Misclassification of Loss to Care Among Persons With Human Immunodeficiency Virus: Improved Capture of Silent Transfers Through Surveillance Linkage Using Statewide Mandatorily Reported Laboratory Measures

Author:

Sack Daniel E1ORCID,Brantley Meredith2,Ratliff Melanie2,Mathieson Samantha2,Turner Megan3,Pettit April C3,Sterling Timothy R3,Rebeiro Peter F34ORCID

Affiliation:

1. Vanderbilt University School of Medicine , Nashville, Tennessee , USA

2. Division of HIV/STDs/Viral Hepatitis, Tennessee Department of Health , Nashville, Tennessee , USA

3. Division of Infectious Diseases, Department of Medicine, Vanderbilt University School of Medicine , Nashville, Tennessee , USA

4. Department of Biostatistics, Vanderbilt University School of Medicine , Nashville, Tennessee , USA

Abstract

Abstract Human Immunodeficiency Virus (HIV)-positive individuals lost to follow-up from particular clinics may not be lost to care (LTC). After linking Vanderbilt's Comprehensive Care Clinic cohort to Tennessee's statewide HIV surveillance database, LTC decreased from 48.4% to 35.0% at 10 years. Routine surveillance linkage by domestic HIV clinics would improve LTC and retention measure accuracy.

Funder

National Institute of Allergy and Infectious Diseases

National Institute of Mental Health

National Institute of General Medical Sciences

NIH

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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