ArticleJournal of acquired immune deficiency syndromes (1999)2025
Retention in HIV Care Still Matters: A Longitudinal Multisite Analysis.
Article in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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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.
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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
3 citing papers in PubMed.
- Cost-effectiveness of differentiated HIV service delivery in North Wollo, Ethiopia: a retrospective study.BMJ open · 2026Article
- Retention in care: is it still a clinically useful indicator for monitoring long-term engagement in HIV care in the treat-all era?AIDS (London, England) · 2026Article
- Population-Based Analysis of Synergistic Effects of Functional Disability and Comorbidities on Retention in HIV Care Among People With HIV.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
11 authors.
Funding
Abstract
introductionRetention in care has recently been de-emphasized as a key national HIV health metric, and its relevance in the era of more effective antiretroviral therapy regimens remains unclear. We assessed the relationship between retention in care and sustained viral suppression (SVS) over a 2-year period for newly established and previously established people with HIV (PWH).
methodsWe analyzed data from 7 Center for AIDS Research Network of Integrated Clinical Systems (CNICS) sites using modified Poisson regression with generalized estimating equations. PWH were categorized into 2 cohorts: (1) newly established: had initial CNICS visit in 2017 and antiretroviral therapy (ART)-naïve at initial CNICS visit and (2) previously established: had initial CNICS visit before January 1, 2017, or PWH who were not ART-naïve at initial CNICS visit in 2017. Retention was measured using both missed and kept visit-based metrics. The primary outcome was SVS over 2 years, defined as all viral load measurements ≤200 copies/mL.
resultsAmong 11,994 patients, 11,573 were previously established in HIV care and 421 were newly established and ART-naive. A higher proportion of previously vs. newly established patients were retained in care and achieved SVS. In both cohorts, when controlling for age, sex, race, and risk factor of HIV acquisition, both retention measures were observed to be a predictor of SVS.
conclusionsRetention in care remains a clinically valuable metric for all PWH. Healthcare providers should emphasize consistent care engagement, and national HIV/AIDS strategies should reincorporate retention as a key indicator for improving HIV health outcomes.
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