Correcting mortality for loss to follow-up: a nomogram applied to antiretroviral treatment programmes in sub-Saharan Africa.
Spycher, Ben D
Geng, Elvin H
Fox, Matthew P
van Cutsem, Gilles
McIntyre, James A
Brinkhof, Martin W G
AffiliationInstitute of Social and Preventive Medicine (ISPM), University of Bern, Switzerland; Moi University School of Medicine, Eldoret, Kenya; Lighthouse Trust, Kamuzu Hospital, Lilongew, Malawi; Divison of HIV/AIDS, Department of Medicine, University of California, San Franciso, California, USA; Center for Global Health and Development, Boston University, Boston, Massachusetts, USA; Right to Care, Thema Leftu Clinic, Joseph Hospital, Johannesburg, South Africa; Khayelitsha Medecins sans Frontieres programme, University of Cape Town, Cape Town, South Africa; Centre de Prise en Charge, de Recherche et de Formation sur le VH/SIDA, Abidjan, Cote d'Ivoire; Desmond Tutu Hiv Centre, Cape Town, South Africa, Mailman School, Columbia University, NY, NY, USA; Newlands Clinic, Harare, Zimbabwe; Independent Surgery, Gaborone, Botswana; Institut de Recherece pour le Developpement/UMR 145, Montpeller, France; Perinatal Hiv Research Unit, Soweto, South Africa.
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AbstractThe World Health Organization estimates that in sub-Saharan Africa about 4 million HIV-infected patients had started antiretroviral therapy (ART) by the end of 2008. Loss of patients to follow-up and care is an important problem for treatment programmes in this region. As mortality is high in these patients compared to patients remaining in care, ART programmes with high rates of loss to follow-up may substantially underestimate mortality of all patients starting ART.
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