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Measures of retention in HIV care: A study within a review

PUBLISHED June 28, 2023 (DOI: https://doi.org/10.54985/peeref.2306p1041878)

NOT PEER REVIEWED

Authors

Nadia Rehman1 , Michael Wu2 , Cristian Garcia3 , Hussein El-Kechen1 , Manika Bhandari1 , Gohar Zakaryan4 , Babalwa Zani5 , Anisa Hajizadeh6 , Annie Wang1 , Rita E. Morassut7 , Jessica J. Bartoszko1 , Oluwatoni Makanjuola8 , Diya Jhuti9 , Vaibhav Arora9 , Aaron Jones1 , Pascal Djiadeu1 , Lawrence Mbuagbaw1 , Andrew Kapoor9 , Alvin Leenus10
  1. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada
  2. Michael G. Degroote School of Medicine, McMaster University, Hamilton, Canada
  3. Temerty Faculty of Medicine, University of Toronto, Canada
  4. Faculty of Health Sciences, McMaster University, Hamilton, Canada
  5. Public Health Research Unit, AB Consulting, Cape Town, South Africa
  6. Nuffield department of primary care health sciences, Oxford, UK
  7. Department of Obstetrics and Gynaecology Western University, London, ON. Canada
  8. Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada
  9. Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
  10. Faculty of Law, University of Ottawa, Ottawa, Ontario, Canada

Conference / event

Health Research Methods, Evidence and Impact (HEI) Research Day, March 2023 (Hamilton, Canada)

Poster summary

People living with HIV (PLHIV) need lifelong medical care. However, retention in HIV care is not measured uniformly, making it challenging to compare or pool the data. The objective of this study within a review (SWAR) is to describe the assortment of definitions used for retention in HIV care in randomized controlled trials (RCTs). We conducted a SWAR, drawing data from an overview of systematic reviews on interventions to improve the HIV care cascade. We identified RCTs of interventions to improve retention in care for PLHIV, including all age groups, and extracted the definitions used and their characteristics. We identified 50 trials that measured retention published between 2007 and 2021. and provided 59 definitions for retention in care. The definitions of retention in HIV care are highly heterogeneous. Here, we present the pros and cons of characteristics used to measure retention in HIV care.

Keywords

HIV care, Retention, Measures, Standard

Research areas

Medicine

References

  1. UNAIDS. Fact sheet 2020 - Latest statistics on the status of the AIDS epidemic. Secondary Fact sheet 2020 - Latest statistics on the status of the AIDS epidemic 2021.https://www.unaids.org/en/resources/fact-sheet. doi:https://www.unaids.org/en/resources/factsheet
  2. Mbuagbaw L, Mertz D, Lawson DO, et al. Strategies to improve adherence to antiretroviral therapy and retention in care for people living with HIV in high-income countries: a protocol for an overview of systematic reviews. BMJ open. 2018;8(9):e022982-e022982
  3. Education section – Studies within a review (SWAR). Journal of Evidence Based Medicine. 2012;5(3)
  4. Mbuagbaw L, Hajizadeh A, Wang A, et al .Overview of systematic reviews on strategies to improve treatment initiation, adherence to antiretroviral therapy and retention in care for people living with HIV: part 1.BMJ Open 2020;10:e034793. doi: 10.1136/bmjopen-2019-034793
  5. Giordano TP. Retention in HIV care: what the clinician needs to know. Topics in antiviral medicine. Feb-Mar 2011;19(1):12-16.
  6. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. Aug 18 2009;151(4):264-9, w64. doi:10.7326/0003-4819-151-4-200908180-00135
  7. CASCADE (2021). Accessed 29 September, 2021. https://hivcarecascade.com/
  8. World bank list of economics. ( 2017).https://iccmoot.com/wp-content/uploads/2017/07/World-Bank-List-of-Economies.pdf.
  9. World bank list of economics. ( 2017).https://iccmoot.com/wp-content/uploads/2017/07/World-Bank-List-of-Economies.pdf.

Funding

  1. Ontario HIV Treatment Network (OHTN) (No. EFP-1096-Junior Inv)

Supplemental files

  1. Published manuscript   Download

Additional information

Competing interests
No competing interests were disclosed.
Data availability statement
The datasets generated during and / or analyzed during the current study are available elsewhere (e.g., repository).
www.hivcarecascade.com
Creative Commons license
Copyright © 2023 Rehman et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Rehman, N., Wu, M., Garcia, C., El-Kechen, H., Bhandari, M., Zakaryan, G., Zani, B., Hajizadeh, A., Wang, A., E. Morassut, R., J. Bartoszko, J., Makanjuola, O., Jhuti, D., Arora, V., Jones, A., Djiadeu, P., Mbuagbaw, L., Kapoor, A., Leenus, A. Measures of retention in HIV care: A study within a review [not peer reviewed]. Peeref 2023 (poster).
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