| Literature DB >> 31728695 |
McKaylee M Robertson1,2, Kate Penrose3, Denis Nash4,5, Graham Harriman3, Sarah L Braunstein3, Bruce Levin6, Mary K Irvine3.
Abstract
We compared the time to immune recovery and viral suppression (VS) among people newly diagnosed with HIV who enrolled in the HIV Care Coordination Program (CCP), a comprehensive medical case management program, with a propensity matched group of newly diagnosed people who did not enroll. CCP enrollees had more rapid VS (≤ 200 copies/mL) [hazards ratio (HR) 1.17; 95% confidence interval 1.02-1.34] but no more rapid immune recovery (≥ two successive CD4 counts > 500 cells/mm3) (HR 0.98; 0.84-1.13). Relative to usual care, the CCP may expedite VS (though not immune recovery) for newly diagnosed HIV patients and therefore lower forward transmission risk.Entities:
Keywords: Care coordination; Comparative effectiveness; HIV; Immunologic recovery; Medical case management; New HIV diagnoses; Viral suppression
Mesh:
Year: 2020 PMID: 31728695 PMCID: PMC7735065 DOI: 10.1007/s10461-019-02732-0
Source DB: PubMed Journal: AIDS Behav ISSN: 1090-7165