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Author Topic: Statistics on non-Adherence to Regimen  (Read 1109 times)

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Offline Pontus

  • Member
  • Posts: 32
Statistics on non-Adherence to Regimen
« on: June 29, 2013, 10:05:37 PM »
Dear friends.. I'm wondering if any statistical data exists on non-adherence.  in other words I would like to see data on how many (%) do not adhere to their treatment.  Also, some of the reasons they don't and the like.

Thanks in advance for any information you might share.

05-17-13 - Diagnosed/ Westerblot
06-03-13 - VL=500,193 / CD4 384
06-03-13 - Gnome - no resistance
06-05-13 - Start Stribild
07-23-13 - VL = 100 / CD4 664
10-14-13 - VL = 40 / CD4 592
01-03-14 - VL = UD /CD4 784

Offline leatherman

  • Member
  • Posts: 6,053
  • Google and HIV meds are Your Friends
Re: Statistics on non-Adherence to Regimen
« Reply #1 on: June 29, 2013, 10:54:43 PM »
i was getting an error msg trying to post to your thread but I wanted to pass this info along

reading up about the "HIV treatment cascade" (google it!) might give you some insight. Of course, there is no completely accurate data about adherence because quite frankly many people who are non-adherent (by 1 time or 20 times) simply lie about missing meds.

http://www.alrp.org/ed-message/hiv-treatment-cascade
http://blog.aids.gov/2012/07/hivaids-treatment-cascade-helps-identify-gaps-in-care-retention.html
http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-508.pdf
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline leatherman

  • Member
  • Posts: 6,053
  • Google and HIV meds are Your Friends
Re: Statistics on non-Adherence to Regimen
« Reply #2 on: June 29, 2013, 10:55:36 PM »
i tired to post this pic

http://www.alrp.org/wp-content/uploads/Cascade.jpg

but i was getting an error msg
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline Pontus

  • Member
  • Posts: 32
Re: Statistics on non-Adherence to Regimen
« Reply #3 on: June 29, 2013, 11:10:48 PM »
i was getting an error msg trying to post to your thread but I wanted to pass this info along

reading up about the "HIV treatment cascade" (google it!) might give you some insight. Of course, there is no completely accurate data about adherence because quite frankly many people who are non-adherent (by 1 time or 20 times) simply lie about missing meds.

http://www.alrp.org/ed-message/hiv-treatment-cascade
http://blog.aids.gov/2012/07/hivaids-treatment-cascade-helps-identify-gaps-in-care-retention.html
http://www.cdc.gov/nchhstp/newsroom/docs/2012/Stages-of-CareFactSheet-508.pdf


Excellent!! this is exactly what I was looking for,,,, thanks Leatherman!   :D
05-17-13 - Diagnosed/ Westerblot
06-03-13 - VL=500,193 / CD4 384
06-03-13 - Gnome - no resistance
06-05-13 - Start Stribild
07-23-13 - VL = 100 / CD4 664
10-14-13 - VL = 40 / CD4 592
01-03-14 - VL = UD /CD4 784

Offline leatherman

  • Member
  • Posts: 6,053
  • Google and HIV meds are Your Friends
Re: Statistics on non-Adherence to Regimen
« Reply #4 on: June 29, 2013, 11:46:17 PM »
Excellent!! this is exactly what I was looking for
glad to have helped even though there's really no exact data to get about adherence rates

I've had another thought about non-adherence rates that muddies the waters. Studies have shown that most ARVs are still succesfully effective when taken >=95%. This means that someone could be nearly 5% non-adherent and still be UD - with no way to tell they were that non-adherent except by unreliable patient reporting.  The only way to exactly monitor a patient's true adherence is probably through the expensive Therapeutic drug monitoring (TDM)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

 


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