Evidence map›Paper›PMID 30852729›Full record

ArticleAIDS and behavior2019

HIV Care Trajectories as a Novel Longitudinal Assessment of Retention in Care.

Eva A Enns, Cavan S Reilly, Keith J Horvath, Karen Baker-James, Keith Henry

Abstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
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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

5 authors.

Eva A EnnsDivision of Health Policy and Management, University of Minnesota School of Public Health, 420 Delaware St. SE, MMC 729, Minneapolis, MN, 55455, USA. eenns@umn.edu.ORCID http://orcid.org/0000-0003-0693-7358
Cavan S ReillyDivision of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Keith J HorvathDivision of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Karen Baker-JamesBest Practices Integrated Informatics Core, Clinical and Translational Sciences Institute, University of Minnesota, Minneapolis, MN, USA.
Keith HenryDivision of Infectious Diseases, Hennepin County Medical Center, Minneapolis, MN, USA.

Funding

Mathematical modeling and analysis of HIV care trajectories and retention in care challengesK25AI118476 · NIAID · UNIVERSITY OF MINNESOTA · PI ENNS, EVA A · 2015 to 2019
$649k
National Institute of Allergy and Infectious Diseases K25AI118476NIAID NIH HHS K25 AI118476
6 · The paper itself

Abstract

Consistent engagement in care is associated with positive health outcomes among people living with HIV (PLWH). However, traditional retention measures ignore the evolving dynamics of engagement in care. To understand the longitudinal patterns of HIV care, we analyzed medical records from 2008 to 2015 of PLWH ≥ 18 years-old receiving care at a public, hospital-based HIV clinic (N = 2110). Using latent class analysis, we identified five distinct care trajectory classes: (1) consistent care (N = 1281); (2) less frequent care (N = 270); (3) return to care after initial attrition (N = 192); (4) moderate attrition (N = 163); and (5) rapid attrition (N = 204). The majority of PLWH in Class 1 (73.9%) had achieved sustained viral suppression (viral load ≤ 200 copies/mL at last test and > 12 months prior) by study end. Among the other care classes, there was substantial variation in sustained viral suppression (61.1% in Class 2 to 3.4% in Class 5). Care trajectories could be used to prioritize re-engagement efforts.

Indexed as

Continuity of Patient CareRetention in CareAdolescentAmbulatory Care FacilitiesHIV InfectionsHumansLatent Class AnalysisLongitudinal StudiesMaleMinnesotaTreatment OutcomeViral LoadCare patternsHIVLatent class analysisRetention in careSustained viral suppression

Identifiers

PMID30852729
PMCPMC8944932

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.