alexa Initial linkage and subsequent retention in HIV care for a newly diagnosed HIV-infected cohort in Denver, Colorado.
Bioinformatics & Systems Biology

Bioinformatics & Systems Biology

Journal of Proteomics & Bioinformatics

Author(s): Gardner EM, Daniloff E, Thrun MW, Reirden DH, Davidson AJ,

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Abstract This is a retrospective cohort study of 352 newly diagnosed HIV-infected individuals in Denver, from 2005 to 2007. Utilizing data from 3 health care systems, 2 clinical trials units, and statewide Colorado HIV laboratory reporting databases, we tracked initial linkage to HIV care, retention in care, loss to follow-up, and transitions between HIV care providers. After more than 2.6 years of follow-up, 256 (73\%) individuals linked to HIV care within 180 days. Of the 301 individuals who eventually linked to care, 168 (56\%) had at least one 180-day gap in care, while 49 (16\%) had a 360-day gap. Transitions in care were common, with 131 (37\%) individuals accessing care from 2 different providers and 15\% having evidence of living outside of Colorado. In this newly diagnosed HIV-infected cohort, linkage to care was slow and long-term retention in care was poor. Transitions between HIV care providers were common and may impair engagement in care over time. Out-of-state migration was frequent and may cause an underestimation of engagement in care. This article was published in J Int Assoc Provid AIDS Care and referenced in Journal of Proteomics & Bioinformatics

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