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<datestamp>2014-10-28</datestamp>
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<publisher>HAL CCSD</publisher>
<title lang=en>Incidence and Risk Factors for Follow-Up Interruption of HIV-Infected Patients in Guadeloupe</title>
<creator>Elenga, Narcisse</creator>
<creator>Georger-Sow, Marie-Thérèse</creator>
<creator>Messiaen, Thierry</creator>
<creator>Lamaurie, Isabelle</creator>
<creator>Favre, Isabelle</creator>
<creator>Nacher, Mathieu</creator>
<creator>Beaucaire, Gilles</creator>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Service de Pédiatrie ; Centre Hospitalier de Cayenne Andrée Rosemon - Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<contributor>Coordination Régionale de la lutte contre le Virus de L'Immunodéficience Humaine [Pointe-à-Pitre] (COREVIH) ; CHU de Pointe-à-Pitre/Abymes</contributor>
<contributor>Service des maladies infectieuses ; CHU de Pointe-à-Pitre/Abymes</contributor>
<contributor>EA 3593 Université des Antilles et de la Guyane ; Centre d'investigation clinique Antilles-Guyane ; Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Institut National de la Santé et de la Recherche Médicale (INSERM) - CH Cayenne - Service de Pédiatrie ; Centre Hospitalier de Cayenne Andrée Rosemon - Centre Hospitalier de Cayenne Andrée Rosemon</contributor>
<description>International audience</description>
<source>J AIDS Clin Res</source>
<identifier>inserm-00915235</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915235</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915235/document</identifier>
<identifier>http://www.hal.inserm.fr/inserm-00915235/file/2013_Elenga_-_Incidence_and_Risk_Factors_for_Follow-Up_Interruptionsur HIV-Infected_patients_guadeloupe.pdf</identifier>
<source>http://www.hal.inserm.fr/inserm-00915235</source>
<source>J AIDS Clin Res, 2013, 4 (9), pp.1000238. 〈10.4172/2155-6113.1000238〉</source>
<identifier>DOI : 10.4172/2155-6113.1000238</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.4172/2155-6113.1000238</relation>
<language>en</language>
<subject lang=en>HIV-infected patients</subject>
<subject lang=en>Follow-up interruption</subject>
<subject lang=en>Risk factors</subject>
<subject lang=en>Guadeloupe</subject>
<subject>[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>Background: Guadeloupe is the region of France with the second highest prevalence of HIV. Methods: To determine the risk factors for being lost to follow-up (LFU), a retrospective cohort study of 2,732 patients followed between 1988 and 2009 was conducted, and determined which variables were related to being LFU, i.e. permanently disappearing from HIV clinics or coming back after more than one year of missed appointments. Results: The incidence rate for permanent follow-up interruption was 9 per 100 person-years (8.3-9.7 personyears). The median time of LFU was 6.4 years (interquartile range 3-16.9 years). Cox modelling showed that the younger age groups (HR: 1.60[1.30-2.10], p=0.000) and patients diagnosed before 1997 (HR: 4.80[3.50-6.50], p=0.000) were significantly more likely to be permanently LFU. However, patients treated with HAART had a lower risk of being LFU (HR: 0.63[0.51-0.80], p=0.000). Conclusion: These results suggest that some patients may have died. They also allow to quantify the magnitude of a major yet often under-recognized problem and to identify its predictors in the context of Guadeloupe. This could help clinicians improve patient retention.</description>
<date>2013-09-03</date>
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