Retention in Care Improving in North America, but Problems Remain

Over a 9-year period, 75% of study participants were retained in care, with worse retention among blacks and injection-drug users.

Analysis of the cascade of HIV care in the U.S. (JW AIDS Clin Care Dec 22 2011) has identified particular problems with retention in care. NA-ACCORD investigators recently reported improved viral suppression rates among patients starting antiretroviral therapy (ART), with rates varying widely by region (JW AIDS Clin Care Feb 25 2013). In a new analysis, researchers investigated the retention-in-care rate and associated factors using data collected from 61,438 HIV-infected patients enrolled in 13 NA-ACCORD cohorts in the U.S. and Canada between 2000 and 2008.

Overall, retention in care was incomplete for 25% of participants (defined as lack of 2 HIV laboratory results [CD4-cell count or viral load] ≥90 days apart within 12 months). From 2000 …

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Retention in Care Improving in North America, but Problems Remain

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Reviewing Author