Dataset Information

HIV Care and Viral Suppression During the Last Year of Life: A Comparison of HIV-Infected Persons Who Died of HIV-Attributable Causes With Persons Who Died of Other Causes in 2012 in 13 US Jurisdictions.

ABSTRACT:

Background

Little information is available about care before death among human immunodeficiency virus (HIV)-infected persons who die of HIV infection, compared with those who die of other causes.

Objective

The objective of our study was to compare HIV care and outcome before death among persons with HIV who died of HIV-attributable versus other causes.

Methods

We used National HIV Surveillance System data on CD4 T-lymphocyte counts and viral loads within 12 months before death in 2012, as well as on underlying cause of death. Deaths were classified as "HIV-attributable" if the reported underlying cause was HIV infection, an AIDS-defining disease, or immunodeficiency and as attributable to "other causes" if the cause was anything else. Persons were classified as "in continuous care" if they had ?2 CD4 or viral load test results ?3 months apart in those 12 months and as having "viral suppression" if their last viral load was <200 copies/mL.

Results

Among persons dying of HIV-attributable or other causes, respectively, 65.28% (2104/3223) and 30.88% (1041/3371) met AIDS criteria within 12 months before death, and 33.76% (1088/3223) and 50.96% (1718/3371) had viral suppression. The percentage of persons who received ?2 tests ?3 months apart did not differ by cause of death. Prevalence of viral suppression for persons who ever had AIDS was lower among those who died of HIV but did not differ by cause for those who never had AIDS.

Conclusions

The lower prevalence of viral suppression among persons who died of HIV than among those who died of other causes implies a need to improve viral suppression strategies to reduce mortality due to HIV infection.

SUBMITTER: Adih WK

PROVIDER: S-EPMC5296618 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

HIV Care and Viral Suppression During the Last Year of Life: A Comparison of HIV-Infected Persons Who Died of HIV-Attributable Causes With Persons Who Died of Other Causes in 2012 in 13 US Jurisdictions.

Adih William K WK Hall H Irene HI Selik Richard M RM Guo Xiuchan X

JMIR public health and surveillance 20170124 1

<h4>Background</h4>Little information is available about care before death among human immunodeficiency virus (HIV)-infected persons who die of HIV infection, compared with those who die of other causes.<h4>Objective</h4>The objective of our study was to compare HIV care and outcome before death among persons with HIV who died of HIV-attributable versus other causes.<h4>Methods</h4>We used National HIV Surveillance System data on CD4 T-lymphocyte counts and viral loads within 12 months before de ...[more]

PMID: 28119277

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Dataset Information

HIV Care and Viral Suppression During the Last Year of Life: A Comparison of HIV-Infected Persons Who Died of HIV-Attributable Causes With Persons Who Died of Other Causes in 2012 in 13 US Jurisdictions.

Background

Objective

Methods

Results

Conclusions

Publications

HIV Care and Viral Suppression During the Last Year of Life: A Comparison of HIV-Infected Persons Who Died of HIV-Attributable Causes With Persons Who Died of Other Causes in 2012 in 13 US Jurisdictions.

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