ArticleThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale2025
Time-Homogeneous Markov Modeling of HIV Progression in Patients Receiving Antiretroviral Therapy Treatment in the Ashanti Region, Ghana.
Article in The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The global HIV/AIDS pandemic remains a profound public health challenge, with substantial impacts on mortality and morbidity worldwide. In Ghana, where HIV prevalence persists, understanding disease progression among patients receiving antiretroviral therapy (ART) is crucial. This study, conducted in the Ashanti Region, employs a 5-state continuous-time Markov multistate model to analyze HIV progression based on CD4 cell counts, employing tuberculosis (TB) coinfection as a covariate. A retrospective cohort of 416 patients from St. Martins Catholic Hospital between 2000 and 2019 was studied. Transition intensities, sojourn time and probabilities between CD4 states, and the impact of TB coinfection were evaluated. The results showed that patients with CD4 counts ≥ 500 cells/mm
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