Patient retention, clinical outcomes and attrition-associated factors of HIV-infected patients enrolled in Zimbabwe's National Antiretroviral Therapy Programme, 2007-2010.
Identifieur interne : 000628 ( Ncbi/Merge ); précédent : 000627; suivant : 000629Patient retention, clinical outcomes and attrition-associated factors of HIV-infected patients enrolled in Zimbabwe's National Antiretroviral Therapy Programme, 2007-2010.
Auteurs : Tsitsi Mutasa-Apollo [Zimbabwe] ; Ray W. Shiraishi [États-Unis] ; Kudakwashe C. Takarinda [Zimbabwe] ; Janet Dzangare [Zimbabwe] ; Owen Mugurungi [Zimbabwe] ; Joseph Murungu [Zimbabwe] ; Abu Abdul-Quader [États-Unis] ; Celia J I. Woodfill [Ghana]Source :
- PloS one [ 1932-6203 ] ; 2014.
Descripteurs français
- KwdFr :
- Abandons des patients (), Adulte, Adulte d'âge moyen, Agents antiVIH (usage thérapeutique), Facteurs de risque, Femelle, Humains, Infections à VIH (psychologie), Infections à VIH (traitement médicamenteux), Infections à VIH (virologie), Modèles de hasards proportionnels, Mâle, Numération des lymphocytes CD4, Observance du traitement médicamenteux (), Résultat thérapeutique, VIH (Virus de l'Immunodéficience Humaine), Zimbabwe, Études rétrospectives.
- MESH :
- psychologie : Infections à VIH.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH.
- virologie : Infections à VIH.
- Abandons des patients, Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Modèles de hasards proportionnels, Mâle, Numération des lymphocytes CD4, Observance du traitement médicamenteux, Résultat thérapeutique, VIH (Virus de l'Immunodéficience Humaine), Zimbabwe, Études rétrospectives.
- Wicri :
- geographic : Zimbabwe.
English descriptors
- KwdEn :
- Adult, Anti-HIV Agents (therapeutic use), CD4 Lymphocyte Count, Female, HIV, HIV Infections (drug therapy), HIV Infections (psychology), HIV Infections (virology), Humans, Male, Medication Adherence (statistics & numerical data), Middle Aged, Patient Dropouts (statistics & numerical data), Proportional Hazards Models, Retrospective Studies, Risk Factors, Treatment Outcome, Zimbabwe.
- MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic : Zimbabwe.
- drug therapy : HIV Infections.
- psychology : HIV Infections.
- statistics & numerical data : Medication Adherence, Patient Dropouts.
- virology : HIV Infections.
- Adult, CD4 Lymphocyte Count, Female, HIV, Humans, Male, Middle Aged, Proportional Hazards Models, Retrospective Studies, Risk Factors, Treatment Outcome.
Abstract
Since establishment of Zimbabwe's National Antiretroviral Therapy (ART) Programme in 2004, ART provision has expanded from <5,000 to 369,431 adults by 2011. However, patient outcomes are unexplored.
DOI: 10.1371/journal.pone.0086305
PubMed: 24489714
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pubmed:24489714Le document en format XML
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Shiraishi</name><affiliation wicri:level="2"><nlm:affiliation>Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Takarinda, Kudakwashe C" sort="Takarinda, Kudakwashe C" uniqKey="Takarinda K" first="Kudakwashe C" last="Takarinda">Kudakwashe C. 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Woodfill</name><affiliation wicri:level="3"><nlm:affiliation>Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">PloS one</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-HIV Agents (therapeutic use)</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>HIV</term><term>HIV Infections (drug therapy)</term><term>HIV Infections (psychology)</term><term>HIV Infections (virology)</term><term>Humans</term><term>Male</term><term>Medication Adherence (statistics & numerical data)</term><term>Middle Aged</term><term>Patient Dropouts (statistics & numerical data)</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Treatment Outcome</term><term>Zimbabwe</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abandons des patients ()</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents antiVIH (usage thérapeutique)</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Infections à VIH (psychologie)</term><term>Infections à VIH (traitement médicamenteux)</term><term>Infections à VIH (virologie)</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Numération des lymphocytes CD4</term><term>Observance du traitement médicamenteux ()</term><term>Résultat thérapeutique</term><term>VIH (Virus de l'Immunodéficience Humaine)</term><term>Zimbabwe</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-HIV Agents</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Zimbabwe</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Medication Adherence</term><term>Patient Dropouts</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Agents antiVIH</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à VIH</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>CD4 Lymphocyte Count</term><term>Female</term><term>HIV</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abandons des patients</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Modèles de hasards proportionnels</term><term>Mâle</term><term>Numération des lymphocytes CD4</term><term>Observance du traitement médicamenteux</term><term>Résultat thérapeutique</term><term>VIH (Virus de l'Immunodéficience Humaine)</term><term>Zimbabwe</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Zimbabwe</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since establishment of Zimbabwe's National Antiretroviral Therapy (ART) Programme in 2004, ART provision has expanded from <5,000 to 369,431 adults by 2011. However, patient outcomes are unexplored.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24489714</PMID><DateCreated><Year>2014</Year><Month>02</Month><Day>03</Day></DateCreated><DateCompleted><Year>2014</Year><Month>09</Month><Day>29</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>1</Issue><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>Patient retention, clinical outcomes and attrition-associated factors of HIV-infected patients enrolled in Zimbabwe's National Antiretroviral Therapy Programme, 2007-2010.</ArticleTitle><Pagination><MedlinePgn>e86305</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0086305</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since establishment of Zimbabwe's National Antiretroviral Therapy (ART) Programme in 2004, ART provision has expanded from <5,000 to 369,431 adults by 2011. However, patient outcomes are unexplored.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine improvement in health status, retention and factors associated with attrition among HIV-infected patients on ART.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective review of abstracted patient records of adults ≥ 15 years who initiated ART from 2007 to 2009 was done. Frequencies and medians were calculated for rates of retention in care and changes in key health status outcomes at 6, 12, 24 and 36 months respectively. Cox proportional hazards models were used to determine factors associated with attrition.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 3,919 patients, 64% were female, 86% were either WHO clinical stage III or IV. Rates of patient retention at 6, 12, 24 and 36 months were 90.7%, 78.1%, 68.8% and 64.4%, respectively. After ART initiation, median weight gains at 6, 12, and 24 months were 3, 4.5, and 5.0 kgs whilst median CD4+ cell count gains at 6, 12 and 24 months were 122, 157 and 279 cells/µL respectively. Factors associated with an increased risk of attrition included male gender (AHR 1.2; 95% CI, 1.1-1.4), baseline WHO stage IV (AHR 1.7; 95% CI, 1.1-2.6), lower baseline body weight (AHR 2.0; 95% CI, 1.4-2. 8) and accessing care from higher level healthcare facilities (AHR 3.5; 95% 1.1-11.2).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our findings with regard to retention as well as clinical and immunological improvements following uptake of ART, are similar to what has been found in other settings. Factors influencing attrition also mirror those found in other parts of sub-Saharan Africa. These findings suggest the need to strengthen earlier diagnosis and treatment to further improve treatment outcomes. Whilst decentralisation improves ART coverage it should be coupled with strategies aimed at improving patient retention.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mutasa-Apollo</LastName><ForeName>Tsitsi</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>AIDS and TB Department, Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shiraishi</LastName><ForeName>Ray W</ForeName><Initials>RW</Initials><AffiliationInfo><Affiliation>Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takarinda</LastName><ForeName>Kudakwashe C</ForeName><Initials>KC</Initials><AffiliationInfo><Affiliation>AIDS and TB Department, Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dzangare</LastName><ForeName>Janet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>AIDS and TB Department, Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mugurungi</LastName><ForeName>Owen</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>AIDS and TB Department, Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Murungu</LastName><ForeName>Joseph</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>AIDS and TB Department, Zimbabwe Ministry of Health and Child Care, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdul-Quader</LastName><ForeName>Abu</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, United States of America.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Woodfill</LastName><ForeName>Celia J I</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Accra, Ghana.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>PEPFAR</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Int AIDS Soc. 2009 May 06;12:6</RefSource><PMID Version="1">19419543</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2005 Oct 1;40(2):219-25</RefSource><PMID Version="1">16186741</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J STD AIDS. 2009 Apr;20(4):221-4</RefSource><PMID Version="1">19304962</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Int AIDS Soc. 2011;14:52</RefSource><PMID Version="1">22050673</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS. 2011 Jun 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Version="1">19624276</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2010 Dec;15(12):1413-20</RefSource><PMID Version="1">20958897</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr Opin HIV AIDS. 2010 Jan;5(1):70-7</RefSource><PMID Version="1">20046150</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Public Health. 2012;12:124</RefSource><PMID Version="1">22329930</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018791" MajorTopicYN="N">CD4 Lymphocyte Count</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" 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MajorTopicYN="N">Patient Dropouts</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015030" MajorTopicYN="N" Type="Geographic">Zimbabwe</DescriptorName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3906052</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>06</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>12</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>2</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>2</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>9</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24489714</ArticleId><ArticleId IdType="doi">10.1371/journal.pone.0086305</ArticleId><ArticleId IdType="pii">PONE-D-13-26776</ArticleId><ArticleId IdType="pmc">PMC3906052</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li><li>Zimbabwe</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Zimbabwe"><noRegion><name sortKey="Mutasa Apollo, Tsitsi" sort="Mutasa Apollo, Tsitsi" uniqKey="Mutasa Apollo T" first="Tsitsi" last="Mutasa-Apollo">Tsitsi Mutasa-Apollo</name></noRegion><name sortKey="Dzangare, Janet" sort="Dzangare, Janet" uniqKey="Dzangare J" first="Janet" last="Dzangare">Janet Dzangare</name><name sortKey="Mugurungi, Owen" sort="Mugurungi, Owen" uniqKey="Mugurungi O" first="Owen" last="Mugurungi">Owen Mugurungi</name><name sortKey="Murungu, Joseph" sort="Murungu, Joseph" uniqKey="Murungu J" first="Joseph" last="Murungu">Joseph Murungu</name><name sortKey="Takarinda, Kudakwashe C" sort="Takarinda, Kudakwashe C" uniqKey="Takarinda K" first="Kudakwashe C" last="Takarinda">Kudakwashe C. Takarinda</name></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Shiraishi, Ray W" sort="Shiraishi, Ray W" uniqKey="Shiraishi R" first="Ray W" last="Shiraishi">Ray W. Shiraishi</name></region><name sortKey="Abdul Quader, Abu" sort="Abdul Quader, Abu" uniqKey="Abdul Quader A" first="Abu" last="Abdul-Quader">Abu Abdul-Quader</name></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Woodfill, Celia J I" sort="Woodfill, Celia J I" uniqKey="Woodfill C" first="Celia J I" last="Woodfill">Celia J I. Woodfill</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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