Using HIV Care Cascades to Follow Short-term Health Outcomes Among Persons with Newly Diagnosed HIV Infection
By ETE Dashboard |
June 3rd, 2016 |
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Note: Medical care visits are not available in surveillance data. Instead, laboratory reports of CD4 and viral load testing collected by the New York City HIV surveillance data system are used as indicators of HIV-related medical contact. Medical care visits that did not result in one of these tests are not captured in the data.
The HIV care cascade among newly diagnosed by NYLinks Upper Manhattan providers shows in general, an increase in each of the measures on an annual basis from 2010 to 2013. The proportion of these newly diagnosed cases who were linked to care anywhere in New York City within 90 days of diagnosis has increased from 62% in 2010 to 70% in 2013, while retention in care1 has increased from 41% in 2010 to 51% in 2013. Within 6 months of diagnosis, 47% of individuals who were diagnosed in 2013 were virally suppressed (≤200 copies/mL), and that proportion jumps to 63% when looking out to 12 months after diagnosis.The use of a separate cascade for newly diagnosed persons allows the ability to examine outcomes among those entering into the HIV care continuum more recently and, by design, incorporates information on the time elapsed between HIV care continuum steps, which is valuable for rapid assessment of the effectiveness of strategies aimed at improving care outcomes.