The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Adherence to Highly Active Antiretroviral Therapy Assessed by Pharmacy Claims Predicts Survival in HIV-Infected South African Adults
Abstract
It is unclear how adherence to highly active antiretroviral therapy (HAART) may best be monitored in large HIV programs in sub-Saharan Africa where it is being scaled up. We aimed to evaluate the association between HAART adherence, as estimated by pharmacy claims, and survival in HIV-1-infected South African adults enrolled in a private-sector AIDS management program. Of the 6288 patients who began HAART between January 1999 and August 2004, 3805 (61%) were female and 6094 (97%) were black African. HAART adherence was >or=80% for 3298 patients (52%) and 100% for 1916 patients (30%). Women were significantly more likely to have adherence>or=80% than men (54% vs 49%, P<0.001). The median (interquartile range) follow-up time was 1.8 (1.37-2.5) years. As of 1 September 2004, 222 patients had died-a crude mortality rate of 3.5%. In a multivariate Cox regression model, adherence<80% was associated with lower survival (relative hazard 3.23; 95% confidence interval: 2.37-4.39). When medication adherence was divided into 5 strata with a width of 20% each, each stratum had lower survival rates than the adjacent, higher-adherence stratum. Among other variables tested, only baseline CD4+ T-cell count was significantly associated with decreased survival in multivariate analysis (relative hazard 5.13; 95% confidence interval: 3.42-7.72, for CD4+ T-cell count 200 cells/microL). Pharmacy-based records may be a simple and effective population-level tool for monitoring adherence as HAART programs in Africa are scaled up.
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Adherence to Protease Inhibitor Therapy and Outcomes in Patients with HIV Infection
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Lawn, S. D., Harries, A. D., Anglaret, X., Myer, L., & Wood, R. (2008) · AIDS · doi:10.1097/qad.0b013e32830007cd · Cited by 639
Nonadherence to antiepileptic drugs and increased mortality: Findings from the RANSOM Study
Faught, E., Duh, M. S., Weiner, J. R., Guérin, A., & Cunnington, M. C. (2008) · Neurology · doi:10.1212/01.wnl.0000319693.10338.b9 · Cited by 411
Nachega, J. B., Uthman, O. A., Peltzer, K., Richardson, L. A., Mills, E. J., Amekudzi, K., & Ouédraogo, A. (2015) · Bulletin of the World Health Organization · doi:10.2471/blt.14.138149 · Cited by 125
Self-citationParry, C. D., Morojele, N. K., Myers, B. J., Kekwaletswe, C. T., Manda, S. O., Sorsdahl, K., Ramjee, G., Hahn, J. A., Rehm, J., & Shuper, P. A. (2014) · BMC Infectious Diseases · doi:10.1186/1471-2334-14-500 · Cited by 43
Healthcare Costs Associated with Antiretroviral Adherence Among Medicaid Patients
Pruitt, Z., Robst, J., Langland-Orban, B., & Brooks, R. G. (2015) · Applied Health Economics and Health Policy · doi:10.1007/s40258-014-0138-1 · Cited by 11
Metadata
- Authors
- Nachega, J. B., Hislop, M., Dowdy, D. W., Lo, M., Omer, S. B., Regensberg, L., Chaisson, R. E., & Maartens, G.
- Venue
- JAIDS Journal of Acquired Immune Deficiency Syndromes
- Published
- 2006-09
- Volume
- 43
- Issue
- 1
- Pages
- 78-84
- ISSN
- 1525-4135 (ISSN-L)
- OpenAlex
- W1980520085
- Cited by
- 270
- References
- 27
- FWCI
- 9.56
- Type
- journal article
- Language
- en
- Open access
- closed
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- Nachega, J. B., Hislop, M., Dowdy, D. W., Lo, M., Omer, S. B., Regensberg, L., Chaisson, R. E., & Maartens, G. (2006). Adherence to Highly Active Antiretroviral Therapy Assessed by Pharmacy Claims Predicts Survival in HIV-Infected South African Adults. JAIDS Journal of Acquired Immune Deficiency Syndromes. https://doi.org/10.1097/01.qai.0000225015.43266.46
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