The HIV-Brazil Cohort Study: Design, Methods and Participant Characteristics
Publication Date
May 01, 2014
Journal
PLOS ONE
Authors
Alexandre Grangeiro, Maria Mercedes Escuder, Alex Jones Flores Cassanote, Rosa Alencar Souza, et al
Volume
9
Issue
5
Pages
e95673
DOI
https://dx.plos.org/10.1371/journal.pone.0095673
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0095673
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/24789106
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006775
Europe PMC
http://europepmc.org/abstract/MED/24789106
Web of Science
000335510600046
Scopus
84900441193
Mendeley
http://www.mendeley.com/research/hivbrazil-cohort-study-design-methods-participant-characteristics-6
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Mendeley | Further Information

{"title"=>"The HIV-Brazil Cohort study: Design, methods and participant characteristics", "type"=>"journal", "authors"=>[{"first_name"=>"Alexandre", "last_name"=>"Grangeiro", "scopus_author_id"=>"8927454800"}, {"first_name"=>"Maria Mercedes", "last_name"=>"Escuder", "scopus_author_id"=>"57192367395"}, {"first_name"=>"Alex Jones Flores", "last_name"=>"Cassanote", "scopus_author_id"=>"56157311500"}, {"first_name"=>"Rosa Alencar", "last_name"=>"Souza", "scopus_author_id"=>"36850186400"}, {"first_name"=>"Artur O.", "last_name"=>"Kalichman", "scopus_author_id"=>"6506117028"}, {"first_name"=>"Valdiléa", "last_name"=>"Veloso", "scopus_author_id"=>"35548798600"}, {"first_name"=>"Maria Letícia Rodrigues", "last_name"=>"Ikeda", "scopus_author_id"=>"36458607700"}, {"first_name"=>"Nêmora Tregnago", "last_name"=>"Barcellos", "scopus_author_id"=>"8932312900"}, {"first_name"=>"Carlos", "last_name"=>"Brites", "scopus_author_id"=>"7004097491"}, {"first_name"=>"Unai", "last_name"=>"Tupinanbás", "scopus_author_id"=>"56156846500"}, {"first_name"=>"Noaldo O.", "last_name"=>"Lucena", "scopus_author_id"=>"56158148700"}, {"first_name"=>"Carlos Lima", "last_name"=>"Da Silva", "scopus_author_id"=>"56158117700"}, {"first_name"=>"Heloisa Ramos", "last_name"=>"Lacerda", "scopus_author_id"=>"57192366726"}, {"first_name"=>"Beatriz", "last_name"=>"Grinsztejn", "scopus_author_id"=>"6603296078"}, {"first_name"=>"Euclides Ayres", "last_name"=>"Castilho", "scopus_author_id"=>"6603987943"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84900441193", "doi"=>"10.1371/journal.pone.0095673", "issn"=>"19326203", "pui"=>"373071748", "isbn"=>"1932-6203", "pmid"=>"24789106", "scopus"=>"2-s2.0-84900441193"}, "id"=>"ba35a1a0-4554-393c-aea5-458342c285c1", "abstract"=>"BACKGROUND: The HIV-Brazil Cohort Study was established to analyze the effectiveness of combination antiretroviral therapy (cART) and the impact of this treatment on morbidity, quality of life (QOL) and mortality. The study design, patients' profiles and characteristics of cART initiation between 2003 and 2010 were described.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: Since 2003, the HIV-Brazil Cohort has been following HIV-infected adults receiving cART at 26 public health care facilities, using routine clinical care data and self-reported QOL questionnaires. When not otherwise available, data are obtained from national information systems. The main outcomes of interest are diseases related or unrelated to HIV; suppression of viral replication; adverse events; virological, clinical and immunological failures; changes in the cART; and mortality. For the 5,061 patients who started cART between 2003 and 2010, the median follow-up time was 4.1 years (IQR 2.2-5.9 years) with an 83.4% retention rate. Patient profiles were characterized by a predominance of men (male/female ratio 1.7∶1), with a mean age of 36.9 years (SD 9.9 years); 55.2% had been infected with HIV via heterosexual contact. The majority of patients (53.4%) initiated cART with a CD4+ T-cell count ≤200 cells/mm3. The medications most often used in the various treatment regimens were efavirenz (59.7%) and lopinavir/ritonavir (18.2%). The proportion of individuals achieving viral suppression within the first 12 months of cART use was 77.4% (95% CI 76.1-78.6). Nearly half (45.4%) of the patients presented HIV-related clinical manifestations after starting cART, and the AIDS mortality rate was 13.9 per 1,000 person-years.\\n\\nCONCLUSIONS/SIGNIFICANCE: Results from cART use in the daily practice of health services remain relatively unknown in low- and middle-income countries, and studies with the characteristics of the HIV-Brazil Cohort contribute to minimizing these shortcomings, given its scope and patient profile, which is similar to that of the AIDS epidemic in the country.", "link"=>"http://www.mendeley.com/research/hivbrazil-cohort-study-design-methods-participant-characteristics-6", "reader_count"=>20, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Student > Doctoral Student"=>7, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Student > Doctoral Student"=>7, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Master"=>4, "Other"=>1, "Student > Bachelor"=>3, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>8, "Agricultural and Biological Sciences"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>3, "Psychology"=>1, "Social Sciences"=>3}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>8}, "Social Sciences"=>{"Social Sciences"=>3}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>3}}, "reader_count_by_country"=>{"Brazil"=>1}, "group_count"=>1}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1481942"], "description"=>"<p>Patients included in the HIV-Brazil Cohort Study by follow-up time.</p>", "links"=>[], "tags"=>["microbiology", "Medical microbiology", "Microbial pathogens", "Viral pathogens", "Immunodeficiency viruses", "hiv", "Diagnostic medicine", "HIV diagnosis and management", "epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Viral diseases", "aids", "Sexually transmitted diseases", "urology", "Genitourinary infections", "Women’s health", "Obstetrics and gynecology", "research design", "Clinical research design", "Cohort studies", "included", "hiv-brazil", "cohort", "follow-up"], "article_id"=>1013784, "categories"=>["Biological Sciences"], "users"=>["Alexandre Grangeiro", "Maria Mercedes Escuder", "Alex Jones Flores Cassanote", "Rosa Alencar Souza", "Artur O. Kalichman", "Valdiléa Veloso", "Maria Letícia Rodrigues Ikeda", "Nêmora Tregnago Barcellos", "Carlos Brites", "Unai Tupinanbás", "Noaldo O. Lucena", "Carlos Lima da Silva", "Heloisa Ramos Lacerda", "Beatriz Grinsztejn", "Euclides Ayres Castilho"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0095673.g002", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Patients_included_in_the_HIV_Brazil_Cohort_Study_by_follow_up_time_/1013784", "title"=>"Patients included in the HIV-Brazil Cohort Study by follow-up time.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-05-01 03:56:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1481945"], "description"=>"<p>Data Source: Features of AIDS by site: Data of the municipalities where the sites belonging to the study, with information from the National Epidemiological Surveillance System are; Characteristics of the centers: self-administered questionnaire by the manager of the service within the HIV- Brazil Cohort Study.</p><p>Abbreviations: Het., heterosexual; IDU, injection drug use; P./Ph., patient/physician; UREDIPE, <i>Unidade de Referência Especializada em Doenças Infecciosas e Parasitárias Especiais</i> (Referral Center Specializing in Specific Infectious and Parasitic Diseases); STF, specialized treatment facility; UFPE, <i>Universidade Federal de Pernambuco</i> (Federal University of Pernambuco); HUPES, <i>Hospital Universitário Professor Edgard Santos</i> (Professor Edgard Santos University Hospital); CEDAP, <i>Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa</i> (State Center Specializing in Diagnosis, Treatment and Research); IPEC, Instituto Evandro Chagas (Evandro Chagas Institute); UFMG, <i>Universidade Federal de Minas Gerais</i> (Federal University of Minas Gerais); CRT-SESSP, <i>Centro de Referência e Treinamento em DST e AIDS, Secretaria de Estado da Saúde de São Paulo</i> (São Paulo State Department of Health STD/AIDS Referral and Training Center).</p>a<p>Per 100 000 population (2006–2010).</p>b<p>2001–2005 vs. 2006–2010.</p>c<p>In relation to the total number of cases reported between 2006 and 2010.</p>d<p>Patients alive at follow-up in the services, including use and non-use of cART.</p>e<p>Proportion of the AIDS cases identified in the municipalities served by the facility.</p>f<p>Patients/Infectious disease specialists or general clinicians ratio.</p>g<p>Patients who meet the inclusion criteria between the total number of patients in the clinic follow-up sites.</p>h<p>Fourteen health care facilities affiliated with the City of São Paulo municipality.</p>", "links"=>[], "tags"=>["microbiology", "Medical microbiology", "Microbial pathogens", "Viral pathogens", "Immunodeficiency viruses", "hiv", "Diagnostic medicine", "HIV diagnosis and management", "epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Viral diseases", "aids", "Sexually transmitted diseases", "urology", "Genitourinary infections", "Women’s health", "Obstetrics and gynecology", "research design", "Clinical research design", "Cohort studies", "sites", "patient-selection", "hiv-brazil", "cohort"], "article_id"=>1013787, "categories"=>["Biological Sciences"], "users"=>["Alexandre Grangeiro", "Maria Mercedes Escuder", "Alex Jones Flores Cassanote", "Rosa Alencar Souza", "Artur O. Kalichman", "Valdiléa Veloso", "Maria Letícia Rodrigues Ikeda", "Nêmora Tregnago Barcellos", "Carlos Brites", "Unai Tupinanbás", "Noaldo O. Lucena", "Carlos Lima da Silva", "Heloisa Ramos Lacerda", "Beatriz Grinsztejn", "Euclides Ayres Castilho"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0095673.t001", "stats"=>{"downloads"=>2, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_AIDS_epidemic_sites_involved_and_patient_selection_process_in_the_HIV_Brazil_Cohort_Study_/1013787", "title"=>"Characteristics of the AIDS epidemic, sites involved and patient-selection process in the HIV-Brazil Cohort Study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-01 03:56:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1481943"], "description"=>"<p>Abbreviations: NRTI, nucleoside analogue reverse transcriptase inhibitor; NNRTI, non-nucleoside analogue reverse transcriptase inhibitor; PI/r, protease inhibitor, with adjuvant ritonavir; AZT, zidovudine; 3TC, lamivudine; EFZ, efavirenz; LPV/r, lopinavir/ritonavir; ATV/r, atazanavir/ritonavir.</p>a<p>In individuals over 18 years of age.</p>b<p>Data not included on AIDS case reporting form.</p>", "links"=>[], "tags"=>["microbiology", "Medical microbiology", "Microbial pathogens", "Viral pathogens", "Immunodeficiency viruses", "hiv", "Diagnostic medicine", "HIV diagnosis and management", "epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Viral diseases", "aids", "Sexually transmitted diseases", "urology", "Genitourinary infections", "Women’s health", "Obstetrics and gynecology", "research design", "Clinical research design", "Cohort studies", "patients", "cases", "brazilian"], "article_id"=>1013785, "categories"=>["Biological Sciences"], "users"=>["Alexandre Grangeiro", "Maria Mercedes Escuder", "Alex Jones Flores Cassanote", "Rosa Alencar Souza", "Artur O. Kalichman", "Valdiléa Veloso", "Maria Letícia Rodrigues Ikeda", "Nêmora Tregnago Barcellos", "Carlos Brites", "Unai Tupinanbás", "Noaldo O. Lucena", "Carlos Lima da Silva", "Heloisa Ramos Lacerda", "Beatriz Grinsztejn", "Euclides Ayres Castilho"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0095673.t002", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_patients_and_AIDS_cases_reported_to_the_Brazilian_Ministry_of_Health_/1013785", "title"=>"Characteristics of the patients and AIDS cases reported to the Brazilian Ministry of Health.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-01 03:56:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1481944"], "description"=>"<p>Abbreviation: PY, person-years.</p>a<p>Maximum follow-up time of 8.8 years.</p>b<p>Not included are 798 individuals with unknown transmission categories, 2 with unknown ages and 529 without a CD4–T exam prior to cART initiation.</p>", "links"=>[], "tags"=>["microbiology", "Medical microbiology", "Microbial pathogens", "Viral pathogens", "Immunodeficiency viruses", "hiv", "Diagnostic medicine", "HIV diagnosis and management", "epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Viral diseases", "aids", "Sexually transmitted diseases", "urology", "Genitourinary infections", "Women’s health", "Obstetrics and gynecology", "research design", "Clinical research design", "Cohort studies", "hiv-brazil", "cohort"], "article_id"=>1013786, "categories"=>["Biological Sciences"], "users"=>["Alexandre Grangeiro", "Maria Mercedes Escuder", "Alex Jones Flores Cassanote", "Rosa Alencar Souza", "Artur O. Kalichman", "Valdiléa Veloso", "Maria Letícia Rodrigues Ikeda", "Nêmora Tregnago Barcellos", "Carlos Brites", "Unai Tupinanbás", "Noaldo O. Lucena", "Carlos Lima da Silva", "Heloisa Ramos Lacerda", "Beatriz Grinsztejn", "Euclides Ayres Castilho"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0095673.t003", "stats"=>{"downloads"=>3, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Descriptive_analysis_of_loss_of_follow_up_a_in_the_HIV_Brazil_Cohort_Study_/1013786", "title"=>"Descriptive analysis of loss of follow-up<sup>a</sup> in the HIV-Brazil Cohort Study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-05-01 03:56:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1481941"], "description"=>"<p>Notes: ¥ Means per 100 000 population (2006 to 2010); <sup>#</sup>Per capita gross domestic product (2010); £ number of physicians per 1000 inhabitants (2010). Source: Ministry of Health/DATASUS (Information Technology Department of the Brazilian National Health Care System) <i>and the Brazilian Institute of Geography and Statistics.</i></p>", "links"=>[], "tags"=>["microbiology", "Medical microbiology", "Microbial pathogens", "Viral pathogens", "Immunodeficiency viruses", "hiv", "Diagnostic medicine", "HIV diagnosis and management", "epidemiology", "Infectious disease epidemiology", "Infectious diseases", "Viral diseases", "aids", "Sexually transmitted diseases", "urology", "Genitourinary infections", "Women’s health", "Obstetrics and gynecology", "research design", "Clinical research design", "Cohort studies", "regions", "sites", "hiv-brazil", "cohort"], "article_id"=>1013783, "categories"=>["Biological Sciences"], "users"=>["Alexandre Grangeiro", "Maria Mercedes Escuder", "Alex Jones Flores Cassanote", "Rosa Alencar Souza", "Artur O. Kalichman", "Valdiléa Veloso", "Maria Letícia Rodrigues Ikeda", "Nêmora Tregnago Barcellos", "Carlos Brites", "Unai Tupinanbás", "Noaldo O. Lucena", "Carlos Lima da Silva", "Heloisa Ramos Lacerda", "Beatriz Grinsztejn", "Euclides Ayres Castilho"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0095673.g001", "stats"=>{"downloads"=>1, "page_views"=>47, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_regions_and_sites_in_the_HIV_Brazil_Cohort_Study_/1013783", "title"=>"Characteristics of the regions and sites in the HIV-Brazil Cohort Study.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-05-01 03:56:11"}

PMC Usage Stats | Further Information

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