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Table 1 Baseline characteristics and outcomes of patients attending an HIV clinic in Johannesburg, South Africa, stratified by missed visit status in the first six months of ART (n = 4476)

From: The importance of clinic attendance in the first six months on antiretroviral treatment: a retrospective analysis at a large public sector HIV clinic in South Africa

 

Missed visit status

(Medical or ARV)

Characteristics

0

1

2

≥ 3

Total

 

(n = 2913)

(n = 1178)

(n = 312)

(n = 73)

(n = 4476)

 

N (%)

N (%)

N (%)

N (%)

N (%)

Sex

     

   Female

1870 (64.2%)

724 (61.5%)

179 (57.4%)

37 (50.7%)

2810 (62.8%)

   Male

1043 (35.8%)

454 (38.5%)

133 (42.6%)

36 (49.3%)

1666 (37.2%)

Age at ART initiation

     

   18-24.9

125 (4.3%)

60 (5.1%)

13 (4.2%)

7 (9.6%)

205 (4.6%)

   25-29.9

427 (14.7%)

165 (14.0%)

50 (16.0%)

12 (16.4%)

654 (14.6%)

   30-39.9

1390 (47.7%)

561 (47.6%)

149 (47.8%)

35 (48.0%)

2135 (47.7%)

   40-49.9

714 (24.5%)

287 (24.4%)

79 (25.3%)

14 (19.2%)

1094 (24.4%)

   ≥ 50

257 (8.8%)

105 (8.9%)

21 (6.7%)

5 (6.9%)

388 (8.7%)

CD4 at ART initiation (cells/mm3)

     

   0-50

1069 (36.7%)

433 (36.8%)

121 (38.8%)

26 (35.6%)

1649 (36.8%)

   51-100

680 (23.3%)

266 (22.6%)

62 (19.9%)

16 (21.9%)

1024 (22.9%)

   101-200

1123 (38.6%)

464 (39.4%)

128 (41.0%)

30 (41.1%)

1745 (39.0%)

   Missing

41 (1.4%)

15 (1.3%)

1 (0.3%)

1 (1.4%)

58 (1.3%)

WHO stage at ART initiation

     

   I/II

1485 (51.0%)

570 (48.4%)

169 (54.2%)

33 (45.2%)

2257 (50.4%)

   III

1183 (40.6%)

496 (42.1%)

122 (39.1%)

33 (45.2%)

1834 (41.0%)

   IV

245 (8.4%)

112 (9.5%)

21 (6.7%)

7 (9.6%)

385 (8.6%)

First-line ART regimen

     

   d4T/3TC/EFV

2614 (89.7%)

1053 (89.4%)

280 (89.7%)

55 (75.3%)

4002 (89.4%)

   d4T/3TC/NVP

219 (7.5%)

95 (8.1%)

24 (7.7%)

13 (17.8%)

351 (7.8%)

   AZT/3TC/EFV

75 (2.6%)

28 (2.4%)

8 (2.6%)

5 (6.9%)

116 (2.6%)

   AZT/3TC/NVP

5 (0.2%)

2 (0.2%)

0 (0%)

0 (0%)

7 (0.7%)

Outcomes by sixth month of ART

     

Poor CD4 response

(increase <50 cells/mm3)

509 (17.5%)

230 (19.5%)

60 (19.2%)

21 (28.8%)

820 (18.3%)

Failure to achieve VL

suppression (< 400copies/mL)

191 (6.6%)

80 (6.8%)

34 (10.9%)

11 (15.1%)

316 (7.1%)

Outcomes by 12 months of follow up (21 months of ART)

     

   Death

71 (2.4%)

32 (2.7%)

6 (2.0%)

6 (8.2%)

115 (2.6%)

   Loss to follow up

174 (6.0%)

65 (5.5%)

27 (8.7%)

11 (15.1%)

277 (6.2%)

   Transferred

60 (2.1%)

37 (3.1%)

6 (2.0%)

1 (1.0%)

104 (2.3%)

   Alive and in care

2608 (89.5%)

1044 (88.6%)

273 (87.5%)

55 (75.3%)

3980 (89.0%)

Characteristics

0

1

2

≥ 3

Total

 

Median (IQR)

Median (IQR)

Median (IQR)

Median (IQR)

Median (IQR)

CD4 at ART initiation (cells/mm3)

76 (29-137)

77 (28-136)

72 (25-136)

82.5 (20.5-133.5)

76 (28-136)

CD4 nine months after ART initiation (cells/mm3)

245 (175-334

238 (176-323)

240 (177-303)

221 (151-319)

243 (175-328)

Time on ART (months)

28.4 (11.8-33.3)

30.3 (18.0-36.3)

30.8 (19.8-39.5)

25.6 (15.4-40.2)

25.6 (15.4-50.2)

Hb at ART initiation (ug/dL)

11.4 (10.0-12.9)

11.5 (10.1-13.0)

11.7 (9.9-13.1)

11.7 (10.3-13.0)

11.5 (10.0-12.9)

BMI at ART initiation

21.4 (19.0-24.4)

21.2 (18.8-24.3)

21.4 (19.4-24.2)

20.6 (18.6-22.6)

21.4 (19.0-24.3)

Age at ART initiation

36.1 (31.3-42.2)

36.1 (31.4-42.1)

35.4 (31.5-42.1)

35.7 (29.5-40.0)

36.1 (31.3-42.2)

Total medical visits scheduled in first six months of ART

4 (4-5)

4 (3-5)

4 (3-5)

4 (3-5)

4 (3-5)

Total ARV visits scheduled in first six months of ART

5 (4-6)

5 (4-5)

5 (4-5)

4 (4-5)

5 (4-5)

  1. ART, antiretroviral therapy; ARV, antiretroviral; Hb, haemoglobin; BMI, body mass index; d4T, stavudine; 3TC, lamivudine; EFV, efavirenz; NVP, nevirapine; IQR, interquartile range