HIV care settings make a difference in patient response to treatment

Patients who are HIV-positive and seek treatment at community clinics are more likely to continue receiving care, while those treated at hospital clinics are more likely to maintain undetectable viral load, according to NAM's coverage of research reported at IDWeek 2013 in San Francisco. Asher Schranz from New York University and colleagues conducted a retrospective cohort study of 13,027 HIV-positive patients receiving care at 25 Ryan White-funded clinics in Philadelphia between January 2008 and 2011. Twelve of the clinics were hospital-based and saw 61 percent of the patients. Thirteen community-based clinics treated the remaining 39 percent. Patients who attended community clinics were more likely than hospital clinic patients to continue receiving treatment (85 percent vs. 82 percent). Although antiretroviral therapy use was similar in both groups, hospital clinic patients were significantly more likely to achieve viral suppression (71 percent vs. 76 percent). Article