1. Significant Reduction in HIV Virologic Failure During a 15-Year Period in a Setting With Free Healthcare Access
- Author
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Murielle Mary-Krause, Boue F, Christian Pradier, Laurence Lievre, Eric Billaud, Jacques Reynes, Laurent Cotte, O. Launay, Hervé Tissot-Dupont, M. A. Khuong, D. Martin, Constance Delaugerre, Elisabeth Rouveix, D. Costagliola, E. Salat, Sophie Grabar, Hana Selinger-Leneman, C. Bronnec, Jean-Paul Viard, Laurent Boyer, F. Barin, Sophie Matheron, Pierre de Truchis, Marguerite Guiguet, Lise Cuzin, N. Viget, Aba Mahamat, J. M. Lacombe, Lionel Piroth, Odile Launay, A. Simon, Valérie Potard, Jean-Marc Lacombe, P. De Truchis, Jacques Gilquin, André Cabié, Amélie Menard, J. Le Bail, Jean-Luc Meynard, Sophie Abgrall, Pierre Tattevin, Fabienne Caby, Juliette Pavie, S. Lang, Patricia Enel, Jade Ghosn, Jacques Gasnault, C. Gaud, Xavier Duval, Isabelle Poizot-Martin, Dominique Costagliola, Gilles Pialoux, and Claudine Duvivier
- Subjects
Adult ,Male ,Microbiology (medical) ,medicine.medical_specialty ,Anti-HIV Agents ,Human immunodeficiency virus (HIV) ,Integrase inhibitor ,HIV Infections ,Logistic regression ,medicine.disease_cause ,Health Services Accessibility ,Internal medicine ,Health care ,medicine ,Humans ,Cd4 cell count ,Stage (cooking) ,Generalized estimating equation ,business.industry ,Disease Management ,HIV ,Middle Aged ,Surgery ,VIROLOGIC FAILURE ,Treatment Outcome ,Infectious Diseases ,RNA, Viral ,Female ,business - Abstract
Background. Calendar trends in virologic failure (VF) among human immunodeficiency virus (HIV)-infected patients can help to evaluate the performance of healthcare systems and the need for new antiretroviral therapy (ART). We examined the time trend in the rate of VF beyond 6 months of ART between 1997 and 2011 in France. Methods. We included patients from the French Hospital Database on HIV who received at least 6 months of ART. VF was defined as 2 consecutive plasma HIV-RNA values >500 copies/mL or as 1 value >500 copies/mL followed byatreatment switch. We adjusted for patients’ characteristics by fitting a multivariable generalized estimating equation logistic regression model with an exchangeable covariance matrix. Results. A total of 81738 patients were enrolled, and median follow-up was 112.4 months. Median CD4 count was 333 cells/µL, and 23% of patients had HIV infection classified as Centers for Disease Control and Prevention stage C. Overall, 29.3% of patients received single/dual-drug ART initially, and 45.4% of patients experienced at least 1 episode of VF during follow-up. The percentage of patients with VF fell from 61.5% in 1997–1998 to 9.7% in 2009–2011 (P
- Published
- 2014
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