OBJECTIVE: To determine the impact of missed visits on CD4 cell count with HIV disease in a Midwest clinic. METHODS: This was a mixed method study consisting of a quantitative retrospective cohort study of missed clinic visits among HIV-infected patients, and a qualitative study to collect information on factors impacting appointment attendance. A drop in CD4 cell count greater than 50 cells/mm(3) from baseline was the primary outcome variable for the quantitative study. The exposure variable was missed visits. RESULTS: Of 77 patients, 16.4% experienced the outcome of interest. Lower visit proportions increased the risk of a CD4 drop (hazard ratio 0.0188, 95% confidence interval 0.001-0.292). For each 10% increase in the missed visit proportion, the risk of a CD4 drop of >50 cells/mm(3) from baseline increased by 33%. Qualitative data suggested that stigma, external support, and physician-patient interactions impacted engagement in care. CONCLUSION: These results may help providers increase patient motivation and ability to attend clinic appointments.
OBJECTIVE: To determine the impact of missed visits on CD4 cell count with HIV disease in a Midwest clinic. METHODS: This was a mixed method study consisting of a quantitative retrospective cohort study of missed clinic visits among HIV-infectedpatients, and a qualitative study to collect information on factors impacting appointment attendance. A drop in CD4 cell count greater than 50 cells/mm(3) from baseline was the primary outcome variable for the quantitative study. The exposure variable was missed visits. RESULTS: Of 77 patients, 16.4% experienced the outcome of interest. Lower visit proportions increased the risk of a CD4 drop (hazard ratio 0.0188, 95% confidence interval 0.001-0.292). For each 10% increase in the missed visit proportion, the risk of a CD4 drop of >50 cells/mm(3) from baseline increased by 33%. Qualitative data suggested that stigma, external support, and physician-patient interactions impacted engagement in care. CONCLUSION: These results may help providers increase patient motivation and ability to attend clinic appointments.
Authors: Anne Zinski; Andrew O Westfall; Lytt I Gardner; Thomas P Giordano; Tracey E Wilson; Mari-Lynn Drainoni; Jeanne C Keruly; Allan E Rodriguez; Faye Malitz; D Scott Batey; Michael J Mugavero Journal: Am J Public Health Date: 2015-08-13 Impact factor: 9.308
Authors: Ank E Nijhawan; Yuanyuan Liang; Kranthi Vysyaraju; Jana Muñoz; Norma Ketchum; Julie Saber; Meredith Buchberg; Yvonne Venegas; Delia Bullock; Mamta K Jain; Roberto Villarreal; Barbara S Taylor Journal: AIDS Patient Care STDS Date: 2017-05-10 Impact factor: 5.078
Authors: Ahnalee M Brincks; Karen Shiu-Yee; Lisa R Metsch; Carlos Del Rio; Robert P Schwartz; Petra Jacobs; Georgina Osorio; James L Sorensen; Daniel J Feaster Journal: AIDS Behav Date: 2019-10
Authors: Andrew S Hwang; Steven J Atlas; Patrick Cronin; Jeffrey M Ashburner; Sachin J Shah; Wei He; Clemens S Hong Journal: J Gen Intern Med Date: 2015-03-17 Impact factor: 5.128
Authors: Muthusi Kimeu; Barbara Burmen; Beryl Audi; Anne Adega; Karen Owuor; Susan Arodi; Dennis Bii; Emily Zielinski-Gutiérrez Journal: AIDS Care Date: 2015-11-17
Authors: Maria Altenfelder Santos; Mark Drew Crosland Guimarães; Ernani Tiaraju Santa Helena; Cáritas Relva Basso; Felipe Campos Vale; Wania Maria do Espírito Santo Carvalho; Ana Maroso Alves; Gustavo Machado Rocha; Francisco de Assis Acurcio; Maria das Graças Braga Ceccato; Rogério Ruscitto do Prado; Paulo Rossi Menezes; Maria Ines Batistella Nemes Journal: Medicine (Baltimore) Date: 2018-05 Impact factor: 1.889
Authors: Julie A Ake; Trevor A Crowell; Nicole Dear; Allahna Esber; Michael Iroezindu; Emmanuel Bahemana; Hannah Kibuuka; Jonah Maswai; John Owuoth; Christina S Polyak Journal: AIDS Res Ther Date: 2022-01-07 Impact factor: 2.250
Authors: Blake Linthwaite; Nadine Kronfli; Ivan Marbaniang; Luciana Ruppenthal; David Lessard; Kim Engler; Bertrand Lebouché; Joseph Cox Journal: AIDS Date: 2022-03-15 Impact factor: 4.177