Navigation Links
New York City successfully locates HIV-positive patients 'lost to follow-up'
Date:5/30/2013

Philadelphia, Pa. (May 30, 2013) Public health officials in New York City have launched a successful program to locate HIV-positive patients who have been "lost to follow-up" and reconnect them with treatment services, reports a study published in AIDS, official journal of the International AIDS Society. AIDS is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Efforts to restart antiretroviral therapy are especially important with the current emphasis on "treatment-as-prevention" for HIV, according to the study by Chi-Chi N. Udeagu, MPH, and colleagues of the New York City Department of Health and Mental Hygiene. The article is available on the AIDS journal homepage and in the June 12 print edition.

Effort to Locate HIV Patients Lost to Follow-Up

The program used the NYC HIV surveillance registry to identify patients who had previously tested positive for HIV but did not have current information on routine laboratory test results. Public health case workers made intensive effortsincluding phone calls, mail, home visits, and Internet searches to contact this group of "lost to follow-up" patients.

Once located, patients were offered help in re-engaging with treatment services and restarting HIV care. They were also targeted for efforts to identify sexual partners who might be at risk of HIV.

Case workers were able to locate 689 out of 797 patients presumed lost to follow-up. After being contacted, 33 percent of patients were found to be up-to-date with HIV treatment their most recent lab results were not yet reported in the database, or they were seen by HIV medical providers not required to report lab results to the health department, such as Veterans hospitals and HIV clinical trial units. Five percent of located patients had moved or were incarcerated, while two percent had died.

This left 409 patients who were successfully located and verified as not being up-to-date with HIV care. Once located, 77 percent of these patients accepted an appointment at an HIV clinic and 57 percent returned to treatment.

Leads Most to Re-Engage with Treatment Services

Overall, the program was successful in identifying about half of the initial list of patients as being lost to follow-up, and in re-rengaging most of them with treatment services. About half of patients lost to follow-up agreed to be interviewed for partner services. These efforts led to identification and a new diagnosis of HIV infection in three patients.

When patients were asked why they stopped attending HIV care, about 40 percent said they felt well and didn't think they needed treatment. Other reasons included day-to-day responsibilities, not trusting health care workers, side effects of HIV medicines, feeling depressed, being uninsured, and not wanting to think about being HIV-positive.

Recent years have seen a growing emphasis on "treatment-as-prevention" of HIV giving antiretroviral medications to lower the viral load, which significantly reduces the risk of transmitting the infection. Most studies of this approach have focused on patients newly diagnosed with HIV. But it's just as important to focus efforts on patients with previously diagnosed HIV who are "un-engaged or under-engaged" in HIV medical care.

The public health effort reported in the study would not have been possible without the NYC HIV surveillance registry, which was used to identify patients ""lost to follow-up", and monitor their outcomes following re-engagement efforts. The fact that one-third of located patients actually were current with care probably reflects lag times in reporting lab test results to the registry.

Based on their results, Udeagu and coauthors conclude, "HIV surveillance data can and should be used by health departments to identify and locate people living with HIV who are lost to follow-up, and public health case-workers should investigate such cases with the goal of re-engaging such [patients] in medical care for HIV." They add, "Although challenges abound, such efforts are essential to any comprehensive effort to control the HIV epidemic."


'/>"/>

Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. CNIO scientists successfully test the first gene therapy against aging-associated decline
2. Ben-Gurion U. researchers successfully test solar desalination system for arid land agriculture
3. New drug successfully halts fibrosis in animal model of liver disease
4. Barrow researchers successfully destroy brain tumor cells
5. Muscular Contusions Are Now Being Treated Successfully by Dr. Farshchian Using Cell Therapy
6. Dr. Farshchian: Muscular Contusions are Now Being Treated Successfully at The Center for Regenerative Medicine in Miami
7. Tips For Weight Loss from Health Reviews - How the “Fat Loss Factor” Helps People Lose Weight Successfully
8. Eco Smart Energy, LLC Successfully Installs Eco-Friendly, Cost Saving Sun Equinox System at Dallas Stars’ Dr. Pepper StarCenter
9. Chinese Herbal Medicine Can Reach into Prostate Gland and Treat Prostatitis Successfully As A New Option for Prostatitis Sufferers, States Wuhan Dr.Li's Clinic
10. Researchers use new molecular inhibitors to successfully hit difficult cancer target
11. Study identifies skiers who can be successfully treated without surgery after an ACL tear
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/2/2016)... ... , ... Mediaplanet is proud to announce the launch of ... treatments, therapeutic technologies, and revolutionized nutrition that are helping patients and physicians manage ... in the last 3 decades,” says Dr. Valentine Fuster, a world-renowned cardiologist. “This ...
(Date:12/2/2016)... ... , ... Rijuven Corp launches rejiva ( http://www.rejiva.com ), a unique wearable technology ... health technology on the market can deliver all that rejiva can. , “Rejiva promotes ... their health than the usual heart rate and steps taken”, adds Evens Augustin, CEO ...
(Date:12/2/2016)... ... December 02, 2016 , ... Today ... intelligent, connected applications, was named the best Sales Team of 2016 as part ... was made today by the Software & Information Industry Association (SIIA), the principal ...
(Date:11/30/2016)... ... , ... "I hate when the mixture of saliva and toothpaste runs down ... from Bridgewater, N.J. "I thought that there had to be a way to prevent ... patent-pending DEFLECTOR to prevent saliva and toothpaste from running down the brush handle onto ...
(Date:11/30/2016)... U.K. (PRWEB) , ... November 30, 2016 , ... ... address the tech functions and stylish design wanted by today’s consumers at an ... Cronovo Co-Founder Darin Philip says the new watch is “a game changer” when ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... WOONSOCKET, R.I. , Dec. 2, 2016 ... hold its annual Analyst Day in New York City on Thursday, December ... the CVS Health leadership team will provide an in-depth ... and enhance shareholder value. The company will also discuss ... audio and video webcast of the event will be ...
(Date:12/2/2016)... 2, 2016 Orthopedic Implants (Including Spinal ... Expected to Gain a Significant Market Share Owing to a ... ... According to a new report by ... Sterile Packaging: Clamshell Product Type Segment Projected to Witness a ...
(Date:12/2/2016)... N.J. , Dec. 2, 2016   CytoSorbents ... immunotherapy leader commercializing its European Union approved CytoSorb ... and cardiac surgery patients worldwide, announced that Dr. ... the 9th Annual LD Micro Main Event ... , 2016 at the Luxe Sunset Boulevard Hotel in ...
Breaking Medicine Technology: