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Abstract

Prompt linkage to human immunodeficiency virus (HIV) care after diagnosis is crucial to ensure optimal patient outcomes. However, few countries monitor this important public health marker and different definitions have been applied, making country and study comparisons difficult. This article presents an expert-agreed, standard definition of linkage to care for a pragmatic approach to public health monitoring, appropriate to the European context. Here, linkage to care is defined as patient entry into specialist HIV care after diagnosis, measured as the time between the HIV diagnosis date and one of the following markers: either the first clinic attendance date, first CD4+ cell count or viral load date, or HIV treatment start date, depending on data availability; Linkage is considered prompt if within 3 months of diagnosis. Application of this definition by researchers and public health professionals when reporting surveillance or research data relating to linkage to care after HIV diagnosis will enable reliable comparisons across countries, better assessment of the success of health services programmes aimed at improving peoples access to HIV treatment and care and the identification of barriers limiting access to HIV care across Europe.

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2018-11-29
2024-11-21
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References

  1. Ulett KB, Willig JH, Lin H-Y, Routman JS, Abroms S, Allison J, et al. The therapeutic implications of timely linkage and early retention in HIV care. AIDS Patient Care STDS. 2009;23(1):41-9.  https://doi.org/10.1089/apc.2008.0132  PMID: 19055408 
  2. Robertson M, Laraque F, Mavronicolas H, Braunstein S, Torian L. Linkage and retention in care and the time to HIV viral suppression and viral rebound - New York City. AIDS Care. 2015;27(2):260-7.  https://doi.org/10.1080/09540121.2014.959463  PMID: 25244545 
  3. Croxford S, Kitching A, Desai S, Kall M, Edelstein M, Skingsley A, et al. Mortality and causes of death in people diagnosed with HIV in the era of highly active antiretroviral therapy compared with the general population: an analysis of a national observational cohort. Lancet Public Health. 2017;2(1):e35-46. PMID: 29249478 
  4. Drew RS, Rice B, Rüütel K, Delpech V, Attawell KA, Hales DK, et al. HIV continuum of care in Europe and Central Asia. HIV Med. 2017;18(7):490-9.  https://doi.org/10.1111/hiv.12480  PMID: 28117527 
  5. Joint United Nations Programme on HIV/AIDS (UNAIDS). 90-90-90 an ambitious target to help end the AIDS epidemic. Geneva: UNAIDS; 2014. Available from: http://www.unaids.org/sites/default/files/media_asset/90-90-90_en.pdf
  6. European Centre for Disease Prevention and Control (ECDC). Continuum of HIV care - technical report. Stockholm: ECDC; 2017. Available from: https://ecdc.europa.eu/sites/portal/files/documents/Continuum-of-HIV-care-2017.pdf
  7. Croxford S, Raben D, Burns F, Delpech V. OptTEST by HIV in Europe. PE21/15 Linkage to care following HIV diagnosis in Europe: a review of the literature. European AIDS Clinical Society Conference. Barcelona, Spain, October 2015.
  8. World Health Organization (WHO). Consolidated strategic information guidelines for HIV in the health sector. Geneva: WHO; 2015.Available from: http://www.who.int/hiv/pub/guidelines/strategic-information-guidelines/en/
  9. Optimising testing and linkage to care for HIV across Europe (OptTEST). About OptTEST. Available from: http://www.opttest.eu/
  10. European Centre for Disease Prevention and Control (ECDC). Meeting report: Optimising analysis of the HIV continuum of care in Europe. Stockholm: ECDC; 2015. Available from: https://ecdc.europa.eu/en/news-events/ecdc-expert-meeting-optimising-analysis-hiv-continuum-care-europe
  11. World Health Organization (WHO). Consolidated guidelines on person-centred HIV patient monitoring and case surveillance. Geneva: WHO; 2017. Available from: http://www.who.int/hiv/pub/guidelines/person-centred-hiv-monitoring-guidelines/en/
  12. World Health Organization (WHO). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. Geneva: WHO; 2016. Available from: http://www.who.int/hiv/pub/arv/arv-2016/en/
  13. Centers for Disease Control and Prevention (CDC). Understanding the HIV Care Continuum. Atlanta, Georgia: CDC; 2014. Available from: https://www.cdc.gov/hiv/pdf/DHAP_Continuum.pdf
  14. Delpech V, Brown AE, Croxford S, Chau C, Polavarapu V, Cooper N, et al. Quality of HIV care in the United Kingdom: key indicators for the first 12 months from HIV diagnosis. HIV Med. 2013;14(Suppl 3):19-24.  https://doi.org/10.1111/hiv.12070  PMID: 24033898 
  15. European Centre for the Epidemiological Monitoring of HIV/AIDS WHO and UNAIDS Collaborating Centre on HIV/AIDS (EuroHIV). Report on the EuroHIV 2006 survey on HIV and AIDS surveillance in the WHO European Region. Saint-Maurice: Institut de veille sanitaire; 2007. Available from: http://opac.invs.sante.fr/doc_num.php?explnum_id=3591
  16. Organisation for Economic Co-operation and Development (OECD/EU). Health at a Glance: Europe 2016 - state of health in the EU cycle. Paris: OECD Publishing; 2016. Available from: http://www.oecd.org/health/health-at-a-glance-europe-23056088.htm
  17. Croxford S, Burns F, Copas A, Pharris A, Rinder Stengaard A, Delpech VOptTEST by HIV in Europe. Factors associated with delayed linkage to care following HIV diagnosis in the WHO European Region. HIV Med. 2018;19(Suppl 1):40-6.  https://doi.org/10.1111/hiv.12585  PMID: 29488702 
  18. Croxford S, Yin Z, Burns F, Copas A, Town K, Desai S, et al. OptTEST project. Linkage to HIV care following diagnosis in the WHO European Region: A systematic review and meta-analysis, 2006-2017. PLoS One. 2018;13(2):e0192403.  https://doi.org/10.1371/journal.pone.0192403  PMID: 29451875 
  19. Hall HI, Halverson J, Wilson DP, Suligoi B, Diez M, Le Vu S, et al. Late diagnosis and entry to care after diagnosis of human immunodeficiency virus infection: a country comparison. PLoS One. 2013;8(11):e77763.  https://doi.org/10.1371/journal.pone.0077763  PMID: 24223724 
  20. Optimising testing and linkage to care for HIV across Europe (OptTEST). Meeting Report: National stakeholder meeting on implementation of HIV testing in primary care & linkage to care in Portugal. Portugal: OptTEST; 2017. Available from: http://www.opttest.eu/Portals/0/Meeting_report_Portugal_final.pdf
  21. Optimising testing and linkage to care for HIV across Europe (OptTEST). Linkage to and retention in care: Experiences from Greece and challenges for the future - OptTEST meeting report. Greece; OptTEST; 2017. Available from: http://www.opttest.eu/Portals/0/Publications/OptTEST_meeting%20report_greece_26SEP2016_final.pdf
  22. Kowalska JD, Grzeszczuk A, Pyziak-Kowalska K, Marzec-Bogusławska A, Rosińska M, Ankiersztejn-Bartczak M, et al. Shaping the HIV epidemic in Poland – proceedings from the first Polish workshop on cascade of care in HIV. HIV & AIDS Review. International Journal of HIV-Related Problems.2017;16(2):130-3.
  23. Operational knowledge to improve HIV early diagnosis and treatment among vulnerable groups in Europe (EURO HIV EDAT). Optimal linkage to care among MSM: a practical guide for CBVCT’s and points of care. Copenhagen: EURO HIV EDAT; 2017. Available from: https://eurohivedat.eu/arxius/ehe_docsmenu_docsmenu_doc_128-20131101_D05_00_OTH_1_EN_PS.pdf
  24. Operational knowledge to improve HIV early diagnosis and treatment among vulnerable groups in Europe (EURO HIV EDAT). WP 6- Description and improvement of different approaches of linkage to care for HIV among MSM in Europe. Copenhagen: EURO HIV EDAT; 2017. Available from: https://eurohivedat.eu/arxius/ehe_docsmenu_docsmenu_doc_127-EURO_HIV_EDAT_WP_6_Data_Report_FINAL.pdf
  25. Gourlay A, Noori T, Pharris A, Axelsson M, Costagliola D, Cowan S, et al. European HIV Continuum of Care Working Group. The Human Immunodeficiency Virus continuum of care in European Union countries in 2013: data and challenges. Clin Infect Dis. 2017;64(12):1644-56.  https://doi.org/10.1093/cid/cix212  PMID: 28369283 
  26. European Centre for Disease Prevention and Control (ECDC), World Health Organisation (WHO) Regional Office for Europe. HIV/AIDS surveillance in Europe 2015. Stockholm: ECDC; 2016. Available from: http://www.euro.who.int/__data/assets/pdf_file/0019/324370/HIV-AIDS-surveillance-Europe-2015.pdf
Defining linkage to care following human immunodeficiency virus (HIV) diagnosis for public health monitoring in Europe
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Sara+Croxford&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Croxford Sara</a>, <a href="/search?value1=Dorthe+Raben&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Raben Dorthe</a>, <a href="/search?value1=Stine+F++Jakobsen&option1=author&noRedirect=true" class="nonDisambigAuthorLink"> Jakobsen Stine F</a>, <a href="/search?value1=Fiona+Burns&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Burns Fiona</a>, <a href="/search?value1=Andrew+Copas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Copas Andrew</a>, <a href="/search?value1=Alison+E+Brown&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Brown Alison E</a>, <a href="/search?value1=Valerie+C+Delpech&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Delpech Valerie C</a>, <a href="/search?value1=on+behalf+of+OptTEST+by+HIV+in+Europe&option1=author&noRedirect=true" class="nonDisambigAuthorLink">on behalf of OptTEST by HIV in Europe</a></span>. Defining linkage to care following human immunodeficiency virus (HIV) diagnosis for public health monitoring in Europe. <a href="/content/ecdc">Euro Surveill.</a> 2018;23(48):pii=1700858. <a href="https://doi.org/10.2807/1560-7917.ES.2018.23.48.1700858" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2018.23.48.1700858</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 22 Dec 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 13 May 2018 </span> </p>
/content/10.2807/1560-7917.ES.2018.23.48.1700858
/content/10.2807/1560-7917.ES.2018.23.48.1700858
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    • Supplement. Optimising analysis of the HIV continuum of care in Europe – Meeting attendees (8–9 September, 2015)

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