Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19151
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dc.contributor.authorIoannidis, J. P.en
dc.contributor.authorBassett, R.en
dc.contributor.authorHughes, M. D.en
dc.contributor.authorVolberding, P. A.en
dc.contributor.authorSacks, H. S.en
dc.contributor.authorLau, J.en
dc.date.accessioned2015-11-24T18:57:18Z-
dc.date.available2015-11-24T18:57:18Z-
dc.identifier.issn1077-9450-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19151-
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectAnti-HIV Agents/*therapeutic useen
dc.subjectCD4 Lymphocyte Counten
dc.subjectDisease Progressionen
dc.subjectDouble-Blind Methoden
dc.subjectFemaleen
dc.subjectFollow-Up Studiesen
dc.subjectHIV Infections/*drug therapy/immunology/mortalityen
dc.subject*Hiv-1en
dc.subjectHumansen
dc.subjectMaleen
dc.subjectPatient Complianceen
dc.subjectPatient Dropouts/*statistics & numerical dataen
dc.subjectTreatment Refusalen
dc.subjectZidovudine/*therapeutic useen
dc.titlePredictors and impact of patients lost to follow-up in a long-term randomized trial of immediate versus deferred antiretroviral treatmenten
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/9377121-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate1997-
heal.abstractWe studied predictors for losses to follow-up and the impact of such losses in the AIDS Clinical Trials Group 019 protocol, a long-term randomized trial of immediate versus deferred antiretroviral therapy in asymptomatic HIV-1-infected patients with >500 CD4 cells/mm3. The trial was selected because of its key importance in determining guidelines for antiretroviral therapy, and because it had the longest follow-up among all antiretroviral trials and the largest percentage of patients whose vital status was unknown at study end. Younger age, a history of parenteral drug use, and nonwhite race were associated with higher rates of loss to follow-up, but race was not an important predictor after adjusting for clinical site. There was large and statistically significant variability in the rates of losses among different clinical sites (p < 0.001). Patient retention was significantly better in clinical sites that enrolled many participants, with 25% of enrollees lost to follow-up in sites enrolling >100 patients and 44% in sites enrolling <33 patients each. As a group, patients lost to follow-up after the 2nd year had steeper declines of CD4 cell counts, and a significantly larger proportion had reached a CD4 cell count <300/mm3 in the year before being lost, compared with patients remaining in the study. Losses to follow-up probably decreased substantially the observed number of primary endpoints, curtailed the power of the trial to demonstrate any difference between immediate and deferred initiation of antiretroviral therapy, and may have introduced large bias in the estimated hazard ratio for the primary endpoint and its statistical significance.en
heal.journalNameJ Acquir Immune Defic Syndr Hum Retrovirolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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