The HIV care cascade in Switzerland: reaching the UNAIDS/WHO targets for patients diagnosed with HIV.

Details

Serval ID
serval:BIB_50AA548630EE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The HIV care cascade in Switzerland: reaching the UNAIDS/WHO targets for patients diagnosed with HIV.
Journal
Aids (london, England)
Author(s)
Kohler P., Schmidt A.J., Cavassini M., Furrer H., Calmy A., Battegay M., Bernasconi E., Ledergerber B., Vernazza P.
Working group(s)
Swiss HIV Cohort Study
ISSN
1473-5571 (Electronic)
ISSN-L
0269-9370
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
29
Number
18
Pages
2509-2515
Language
english
Abstract
OBJECTIVES: To describe the HIV care cascade for Switzerland in the year 2012.
DESIGN/METHODS: Six levels were defined: (i) HIV-infected, (ii) HIV-diagnosed, (iii) linked to care, (iv) retained in care, (v) on antiretroviral treatment (ART), and (vi) with suppressed viral load. We used data from the Swiss HIV Cohort Study (SHCS) complemented by a nationwide survey among SHCS physicians to estimate the number of HIV-patients not registered in the cohort. We also used Swiss ART sales data to estimate the number of patients treated outside the SHCS network. Based on the number of patients retained in care, we inferred the estimates for levels (i) to (iii) from previously published data.
RESULTS: We estimate that (i) 15 200 HIV-infected individuals lived in Switzerland in 2012 (margins of uncertainty, 13 400-19 300). Of those, (ii) 12 300 (81%) were diagnosed, (iii) 12 200 (80%) linked, and (iv) 11 900 (79%) retained in care. Broadly based on SHCS network data, (v) 10 800 (71%) patients were receiving ART, and (vi) 10 400 (68%) had suppressed (<200 copies/ml) viral loads. The vast majority (95%) of patients retained in care were followed within the SHCS network, with 76% registered in the cohort.
CONCLUSION: Our estimate for HIV-infected individuals in Switzerland is substantially lower than previously reported, halving previous national HIV prevalence estimates to 0.2%. In Switzerland in 2012, 91% of patients in care were receiving ART, and 96% of patients on ART had suppressed viral load, meeting recent UNAIDS/WHO targets.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Anti-Retroviral Agents/therapeutic use, Delivery of Health Care/organization & administration, Drug Utilization, Female, HIV Infections/diagnosis, HIV Infections/drug therapy, Health Services Research, Humans, Male, Middle Aged, Prevalence, Prospective Studies, Switzerland/epidemiology, Treatment Outcome, Viral Load, Young Adult
Pubmed
Web of science
Create date
08/01/2016 10:17
Last modification date
20/08/2019 14:06
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