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Short-Term Rationing of Combination Antiretroviral Therapy : Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western Kenya
Joint Authors
Sidle, John E.
Kimaiyo, Sylvester
Simiyu, Gilbert
Katschke, Adrian
Bell, April J.
Braitstein, Paula
Musick, Beverly S.
Liu, Hai
Wools-Kaloustian, Kara K.
Siika, Abraham M.
Shen, Changyu
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-29
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
There was a 6-month shortage of antiretrovirals (cART) in Kenya.
Methods.
We assessed morbidity, mortality, and loss to follow-up (LTFU) in this retrospective analysis of adults who were enrolled during the six-month period with restricted cART (cap) or the six months prior (pre-cap) and eligible for cART at enrollment by the pre-cap standard.
Cox models were used to adjust for potential confounders.
Results.
9009 adults were eligible for analysis: 4,714 pre-cap and 4,295 during the cap.
Median number of days from enrollment to cART initiation was 42 pre-cap and 56 for the cap (P<0.001).
After adjustment, individuals in the cap were at higher risk of mortality (HR=1.21; 95% CI : 1.06–1.39) and LTFU (HR=1.12; 95% CI : 1.04–1.22).
There was no difference between the groups in their risk of developing a new AIDS-defining illness (HR=0.92 95% CI 0.82–1.03).
Conclusions.
Rationing of cART, even for a relatively short period of six months, led to clinically adverse outcomes.
American Psychological Association (APA)
Bell, April J.& Wools-Kaloustian, Kara K.& Kimaiyo, Sylvester& Liu, Hai& Katschke, Adrian& Shen, Changyu…[et al.]. 2012. Short-Term Rationing of Combination Antiretroviral Therapy : Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western Kenya. AIDS Research and Treatment،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-500212
Modern Language Association (MLA)
Bell, April J.…[et al.]. Short-Term Rationing of Combination Antiretroviral Therapy : Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western Kenya. AIDS Research and Treatment No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-500212
American Medical Association (AMA)
Bell, April J.& Wools-Kaloustian, Kara K.& Kimaiyo, Sylvester& Liu, Hai& Katschke, Adrian& Shen, Changyu…[et al.]. Short-Term Rationing of Combination Antiretroviral Therapy : Impact on Morbidity, Mortality, and Loss to Follow-Up in a Large HIV Treatment Program in Western Kenya. AIDS Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-500212
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500212