Evidence map›Paper›PMID 28079717›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2017

"Out of Care" HIV Case Investigations: A Collaborative Analysis Across 6 States in the Northwest US.

Julia C Dombrowski, Joanna Bove, James C Roscoe, Jessica Harvill, Caislin L Firth, Shireen Khormooji, Jason Carr, Peter Choi, Courtney Smith, Sean D Schafer and 2 more

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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  14. Informing Data to Care: Contacting Persons Sampled for the Medical Monitoring Project.Journal of acquired immune deficiency syndromes (1999) · 2019
    Article
  15. CROI 2018: Advances in Antiretroviral Therapy.Topics in antiviral medicine · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Julia C Dombrowski*University of Washington, Seattle, Washington; †Public Health-Seattle & King County, Seattle, Washington; ‡HIV Services, Family Medicine Residency of Idaho, Boise, Idaho; §Alaska Department of Health and Social Services, Anchorage, Alaska; ‖Oregon Health Authority, Salem, Oregon; ¶Multnomah County Health Department, Portland, Oregon; #Washington State Department of Health, Olympia, Washington; **Montana Department of Public Health and Human Services, Helena, Montana; and ††Wyoming Department of Health, Cheyenne, Wyoming.
Joanna Bove
James C Roscoe
Jessica Harvill
Caislin L Firth
Shireen Khormooji
Jason Carr
Peter Choi
Courtney Smith
Sean D Schafer
Matthew R Golden
Northwest Health DepartmentCenters for AIDS Research (CFAR) Consortium

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 1988 to 2026
$104.9M
Clinic and Population-Based Approaches to Retention in HIV CareK23MH090923 · NIMH · UNIVERSITY OF WASHINGTON · PI DOMBROWSKI, JULIA COOK · 2010 to 2014
$657k
NIAID NIH HHS P30 AI027757NIMH NIH HHS K23 MH090923NIMH NIH HHS L30 MH095060
6 · The paper itself

Abstract

backgroundHIV care continuum estimates derived from laboratory surveillance typically assume that persons without recently reported CD4 count or viral load results are out of care.

methodsWe conducted a multistate project (Alaska, Idaho, Montana, Oregon, Washington, and Wyoming) to ascertain the status of HIV cases that appeared to be out of care during a 12-month period. We used laboratory surveillance to identify cases in all states but Idaho, where viral load reporting is not mandatory, requiring us to rely on clinic records. After complete investigation, we assigned each case one of the following dispositions: moved out of state, died, in HIV care, no evidence of HIV care, or data error.

resultsWe identified 3866 cases with no CD4 count or viral load result in a ≥12-month period during 2012-2014, most (85%) of which were in Washington or Oregon. A median of 43% (range: 20%-67%) of cases investigated in each state had moved, 9% (0%-16%) had died, and 11% (8%-33%) were in care during the 12-month surveillance period. Only 28% of investigated cases in the region and a median of 30% (10%-57%) of investigated cases in each state had no evidence of care, migration, or death after investigation.

conclusionsMost persons living with HIV in the Northwest United States who appear to be out of care based on laboratory surveillance are not truly out of care. Our findings highlight the importance of improving state surveillance systems to ensure accurate care continuum estimates and guide Data to Care efforts.

Indexed as

Health Services ResearchCD4 Lymphocyte CountClinical Laboratory TechniquesContinuity of Patient CareHIV InfectionsHumansNorthwestern United StatesViral Load

Identifiers

PMID28079717
PMCPMC5234689

What OpenQuestion holds

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Registered trials

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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.