Early Impact of the Patient Protection and Affordable Care Act on People Living With HIV

Ginossar, Tamar; Meter, Lindsay Van; Shah, Sayyed Fawad Ali; Bentley, Joshua M.; Weiss, David; Oetzel, John

doi:10.1097/jnc.0000000000000079

Cited by 5 publications

(2 citation statements)

References 37 publications

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“…[16][17][18][19][20] Strengthening healthcare services to ensure better treatment outcomes in HIV-infected children is essential. [21][22][23] Although several studies have been conducted to assess the clinical burden and treatment outcomes of HIV in adults, [24][25][26] treatment outcomes are poorly understood among children. 27 This systematic review and meta-analysis will provide pooled estimates of poor treatment outcomes among children who were diagnosed with HIV and enrolled for treatment with highly active ART.…”

Section: Discussionmentioning

confidence: 99%

Poor treatment outcomes of children on highly active antiretroviral therapy: protocol for a systematic review and meta-analysis

Atalell

Alene

2020

BMJ Open

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IntroductionWhile access to highly active antiretroviral therapy (HAART) for children with HIV has expanded and the use of HAART has substantially reduced the morbidity and mortality of children due to HIV, poor treatment outcomes among children with HIV are still a major public health problem globally. The aim of this systematic review and meta-analysis is to quantify treatment outcomes among children with HIV.Methods and analysisSystematic searches will be conducted in three electronic databases (PubMed, SCOPUS and Web of Science) for recent studies published from 01 Jan 2000 up to 28 October 2020, without geographical restriction. The primary outcomes of the study will be poor treatment outcomes, which include death, treatment failure and loss to follow-up. We will include quantitative studies that report treatment outcomes among children under the age of 18 years with HIV. Studies will be excluded if they are case report, case series, conducted among adults only or do not provide data on treatment outcomes for children. Two researchers will screen the titles and abstracts of all citations identified in our search, then review the full text of the remaining papers to identify those that meet the inclusion criteria. The Newcastle–Ottawa Scale will be used for quality assessment. A random-effects meta-analysis will be used to obtain pooled estimates of the proportion of poor treatment outcomes. The heterogeneity between studies will be checked visually by using forest plots and quantitatively measured by the index of heterogeneity (I2). Pooled estimates of poor treatment outcomes will be calculated with a random-effects model. Subgroup analysis will be conducted by study settings, treatment regimen, comorbidity (such as tuberculosis), study period and HIV type (HIV-1 and HIV-2).Ethics and disseminationEthical approval will not be required for this study as it will be based on published papers. The final report of this review will be published in a peer-reviewed scientific journal.

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Section: Discussionmentioning

confidence: 99%

Poor treatment outcomes of children on highly active antiretroviral therapy: protocol for a systematic review and meta-analysis

Atalell

Alene

2020

BMJ Open

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“…Structural factors are the economic, social, political, and institutional barriers or facilitators for health care access, delivery, quality, and outcomes. 4 While structural interventions (eg, providing stable housing and Medicaid expansion) improve HIV testing, access to HIV care, and viral suppression, 5,6 their impact on the quality of HIV care (eg, retention in care) has not been wellstudied. Structural inequities disproportionately impact the health of racial groups, 7 suggesting that removing structural barriers could differentially impact the quality of care for non-Hispanic Black individuals.…”

Section: Introductionmentioning

confidence: 99%

Brief Report: Physician Reimbursement and Retention in HIV Care: Racial Disparities in the US South

Pan

Dahman

Bono

et al. 2023

JAIDS Journal of Acquired Immune Deficiency Syndromes

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A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States

et al. 2020

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Early Impact of the Patient Protection and Affordable Care Act on People Living With HIV

Cited by 5 publications

References 37 publications

Poor treatment outcomes of children on highly active antiretroviral therapy: protocol for a systematic review and meta-analysis

Poor treatment outcomes of children on highly active antiretroviral therapy: protocol for a systematic review and meta-analysis

Brief Report: Physician Reimbursement and Retention in HIV Care: Racial Disparities in the US South

A Concept Mapping Study to Understand Multilevel Resilience Resources Among African American/Black Adults Living with HIV in the Southern United States

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