Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/218853 |
Resumo: | OBJECTIVE: To build an integrated database of individual and service data from the cohort of people who started antiretroviral therapy (ART), from 2015 to 2018, in Brazil. METHODS: Open cohort study that includes people aged 15 years or older who started ART from 2015 to 2018, with follow-up in services of the Brazilian Unified Health System (SUS), and who responded to the 2016/2017 Qualiaids national survey. The source of individual data was the related HIV database, derived from the probabilistic linkage between data from the SUS systems of diagnostic information, medication, tests, and deaths. The data source for the services was the services’ response database to the Qualiaids survey. After analysis of consistency and exclusions, the database of individuals was deterministically related to the database of services. RESULTS: The cohort comprised 132,540 people monitored in 941 SUS services. Of these services, 59% are located in the Southeast region and 49% followed 51 to 500 cohort participants. The average performance of organization and management of patient care ranged from 29% to 75%. Most of the cohort participants are male, black and mixed, aged between 20 and 39 years old, and have between 4 and 11 years of schooling. Median baseline T-CD4 was 419 cells/mm3, 6% had an episode of tuberculosis, and 2% died of HIV disease. CONCLUSION: For the first time in Brazil, this cohort provides the opportunity for a joint analysis of individual factors and services in the production of positive and negative clinical outcomes of HIV treatment. |
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Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018Perfil da coorte de pessoas em tratamento da infecção por HIV no SUS, Brasil, 2015–2018HIVEstudos de CoortesSistema Único de SaúdePesquisa sobre Serviços de SaúdeTuberculoseHIVCohort Studies Brazilian Unified Health SystemHealth Services ResearchTuberculosisOBJECTIVE: To build an integrated database of individual and service data from the cohort of people who started antiretroviral therapy (ART), from 2015 to 2018, in Brazil. METHODS: Open cohort study that includes people aged 15 years or older who started ART from 2015 to 2018, with follow-up in services of the Brazilian Unified Health System (SUS), and who responded to the 2016/2017 Qualiaids national survey. The source of individual data was the related HIV database, derived from the probabilistic linkage between data from the SUS systems of diagnostic information, medication, tests, and deaths. The data source for the services was the services’ response database to the Qualiaids survey. After analysis of consistency and exclusions, the database of individuals was deterministically related to the database of services. RESULTS: The cohort comprised 132,540 people monitored in 941 SUS services. Of these services, 59% are located in the Southeast region and 49% followed 51 to 500 cohort participants. The average performance of organization and management of patient care ranged from 29% to 75%. Most of the cohort participants are male, black and mixed, aged between 20 and 39 years old, and have between 4 and 11 years of schooling. Median baseline T-CD4 was 419 cells/mm3, 6% had an episode of tuberculosis, and 2% died of HIV disease. CONCLUSION: For the first time in Brazil, this cohort provides the opportunity for a joint analysis of individual factors and services in the production of positive and negative clinical outcomes of HIV treatment.OBJETIVO: Construir uma base integrada de dados individuais e dos serviços da coorte de pessoas que iniciaram terapia antirretroviral (TARV) entre 2015 e 2018 no Brasil. MÉTODOS: Estudo de coorte aberta que incluiu pessoas de 15 anos ou mais que iniciaram TARV entre 2015 e 2018, com acompanhamento em serviços do Sistema Único de Saúde (SUS), e que responderam ao inquérito nacional Qualiaids de 2016/2017. A fonte de dados individuais foi o banco relacionado do HIV, proveniente do relacionamento probabilístico entre dados dos sistemas de informação de diagnóstico, medicação, exames e óbitos do SUS. A fonte de dados dos serviços foi o banco de respostas dos serviços ao inquérito Qualiaids. Após análise de consistência e exclusões, o banco dos indivíduos foi relacionado deterministicamente com o banco de serviços. RESULTADOS: A coorte reuniu 132.540 pessoas acompanhadas em 941 serviços do SUS. Desses serviços, 59% localizam-se na região Sudeste e 49% acompanharam 51 a 500 participantes da coorte. O desempenho médio de organização e gerência da assistência ao paciente variou de 29% a 75%. A maioria dos participantes da coorte é do sexo masculino, preto e pardo, com idade entre 20 e 39 anos e tem entre 4 e 11 anos de escolaridade. O T-CD4 mediano basal foi de 419 células/mm3, 6% tiveram episódio de tuberculose e 2% foram a óbito por doença do HIV. CONCLUSÃO: A coorte oportuniza pela primeira vez no Brasil a análise conjunta de fatores individuais e dos serviços na produção dos desfechos clínicos positivos e negativos do tratamento do HIV.Universidade de São Paulo. Faculdade de Saúde Pública2023-09-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdftext/xmlhttps://www.revistas.usp.br/rsp/article/view/21885310.11606/s1518-8787.2023057005256Revista de Saúde Pública; Vol. 57 No. 1 (2023); 66Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 66Revista de Saúde Pública; v. 57 n. 1 (2023); 661518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/218853/199943https://www.revistas.usp.br/rsp/article/view/218853/199942https://www.revistas.usp.br/rsp/article/view/218853/199941Copyright (c) 2023 Ana Paula Sayuri Sato, Maria Ines Battistella Nemes, Ana Maroso Alves, Evelyn Lima de Souza, Barbara dos Reis Santos, Luceime Olivia Nunes, Angélica Carreira dos Santos, Aline Kumow, Felipe Parra do Nascimentohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSato, Ana Paula SayuriNemes, Maria Ines BattistellaAlves, Ana MarosoSouza, Evelyn Lima deSantos, Barbara dos ReisNunes, Luceime OliviaSantos, Angélica Carreira dosKumow, AlineNascimento, Felipe Parra do2023-11-13T19:20:33Zoai:revistas.usp.br:article/218853Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2023-11-13T19:20:33Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 Perfil da coorte de pessoas em tratamento da infecção por HIV no SUS, Brasil, 2015–2018 |
title |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
spellingShingle |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 Sato, Ana Paula Sayuri HIV Estudos de Coortes Sistema Único de Saúde Pesquisa sobre Serviços de Saúde Tuberculose HIV Cohort Studies Brazilian Unified Health System Health Services Research Tuberculosis |
title_short |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
title_full |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
title_fullStr |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
title_full_unstemmed |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
title_sort |
Profile of the cohort of people being treated for HIV infection in the SUS, Brazil, 2015–2018 |
author |
Sato, Ana Paula Sayuri |
author_facet |
Sato, Ana Paula Sayuri Nemes, Maria Ines Battistella Alves, Ana Maroso Souza, Evelyn Lima de Santos, Barbara dos Reis Nunes, Luceime Olivia Santos, Angélica Carreira dos Kumow, Aline Nascimento, Felipe Parra do |
author_role |
author |
author2 |
Nemes, Maria Ines Battistella Alves, Ana Maroso Souza, Evelyn Lima de Santos, Barbara dos Reis Nunes, Luceime Olivia Santos, Angélica Carreira dos Kumow, Aline Nascimento, Felipe Parra do |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Sato, Ana Paula Sayuri Nemes, Maria Ines Battistella Alves, Ana Maroso Souza, Evelyn Lima de Santos, Barbara dos Reis Nunes, Luceime Olivia Santos, Angélica Carreira dos Kumow, Aline Nascimento, Felipe Parra do |
dc.subject.por.fl_str_mv |
HIV Estudos de Coortes Sistema Único de Saúde Pesquisa sobre Serviços de Saúde Tuberculose HIV Cohort Studies Brazilian Unified Health System Health Services Research Tuberculosis |
topic |
HIV Estudos de Coortes Sistema Único de Saúde Pesquisa sobre Serviços de Saúde Tuberculose HIV Cohort Studies Brazilian Unified Health System Health Services Research Tuberculosis |
description |
OBJECTIVE: To build an integrated database of individual and service data from the cohort of people who started antiretroviral therapy (ART), from 2015 to 2018, in Brazil. METHODS: Open cohort study that includes people aged 15 years or older who started ART from 2015 to 2018, with follow-up in services of the Brazilian Unified Health System (SUS), and who responded to the 2016/2017 Qualiaids national survey. The source of individual data was the related HIV database, derived from the probabilistic linkage between data from the SUS systems of diagnostic information, medication, tests, and deaths. The data source for the services was the services’ response database to the Qualiaids survey. After analysis of consistency and exclusions, the database of individuals was deterministically related to the database of services. RESULTS: The cohort comprised 132,540 people monitored in 941 SUS services. Of these services, 59% are located in the Southeast region and 49% followed 51 to 500 cohort participants. The average performance of organization and management of patient care ranged from 29% to 75%. Most of the cohort participants are male, black and mixed, aged between 20 and 39 years old, and have between 4 and 11 years of schooling. Median baseline T-CD4 was 419 cells/mm3, 6% had an episode of tuberculosis, and 2% died of HIV disease. CONCLUSION: For the first time in Brazil, this cohort provides the opportunity for a joint analysis of individual factors and services in the production of positive and negative clinical outcomes of HIV treatment. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-09-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/218853 10.11606/s1518-8787.2023057005256 |
url |
https://www.revistas.usp.br/rsp/article/view/218853 |
identifier_str_mv |
10.11606/s1518-8787.2023057005256 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/218853/199943 https://www.revistas.usp.br/rsp/article/view/218853/199942 https://www.revistas.usp.br/rsp/article/view/218853/199941 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf text/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 57 No. 1 (2023); 66 Revista de Saúde Pública; Vol. 57 Núm. 1 (2023); 66 Revista de Saúde Pública; v. 57 n. 1 (2023); 66 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1787713242773061632 |