Fig 1.
Flowchart for enrollment of patients who disengage from medical care.
This figure shows the algorithm used by CoRECT clinics and the DPH to identify PWH who were in care, out of care and those eligible for randomization to the DIS intervention. There were 2,958 patients who were potentially out of care, divided up into Box B, C, D based on clinic and VL data during the 6 month OOC period. Case conferencing outcomes delineating patient care status including those placed into an upcoming visit watchlist are shown. Ultimately, 655 patients were randomized to DIS vs SOC.
Table 1.
Demographics of randomized vs non-randomized out of care PWH.
Table 2.
Last in care CD4 and HIV viral load by randomization status.
Table 3.
Last in care CD4 and HIV viral load by box classification.
Fig 2.
Revised HIV continuum of care CT 2017.
The CT DPH publishes a yearly HIV continuum of care: (https://portal.ct.gov/DPH/AIDS—Chronic-Diseases/Surveillance/Connecticut-HIV-Statistics). In 2017, there were 10,617 diagnosed cases of which 6,616 (62%) were estimated to be retained in care. Applying revised estimates based on our findings that 77.9% of potentially OOC are not randomizable (i.e. considered in care), then an additional 3,117 cases would be added to those retained (N = 6616), leading to a total of 9,733 (91.7%) estimated to be in care and 884 (8.3%) truly OOC. The percentages of prevalent cases attributed to Box B, C, D are shown.