Temporal changes in ART initiation in adults with high CD4 counts in Latin America: a cohort study.
Brenda E Crabtree-RamírezYanink Caro-VegaPablo Francisco Belaunzarán-ZamudioBryan E ShepherdPeter F RebeiroValdilea VelosoClaudia P CortesDenis PadgettEduardo GotuzzoJuan Sierra-MaderoCatherine C McGowanAnna K Personnull nullPublished in: Journal of the International AIDS Society (2020)
Time to cART initiation decreased substantially, roughly following changes in WHO guidelines in this real-world setting in Latin America. However, a very high proportion of patients never started cART, compromising retention in care and survival, as shown by their higher proportion of LTFU and death, which reinforce the notion that earlier treatment implementation strategies are needed.