ArticleJournal of acquired immune deficiency syndromes (1999)2015
Examining clinic-based and public health approaches to ascertainment of HIV care status.
Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Advancing data to care strategies for persons with HIV using an innovative reconciliation process.PloS one · 2022Trial
- Use of an mHealth Intervention to Improve Engagement in HIV Community-Based Care Among Persons Recently Released from a Correctional Facility in Washington, DC: A Pilot Study.AIDS and behavior · 2019Trial
- Use of an Electronic Health Record Algorithm to Identify Persons With Human Immunodeficiency Virus Out Of Care in United States Emergency Departments.Journal of the American College of Emergency Physicians open · 2026Article
- POP-UP Mobile: A Mixed Methods Study of Mobile Outreach for People with HIV with Housing Instability Who Are Out of Care from a Low-Barrier Clinical Program in San Francisco.AIDS patient care and STDs · 2025Article
- Observational pilot using a Data to Care intervention strategy to promote HCV re-engagement and cure for persons with HIV/HCV co-infection who are out of care.BMC health services research · 2025Observational
- Interruptions in HIV and Behavioral Health Care for Criminal-Legal Involved People Living with HIV Following Implementation of Decarceration and Shelter in Place in San Francisco, California.AIDS and behavior · 2024Article
- Impact of Multicomponent Support Strategies on Human Immunodeficiency Virus Virologic Suppression Rates During Coronavirus Disease 2019: An Interrupted Time Series Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Article
- Internalized HIV Stigma Predicts Suboptimal Retention in Care Among People Living with HIV in the United States.AIDS patient care and STDs · 2021Article
- Loss to follow-up and opportunities for reengagement in HIV care in rural Mozambique: A prospective cohort study.Medicine · 2020Article
- HIV Data to Care-Using Public Health Data to Improve HIV Care and Prevention.Journal of acquired immune deficiency syndromes (1999) · 2019Article
- Gaps Up To 9 Months Between HIV Primary Care Visits Do Not Worsen Viral Load.AIDS patient care and STDs · 2018Observational
- Defining Care Patterns and Outcomes Among Persons Living with HIV in Washington, DC: Linkage of Clinical Cohort and Surveillance Data.JMIR public health and surveillance · 2018Article
- Promotion of Research on the HIV Continuum of Care in the United States: The CFAR HIV Continuum of Care/ECHPP Working Group.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- "Out of Care" HIV Case Investigations: A Collaborative Analysis Across 6 States in the Northwest US.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Potential Impact of Integrating HIV Surveillance and Clinic Data on Retention-in-Care Estimates and Re-Engagement Efforts.AIDS patient care and STDs · 2016Article
- Increased antiretroviral therapy prescription and HIV viral suppression among persons receiving clinical care for HIV infection.AIDS (London, England) · 2016Article
- Achieving NHAS 90/90/80 Objectives by 2020: An Interactive Tool Modeling Local HIV Prevalence Projections.PloS one · 2016Article
- Sorting through the lost and found: are patient perceptions of engagement in care consistent with standard continuum of care measures?Journal of acquired immune deficiency syndromes (1999) · 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
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
introductionClinic-based tracing efforts and public health surveillance data can provide different information about HIV care status for the same patients. The relative yield and how best to use these sources to identify and reengage out-of-care patients is unknown.
methodsAt a large public HIV clinic in San Francisco, we selected a 10% random sample of active patients who were at least 210 days "late" for an HIV primary care visit as of April 1, 2013, for clinic-based outreach. Patients were considered out of care if they did not have an HIV primary care visit in the 210 days before April 1, 2013. We then matched the sample with the San Francisco Department of Public Health HIV surveillance registry. Patients with a CD4 or viral load result in the 210-day period were classified as in care. We compared results from both sources and estimated the cumulative incidence of disengagement from care for the full cohort of clinic patients.
resultsOf 940 patients lost to follow-up, 95 were sampled. Clinic tracing found 60 (63%) in care, 23 (24%) not located, 9 (10%) out of care, 2 (2%) incarcerated, and 1 (1%) had died. Of 42 individuals surveillance classified as out of care, tracing found 22 (52%) were in care. Of 52 patients found to be in care by surveillance, 12 (23%) were out of care by clinic tracing or unable to be located. The naive estimate of the cumulative incidence of disengagement from care at 3 years for the active clinic cohort was 41.1% [95% confidence interval (CI): 37.6 to 44.5]. The use of surveillance data reduced this estimate to 12.7% (95% CI: 18.2 to 25.4), and when further corrected using tracing outcomes, the estimate dropped to only 6.4% (95% CI: 3.4 to 9.4).
conclusionsClinic-based tracing and surveillance data together provide a better understanding of care status than either method alone. Using surveillance data to inform clinic-based outreach efforts may be an effective strategy, although tracing efforts are most likely to be successful if conducted in real time.
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