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J Clin Med. 2018 Oct 05;7(10). doi: 10.3390/jcm7100328.

Identifying Risk of Viral Failure in Treated HIV-Infected Patients Using Different Measures of Adherence: The Antiretroviral Therapy Cohort Collaboration.

Journal of clinical medicine

Suzanne M Ingle, Heidi M Crane, Tracy R Glass, Benita Yip, Viviane D Lima, M John Gill, Nikola Hanhoff, Adriana Ammassari, Michael J Mugavero, Jan P Tate, Jodie Guest, Nicholas L Turner, Margaret T May, Jonathan A C Sterne

Affiliations

  1. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK. [email protected].
  2. Clinical Epidemiology and Health Services Research Core, Center for AIDS Research, University of Washington, WA 98104, USA. [email protected].
  3. Swiss Tropical and Public Health Institute, CH-4002 Basel, Switzerland. [email protected].
  4. British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC V6Z 1Y6, Canada. [email protected].
  5. British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC V6Z 1Y6, Canada. [email protected].
  6. Division of Infectious Diseases, University of Calgary, Calgary, AB T2N 4N1, Canada. [email protected].
  7. Southern Alberta Clinic, Calgary, AB T2R 0X7, Canada. [email protected].
  8. Istituto Nazionale Malattie Infettive "L. Spallanzani", IRCCS, 00149 Rome, Italy. [email protected].
  9. Division of Infectious Disease, Department of Medicine, University of Alabama, Birmingham, AL 35294, USA. [email protected].
  10. Yale University School of Medicine, West Haven, CT 06510, USA. [email protected].
  11. HIV Atlanta VA Cohort Study (HAVACS), Rollins School of Public Health at Emory University, Atlanta, GA 30322, USA. [email protected].
  12. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK. [email protected].
  13. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK. [email protected].
  14. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 2PS, UK. [email protected].

PMID: 30301179 PMCID: PMC6209956 DOI: 10.3390/jcm7100328

Abstract

Adherence to antiretroviral therapy (ART) is critical for successful treatment of Human Immunodeficiency Virus (HIV), but comparisons across settings are difficult because adherence is measured in different ways. We examined utility of different adherence measures for identification of patients at risk of viral failure (VF). Eight cohorts in the ART Cohort Collaboration contributed data from pharmacy refills or self-report questionnaires collected between 1996 and 2013 (

Keywords: HIV; adherence; antiretroviral therapy; cohort studies; viral failure

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