Accès ouvert déclaré
2019
article
Virological response and retention in care according to time of starting ART in Italy: data from the Icona Foundation Study cohort
Antonella d’Arminio Monforte, Alessandro Tavelli, Alessandro Cozzi‐Lepri, Antonella Castagna, Simone Passerini, Daniela Francisci, Annalisa Saracino, Franco Maggiolo, Giuseppe Lapadula, Enrico Girardi, Carlo Federico Perno, Andrea Antinori, Massimo Andreoni, Francesco Castelli, Roberto Cauda, Giampaolo Perri, Massimo Galli, R Iardino, Giuseppe Ippolito, Adriano Lazzarin, Giulia Marchetti, Giovanni Rezza, F von Schloesser, P. Viale, Francesca Ceccherini‐Silberstein, Sergio Lo Caputo, C Mussini, Massimo Puoti, Francesca Bai, Claudia Balotta, Alessandra Bandera, Stefano Bonora, Marco Borderi, Andrea Calcagno, Amedeo Capetti, Maria Rosaria Capobianchi, S Cicalini, Antonella Cingolani, Paola Cinque, Andrea De Luca, Antonio Di Biagio, Nicola Gianotti, Andrea Gori, G Guaraldi, Miriam Lichtner, Giordano Madeddu, Laura Monno, Silvia Nozza, Carmela Pinnetti, Eugenia Quirós-Roldán, Roberto Rossotti, Stefano Rusconi, Maria Mercedes Santoro, Loredana Sarmati, Iuri Fanti, Laura Galli, P Lorenzini, A Rodano’, Marco Macchia, Fabrizio Carletti, Silvia Carrara, Antonino Di, Silvia Graziano, F Petroni, Gennaro Prota, S Truffa, Andrea Giacometti, Andrea Costantini, V Barocci, Gioacchino Angarano, Eugenio Milano, Claudia Suardi, Valentina Donati, G Verucchi, Filippo Castelnuovo, C Minardi, Barbara Menzaghi, C Abeli, Bruno Cacopardo, Benedetto Maurizio Celesia, Jacopo Vecchiet, Katia Falasca, Angelo Pan, Silvia Lorenzotti, L Sighinolfi, Daniela Segala, P. Blanc, Francesca Vichi, Giovanni Cassola, Claudio Viscoli, A. Alessandrini, Nicoletta Bobbio, Giovanni Mazzarello, Laura Fondaco, Paolo Bonfanti, Chiara Molteni, Alessandro Chiodera, P Milini, Giuseppe Nunnari, Giovanni Francesco Pellicanò, Gloria Montenegro Rizzardini, Elvira Stefania Cannizzo, M C Moioli, R. Piolini, Dario Bernacchia, S Salpietro, Camilla Tincati, Cinzia Puzzolante, C Migliorino, Vincenzo Sangiovanni, Guglielmo Borgia, Vincenzo Esposito, G Di Flumeri, Ivan Gentile, Viviana Rizzo, Anna Maria Cattelan, Serena Marinello, Antonio Cascio, Marcello Trizzino, Elisabetta Schiaroli, Giustino Parruti, Federica Sozio, G. Magnani, M A Ursitti, Antonio Cristaudo, Vincenzo Vullo, R Acinapura, Davide Moschese, M Capozzi, Annalisa Mondi, Marco Rivano Capparuccia, Giancarlo Iaiani, Alessandra Latini, Roberta Gagliardini, Maria Maddalena Plazzi, Giovanni de Girolamo, Alessandra Vergori, M Cecchetto, Franco Viviani, Andrea De Vito, Barbara Rossetti, Francesca Montagnani, Alfredo Franco‐Obregón, Rosario Vecchio, C Di Giuli, P Caramello, Giancarlo Orofino, Mariangela Sciandra, Matteo Bassetti, AP Londero, Vinicio Manfrin, Giuliana Battagin, Giulio Starnini, A Ialungo
9Citations signalées — pas une note de qualité
13Institutions déclarées
2Pays d’affiliation déclarés
Résumé fourni par la source
OBJECTIVES: To describe: (i) factors associated with rapid and delayed ART initiation; (ii) rates of 12 week virological response; and (iii) virologically controlled retention in care by 1 year from ART initiation according to timing of start in a real-life setting. METHODS: All individuals in the Icona cohort diagnosed with HIV in 2016-17 who initiated ART were grouped according to the time between HIV diagnosis and ART initiation: Group 1, ≤7 days; Group 2, 8-14 days; Group 3, 15-30 days; Group 4, 31-120 days; and Group 5, >120 days. Multivariable logistic regression models were used to identify factors associated with: (i) the probability of rapid (Group 1) and very delayed (Group 5) ART initiation; (ii) the 12 week virological response (by a modified snapshot algorithm); and (iii) the probability of retention in care at 1 year (on ART with HIV-RNA <50 copies/mL). RESULTS: A total of 1247 individuals were included [82 (6.6%) in Group 1, 115 (9.2%) in Group 2, 267 (21.4%) in Group 3, 641 (51.4%) in Group 4 and 142 (11.4%) in Group 5]. Main predictors of rapid ART start (Group 1) were low CD4 cell count and high HIV-RNA at first contact with the infectious diseases centre. There was no association between probability of virological response and timing of ART initiation. Overall, 90% of individuals remained on ART after 1 year, 91% with undetectable HIV-RNA. Participants of Italian nationality, those with higher CD4 cell count and lower HIV-RNA at ART initiation were more likely to be retained in care after 1 year. CONCLUSIONS: In our high-income observational setting, we did not observe differences in the 1 year rate of virological response and retention in care according to timing of ART initiation.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Virological response and retention in care according to time of starting ART in Italy: data from the Icona Foundation Study cohort
- Date Crossref
- 22/12/2019
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
HIV/AIDS Research and InterventionsHIV Research and TreatmentHIV/AIDS drug development and treatment