlanta VA Cohort Study (HAVACS), we modeled the continuum of care in the AVAMC IDC and explored similarities and differences with national models. We conducted a cross-sectional analysis of 1,474 individuals receiving care in the AVAMC IDC. We estimated total PLHIV and defined several categories within the spectrum of HIV care. We then developed the continuum of care using two methodologies. The first required each stage to be a dependent subset of the immediate upstream stage. The second allowed each stage to be independent of upstream stages. Dependent stage categorization estimated that 95.3% of individuals were diagnosed with HIV, 89.8% of individuals were linked to care, 73.0% of individuals were retained in care, 65.9% of individuals were eligible for antiretroviral treatment (ART), 62.8% were prescribed ART, and 52.4% had a suppressed viral load (VL). Independent stage categorization estimated that 83.9% of individuals were prescribed ART and 61.5% had a suppressed VL. Our analyses showed that the AVAMC IDC estimates were significantly better than national estimates at every stage. This may reflect the benefits of a universal healthcare system. We propose the use of independent stages for the continuum as this more accurately represents healthcare utilization.
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Registered trials
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.