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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A tale of two countries: all-cause mortality among people living with HIV and receiving combination antiretroviral therapy in the UK and Canada
HIV Medicine, Volume 18, No. 9, Year 2017
Notification
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Description
Objectives: We sought to compare all-cause mortality of people living with HIV and accessing care in Canada and the UK. Methods: Individuals from the Canadian Observational Cohort (CANOC) collaboration and UK Collaborative HIV Cohort (UK CHIC) study who were aged ≥ 18 years, had initiated antiretroviral therapy (ART) for the first time between 2000 and 2012 and who had acquired HIV through sexual transmission were included in the analysis. Cox regression was used to investigate the difference in mortality risk between the two cohort collaborations, accounting for loss to follow-up as a competing risk. Results: A total of 19 960 participants were included in the analysis (CANOC, 4137; UK CHIC, 15 823). CANOC participants were more likely to be older [median age 39 years (interquartile range (IQR): 33, 46 years) vs. 36 years (IQR: 31, 43 years) for UK CHIC participants], to be male (86 vs. 73%, respectively), and to report men who have sex with men (MSM) sexual transmission risk (72 vs. 56%, respectively) (all P < 0.001). Overall, 762 deaths occurred during 98 798 person-years (PY) of follow-up, giving a crude mortality rate of 7.7 per 1000 PY [95% confidence interval (CI): 7.1, 8.3 per 1000 PY]. The crude mortality rates were 8.6 (95% CI: 7.4, 10.0) and 7.5 (95% CI: 6.9, 8.1) per 1000 PY among CANOC and UK CHIC study participants, respectively. No statistically significant difference in mortality risk was observed between the cohort collaborations in Cox regression accounting for loss to follow-up as a competing risk (adjusted hazard ratio 0.86; 95% CI: 0.72–1.03). Conclusions: Despite differences in national HIV care provision and treatment guidelines, mortality risk did not differ between CANOC and UK CHIC study participants who acquired HIV through sexual transmission. © 2017 The Authors. HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.
Authors & Co-Authors
Jose, Sophie
United Kingdom, London
University College London
Samji, Hasina
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Canada, Vancouver
Bc Centre for Disease Control
Cescon, Angela M.
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Canada, Sudbury
École de Médecine du Nord de L'ontario
Ding, Erin
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Zhu, Julia
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Anderson, Jane
United Kingdom, London
Homerton University Hospital Nhs Foundation Trust
Burchell, Ann N.
Canada, Toronto
Saint Michael's Hospital University of Toronto
Canada, Toronto
Li ka Shing Knowledge Institute
Canada, Toronto
University of Toronto
Cooper, Curtis L.
Canada, Ottawa
University of Ottawa
Hill, Teresa
United Kingdom, London
University College London
Klein, Marina Barbara
Canada, Montreal
Université Mcgill
Canada, Montreal
Centre Universitaire de Santé Mcgill
Loutfy, Mona
Canada, Toronto
University of Toronto
Canada, Toronto
Women's College Research Institute
Martin, Fabiola
United Kingdom, York
York Teaching Hospital Nhs Foundation Trust
MacHouf, Nimâ
Canada, Montreal
Clinique Médicale L'actuel
Montaner, Julio S.G.
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Canada, Vancouver
The University of British Columbia
Nelson, Mark Richard
United Kingdom, London
Chelsea and Westminster Hospital
Raboud, Janet M. M.
Canada, Toronto
University of Toronto
Canada, Toronto
University Health Network University of Toronto
Rourke, Sean B.
Canada, Toronto
Ontario Hiv Treatment Network
Hogg, Robert S.
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Canada, Burnaby
Simon Fraser University
Sabin, Caroline Anne
United Kingdom, London
University College London
Kelly, Deborah V.
Unknown Affiliation
Sanche, Stephen E.
Unknown Affiliation
Wong, Alexander
Unknown Affiliation
Antoniou, Tony A.
Unknown Affiliation
Bayoumi, Ahmed M.
Unknown Affiliation
Nosyk, Bohdan
Unknown Affiliation
Richard Harrigan, P.
Unknown Affiliation
Harris, Marianne
Unknown Affiliation
Liddy, Clare E.
Unknown Affiliation
Lima, Viviane D.
Unknown Affiliation
Moore, David M.
Unknown Affiliation
Palmer, Alexis K.
Unknown Affiliation
Phillips, Peter
Unknown Affiliation
Rachlis, Anita Rochelle
Unknown Affiliation
Smieja, Marek J.
Unknown Affiliation
Trottier, Benôit
Unknown Affiliation
Walmsley, Sharon Lynn
Unknown Affiliation
Archibald, Chris P.
Unknown Affiliation
Tattle, Stephen
Unknown Affiliation
Chia, Jason
Unknown Affiliation
Corsi, Daniel J.
Unknown Affiliation
Shurgold, Susan
Unknown Affiliation
Yip, Benita
Unknown Affiliation
Ainsworth, Jonathan G.
Unknown Affiliation
Allan, Sris P.
Unknown Affiliation
Babiker, Abdel G.A.G.
Unknown Affiliation
Chadwick, David Robert
Unknown Affiliation
Delpech, Valerie C.
Unknown Affiliation
Dunn, David T.
Unknown Affiliation
Fisher, Martin J.
Unknown Affiliation
Gazzard, Brian G.
Unknown Affiliation
Gilson, Richard John Cary
Unknown Affiliation
Gompels, Mark M.
Unknown Affiliation
Hay, Phillip E.
Unknown Affiliation
Johnson, Margaret A.
Unknown Affiliation
Kegg, Stephen
Unknown Affiliation
Leen, Clifford L.S.
Unknown Affiliation
Orkin, Chloë M.
Unknown Affiliation
Palfreeman, Adrian J.
Unknown Affiliation
Phillips, Andrew N.
Unknown Affiliation
Morris, Lynn G.
Unknown Affiliation
Post, Frank A.
Unknown Affiliation
Pritchard, Jillian
Unknown Affiliation
Sachikonye, Memory
Unknown Affiliation
Schwenk, Achim
Unknown Affiliation
Tariq, Anjum
Unknown Affiliation
Walsh, John Christopher
Unknown Affiliation
Thornton, Alicia Claire
Unknown Affiliation
Glabay, Adam J.
Unknown Affiliation
Perry, Nicky
Unknown Affiliation
Tilbury, Stuart
Unknown Affiliation
Youssef, Elaney
Unknown Affiliation
Churchill, Duncan R.
Unknown Affiliation
Everett, Rhiannon
Unknown Affiliation
Asboe, David
Unknown Affiliation
Mandalia, Sundhiya
Unknown Affiliation
Korat, Hardik
Unknown Affiliation
Taylor, Christopher B.
Unknown Affiliation
Gleisner, Zachary
Unknown Affiliation
Ibrahim, Fowzia A.
Unknown Affiliation
Campbell, Lucy J.
Unknown Affiliation
Brima, Nataliya
Unknown Affiliation
Williams, Ian G.
Unknown Affiliation
Youle, Mike S.
Unknown Affiliation
Lampe, Fiona C.
Unknown Affiliation
Smith, Colette Joanne
Unknown Affiliation
Tsintas, Robert
Unknown Affiliation
Chaloner, Clinton
Unknown Affiliation
Hutchinson, Samantha
Unknown Affiliation
Huntington, Susie E.
Unknown Affiliation
Mackie, Nicky
Unknown Affiliation
Winston, Alan
Unknown Affiliation
Weber, Jonathan N.
Unknown Affiliation
Ramzan, Farhan
Unknown Affiliation
Carder, Mark
Unknown Affiliation
Lynch, Janet
Unknown Affiliation
Hand, James
Unknown Affiliation
de Souza, Carl B.S.S.
Unknown Affiliation
Munshi, Sajid
Unknown Affiliation
Miller, Sheila
Unknown Affiliation
Wood, Christopher W.
Unknown Affiliation
Wilson, Alan C.
Unknown Affiliation
Morris, Sheila
Unknown Affiliation
Allan, Sue
Unknown Affiliation
Memon, Khurram
Unknown Affiliation
Lewszuk, Adam Jacek
Unknown Affiliation
Gibson, Jane
Unknown Affiliation
Main, Paul
Unknown Affiliation
Dhillon, Mandip
Unknown Affiliation
Russell-Sharpe, Sarah
Unknown Affiliation
Harte, Andrew
Unknown Affiliation
Clay, Stephen
Unknown Affiliation
Spencer, Hazel
Unknown Affiliation
Jones, Ron
Unknown Affiliation
Cumming, Shirley
Unknown Affiliation
Atkinson, Claire E.
Unknown Affiliation
Trevelion, Roy
Unknown Affiliation
Statistics
Citations: 3
Authors: 116
Affiliations: 19
Identifiers
Doi:
10.1111/hiv.12505
ISSN:
14642662
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cohort Study
Participants Gender
Male