ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015
Improvements in HIV care engagement and viral load suppression following enrollment in a comprehensive HIV care coordination program.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03628287 (Program Refinements to Optimize Model Impact and Scalability Based on Evidence), which is not on this map. Cited by 63 papers, 3 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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.
Program Refinements to Optimize Model Impact and Scalability Based on Evidence
Who cites it
63 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Is HIV patient navigation associated with HIV care continuum outcomes?AIDS (London, England) · 2018Pooled it
- 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
- Pooled it
- Addressing Mental Health Barriers in HIV Care Coordination Is Crucial to Providing Optimal HIV/AIDS Care.AIDS patient care and STDs · 2024Trial
- Randomized Trial of a Health Coaching Intervention to Enhance Retention in Care: California Collaborative Treatment Group 594.AIDS and behavior · 2018Trial
- Sizanani: A Randomized Trial of Health System Navigators to Improve Linkage to HIV and TB Care in South Africa.Journal of acquired immune deficiency syndromes (1999) · 2016Trial
- Impact of an HIV Care Coordination Program on All-cause, HIV-related, and Non-HIV-related Mortality in Younger and Older Adults With HIV in New York City, 2018-2022.Open forum infectious diseases · 2026Article
- Impact of a Revised Ryan White Part A HIV Care Coordination Program on Viral Suppression and Durable Viral Suppression.Journal of acquired immune deficiency syndromes (1999) · 2026Article
- Recommendation on the use of viral load tests and exclusion of CD4 tests as proxies for HIV medical visits.Annals of epidemiology · 2025Article
- Neighborhoods, Networks, and HIV Care Among Men Who Have Sex With Men: Proposal for a Longitudinal Study.JMIR research protocols · 2024Article
- Patient Education and Decision Support for Long-Acting Injectable HIV Antiretroviral Therapy: Protocol for Tool Development and Pilot Testing with Ryan White HIV/AIDS Program Medical Case Management Programs in New York.JMIR research protocols · 2024Article
- Durable Viral Suppression Among Young Adults Living with HIV Receiving Ryan White Services in New York City.AIDS and behavior · 2023Article
- Client preferences for HIV Care Coordination Program features in New York City: latent class analysis of a discrete choice experiment.Journal of the International AIDS Society · 2023Article
- Article
- Prioritization of Evidence-Based and Evidence-Informed Interventions for Retention in Medical Care for Persons with HIV.AIDS and behavior · 2023Review
- Improving Cancer Care for People Living With HIV: A Qualitative Study of Provider Knowledge, Attitudes, and Practice.International journal of radiation oncology, biology, physics · 2023Article
- Clients' Perspectives on Patient-Centeredness: a Qualitative Study with Low-Income Minority Women Receiving HIV Care in South Florida.Journal of racial and ethnic health disparities · 2023Article
- Examining the Role of Autonomy Support, Goal Setting, and Care Coordination Quality on HIV PrEP Adherence in Black Men Who Have Sex with Men: HPTN 073.AIDS patient care and STDs · 2023Article
- The Impact of a Walk-in Human Immunodeficiency Virus Care Model for People Who Are Incompletely Engaged in Care: The Moderate Needs (MOD) Clinic.Open forum infectious diseases · 2023Article
- Client-Centered Care Coordination (C4Sexuality research & social policy : journal of NSRC : SR & SP · 2022Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issuedIrvine MK et al (Clin Infect Dis 2015; 60:298-310).2015 · Laraque, Fabienne [added]
Authors and funding
9 authors.
Funding
Abstract
backgroundSubstantial evidence gaps remain regarding human immunodeficiency virus (HIV) intervention strategies that improve engagement in care (EiC) and viral load suppression (VLS). We assessed EiC and VLS before and after enrollment in a comprehensive intervention for persons at risk of poor HIV care outcomes.
methodsNew York City's Ryan White Part A HIV Care Coordination Program (CCP), launched at 28 agencies in 2009, applies multiple strategies to promote optimal utilization of medical and social services. Using laboratory test records from an HIV surveillance registry, we examined pre-post outcomes among 3641 CCP clients enrolled before April 2011. For the year before and after enrollment, we assessed EiC (defined as ≥2 tests, ≥90 days apart, with ≥1 in each half-year) and VLS (defined as viral load [VL] ≤200 copies/mL on latest VL test in the second half of the year). We estimated relative risks (RRs), comparing pre- and postenrollment proportions achieving EiC and VLS.
resultsAmong newly diagnosed clients, 90.5% (95% confidence interval [CI], 87.9%-93.2%) and 66.2% (95% CI, 61.9%-70.6%) achieved EiC and VLS, respectively. Among previously diagnosed clients, EiC increased from 73.7% to 91.3% (RR = 1.24; 95% CI, 1.21-1.27) and VLS increased from 32.3% to 50.9% (RR = 1.58; 95% CI, 1.50-1.66). Clients without evidence of HIV care during the 6 months preenrollment contributed most to overall improvements. Pre-post improvements were robust, retaining statistical significance within most sociodemographic and clinical subgroups, and in 89% (EiC) and 75% (VLS) of CCP agencies.
conclusionsClients in comprehensive HIV care coordination for persons with evident barriers to care showed substantial and consistent improvement in short-term outcomes.
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