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Retention in Continuous Care and Sustained Viral Suppression.
Timothy N Crawford1, Alice Thornton2
11 School of Nursing, University of Louisville, Louisville, KY, USA.
Journal of the International Association of Providers of AIDS Care
|November 18, 2016
Summary
Maintaining continuous medical care is crucial for sustained viral suppression. Patients retained in care were three times more likely to achieve and maintain viral suppression, highlighting the importance of retention strategies.
Area of Science:
- Infectious Diseases
- Public Health
- Clinical Medicine
Background:
- Sustained viral suppression is a key goal in managing infectious diseases.
- Retention in continuous care is hypothesized to be a critical factor for achieving this goal.
Purpose of the Study:
- To investigate the association between retention in continuous medical care and sustained viral suppression.
- To quantify the impact of retention on viral suppression rates over time.
Main Methods:
- Retrospective cohort study of 653 individuals with viral suppression at an infectious disease clinic.
- Analysis of retention in care (≥2 visits, ≥3 months apart within 12 months) and sustained viral suppression (<400 copies/mL) over an average of 6 years.
- Generalized linear mixed model used to determine the association between retention and suppression.
Main Results:
- 61% of the study population demonstrated retention in continuous care.
- 75% achieved sustained viral suppression across all patient-years.
- Individuals retained in care had three times the odds of sustaining viral suppression (P < .001).
Conclusions:
- Retention in continuous care is essential for achieving and maintaining viral suppression.
- Healthcare strategies should focus on improving patient retention rates to enhance viral suppression outcomes.
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